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Re:Anxiety, depression, and PTSD may be adaptive responses t... by User23 on Thursday September 03, 2020 @10:20AM (#24364311)
Amphetamines have shown some promising results in actually curing depression. There is a vicious cycle of depression where the anhedonia and lack of motivation cause the sufferer to allow the underlying causes to get even worse leading to deeper depression. Amphetamines can help break that cycle and ideally even start a virtuous cycle where their use can be tapered and eventually discontinued. It's vitally important though that the drug treatment is combined with behavioral modification so that the artificial stimulation of reward circuits can be operant conditioned on behavior patterns that mitigate the underlying cause of depression. Anyhow I might be off on the jargon since college psychology was a long time ago, but the basic concept strikes me as highly plausible and consistent with what we know about the human mind. And anecdotally I have friends who benefited from amphetamines for depression.

However used improperly it can end in amphetamine addiction or even psychosis. It's not surprising most mainstream psychiatrists don't like to use them for depression, but it is a powerful tool in the box.

Re:Anxiety, depression, and PTSD may be adaptive responses t... by volkl48 on Thursday September 03, 2020 @12:52PM (#24365998)
That seems perfectly reasonable to me as a line of reasoning, and I'm not casting doubt on whether it could work.

With that said, I also wonder how many of those people had undiagnosed ADHD/if such studies involved screening for ADHD.

Unmanaged ADHD leading to consistent failures in life and other difficulties -> depression/depressive symptoms from the consequences, lack of achievement, etc over the long term, is a pretty common story.

And obviously, the responsiveness of those with ADHD to stimulants is pretty well-known.

Re:Anxiety, depression, and PTSD may be adaptive responses t... by dsego on Thursday September 03, 2020 @05:33PM (#24369135)
> However used improperly it can end in amphetamine addiction or even psychosis.

Someone I know managed to do that, despite being on intramuscular antipsychotics. Unfortunately no middle ground, the meds keep him anhedonic and abulic, but without them it's mania. I would be careful with stimulants.