Tapering SSRIs is the normal unless a provider has alternative indication it shouldn't be done.

Tapering doses for all sorts of medications are routinely done, and any pharmacy can handle such an rx. If they can't - you don't want to go to such a pharmacy anyway.

Some people move permanently, in order to obtain medical care. Sometimes, to another country.

Most compounding pharmacies will ship, and most physicians will only require one visit in person in 12 months.

That's not to even mention the disgusting influence that the drug industry has on psychiatry. My own doctor prescribed Cymbalta to me for mild anxiety and told me it was completely safe and effective, which it was not. Their (doctor's) basis for prescribing those meds was based on their own experience with a small sample of patients, and I imagine what the drug company told them/gave their own first party literature for. Had I actually looked into studies, I would have seen that the risk was nontrivial, there are bad actors motivated by greed, the mechanism of action is not known, and that there are doctors with limited time and effort per patient.

What you have down is this: "so we're at a point in the Internet where random people feel confident enough to tell others to disregard professional medical advice in favor of their own "research""

Which is in response to a post saying that they disagree with another parent who says that none of these anecdotal experiences or advice given by other posters should be read.

Regardless, I think it's important for people to trust their own judgement, and weigh anecdotal experiences and advice from regular people, with the understanding that all advice comes from a certain context.

That being said, after the fact of having such a bad personal experience and afterwards seeing that actual academic literature shows such a big rift with what I was told by a licensed professional with many years of experience, I have to advocate, especially in the field of psychiatry, to make one's own best judgement, regardless of whether a doctor agrees or not, and only give them the authority of what they can logically provide as an argument for why you should follow a certain treatment.

If you trust a stranger's anecdotes on the Internet over your doctor (or even your own massively undereducated and biased interpretation of the situation), you are a fool, full stop. Unfortunately, sometimes the very disease you have causes you to make foolish decisions.

The only sane answer here is to get help from another medical professional. Any other option is exceedingly stupid.

The person you're replying to isn't even saying that you should never trust a doctor. They're saying that doctors are not infallible, and that doing some research by yourself and bringing any questions to your doctor might be a good idea. At a pretty fundamental level, that's one of the primary responsibilities of a doctor.

This is the same thing as "trusting science". If you are "trusting science" in the sense that a lot of people are referring to when they say that, you are missing the point!

If the research/gut feeling disagrees with what the doctor is saying it raises additional questions. To me it sounds like you're telling people to blindly follow a doctor's advice. They definitely shouldn't disregard it, but blind faith is just as stupid

Turns out most doctors prescribe what is recommended by the professional organization they’re a member or the CDC.

I can’t count the number of times I’ve been at my daughter’s pediatrician’s office and the doctor either hands me a print out of the CDC website or actively googles something in front of me during a visit.

Sometimes I’ll ask her “what do you think about…” and she’ll parrot back “well the American Academy of Pediatrics recommends…”

And guess what? These clowns are fine with it. They jump through ridiculous hoops in school to get cushy high paying jobs, and their professional organizations work very hard to keep any competition out.

My brother just got prescribed anti-depressants this week. All the doctor did was give him the standard DSM “are you depressed” test. His score was barely on the depressed spectrum and so the doctor gave the standard dose. “See you a month from now, call me if you feel like killing yourself.”

No probing questions about why he might be depressed. No questions about past his past experiences with seasonal depression in Michigan where he lives. No other alternative remedies. Just a prescription, next patient please.

These doctors are just very highly credentialed monkies. They have vast knowledge of when to prescribe what and at the recommended dose. But ask them any kind of thought provoking question and inevitably you’ll get “the [trade organization I belong to] recommends…”

When my wife was in labor with my firstborn, the doctor and I were hanging out chatting. I asked him what the machine that printed out the intensity of her contractions was measuring. I kid you not: “well… it measures… it’s like how tight her uterus is… like, the intensity of her contractions.” No doc, what physical phenomenon is it measuring. It sits on her belly. What is it doing? Crickets. Guy couldn’t even tell me what the units were on the chart.

Try it sometime. Ask them a knowledge check question. Something simple, like “why do you administer this vaccine at four months old instead of, say, six months old?” or “what do these SSRIs do to my brain chemistry that helps manage my depression symptoms?” Watch them squirm.

Almost as interesting is the fact that none of them have ever admitted “you know, that’s a great question, I’m not sure, let me go research it and get back with you,” a completely valid answer. The hubris among these folks is something.

I’ll warn you though, if you try this you’re going to lose a lot respect for these medical “professionals”, I guarantee it.

Then as I looked at the rest of the world, it started to become clear to me that all industries are broken in the same way. Medicine is no exception.

> My brother just got prescribed anti-depressants this week. All the doctor did was give him the standard DSM “are you depressed” test. His score was barely on the depressed spectrum and so the doctor gave the standard dose. “See you a month from now, call me if you feel like killing yourself.”

> No probing questions about why he might be depressed. No questions about past his past experiences with seasonal depression in Michigan where he lives. No other alternative remedies. Just a prescription, next patient please.

That's really sickening.

Individual medical professionals making mistakes does not give you the excuse to ignore their vastly superior skills at handling medical situations.

If you don't like your doctor, find another one, do not attempt treatment on your own. If you do so, you are putting the people you love and care about in incredible danger, to the point where you may have your children taken away from you, and rightly so.

It is the height of stupidity to think you know better than the entire medical profession on any topic, no matter how much you've researched said topic.

Some day you will have a challenging health condition and a mediocre doctor. When that happens, I hope you do not feel overly embarrassed by the comments you've made in this thread.

I would like to advocate that you should not be allowed to advocate for censoring people.

Therefore, I have flagged your comment.