3 ms·
To paraphrase: "I'm taking SSRIs right now, and they work for me." That's the medical equivalent of saying, "it works on my machine." That doesn't mean it wor
by dlitz 14y ago
To paraphrase: "I'm taking SSRIs right now, and they work for me."
That's the medical equivalent of saying, "it works on my machine." That doesn't mean it works for everyone. It doesn't mean that it works for most people, or that there isn't a significant risk of harm to many people. Hell, your perception that it works for you doesn't even mean that it actually works for you (there could be confounding factors for all we know), and it certainly doesn't mean that it's likely to work better than the next-best alternative.
Think about it: If somebody says SSRIs are incorrectly believed to be effective due to publication bias, that pretty much presupposes that there's at least one study that showed that they work. That means that somebody, somewhere had a similar experience as you've had. That doesn't make your experience a sufficient basis for prescribing these drugs on a routine basis.
Clinical trials are like beta tests. The drug might work for some people (or some people might feel that it works), but that's not the only thing worth considering before you ship it to large numbers of people who need treatment.
- zzzeek 14y agoI'm well aware of the "they work for me, therefore they work" fallacy. I also never said they work for everyone or even most people. The fact is there's both positive and negative studies of SSRIs, the debate over their effectiveness remains ongoing, and at the moment these medications are widely accepted and used. Real world experience of these medications among a huge number of practitioners and patients is still ahead of this debate, in my opinion.