Q&A: Would a psychiatrist be reluctant to prescribe anti-depressants if the patient has a past with painkillers?

Question by anonymous: Would a psychiatrist be reluctant to prescribe anti-depressants if the patient has a past with painkillers?
I know someone who is severely depressed and has never seen a psychiatrist. This person knows he could probably benefit from therapy and/or anti-depressant medication. He has had a problem with painkillers in the past, sometimes mixing them with alcohol. If he’s honest with the psychiatrist about this issue, will the doctor not prescribe any medication, afraid to give more pills to an addict? Just wondering.

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Answer by JM
i wouldn’t see there being a problem, anti-depressants are typically not addictive and i’ve never really heard of a problem with abuse of them. they don’t give you that “high” feeling.

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3 Comments on "Q&A: Would a psychiatrist be reluctant to prescribe anti-depressants if the patient has a past with painkillers?"

  1. nmmoritz
    25/01/2014 at 11:54 pm Permalink

    I would think that it would have an effect as to whether or not the doctor would prescribe anti-depressants. He or she might look for alternative methods of helping the patient to deal with his or her depression.

  2. Anne C
    26/01/2014 at 12:50 am Permalink

    Alcohol is a depressant. If your friend got sober he’s probably be magically cured of depression. Anti-depressants are kind of hard on the liver. If you mix alcohol and Zoloft, you have serious problems. Also–it’s inappropriate to diagnose someone with a mood disorder when they are using mood-altering substances.

  3. Lady B
    26/01/2014 at 1:40 am Permalink

    No. Antidepressants and pain killers are two different kinds of drugs. People don’t usually abuse antidepressants. Your friend should make an appointment with psychiatrist or medical doctor and talk with them about this first. The doctor will know what to do.

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