6 e-Letters

published between 2001 and 2004

  • Buprenorphine is not a "symptomatic" treatment
    Andrew Al-Adwani

    Dear Editor

    The title and content of this article give the impression that buprenorphine is akin to symptomatic treatments like clonidine, lofexidine and the various cocktails of drugs added to these drugs during detoxification.

    We have been using buprenorphine detoxification for over a year with good results. However, it should be recognized that buprenorphine is a drug of abuse and more like methadone or...

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  • Whether social phobia or social anxiety disorder,other studied show different results?
    A.K Al-Sheikhli

    Dear Editor

    It was interesting to read the paper of Haug et al.[1] I have a number of comments:

    1.The SSRI group of anti-depressant medications are the best-established drug treatment for social anxiety disorder.[2] However, Veale in his review article shows that CBT is the initial of choice of treatment for social phobia.[3]

    2.I think the authors should have included other treatment o...

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  • Not Proven
    D B Drysdale

    Dear Editor

    I just loved the commentator, Karl-Heinz Schultz's use of the Scottish "Not Proven"! It is a much too little used verdict, especially in psychiatry where both sample and effect sizes are small and the science usually poor.

    Douglas Drysdale
    Consultant Psychiatrist

  • Expression of gratitude
    William M Bolman

    Dear Editor,

    I wanted to express my gratitude for the discussion of this important article by a physician knowledgeable in clinical research methodology and statistical analysis. One of the biggest problems in reading the contemporary literature is understanding these areas. For me it was invaluable.

    William M Bolman

  • Serotonin, Norepinephrine, or Folic acid deficiency, or Hypothalamico-Pitutary-Adrenal Dysfunction?
    A Karim Al-Sheikhli

    Dear Editor,

    It was very interesting to read the paper by Coppen & Bailey. Enhancement of antidepressant action of fluoxetine by folic acid,a randomised placebo controlled trial, J.Affective Disorder 2000 Nov 60:121-30. I think there is a lot of research work which implicates Serotonin ,Norepinephrine deficiency. Others implicate Hpothalamico-Pitutary-Adrenal Dysfunction. Also the number of patients whi...

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  • Role of Narrative Based Practice in Psychiatry?
    Mohan Chawla

    Could you give some advice on Narrative based practice in Psyciatry as I do strongly feel that it has clinical value and I want it to get its appropriate place in clinical practice with increacing emphasis on evidence based practice?