Grand Rounds 29 Sept '05

The Grand Rounds for this week is up and they have been kind enough to comment on a recent post of mine More Vindication.

Power and Control shares a compelling review of research supporting the hypothesis that drug abuse is self medication for pain/anxiety. This is one of the self-evident "truths" that most of us accept without good science to back us up. Last week I suggested an antidepressant medication for a man who drinks heavily - smokes marijuana often, and uses cocaine to "keep stable." But he doesn't want to take a medication for fear it will alter his physiology. "Man - you ARE taking medications" I meekly suggest. He doesn't see it that way.