精神薬を断たせるときに大切なこと

 

おはようございます!
佐藤龍平です。

本日は、前回の続きで
『断薬治療』についてお話します。

※前回の内容はコチラから
http://goo.gl/dmfx6A

さて、最近では、
薬の処方紙を
持って来てくださる方が
増えてきましたね。

ネットで調べると
すぐに作用・副作用が
出てきます。

調べてみると
本当に似たような薬が
たくさん出されています。

病院側も
「起こりうる可能性に備えて…」
と言い出す訳ですから、
どんどん増えますよね。

抗生物質もしかり、
ウイルスには効きませんからね。

でも中には
「抗生物質を処方してください。」
と言われる患者さんも
いらっしゃいます。

ご存知かもしれませんが、
抗生物質のリスクは、
メチャメチャあります。

そのリスクというのは
必要な菌さえも殺してしまう
ことだけではありません

使っているうちに
耐性菌も増えていくのです。

医師も患者さんも
考えて使わないと
危険な薬ですよね。

さて、前回は
精神薬の断薬に
成功したお話しでした。

「SSRI」という薬を
飲んでいる患者さんが
多いと思いますが、
SSRIはやめるのが難しい
危険な薬です。

ただそれでも
内科や心療内科では
第一選択肢として処方される事が
ほとんどです。

※SSRIとは、抗うつ薬の中で
実績を出している薬です。

SSRIは他の抗うつ薬とは違い、
一気に断薬をすると大発作を起こしたり
人によっては突発的に
命を絶ってしまう場合があるので、

パキシル系(要は強いモノ)を
飲んでる人は要注意だと
言われています。

ですので、
治療院で診ていく場合は
注意が必要ですね。

実際に私が治療する際も、
じわじわと将棋崩しの様に、
そっと減らしていくことが多いです。

※一気断薬の方も
勿論いらっしゃいます。

徐々に減らすときは
一度量を減らしたあとに
1~2カ月かけて
定着させていきます。

ポイントは
脳に気づかれない位、
微量を減らしていく
ということです。

ペースとしては、
1/4ずつを2カ月定着させて…
といった感じです。

錠剤を1/4に
カットするときは
ピルカッターがオススメです。

容器が透明の
ピルカッターが良いでしょう。

また、
一度断薬に失敗した時は
絶望感でいっぱいに
なりますので、
様子を見ながら
じっかりと考えていきます。

「断薬を絶対成功させるんだ!」

という強い気持ちを
持っている方は良いのですが、

そうでない方は、

「いつでも薬の量を
戻して大丈夫ですよ」

わざと逃げ道を作り、
プレッシャーをかけないように
させるのも良い方法です。

むしろ、このくらいの方が
丁度良い患者さんの方が多いです。

実際に飲まないにせよ
ダメなら少し戻ればいいと
伝えてあげるのです。

力まず、焦らない。
この感覚が大事でした。

また中には、夜中に
連絡を貰うこともありました。

治療家側が大変なのは、
たとえ夜中でも整復のように

「痛みや万が一の場合には
連絡してくださいね!」

と、スタンバイを
する気持ちがあるかどうかです。

そのため、
薬の減らし方はもちろん、
患者さんとの距離も
考える必要があるでしょう。

また、
少々話が変わりますが…

理解あるドクターにかかることも
断薬で大切なことの一つです。

薬の副作用や
離脱症状を認めていて、
薬を止めたいことに
賛成してくれるドクターを
探しておくのです。

ドクターの言葉は未だ強いですから、
断薬の肝になるかもしれません。

次回は、実際の身体への
アプローチについてお伝えします。

本日も最後までお読みいただき
誠にありがとうございました。

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