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CarolCarol is a 29-year old female patient who was initially seen in April 1998 with the chief complaint of depression. During her childhood, she experienced hayfever discomforts, including itchy eyes, chronic nasal symptoms (especially in the spring) and fatigue. She has also had dirk circles under her eyes for her entire life. There was no other overt history of allergies. Carol believes her depression started with moodiness during her childhood. There does exist a history of suicidal ideation over the past ten years. Carol has seen numerous psychiatrists and has had adverse reactions to a number of antidepressants including Prozac, Zoloft and Wellbutrin. Zypreka and Depakote were also tolerated. Carol took an overdose of sleeping pills in early March 1998 and was admitted to a psychiatric hospital. She was referred to me by a psychiatrist looking for an alternative approach in view of the reality that, in Carol's case, various medications were both ineffective and poorly tolerated. A physical examination of Carol was normal except for the allergic shiners and an allergic appearance to her nasal turbinates. Even though there was not a significant allergy history other than childhood allergies and the aforementioned shiners, allergy testing was conducted for the foods in the diet. Carol has been treated for less than two months with food immunotherapy after showing positive allergic reactions to 14 foods in her diet. Less than two months later, Carol is experiencing excellent health. She has not experienced any forms of depression and is extremely pleased with her medical progress. Carol represents a patient with an obvious diagnosis of depression. However, her response to a number of antidepressants all culminated in adverse reactions and had absolutely no benefit for her. Even without a profound allergy history, she has responded rapidly to the allergy program. As evident in Carol's situation, physicians should look at other options when antidepressants are ineffective or poorly tolerated. Prozac, Wellbutrin and Zoloft may help certain people, but the use of these antidepressants is not always the answer.
I recently received a note from Carol that expresses her new positive outlook on life. It
reads as follows:
Richard E. Layton, M.D. Specialized Pediatrics, Allergy and Integrated Medicine 901 Dulaney Valley Road * Dulaney Center II, Suite 602 * Towson, MD 21204 Telephone: 1-888-337-2707 (In Maryland, call 410-337-2707) http://www.allergyconnection.com * e-mail: info@allergyconnection.com Call for more information or if you'd like to schedule an appointment. ©Copyright 1998 Richard E. Layton, M.D. Dr. Layton/Silesky MarketingAll rights reserved. Do not duplicate or redistribute in any form. |