Posted by kellyR. on June 2, 2000, at 5:37:16
In reply to Re: saw new psychiatrist #17, posted by JohnL on June 2, 2000, at 3:44:13
> > > Kelly, how ya doing today? Been thinking of you.
> >
> > Noa,missed work today again,didn't get out of bed til 11am,I was going to check myself in the hospital today but was scared.
> > My husband said to me it seems that the only meds that work well for me are the ones the that make me so out of it that i not realy there.so i could be happier & not there or be sad & know it.I'm going to try real hard to go to work tomarrow.
>
> Kelly,
>
> As Noa reminded me, didn't Zyprexa work at one time? But the doctor took you off it?
>
> If that is true, and the med really zonked you out also, then it makes even more sense than ever to return to the antipsychotic category BUT add a stimulant with it. Drop the antidepressants. Top APs to choose from would be Zyprexa, Risperdal, and Trifluoperazine (Stelazine, similar to Amisulpride). Risperdal is similar to Zyprexa, but with less sedation and less weight gain.
>
> Top stimulants during the day (for both depression efficacy and to counter AP sedation) would be Adderall or Ritalin. There are others as well, but these two seem to be the most popular. Adderall is the smoother of the two, though I have to admit Ritalin had a much more pronounced good mood effect with me. But its short halflife makes for a roller coaster ride.
>
> Antipsychotics + Stimulants = Cool combination for tough cases like yours.
>
> If I were you, I would definitely not wait 5 weeks. I would get on the phone and contact your new pdoc TODAY. If he's any good, he'll find a way to squeeze you in. He needs to know how bad you feel right now. If he is made aware how bad off you are right now, almost suicidal, and yet cannot find a few minutes to squeeze you in to the schedule this very day, then in my opinion he sucks and you should definitely seek pdoc#18. I don't know, to me one of the most important characteristics of a GOOD pdoc is accessibility. In my mind it is MANDATORY, not just desirable, that they have the ability to see me on an emergency basis, one way or the other...come in early, leave the office late, squeeze 15 minutes out of lunch, whatever. If they can't do that, forget it. If they can't do whatever is needed to treat the tough desperate cases, then they aren't worth the money they're paid and would be better suited to be nurse practitioners working bank hours at the local health clinic.
>
> The premium price we pay for the pdoc's care deserves premium service in return. In my world anyway.
>
> Call him. Please?
>
> JohnLI'm up & out of bed & going to work,i'll probley get yelled at by my boss today for calling out 2days,Since they know about my problems already,do i tell them the real reason why i was out or it was sometime i got from the kids?Wish me luck today at work because i'm feeling very panic about going in.
poster:kellyR.
thread:35151
URL: http://www.dr-bob.org/babble/20000526/msgs/35633.html