Posted by pullmarine on November 16, 2000, at 23:41:51
In reply to Very frustrated + depressed/confused/Dr. Jansen, posted by Shirley on November 15, 2000, at 20:50:35
> Like many of you on this board, I am going through a period right now where I am so tired of the med trials and not being able to enjoy life fully. I am transitioning from Zoloft to Prozac and had gotten off the Zoloft and was at 20mg Prozac. I started having breakthrough agiatation and depression and the only thing that seemed to help was to add in 25mg Zoloft. I'm also taking 30mg Adderall and 15mg Remeron at night.
>
> Psychiatrist thought I should stay with the Prozac and Zoloft since I told him I seemed to have felt the best on a combination of that. After doing reasonably well yesterday in the morning, the same "wonderful" symptoms appeared yesterday afternoon.
>
> I foolishly took an extra 12.5mg Zoloft this morning and the agiation/depression appeared immediately in the morning. PDoc says that I need to stay with 20mg Prozac and 25mg Zoloft for about a month to give everthing time to stabalize.
>
> Based on the posts that I have read on this board, I don't think what my psychiatrist is suggesting is outrageous. He is also flexible and is great about calling me back. So what's wrong with this picture?
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> I really don't feel he is very experienced in working with difficult cases. It was a neuropsychologist who suggested the Zoloft and Adderall that finally put a stop to my suicidal ideations. When I had extreme foot pain, which was definately a side effect of Zoloft, he said he never heard of it even though the side effect is on the drug manufacturer's web site.
> The medicine problems related to my menstrual cycle he didn't have a clue about.
>
> I realize that none of this makes him an incompetent or uncaring psychiatrist. But I am getting less confident that he can handle my situation because I seem to have more problems than what he is used to.
>
> The thought of Dr. Jansen is very appealing. John L, how did come to decide that what he is saying makes sense? I have read alot of old posts but have not seen anything about how you decided that he is legitimate.
>
> A former poster from this board told me that he no longer does telephone consultations. Is that correct? To be honest, I couldn't see him working with my current psychiatrist, who told me that doctors have no way of knowing whether a medicine is going to work quickly or not.
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> As you can see, I am conflicted because I am so tired of this medicine garbage and struggling to get through a day. (I am crying as I write this) But I don't want to fall in the "If it sounds too good to be true, it is" trap. Any clarification would be greatly appreciated.
>
> Finally, another issue in dealing with a psychiatrist is I have a learning disability. I have already told this guy once that he needs to spell out things clearly for me. He said he would try to but I left Monday's appointment feeling very frustrated. Unfortunately, I didn't realize I was frustrated until I had left his office and was in my car.
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> Anyway, I feel like I am rambling and sorry for such a long post. Got to get up early because I didn't have the energy to do something that I needed to today.
>
> Thanks for your support.
>
> PS-As a clue, when I have eating something light and had a cup of coffee when the breakthrough depression and agiation occur, my symptoms are relieved although I am not 100%. It seems like it would be a good idea to increase the Adderall but when that has been done before, I have had side effects plus depression.
poster:pullmarine
thread:48877
URL: http://www.dr-bob.org/babble/20001115/msgs/48947.html