Posted by Lorraine on August 8, 2001, at 11:31:37
In reply to Re: Update -- Lorraine and others, posted by Elizabeth on August 7, 2001, at 15:05:26
> I started out on 10 mg q.d. That was fine, but when I started taking 20 mg in a single dose, my blood pressure would shoot up (from low-normal to 180/100 or so) about 1/2 hour after I took the Parnate.
Start low, go slow might be in order sounds like. I'll keep this in mind.
>
> Hmm, the "delete" button on this keyboard doesn't seem to be workingFaulty keyboard, or you spilled water on it? (if so turn it upside down and let it dry out)
> > > That sounds right to me: rejection sensitivity, social or interpersonal anxiety, etc. are all connected to being worried what other people think about you.
Actually, I read an article on the "self-presentational theory of social anxiety"--which predicts that the likelihood and intensity of social anxiety increases as people become more motivated to make a particluar desired impression and less certain that they will do so successfully. Pretty much fit my SA to a tee.
> What's Recovery Inc?It's a support group for people with mental illnesses. I wrote a report in the "social" section of pyschobabble describing it last week.
> > > How far apart are you spacing the doses?8 am and approximately 1pm, but I may move them closer. Woke up at 4 am last night, couldn't get back to sleep easily.
> > > I think it's a good idea to take advantage of times you are doing better. Not only does it utilise time more efficiently, I think it also might help to limit how far you crash when the good time ends.that's the hard part of this illness--riding the waves up and down and mainly trying to stay afloat when things come crashing down.
>
> > Yes, but I don't see your position as "bad" just lower on the list of alternatives than perhaps you have placed it. Jensen says the following: "since the opiates are a brain transmitte, they can fail like anyh other chemical systeim in the grain.
>
> Wow, that really got mangled. :-)Yeah, but look how fast I typed it < vbg >
> > > See my pdoc wouldn't hesitate to prescribe opiates if that was what I needed. He does not believe that people become addicted when you medicate them with the "right" substance.
>
> I think it's possible.It's an interesting idea anyway. He also believes that you won't get side effects if the drug is right for you.
Next post
> > > I'll post the definition of addiction that's given in DSM-IV. (I'm not a big fan of DSM-IV, but in this case I think they got it right, or at least came close. The definition underscores the fact that tolerance and "physical dependence" do not constitute addiction, although they can be signs of a possible addiction.)
Addiction is widely misunderstood.
> > > She thinks if you're with a doctor you do exactly what he/she tells you to do, or you leave and find another doctor.
I suspect this is actually an issue your therapist has with her own relative power visa vie the medical profession and she wants you to know who is "boss"--probably her particular quirk.
> > > I think that you *should* try to decide on a plan with your doctor before implementing it, if possible, but if there's a problem and it can't wait, I don't think that there's anything wrong with taking it into your own hands.
I agree. I usually talk with my pdoc about starting doses, and normal min and max normal doses and then he sets me free to operate in that range, reporting back and getting direction as needed.
> > > I do a lot of nice things for myself and am pretty forgiving of myself. I have to work really hard on not letting people hurt me--really minor things hook right into my depression , and so far I can only deal with that cognitively, since that is my strongest function.
Ditto
not letting other people hurt me
not letting other people determine my worth
not determining my self worth based on what I do
not determining my self worth based on social or professional status
not determining my self worth based on the stock market
not determining my self worth based on what other's think of me
> > >I hope that Parnate continues working in the long term for both of you.Last post
> > > Valium is like that: it works fast because of the way it is distributed. (5-10 mg is nothing. < g >)How is it distributed?
> > >I wouldn't see a psychologist to prescribe medications at all. (My best psychotherapy experiences have been with psychiatrists, not psychologists, social workers, or "counselors.")My experience has been that psychologists are more gifted in talk therapy and psychiatrists or psychopharmacologists are more gifted in meds. By the way, elizabeth, what do you talk about in talk therapy? You sound like your issues are solely medical in nature. Is this right? No split personalities, no alters, no abuse--although I would think you would have social anxiety given the age of onset of your disease. I just saw your response on how you don't find talk therapy useful. I go in spells with it. If I find myself being maladaptive in my responses to something, I go back in. Also---and very interesting to me--one of my most successful bouts with therapy and for my husband as well--was with a social worker, who had developed a cognitive approach to issues. She ran a group like a class, giving homework and so forth. She was very talanted. Before my husband went to her class he believed that the way he did things was "right" and that others who failed to live up to his way of doing things were, well, flawed. Under her guidance, he came to see that his punctuality and exactness were actually driven by anxiety rather than correctness. It kind of destroyed his judgmental bubble. Yeah!!!
> > > > Have you felt anything different yet, since halving your dose? (i.e., not as well?)
> > > Yes; it doesn't seem to be helping as much. I hope that I can find a level that isn't toxic but still works.elizabeth, you can add an MAO to a TCA without a washout is my understanding. This might be the ticket for you.
> > It's actually not much of a hassle getting drugs outside the country.
>
> It is if you want to be completely legitimate about it! I'm really uninterested in buying drugs on the internet "grey market."elizabeth, it's easy to do it legitimately--that's how I did it. You just fax a script to a Canadian pharmacy and they mail you the meds together with a copy of your script (to clear customs)--it takes about 5 days to get your meds.
Lorraine
poster:Lorraine
thread:67742
URL: http://www.dr-bob.org/babble/20010804/msgs/74141.html