Posted by akc on August 22, 2001, at 14:13:39
In reply to Re: Recurrent unipolar vs bipolar » akc, posted by Elizabeth on August 22, 2001, at 13:34:19
> I think that sometimes therapists are trying to help by being optimistic, but it ends up just feeling like they're ignoring your pain. OTOH, depressed people tend to interpret anything in the most negative possible way!
I definitely can fall in this category. You can say anything, and I'll "Yeah, but" you to death.
>
> Well, if you make too many changes simultaneously, it can be hard to tell what caused what.My pdoc and I had a good talk after this most recent episode. I was to blame for most of the changes, in that I came across so determined about the topamax. I have a way about me that appears unbending -- when really, I am just a push-over. She made some of the med changes to cope with what she saw as a possible manic phase being brought on by the topamax -- a med that she thought I was going to continue to increase regardless of how she felt. I think she understands me a lot better now, and definitely understands that I am going to trust her judgment -- I may ask a lot of questions, and may challenge her from time to time, but I am going to trust her. She wants me to continue to study and learn about my meds and bring the questions. I think I have a healthy relationship with this doctor -- I trust her -- and I think she knows her stuff. She stays up-to-date, she reads a lot, goes to a lot of conferances, seems to know about everything I bring in.
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> Try and get her to explain it to you. I think it's very important that you be giving truly informed consent to all these medical interventions.See the above dissertation!
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> I've had sleep troubles all my life. My mother even has told me about some problems I had when I was less than 1 year old. My earliest memories of disturbed sleep are from when I was about 3 or 4.What is funny to me, is that before I started meds, my one and only sleep problem was I could sleep all the time. Now, I can have problems getting asleep. But my biggest problem tends to be restless sleep -- just tossing and turning and never really getting that deep sleep. I hate it.
> > My pdoc has mentioned Geodon.
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> Really? I don't know much about it except for certain pharmacological differences from the other atypicals. What did your pdoc say about it? (Anything interesting?)She did no more than mention it as another alternative to the seroquel. As I mentioned earlier, zyprexa worked at a high cost. The seroquel doesn't work as well at the current dose, and a higher dose sedates the heck out of me. So she just mentioned it as another alternative. I didn't ask. It was nothing more than a passing comment at this point.
akc
poster:akc
thread:74539
URL: http://www.dr-bob.org/babble/20010822/msgs/75975.html