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Re: serzone and lithium - old school , john x2

Posted by OldSchool on March 15, 2002, at 10:42:18

In reply to Re: serzone and lithium - old school , john x2, posted by JohnX2 on March 14, 2002, at 23:05:06

>
> borderliner,
>
> I really think that you need to find a new psychiatrist/doctor.
>
> Is this person well aware of your dystonia problem?
>
> I can't comprehend why this person is pushing celexa on you when it is so obvious that it may give you a dystonia?
>
> Anyways, Bipolar disorder is complicated to treat and I think it requires a skilled psychiatrist. A GP/neuro may be able to handle depression, but bipolar is just to tricky. Maybe a neuro should be involved to help with the dystonia.
>
> So for the dystonia, Serzone should work out just fine. Wellbutrin should be no problem either. Wellbutrin is better for anergic depression. Serzone is better for anxiety problems. Remeron is another option.
>
> I think Lamictal may be a good suggestion to try, particularly for bipolar. I really don't know about Lamictal and dystonia, but i can do some digging around. Anyways what is nice about lamictal is that it is a mood stabilizer/anti-depressant in one package. But usually the crummy doctors won't prescribe this one, and I think you may get push back from your guy. I take Lamictal and have had no major depression. The only sensitivity to lamictal is potential for a skin irritation when dosing the medicine. Some people report some brain fog, but I don't think it is all that common. A lot of people do really well on a lamictal + lithium duo. (you can drop the lithium dose for more lamictal and get less side effects).
>
> any other questions. let us know.
> john

If borderliner really does have movement disorder problems of any significance, he needs a Neurologist. In my experiences, most psychiatrists are inherently unreliable when it comes to any physically based medical problem and are focused almost exclusively on outward "behaviors" or "psychological" issues such as thoughts, feelings, mood, etc. In short, unless the physical medical problem is rather severe and totally noticeable to the naked eyeball, most Pdocs will probably tend to downplay it and ignore it. In fact there are even some Pdocs who might take borderliner's complants of dystonia as a psychological complaint and tell him it was "psychosomatic." Or that he was "obsessing" about it. Make him believe he is basically crazy. This is why you need a real doctor if you have physically based problems...psychiatrists DO NOT treat physical medical disorders. They only treat "psychiatric" or "behavioral" problems.

All I can say about borderliner is if this person really does have these problems he claims he does, a psychiatrist probably isnt the person to treat it.

The bottom line is psychiatrists treat psychological problems (mood, thoughts, feelings, outward behaviors). While Neurologists treat actual nervous system and brain diseases (movement disorders, stroke, etc.).

Old School


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poster:OldSchool thread:98048
URL: http://www.dr-bob.org/babble/20020313/msgs/98149.html