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Re: The Controlled Substance Catch-22 - My Worst Fear fachad

Posted by Ritch on April 19, 2002, at 13:37:07

In reply to The Controlled Substance Catch-22 - My Worst Fear Elizabeth, posted by fachad on April 19, 2002, at 9:57:21

> Drug Seeking. Dose Escalation. Doctor Shopping.
> Those are some of the most pejorative words ever used in medicine and in behavioral health care. In so many ways both medicine and mental health has tried to get away from pejorative language and pejorative concepts, but when it comes to controlled substances, they sometimes become self-appointed judge, jury and executioner in a trial that is rigged with a built-in bulletproof Catch-22.
> I have wrestled mentally with this worst-case scenario since the first time I realized that I had a unique and dramatic response to CII stimulants for depression. Thankfully, I have not yet had to face it in the real world. (Knock on wood.)


Fantastic posts! I experience feelings of euphoria and mood elation (med-induced hypomania) from SSRI's which are not even controlled substances. Stimulants, OTOH, are controlled and I tend to get quiet and somewhat "flat" on them. When I take a slightly larger dose of Celexa than usual I will get a remark at work like: "I wished I had some of what you are on!". When I am on a stimulant and involved with a project I get a response like: "Gee, you are awfully quiet, are you OK?" How ironic. I have a got a drawer filled with all sorts of SSRI, but it is a teeth puller to even attempt a trial of a stimulant. Man, you should have seen the looks I got at the pharmacy yesterday when I brought in a Focalin script for fifteen tablets! (for a trial)





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