Posted by leslieg on December 21, 2002, at 18:41:53
In reply to Re: DID - dissociative identity disorder » v, posted by jimmygold70 on December 21, 2002, at 16:15:55
Don't forget the incredible difficulty in finding meds and doses when there is often at least one alter / personality who reacts differently to meds than the main host does. And there can be suicidal alters who couldn't be trusted with potent meds (even if the host can be.) Sometimes a primary alter is bipolar but the host is depressed, or the host has a problem with overeating but there are alters who are anorexic ...
Such a tricky, complex situation.
v, it sure would be good if your pdoc believed. As long as he doesn't try to swtich you onto antipsychotics or change your diagnosis to something like bipolar (and thus change your meds) because of this "new" information. I'm glad the meds you are on appear to be encouraging healing.
> to quote Kaplan & Zadock's:
> "The use of anipsychotic medication in the patients is almost never indicated. Some data indicate that antidepressants and antianxiety medications may be useful as adjuvants to psychotherapy. A few uncontrolled studies report that anticonvulsant medications such as carbamazepine (Tegretol) help selected patients"
>
> Well, that was on 1998. There are reasons to believe that atypical antipsychotics can do better (Zyprexa and Seroquel - my best bets). The cycling nature of the disorder may suggest that any mood stabilizer can do (Depakote, Tegretol, and more recently - Lamictal, Neurontin and mostly Topamax).
>
> Goog luck!
> Jimmy
poster:leslieg
thread:132181
URL: http://www.dr-bob.org/babble/20021217/msgs/132807.html