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Re: MPD/DID med resistance? » terra miller

Posted by nobodyz on June 12, 2004, at 6:00:45

In reply to MPD/DID med resistance?, posted by terra miller on February 23, 2001, at 9:08:16

This opinion is strictly mine. I have been diagnosed over 12 times with MPD/DID by independant mental health professionals.

First off, I believe that if you are wanting some sort of real data, you need to specify "more difficult" than which group? Other people with mental illness/disorder? Or just in general?

My opinion (based on personal experience, friends with same dx and other psychiatric dx, 2 years working in MH field and a lot of reading) is that all people who have to take medication for longer than a few weeks tend to resist it. Consider the man who has a heart attack. At first he is eager to comply since his heart attack is traumatic and recent and vivid: therefore he wants to avoid another one. But after a long period of no symptoms, this man, because he is human will sometimes begin to "skip" doses. He is not abnormal nor is he "non-compliant".

That being said, most people on medication for a psychiatric disorder/illness are on it LONG TERM. Immediate set up for eventual "non-compliance". Add to that the fact the vast majority of psychotropic drugs have EXTREME side effects, including (but not full list): intense and rapid weight gain, sense of being "drugged" or in a "vegetable state", constipation, diahrhea, headaches, nausea, other side effects including inability to see well, one of the worst and most destructive as well as common side effects being that one's libido is MIA (this severely affects close intimate relationships) etc etc, it's no wonder at all to me why a person would resist taking such meds for the rest of their lives.

Then add to this mix, someone who has MPD/DID. They most likely have been told repeatedly that they DO NOT have an organic illness and that the meds prescribed do NOT cure or control their particular disorder, they merely "help" to suppress certain symptoms: usually anxiety. Add to this that many anti-anxiety drugs are considered addictive and many doctors accuse patients seeking such meds of wanting a "fix" rather than truly needing it, and you have someone who most likely hates the shortened nickname "meds" with a fervor.

Why would someone in this situation NOT resist taking meds?

"Do you think some meds have more effect than others? Which and why?"

I'm tempted to be direct and perhaps blunt, but will attempt to be gentle. Saying that one med or another has more or less effect than others is sort of like asking if last night's sunset is prettier than tonight's. It's very subjective. Not only is the opinion objective, but each individual's physical being is completely unique. Add chemicals that we use because it has been 'shown to help' in some people or most that were in the initial test and what you have is a very large poker game. No doctor or pharmacist or chemist can accurately assess the effect of ANY drug on any one individual, especially prior to it's being taken by that individual. Secondly, once it has been taken, the same individual can get different results from the same drug over time. There is also a thing call "poop out" -- where a medicine that once worked for an individual is now not only not working but having new and unusal side effects not previously experienced.

It truly is a "to each his own" situation, IMO. (opinion based on same as above) There is no broad brush stroke that can be made here that I can see.

-nobodyz

> If you have an opinion, do you think people with dx MPD/DID have a more difficult time with meds? Why or why not? Do you think some meds have more effect than others? Which and why?
>
> Is your opinion yours, do you know someone's personal experience with this dx, is your experience clinical, or is your experience professional/having clients you treat currently or in the past with this dx?
>
> Thanks for your thoughtful and gentle replies.
>
> Terra


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