Posted by gardenergirl on December 7, 2005, at 14:08:03
Hi everyone,
I met with my pdoc yesterday and told her that although I'm feeling pretty good, and I don't feel particularly depressed, I'm still having a big problem with not getting my work done.I realize that this is also a behavioral issue. I've certainly learned that procrastination and avoidance gives me temporary relief from anxiety related to school and work tasks. But of course the long term consequence is the giant "I'm so behind now I don't know what to do first" monkey on my back.
At any rate, she brought up the idea of adding provigil to my current mix: Nardil 60mg, Lamictal 75 mg (I also take 100 ucg of Synthroid). She thought Provigil might help with motivation, but she also said that even if it makes me feel more active, it's up to me what I do with that energy, i.e. putz around still or actually get some work done.
She also suggested that Provigil likely would not be covererd by my insurance, since I don't have a documented sleep disorder and I don't do shift work. It does appear on my formulary, so I'm not sure if she's right on that one.
We also talked about using caffeine therapeutically, and she said the equivalent of 4 cups of coffee per day was acceptable. I probably don't get that much, as I drink diet coke, not coffee.
Okay, any suggestions? I know I really need to work on the behavioral aspect of it, by setting short term goals, writing them down, and somehow making myself feel more accountable. But what about the phsyiological aspect?
Thanks in advance,
gg
poster:gardenergirl
thread:586504
URL: http://www.dr-bob.org/babble/20051203/msgs/586504.html