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Re: Would you listen to this doctor? Help please!!!!!!

Posted by qbsbrown on April 10, 2006, at 19:39:53

In reply to Re: Would you listen to this doctor? Help please!!!!!! » qbsbrown, posted by ed_uk on April 10, 2006, at 13:50:20

> Hi B :)
>
> >I was on 600mg trileptal, which had lifted my depression and stabilized my mood greatly
>
> I am not happy that she made you stop the Trileptal.


Here is her response, she seems not to believe me that it was working.
"Trileptal, even though it has been told it could have an antidepressant-like
effect, that would be with higher dosage and with longer time. It could be
beneficial as an adjunctive treatment for resistant depressions or OCD,
together with an antidepressant when this last one alone has proven
insufficient"
> >So doubled my diazepam to 20mg
>
> I thought diazepam was aggravating your depression?
it was/had, but my state of acute anxiety had grown so bad, it was necisarry. But remember on 17mgs of diazepam and trileptal, there was no depression anymore.

> >20mg of paxil
>
> Paroxetine is pretty potent stuff. 20mg is too high a starting dose for some people. Starting at a lower dose is often a good idea.

I agree. I felt great the first 2 days on 10mgs paxil, and i still took my last doses of trileptal. Best i had felt in years. 20mgs threw me for an acid trip. I am on day 10 of 20mgs,so should just push through right? My anxiety/derealization is still way worse.
> >But now she wants to add seroquel for sleep.
>
> Antipsychotics are not a first-line treatment for insomnia.

I brought this one up, wanting to stay away from the benzo like sleep pills.
I think now that my withdrawal wasn't necisarily withdrawal. Possibly more underlying anxiety, obsessing about WD, and some psycosomatic. So i probably should be on an SSRI while coming off the benzos.

> >The PDOC refuses to treat me unless i follow her strict orders for 6 months
>
> I think that's awful. I really do. She is abusing her power.

Mostly was saying that i had to remain on the antidepressant for 6 months minimum. That im not self prescribing, changing meds, switching doses constantly.

Oh yeah, im not supposed to look anything up on the internet regarding mental health.

WHOOPS.

I did write her a huge email expressing all of mine and your concerns. I'll let ya know how it goes.

Regards,

Brian


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poster:qbsbrown thread:629831
URL: http://www.dr-bob.org/babble/20060408/msgs/631529.html