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Re: Forced to terminate current Pdoc after Nardil fail girlnterrupted78

Posted by polarbear206 on September 17, 2007, at 8:30:50

In reply to Forced to terminate current Pdoc after Nardil fail, posted by girlnterrupted78 on September 16, 2007, at 23:35:15

> So my current pdoc wasn't joking when he said that after Nardil, that was *it*.
>
> Yesterday's session, we discussed my progress (or lack thereof) with Nardil. He took out his notes and noted that he raised my Nardil dose more than 2 months ago.
>
> I've been on Nardil for almost 4 months, and 2.5 of those months I was already on the higher dose without Nardil kicking in, without any actual results.
>
> So he said that was it. The next thing he could do for me was direct me to have ECT.
>
> I told him that I didn't think that was the ONLY option (I can't afford ECT right now, and I don't think I want to do that yet anyway..) I mean, isn't ECT dangerous? Isn't ECT temporary? Don't you need several ECT sessions? Doesn't ECT poop out, like EVERY OTHER AD OUT THERE? What do I need ECT for, then? To get a few days relief, forget things, and pay a fortune? No thanks.
>
> I told him there's some drugs I haven't tried yet. I mentioned EMSAM. He said "Emsam is just like Nardil--another MAOI. In fact, Nardil is better. I wouldn't recommend it over Nardil."
>
> Then I mentioned that out of all the SSRIs, I never tried Prozac (I tried Celexa, Zoloft, and Paxil.)
>
> He said:
> "Well, we could try everything. But I'm not going to do that. IMO, you have tried every group of medications without results. So *I* won't prescribe anything else."
>
> So my only option at that point was to get a second opinion. So I asked him if I could transfer to another psychiatrist in the clinic to get another opinion. He said "yes, that's not a problem."
>
> So that's my story with my pdoc. It made me lose faith because I realized there is, in fact, very little hope in any other antidepressant working for me.
>
> I'm starting to realize that antidepressants are just like Adderall. It worked amazing for a period, and for some STRANGE, UNKNOWN REASON, I built tolerance very soon.
>
> I need to figure out what exactly is building tolerance and why, and how do I tackle that chemically? I suspect it's dopamine. But why do I have such a horrible dopamine deficiency, and why NOTHING works? How on earth do you cure something like this? I've done everything. I exercise. I eat right. I eat protein, good carbs, omega 3's, what else has to be done to be normal?
>
> Does anyone know if there are any specific specialists out there who focus on this specific problem?
>
> I doubt pdocs will help me any further. I built tolerance and no matter what I try, I doubt it'll work. I really need to see someone above pdocs (are psychopharmacologists trained on this matter, anyone knows?)
>
> I'm desperate and I need help. I can't continue like this. It's been years of depression, years of wasting my life, years of trying antidepressants, and years of antidepressants not working. Pdocs are not what I need anymore. All they can offer is AD's, and no antidepressant works for me any longer. NONE. After Celexa's poop out, NOTHING has worked AT ALL.
>
> Any help would be greatly appreciated. I've been so depressed over this, that I slept all weekend. Yeah, all day over the weekend. I had lots of homework, but of course, I didn't do any of it, which makes me even more depressed. It seems like I'm walking towards a dark hole from which I'll never be able to walk out.

Have you tried a mood stabilizer with an AD? This combo can prevent AD poop out. What is your diagnosis? TRD, Bipolar?

Polarbear


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poster:polarbear206 thread:783405
URL: http://www.dr-bob.org/babble/20070911/msgs/783433.html