Posted by olysi79 on September 17, 2007, at 23:47:13
In reply to Re: Forced to terminate current Pdoc after Nardil fail » girlnterrupted78, posted by polarbear206 on September 17, 2007, at 8:30:50
I am sorry about this pain you are experiencing. hopelessness is a very painful thing.
I am going to offer some suggestions. I am not familiar with your situation, so these are merely suggestions.
1) Consider ECT if it truly is a last resort (read all of my other ideas first). From my understanding, you don't just "get ECT" and then that's it... you get it periodically for a period of time, alongside medications... I may be wrong though.
2) It may be time to pop into AP's (i.e Risperdal, Geodon, etc...)
3) Stimulating TCA medications (it sounds like fatigue and lack of motivation is a problem)
4) Wellbutrin with another medications
5) Lithium with other medications
6) Anti convulsants with other medications
You may need to build a bridge of different combos that are constantly tweaked and worked with. try a variety of combos! Try different meds together at different doses with your PDOC. You shouldn't care at this point if you have to take a dozen medications... you need to find combos that work. Finally, don't diagnose yourself, you don't *know* that you need dopamine. Write down all symptoms, how you feel, when, and let your doc and therapist know.
Next, time to check the hormones... go to an endo and have all of your hormones tested, thyroid, cortisol, all of it. Also, it's time for a new P-Doc... I'd recommend a psychopharmacologist or someone whom specializes in more unique cases... someone whom has advance training beyond psychiatry, as I recently learned on the board, these types might be a good fit for some. Check the medical schools in your area for experts.
Finally, therapy... once to twice a week, mandatory... you can find free therapy through yoru community via non profit if you don't have insurance.
I hope that perhaps one or more of these suggestions will help.
poster:olysi79
thread:783405
URL: http://www.dr-bob.org/babble/20070911/msgs/783634.html