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Re: ... And all things Nardil ... Re: Morning dread... » zonked

Posted by Questionmark on June 20, 2011, at 3:29:54

In reply to Re: ... And all things Nardil ... Re: Morning dread... » Questionmark, posted by zonked on June 17, 2011, at 22:47:24

> Yep. Good shrinks either:
>
> 1. Already know whatever it is you're coming into the appointment with
>
> OR
>
> 2. Appreciate that you're proactive about your condition and genuinely consider whatever it is you want to bring to the table
>
> Bad shrinks let their egos or lack of knowledge interfere with patient care, and can become very uncomfortable with patients who may have learned something they know *nothing* about.

So true, and well described. Unfortunately in my experience the bad shrinks seem to outnumber the good, at least in the U.S.


> I am fortunate to have good providers right now, but that hasn't always been the case.

Good!


> Being on government insurance, I do not have much choice about where I go for care. When you pay out of pocket and your shrink is an *ssh*l*, you can say "See ya! I'm taking my money elsewhere--to the best psychopharmacologist money can buy, who is not you." But when you are stuck with whomever takes your government health insurance *and* they are *ssh*l*s, *AND* you can't afford to pay someone out of pocket you're kinda screwed if you don't get lucky, as I have been. I have someone awesome who does take the coverage I have now though. And if things continue improving I should be able to return to work and become self supporting again anyway. :D

That's excellent. ... That's true though, when you don't have much choice, you don't have much choice.


> Believe it or not, I understand your dilemma. I have faced the same conflicts and concluded that, ultimately, it's a quality of life decision; and my quality of life on psychotropics is exponentially better than off them--even with the side effects.
>
> Had I not discontinued Nardil my first time around, I may never have had an interruption in my life/career/etc.

I have observed the same things in my own life. Amazing. ... But now, ... i dunno... Different things. ... But yeah, always be extremely wary of going off of it.


> The worst side effect, in Nardil's case, is the weight gain.

That's funny, cuz for me that is the best and a very welcome side effect, as without it i am emaciated.
That would be frustrating to have to deal with that as well though, for those who don't want it.


> Hmm. Interesting. I should clarify: the dread was (I use the past tense because it's mostly gone now) present whether I woke up in the morning, *or* from a nap. It's been a feature of my depression ever since my first episode..

That's so strange and interesting. I wonder what it is about severe depression that causes that phenomenon.


> If I sleep too much I almost always feel awful. If I sleep too little I may be tired, but don't feel awful in the same way. If I sleep too little but do *not* feel tired, *and* have lots of energy, and my bank account starts to drain rapidly it's time to call the doctor. (Heh.) (Sorry Parnate, you helped me a bit too much...)

Interesting that is again my experience with Nardil. You are confirming some of my beliefs even more. ... I didn't get manic with Parnate though.


> Isn't it though? BTW, do you take anything else besides Nardil? Are you in the US or elsewhere?

Not really besides some supplements, n-acetyl-cysteine being the main one (no noticeable effects). I've just started taking lamotrigine 12.5mg for a few days, just to kinda test it. Not sure about that yet.
You take anything else?
.. I am in the U.S., yes.


> By the way, I didn't mean to be pedantic about your Nardil dose. Hope you weren't offended.

Not at all, and i appreciate the intention.


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