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Re: 40% down to 25% » Dinah

Posted by SLS on September 19, 2011, at 12:41:58

In reply to Re: 40% down to 25% » SLS, posted by Dinah on September 19, 2011, at 7:59:45

> > That is very possible. Have you ever thought to take guanfacine? It is a NE alpha-2 agonist that suppresses NE, and is often used for ADD. The net effect is to improve function in the prefrontal cortex. This might explain why guanfacine is seen to reduce anxiety and improve attention. The thought just crossed my mind as I read your above post. Now that I have checked Google, I am very happy to report to you that my musings were accurate. Perhaps you can research it further.

> I'll look into that!

> > > I wonder if those experiences you perceive as normal are something that can realistically be expected for a long period of time,

> > I don't see why not. Most people spend their whole lives feeling that way.

> Life can be grossly unfair.

I cry about that sometimes - not that often, though. I accept the unfairness most of the time. It is really an exercise in spirituality for me. In God's perfect creation, someone had to be Scott.

> I suppose that I'm thinking in Linehan's dialectical terms of continuing to hope for it while also practicing radical acceptance of the now.

I wouldn't have known how to describe that. Thanks.

I have been doing this for over 30 years. It has kept me alive when I had surely come to the end. My spiritual and philosophical constitutions give me hope in the face of hopelessness. I have dealt with the fairness issue throughout my illness. I made my peace with God long ago that I should have been chosen to be chained to the bottom of a mirky ocean while others play effortlessly in the sun of the pristine shore above.

> > Actually, for me, my infrequent manic reactions to medication launches me into BP I type psychotic mania. I do not spend weeks in hypomania. It is an all-or-nothing severe mania. Thus, the six months I spent in a state devoid of psychotic mania represents a euthymic remission. Compared to severe depression, euthymia is nirvana.

> I had forgotten that, Scott. That's far more serious, and definitely something to avoid. Which medications caused that?

Every episode of mania that I have experienced was associated with either Nardil or Parnate treatment. On one occassion it was actually the discontinuation of Nardil that triggered a psychotic mania.

> > There is a doctor near me who administers rTMS. I will consider paying him a visit if I do not respond to the next two antidepressant trials. Of course, I can't afford the treatments, so I might not have the luxury of choice.

> It's not a covered treatment?

The last time I looked into it, a rTMS facility told me that Medicare was not covering it. Maybe things have changed.

> > Dinah, I appreciate your devoting some portion of your formidable brain-power pondering my plight.

> I would say precisely the same to you. I've always been struck by the breadth of your knowledge in this area. I think I'm speaking from total ignorance, and a sense of curiosity on the topic. My knowledge in medications is limited to my own situation.

Your recent writings on Medication expose a great deal of your intelligence, insight and understanding. I bet that we would both see ourselves as unworthy of such accolades. I know enough to know how much I don't know.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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poster:SLS thread:994620
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