Psycho-Babble Medication | about biological treatments | Framed
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Redirect to Psychology board?

Posted by SLS on March 23, 2012, at 1:46:53

In reply to Re: Just to make my point clear.., posted by Twinleaf on March 22, 2012, at 21:36:05

Hi Deneb!

Hi Twinleaf!

I must apologize. I was a bit too reactive to seeing the word "unjustified" appear. It sounded overly generalized to me.

Your thoughts and feelings are so lucid and genuine. I have an enormous - and still growing - admiration of you. You definitely have some appealing traits that I do not. I learn more from you than just psych stuff.

> But, as you indicated, this situation is quite different. If I were to guess, I'd put it on the spectrum of emotional dysregulation disorders.

Absolutely.

I have not seen MDD in the writings of Deneb. Either her treatment has brought her into an extended remission of MDD, or she never had it.

> While medication can be very important in those, it is not as crucial as it is for you. I think Deneb probably remembers that, over the years, several of us have urged her to consider more therapy and less heavy reliance on medication.

Medication is much more convenient than psychotherapy.

> She seems to be feeling better enough to begin cutting down on her medication by herself - something she rarely did previously.

It doesn't seem to me that Deneb is consistent in her taking of medication. Deneb, please correct me if I'm wrong about this. It is quite possible that there is very little antidepressant effect to be had because of this. Perhaps she has unintentionally discovered that she no longer needs medication.

> Deneb is describing to us a life in which there are essentially no significant others. Medication can dull the extreme pain of this to an extent, but it is psychotherapy (plus medication as needed) which offers the way out.

Deneb, I agree with Twinleaf. Although you display a happy-go-lucky face here on Psycho-Babble - which is fun to see - it is hard to imagine that you are content with your current level of socialization. I am not a doctor, but I would say that there is something inherently pathological with the manner in which you deal with a lack of attachments to others. To me, it feels as if there is something "hollow" about your social interactions here. There is so much going on inside you that is kept hidden. Thus, we see an exterior but no interior. You are extraordinarily intelligent and bright. There is a wealth of quality experience in your future. You have certainly added a bright star for all to see and marvel at. You are a genuinely good person.

Deneb, this might be a good point at which to redirect this conversation to the Psychology board. If you allow it, this would be a great opportunity to revisit some issues in your life, and see how you have evolved in your navigating them. You will need to work hard to maintain an open mind and concentration on things that are both old and new. There are NO quick answers. You are still young enough to improve yourself in ways that will allow you to have the wealth and reward in life that I know are waiting for you. I believe your key to this world lies in your investment in psychotherapy. People with more knowledge than can suggest what types of therapy are most appropriate for you.

Good luck, Deneb!

Thanks for indulging me, Twinleaf.

One last thought for the sake of acknowledging the potential benefits of an eclectic treatment regime. Trileptal (oxcarbazepine) is an anticonvulsant drug that helps reduce impulsive thoughts and behaviors. It is good for behavioral and affective dysregulation. It is a clean drug that will not increase body weight. It normally does not dull the senses at all, and will not produce apathy and amotivation. I am not a doctor (still), but I would approach Deneb's doctor with the idea should impulsiveness and affective dysregulation remain such prominent features of her condition(s). Actually I could see starting the Trileptal sooner rather than later because it can reduce the intensity of the withdrawal symptoms from SSRIs discontinuation. Add Trileptal first, then discontinue the Prozac gradually.

What would an SLS post be without his talking about pharmacotherapy?

Deneb, would you consider redirecting this conversation to the Psychology board? I am so predictable. I wouldn't want to disappoint.


- 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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Psycho-Babble Medication | Framed

poster:SLS thread:1013597
URL: http://www.dr-bob.org/babble/20120316/msgs/1013685.html