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Re: I give up

Posted by TemporarilyBob on October 27, 2012, at 9:23:51

In reply to Re: I give up » TemporarilyBob, posted by ChicagoKat on October 26, 2012, at 20:28:07

> > > Hi, nice of you to post. My official diagnosis is major depressive disorder. And I'm treatment resistant.
> >
> > Been there, been called that. That's why I asked. And anxiety is an issue for you if I remember correctly? Just want to check again before I open my mouth. Or unleash my fingers. Whatever..... ;)
>
> Yes, anxiety is an issue for me. That is the one thing the Nardil is helping with, thank goodness. I still get 'breakthrough' anxiety though, but I have gabapentin for that and it really helps.
> Kat

Well, just sharing my experiences then. Been diagnosed as Major Depressive Disorder longer than I can remember, but eventually got into treatment because of my anxiety. Still, was treated for depression with meds, not anxiety. Got manic, got paranoid, got psychotic, had anxiety so bad I was hallucinating -- I recall walking down Central Park South in NYC ... southern border of Central Park with highrises on the side opposite of the park ... and recall seeing the building bending over from the top as if they were out to collapse on top of me. Had to run to a subway entrance to get underground and safe. Then, about 7 years ago, finally had a pdoc up with current research who suggested bipolar. Not I or II but bipolar spectrum. It's evolved somewhat over the years, docs don't quite agree on the terminology, from "there is a spectrum of types of bipolar disorder" to right now some calling for a bipolar III and even a bipolar IV classification. I'm not up on the literature myself, I'm mostly just sharing what my latest pdoc has said to me about me. (1) That there are types of bipolar disorder that do not involve mania, unless it's triggered by substance use (including prescription meds). (2) That some docs still scoff at this, the research base is that thin. (3) That people who fall into this category and get medicated as traditionally done for either depression or anxiety can wind up worse for it, no matter the good intentions of their pdocs.

So, with me hearing familiar things in your story I just wanted to raise this idea of a bipolar dx as a possibility for you. For me, right now, it's meaning nortriptyline and seroquel. I also have clonazepam because it's helped with my anxiety in the past but my current pdoc is really hesitant about using benzos to treat my anxiety -- seroquel has been shown to be effective against anxiety but the FDA won't approve it for single drug therapy against anxiety because of it's side-effect profile compared to traditional anti-anxiety meds. As always, YMMV, but it sounds like you're at the end of your rope so I thought I'd toss out a different one.


Great wits are sure to madness near allied,
And thin partitions do their bounds divide.

 

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poster:TemporarilyBob thread:1029778
URL: http://www.dr-bob.org/babble/20121018/msgs/1029986.html