Posted by g_g_g_unit on December 28, 2012, at 7:30:18
In reply to Re: feel finished - GGG » g_g_g_unit, posted by SLS on December 28, 2012, at 7:11:39
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> Perhaps he needs more practice?I imagine so. I remember a comment from Chairman_MAO on here about how European-trained psychiatrists are far more willing to take risks, and that was the only way he managed to get an MAOI + stimulant prescribed. There is a Russian woman I saw when I first moved here who seemed extremely competent and well-researched, but she was so aggressive and confrontational that I found her impossible to work with. I've always imagined that she might be willing to try the combination, though I'm far too scared to return to her (I just left halfway through treatment and never returned).
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> Have you found and printed material indicating the safety of such combinations to show your doctors?No, I didn't bother. It took an incredible amount of convincing to get my psychiatrist to exceed the daily threshold of 30mg of Parnate per day permitted here, so I doubt he would add a psychostimulant into the mix (plus Parnate was stimulating enough). That said, if I go inpatient, he won't be treating me.
>Being on Parnate + TCA + stimulants hasn't killed >me. I wish I had the name of a good doctor for >you. Where do you live? Which universities are >close to you? I might be able to come up with >some names for you. Perhaps you can arrange for a >consultation with another doctor who would then >have a conversation with your current doctor?
I live in Melbourne, Australia. We have Melbourne University, Monash University and Deaken University here. If you could come up with any names, that would be great. I have done my best -- emailing heads of departments etc. -- though typically I don't receive a response.
My psychiatrist did, at one point, refer me to a professor he frequently utilizes for second opinions. The doctor in question recommended a high dose SSRI + high dose anti-psychotic (despite my lackluster response to both) and said I couldn't possibly have ADD (though I don't know how he discerned that after a single one-hour interview). He also recommended ECT over MAOIs. I kind of lost faith in other specialists after that. My own psychiatrist has been extremely accommodating a pleasure to work with, but doesn't, I think, have the research background to toy with more exotic combinations. He tends to treat fairly straightforward ADHD cases, from my understanding. I stick with him for his patience and goodwill and unparalleled bedside manner.
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> Do you have the antipsychotic, asenapine (Saphris), there?
>A cursory google search seems to suggest we do ..
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> - ScottThanks, as always.
poster:g_g_g_unit
thread:1033817
URL: http://www.dr-bob.org/babble/20121217/msgs/1034056.html