Posted by SLS on January 5, 2016, at 7:20:32
In reply to Re: chronic suicidality, posted by Lamdage22 on January 5, 2016, at 5:49:50
I know that things are exceedingly difficult for you right now.
How can you be sure that you would not commit suicide this time? I am not challenging you per se, but I think it would be helpful to note when your suicide prevention mechanisms break down. Do you think there are any behavioral or psychological/emotional red flags that would indicate that your safety is an issue? One must be very resilient in order to fight chronic thoughts and feelings of suicidality and reject them.
Right now, my resilience is the lowest that I can remember. It doesn't take much to get me thinking about suicide. So far, I have felt confident that I would not self-terminate. However, there was one time when a bad drug reaction caused me such an increase in depression with anxiety that I began to make out a will and began to get my finances in order. My family did not take me seriously. I was serious and had given it a great deal of thought. My family thought that the whole thing was drama and that I would never follow through with my plans. That type of thinking has resulted in many deaths. Thankfully, the suicidal state disappeared within 36 hours of discontinuing the offending drug.
I believe that it can make sense for some people to end their lives. I call it "autoeuthanasia" It is a very complicated issue.
In any event, I think everyone would like to see you get through this bad time without you hurting yourself.
I'm not one to so quickly recommend benzodiazepines, but perhaps Klonopin to be taken every day would help. Lyrica could be an alternative. I would also look to evaluate your need for Seroquel. If you are not sure that it is adding significantly to your treatment, I would replace it. You could either increase the Zyprexa, or add Risperdal. As with many APs, Risperdal can produce akathisia. However, this is not the same as anxiety. Risperdal might produce anxiety and insomnia for a few days before exerting its antipsychotic/anxiolytic (anti-anxiety)/antidepressant therapeutic effects. I tried low-dosage Risperdal and experienced anxiolytic and antidepressant effects. I experienced no side effects except some sedation for the first 3 days. Unfortunately for me, the antidepressant effect lasted for less than a week.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1085130
URL: http://www.dr-bob.org/babble/20151225/msgs/1085159.html