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Re: Am I too disordered for online forums?

Posted by alexandra_k on July 22, 2005, at 23:10:16

In reply to Re: Am I too disordered for online forums? » alexandra_k, posted by Deneb on July 21, 2005, at 22:57:29

> I don't think I want to risk any cognitive blunting or tardive dykinesia from antipsychotics.

Ok. As Phillipa pointed out (rightly enough) I really don't know very much at all about medications. However... I do believe that the risk of tardive dyskinesia is much higher for people who have taken the older anti-psychotics at very high dosages over long periods of time. I have also read some research that suggests the possibility that the symptoms of tardive dyskenesia might actually be due to degeneration in the schizophrenic brain rather than being caused by the meds anyway... But, the point is that a newer style anti-psychotic at a very low dose really doesn't pose much of a risk of that at all.

With respect to cognitive bluntening... It can take a few days / a week to adjust. Once you are adjusted its ok though. I guess the point is that I'm thinking that a medication might be able to assist your moods so that you don't have those panicky / paranoid times. They might help prevent you going there. They might help you come out of them faster. They might help them be less intense. That being said, sometimes mood stabilisers or anti-depressents can help with that too. Its just finding what works for you.

>So far, no doctor has said that I should be on APs. My pdoc told me specifically that APs are not for me.

ok

>I would not mind using them when I really need to prevent death, but I don't think I need them otherwise.

Sure. When you do well you do well. Its just about preventing you having those episodes. Its just that prevention is much easier than management once the situation has gotten bad. That was what I was thinking.

> No, it is an SSRI...used for everything from depression to OCD to social anxiety to PMS...it is a pretty "safe" drug. I don't know if increasing it again would be worthwhile. I was pretty crazy for a while even at the higher dose of 50mg, but then I was pretty stable for quite a long time (for me).

Ok. So it wasn't the magic cure, but it may have helped. Not in the sense that you didn't have bad times when you were on it - but in the sense that there was more time in between the bad times.

>Then I decreased it to 40mg and I've been pretty unstable I guess, but I cannot blame it all on meds.

No. I don't like to blame any one factor. I think it can be a combination of lots of things. I'm still finding it hard to figure out my triggers. My period seems to be a fairly big one. But then so is being under a lot of pressure with deadlines (though sometimes that can be when I am most productive / happy) so I don't know...

>Perhaps I will experiment on going back to 50...I'm sure that's what my pdoc would have recommended. I know it cannot hurt me.

Right. And it might help. It might help.

> Before my pdoc went on maternity leave, so told me to book 4 more appts with her for when she comes back. I think maybe she may be back from maternity leave now, I'm not sure. Maybe I should call...but I just hate to bother her when she is so busy.

Yes. Give her a call. Its her job. Don't worry about her being busy. Really. I'm sure she will be able to find some time to see you. She has probably been wondering how you were doing. I'm sure she would be pleased to hear from you.

> I'm sorry I contributed to that.

Aw. Only a couple ;-)
I don't really understand why mine keep going AWOL.
I'll just have to wait and see if anybody wants to clue me in.

> Yep, pretty much. Good thing I forget things easily. :-) OTOH, I'm glad people can see who I am and how I change.

:-)
yeah.
i'm fairly horrified sometimes when i look back at some of the posts i've made.
it can be nice to reflect on how one has changed sometimes.
though sometimes it can be really hard to see the lows.

i was thinking about something that my dbt therapist said to me a while back now. basically... when i was upset i had a lot to say. venting mostly. when i wasn't upset she would want to try and get me to look at what happened and what led to me getting in that state. i didn't want to.

because... the lows will come soon enough - and i don't want to wreck my day by thinking about them when i am in a fairly good mood.
so when i was feeling ok then i'd just put all the memories of the hard times out of my head...
just enjoy the good and forget the bad...
but then when the bad came it really kicked me in the guts.

my t tried to teach me that when you are in a good mood can be the best time to look at what happened when things went wrong. it can be the best time to plan and put safegards in (like working out triggers - like organising a p-doc and getting meds sorted).

so then when the low comes you are all prepared and it will be a little easier to get through.

something to think about,
or not...

:-)

 

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