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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 13 to 37 of 59. Go back in thread:
Posted by 4WD on June 20, 2005, at 23:15:13
In reply to Re: Down and out » 4WD, posted by Maxime on June 20, 2005, at 12:54:03
> > > Hi.
> > >
> > > I'm very depressed right now. I haven't even bothered taking my Parnate. Just fed up I guess.
> > >
> > > There is some babble-mail that I haven't responded to yet ... I'm sorry. I'll do my best to respond tomorrow (if my computer works).
> > >
> > > Maxime
> >
> > I'm so sorry, Maxime. Please try to just keep doing the next right thing. Take your meds. Even if you feel taking them won't help, try to remember that NOT taking them isn't likely to help either. I get that like sometimes, so I understand. When is your next appointment with your pdoc?
> >
> > Marsha
>
> I see him tomorrow. He will just say the same thing he always does. I don't know why I bother going.
>
> Maxime
What is it he always says? Just keep doing what you're doing?There's got to be something else to try. Does he know how bad you're feeling? Tell him. I feel so bad for you. I wish there were something you could take other than the Dexedrine. I just feel like the crash from that isn't worth it.
Marsha
Posted by Maxime on June 21, 2005, at 13:41:34
In reply to Re: Down and out » Maxime, posted by 4WD on June 20, 2005, at 23:15:13
Hi
My appointment was a little different this time. We did more therapy than usual. He has this exercise that I must do all the time (CBT). I have a very poor view of myself and he says that has to change to help the meds work better for me.
I have script for Provigil. I can't fill it until next week because I don't have any money.
We will see how it goes.
Maxime
Posted by ed_uk on June 21, 2005, at 13:53:19
In reply to Re: Down and out, posted by Maxime on June 21, 2005, at 13:41:34
Hi Maxi,
>My appointment was a little different this time. We did more therapy than usual. He has this exercise that I must do all the time (CBT).
I think that's excellent, I'm glad you're appointment was a little different. I am very hopeful for you.
>I have script for Provigil.
I hope it gives you the energy you need :-)
Love,
Ed xxx
Posted by Phillipa on June 21, 2005, at 18:04:45
In reply to Re: Down and out » Maxime, posted by ed_uk on June 21, 2005, at 13:53:19
Maxime, I know you are familiar with CBT. You recently posted to me that I should start writing down your internal voice and come up with alternatives. You also mentioned the books by Dr. Burns. You said it helps with self-esteem. I know the process but it's hard to do when you don't feel well. Glad you had more time for therapy. And sorry about the money. Fondly, Phillipa
Posted by 4WD on June 21, 2005, at 22:42:58
In reply to Re: Down and out, posted by Maxime on June 21, 2005, at 13:41:34
> Hi
>
> My appointment was a little different this time. We did more therapy than usual. He has this exercise that I must do all the time (CBT). I have a very poor view of myself and he says that has to change to help the meds work better for me.
>
> I have script for Provigil. I can't fill it until next week because I don't have any money.
>
> We will see how it goes.
>
> Maxime
>
>
I was thinking my meds would help my view of myself change but I can see how it could work in reverse as well. It's awfully hard to do an "attitude adjustment" when you are depressed, though. I mean, if you could just decide to do that, we'd all be well.I feel hopeful the Provigil will treat you better. I just feel like when all your stimulant type meds wear off (the Parnate and the Dex), you have a bad crash that's worse than no up at all.
Marsha
Posted by Maxime on June 22, 2005, at 0:01:58
In reply to Re: Down and out, posted by Phillipa on June 21, 2005, at 18:04:45
> Maxime, I know you are familiar with CBT. You recently posted to me that I should start writing down your internal voice and come up with alternatives. You also mentioned the books by Dr. Burns. You said it helps with self-esteem. I know the process but it's hard to do when you don't feel well. Glad you had more time for therapy. And sorry about the money. Fondly, Phillipa
Thanks for caring Phillipa. I appreciate it.
Maxime
Posted by Maxime on June 22, 2005, at 0:03:18
In reply to Re: Down and out » Maxime, posted by ed_uk on June 21, 2005, at 13:53:19
Dear Ed .... MUAH!
Maxime
> Hi Maxi,
>
> >My appointment was a little different this time. We did more therapy than usual. He has this exercise that I must do all the time (CBT).
>
> I think that's excellent, I'm glad you're appointment was a little different. I am very hopeful for you.
>
> >I have script for Provigil.
>
> I hope it gives you the energy you need :-)
>
> Love,
> Ed xxx
Posted by Maxime on June 22, 2005, at 0:05:58
In reply to Re: Down and out » Maxime, posted by 4WD on June 21, 2005, at 22:42:58
Hi Marsha. I agree with you. But if I work a little on it everyday, MAYBE something will sink in. If there was a pill for self-esteem I would take it.
I will let you know how the Provigil goes next week. I hope I don't crash.
Hugs.
Maxime
> > Hi
> >
> > My appointment was a little different this time. We did more therapy than usual. He has this exercise that I must do all the time (CBT). I have a very poor view of myself and he says that has to change to help the meds work better for me.
> >
> > I have script for Provigil. I can't fill it until next week because I don't have any money.
> >
> > We will see how it goes.
> >
> > Maxime
> >
> >
>
>
> I was thinking my meds would help my view of myself change but I can see how it could work in reverse as well. It's awfully hard to do an "attitude adjustment" when you are depressed, though. I mean, if you could just decide to do that, we'd all be well.
>
> I feel hopeful the Provigil will treat you better. I just feel like when all your stimulant type meds wear off (the Parnate and the Dex), you have a bad crash that's worse than no up at all.
>
> Marsha
>
Posted by Maxime on June 22, 2005, at 0:24:26
In reply to Re: Down and out » Maxime, posted by 4WD on June 21, 2005, at 22:42:58
The crappy part of my appointment.
My pdoc is big into exercising to fight depression. But he knows that when you are really down you can't motivate yourself to exercise. But I have been hiking and cycling every day. It hasn't helped yet. He keeps on stressing the exercise. I used to be a compulsive exerciser. I've told him this sevral times but I guess he has forgotten. So today he said try to exercise more. I just kept my mouth shut. At this point I figure what is the point?
I have to keep a mood journal for my pdoc. I plot my mood on a scale on 1-10 and then right in any situational factors that may have contributed to my mood.
This time across the top, I made some extra notations.
1 - My tiredness
2 - Some stuff I can't mention here
3 - How much I hate the way I look and feel about myself and how I want to be at low weight again.Re. # 3 - He said that if I exercise enough and eat properly I can reach my low weight again. HELLO MY LOW WEIGHT WAS 70 POUNDS!
I've talk to him before about my ED and my history with anorexia. I guess he forgets. I guess he sees a big fat person in front of him and doesn't worry about it. I take it as a green light to continue to starve myself. I am not thin enough for him to be concerned. Again, I just kept my mouth shut because I thought "are you a moron?" and "I am worthless fat nothing who doesn't deserve help". He probably doesn't believe me that I have a problem. But I have been given the go ahead to get back to low weight.
I also wish he could have thought of alternatives for the Parnate like taking the Manerix is super high dosages. Or increasing my Trileptal. I mentioned it (the trileptal) and he said no. He believes it cold be bringing my mood down. Well there is only one way to find out, right?
So that's the crappy portion of my appointment. Do I have the right to be angry over the low weight comment? Or am I over reacting?
Maxie, the beached whale
Posted by ed_uk on June 22, 2005, at 10:21:06
In reply to Re: Down and out, posted by Maxime on June 22, 2005, at 0:24:26
Hi Maxie, (like the new spelling?)
MUAH!
>I used to be a compulsive exerciser.
It sounds like he's focussing on your mood disorder at the expense of your ED. I think you said he specialises in mood disorders so that could be why. Perhaps he just doesn't know anything about AN. That's the problem with 'specialists' - they tend not to be very broad.
>I guess he sees a big fat person in front of him and doesn't worry about it.
You look really lovely on the photo I've got of you :-)
>Manerix is super high dosages........
What does he think of this idea? Maybe 900-1200mg?
>I mentioned it (the trileptal) and he said no. He believes it cold be bringing my mood down. Well there is only one way to find out, right?
I agree. SLS is finding Trileptal helpful for depression.
Love,
~Ed
xxxxxxxxxxxxx
Posted by Maxime on June 22, 2005, at 22:16:49
In reply to Re: Down and out » Maxime, posted by ed_uk on June 22, 2005, at 10:21:06
Hi, yes he does specialise in mood disorders. And yes, the psychopharmacologist said 1000-1200 mg of Manerix.
I don't think I look lovely at all. But thank you for the compliment. :-)
xxxx
Maxie> Hi Maxie, (like the new spelling?)
>
> MUAH!
>
> >I used to be a compulsive exerciser.
>
> It sounds like he's focussing on your mood disorder at the expense of your ED. I think you said he specialises in mood disorders so that could be why. Perhaps he just doesn't know anything about AN. That's the problem with 'specialists' - they tend not to be very broad.
>
> >I guess he sees a big fat person in front of him and doesn't worry about it.
>
> You look really lovely on the photo I've got of you :-)
>
> >Manerix is super high dosages........
>
> What does he think of this idea? Maybe 900-1200mg?
>
> >I mentioned it (the trileptal) and he said no. He believes it cold be bringing my mood down. Well there is only one way to find out, right?
>
> I agree. SLS is finding Trileptal helpful for depression.
>
> Love,
>
> ~Ed
>
> xxxxxxxxxxxxx
Posted by Maxime on June 22, 2005, at 22:29:13
In reply to Re: Down and out, posted by Maxime on June 22, 2005, at 0:24:26
How quickly one's life can change. I got a job offer today and I accepted it. I will be moving though to another province. ACK! I have so much to do! I had 3 interviews for this job. There were over 300 applicants for it! I am freaking out because I can't let my depression show or screw me up ... screw up this amazing opportuntity. It's my dream job. I keep thinking they made mistake or something.
So that means finding a new pdoc where I will be living. I am sure I will wait for months before I can see him or her. But first I will have to find a general practitioner and then get a referral to a pdoc. Yup, it will take months.
Maxime
Posted by Phillipa on June 22, 2005, at 23:03:15
In reply to Re: Down and out ... Now just overwhelmed, posted by Maxime on June 22, 2005, at 22:29:13
Congratulations Maxie! I knew you would get the job. And you kept telling me that you really didn't feel good. Well, you must put on a pretty good act! I know what you mean about moving and getting new docs and all. Right now Greg and I are looking at doing the same thing. There are no jobs here. What about your Mother? Will she go with you? Congratulations to you Congratulations to you! Fondly, Phillipa
Posted by 4WD on June 22, 2005, at 23:13:07
In reply to Re: Down and out, posted by Maxime on June 22, 2005, at 0:24:26
> The crappy part of my appointment.
>
> My pdoc is big into exercising to fight depression. But he knows that when you are really down you can't motivate yourself to exercise. But I have been hiking and cycling every day. It hasn't helped yet. He keeps on stressing the exercise. I used to be a compulsive exerciser. I've told him this sevral times but I guess he has forgotten. So today he said try to exercise more. I just kept my mouth shut. At this point I figure what is the point?
>
I understand completely. I don't have the exact situation but I told my pdoc when I first saw him that I couldn't take more than 10mg of Celexa because the muscle tension it causes in my neck and shoulders causes really intense pain. On my last visit, he told me to increase the Celexa to 20mg. Idiot! I mentioned it again and he just said try it again. Idiot! Idiot!> I have to keep a mood journal for my pdoc. I plot my mood on a scale on 1-10 and then right in any situational factors that may have contributed to my mood.
>
> This time across the top, I made some extra notations.
>
> 1 - My tiredness
> 2 - Some stuff I can't mention here
> 3 - How much I hate the way I look and feel about myself and how I want to be at low weight again.
>
> Re. # 3 - He said that if I exercise enough and eat properly I can reach my low weight again. HELLO MY LOW WEIGHT WAS 70 POUNDS!
>
> I've talk to him before about my ED and my history with anorexia. I guess he forgets. I guess he sees a big fat person in front of him and doesn't worry about it. I take it as a green light to continue to starve myself. I am not thin enough for him to be concerned. Again, I just kept my mouth shut because I thought "are you a moron?" and "I am worthless fat nothing who doesn't deserve help". He probably doesn't believe me that I have a problem. But I have been given the go ahead to get back to low weight.I also have an eating disorder - bulimia. I'm in remission but he (the pdoc) knows I've only been in remission for a few months. So what atypical does he prescribe? Zyprexa. Idiot!
>
> I also wish he could have thought of alternatives for the Parnate like taking the Manerix is super high dosages. Or increasing my Trileptal. I mentioned it (the trileptal) and he said no. He believes it cold be bringing my mood down. Well there is only one way to find out, right?
>
> So that's the crappy portion of my appointment. Do I have the right to be angry over the low weight comment? Or am I over reacting?
>
I'd have asked him whether he remembered you were anorexic. It's ridiculous that he told you to use exercise and diet to get to your "low weight." Stuff like that is why I think they don't have a clue who we are when we walk in their office until they look at our charts. ANd then they just glance in order to get our names and what med we're currently on. It makes me furious for you and for me and for all of us.> Maxie, the beached whale
Maxime, are you actually overweight or are you caught up in the negative body image thing?
Marsha
Posted by MidnightBlue on June 22, 2005, at 23:40:45
In reply to Re: Down and out ... Now just overwhelmed, posted by Maxime on June 22, 2005, at 22:29:13
Maxime,
This is the most AWESOME news! Didn't I tell you God would come through at the last minute!
Of course you can do this job. And of course they did NOT make a mistake giving it to you! You are smart, funny, and such a kind person. How could they not want YOU above all others?
I haven't posted for over a week, but you have lured me out of my silence! I am sure you will find the right doctors in your new province. Meanwhile keep posting here and we will help you keep it all together.
Many hugs and best wishes,
MidnightBlue
Posted by Declan on June 23, 2005, at 0:36:06
In reply to Re: Down and out, posted by Maxime on June 22, 2005, at 0:24:26
Hi Maxime
Good luck with Mannerix in super high doses. I'm titrating *up* to 75mg am. Any more so far and I feel worse. At this dose I don't know if it helps or not. (When I fail this perhaps the dr will Rx Parnate. But maybe I shouldn't be too optimistic about that if I try it.) Moclobemide is supposed, I think I read, to mainly increase available 5ht, which surprised me. I thought those awful feelings came from NA, but maybe it's some agitating 5ht subtype receptor being stimulated. You'd know what Scott said about his experience with moclobemide. But then you can tolerate stimulants so perhaps......
Declan
Posted by Mildred on June 23, 2005, at 12:55:44
In reply to Re: Down and out, posted by Declan on June 23, 2005, at 0:36:06
Fantastic, Maxime - congratulations!
A sign of more good things to come . . .Mildred
Posted by ed_uk on June 23, 2005, at 13:48:39
In reply to Re: Down and out ... Now just overwhelmed, posted by Maxime on June 22, 2005, at 22:29:13
Hi Maxi :-)
That's great news :-)
>There were over 300 applicants for it!
You're the BEST! What did I tell you :-D
>So that means finding a new pdoc where I will be living.
New pdoc = new ideas = hope for the future :-)
Lots of love,
Ed xxx
Posted by Maxime on June 23, 2005, at 15:50:34
In reply to Re: Down and out, posted by Declan on June 23, 2005, at 0:36:06
Hi Declan
No, it was only an idea the psychopharcologist had. I won't be able to try it now that I am moving. Everything is going to have to stay the same until I find new doctors as I am moving next week. It will take months. Sigh.
Yes, I can tolerate stimulants along with a high dosage of Parnate! Everyone is different.
So is it anxiety that you are feeling from the Manerix? I read that nausea is a side effect and that worried me. Do you feel nauseous on it?
Maxie
> Hi Maxime
> Good luck with Mannerix in super high doses. I'm titrating *up* to 75mg am. Any more so far and I feel worse. At this dose I don't know if it helps or not. (When I fail this perhaps the dr will Rx Parnate. But maybe I shouldn't be too optimistic about that if I try it.) Moclobemide is supposed, I think I read, to mainly increase available 5ht, which surprised me. I thought those awful feelings came from NA, but maybe it's some agitating 5ht subtype receptor being stimulated. You'd know what Scott said about his experience with moclobemide. But then you can tolerate stimulants so perhaps......
> Declan
>
Posted by Declan on June 23, 2005, at 16:25:27
In reply to Re: Down and out » Declan, posted by Maxime on June 23, 2005, at 15:50:34
My dr described it as butterflies in the stomach, so that could be seen as nausea, especially if severe. I'd call it agitation.
Perhaps I can take enough to get some useful AD effect but not enough to get that.
Declan
Posted by Maxime on June 23, 2005, at 16:30:50
In reply to Re: Down and out » Maxime, posted by 4WD on June 22, 2005, at 23:13:07
Hi Marsha. I can't believe your doctor prescribed Zyprexa! Is he crazy? All the hard work you have been doing to recover and Zyprexa would undo it ALL.
My BMI is in normal range ... which is FAT to me. I'm short so every pound shows. And I am pear shape. FAT PIG! At one point I had a BM1 of 12.
I won't be seeing this pdoc again since I am moving. But I am going to ask him if I can call him if I need to talk. I don't know if he will agree or not, but I need something until I can set up support where I am going. I'm scared.
Maxime
>
Posted by Maxime on June 23, 2005, at 16:34:09
In reply to Re: Down and out, posted by Mildred on June 23, 2005, at 12:55:44
> Fantastic, Maxime - congratulations!
> A sign of more good things to come . . .
>
> Mildred(((Mildred))) You are so sweet! I would love to meet you in person!
No doubt about it's a good thing. But I am worried about my meds and not having a pdoc or even a regular doctor for several months. I guess I can go to a clinic or the ER if I have to.
Plus it's going to be a stressful job. I hope it doesn't through my body chemistry off too much and affect my meds. So I am scared from that perspective.
Maxime
Posted by Mildred on June 23, 2005, at 17:29:26
In reply to Re: Down and out » Mildred, posted by Maxime on June 23, 2005, at 16:34:09
Maxime -
> (((Mildred))) You are so sweet! I would love to meet you in person!
I would love to meet you, too, Maxime! The closest I am to Canada is that I have a friend who is visitng Montreal right now . . . she is actually from there, but lives here now - I'm way down in Florida.
>
> No doubt about it's a good thing. But I am worried about my meds and not having a pdoc or even a regular doctor for several months. I guess I can go to a clinic or the ER if I have to.
I certainly understand that you are scared. I never had the guts to take any risks in my life, and, consequently, I have been kind of limited. Not that I have a bad life . . . I just often wish I had been a little daring. Perhaps things might be a bit more exciting.>
> Plus it's going to be a stressful job. I hope it doesn't through my body chemistry off too much and affect my meds. So I am scared from that perspective.
There is nothing wrong with being scared - as long as it's not keeping you from taking action. I think it is great that you have identified your fears and know how you will address them if a problem should arise. Now, the trick is to let go of them - a lot easier said than done, right?Do you have enough medication to keep you going until you actually do see a new doc? I know you are not secure with your meds at this point - can your current pdoc make some contacts for you in your new province - so that you might be able to have continuous access to a doctor should you need it?
Such an exciting (and scary!) time -
Warmly (literally - well, actually, it's only in the high 70's right now - a cold front!),
Mildred
Posted by Maxime on June 23, 2005, at 17:34:25
In reply to Re: Down and out ... Now just overwhelmed » Maxime, posted by Phillipa on June 22, 2005, at 23:03:15
Thank you Phillipa. I am not feeling good. However I am a high functioning depressive. My pdoc even said so. At one point he wanted to do a case study on me. So now the challenge is to keep up the act under stressful conditions. I've done it before. I know it's not healthy ... but what other choice do I have?
Nope, my mom will be staying behind. Actually, it's going to help me a lot to be away from her. That might help depression somewhat. We get along better when are miles between us! LOL! Sadly, I am leaving my dog. This is going to be hard. But there are reasons for this decisions. Still, she is my therapist and I am going to miss her terribly.
I'm still crashing from the Dexedrine so I am looking forward to Tuesday when I can try the Provigil. The dexedrine makes things better during day but worse at night. I have even been self injuring (ashamed).
Maxime
> Congratulations Maxie! I knew you would get the job. And you kept telling me that you really didn't feel good. Well, you must put on a pretty good act! I know what you mean about moving and getting new docs and all. Right now Greg and I are looking at doing the same thing. There are no jobs here. What about your Mother? Will she go with you? Congratulations to you Congratulations to you! Fondly, Phillipa
Posted by Mildred on June 23, 2005, at 17:38:40
In reply to Re: Down and out ... Now just overwhelmed, posted by Maxime on June 23, 2005, at 17:34:25
How soon will you be moving? Do you have plenty of time to get done what you need to? Lots to do!
Mildred
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