![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 16 to 40 of 55. Go back in thread:
Posted by 4WD on January 28, 2006, at 23:35:18
In reply to Help!! Bipolar, off meds, losing it, posted by catmint on January 28, 2006, at 18:05:38
> I have been diagnosed for 7 years, been on all pych meds for bipolar since. 2 months ago stopped Lamictal monotherapy.
>
> I can't deal with my life. I felt that the Lamictal was only helping somewhat, and stooped for fear of long term effects.
>
> I'm 39, female, and living as a single parent.
>
> Now, I have a mild recreational drug problem, as well as alcohol every day. Ciggarettes, a tumultuous home-life, jobless, facing eviction,scrounging for change, no foodstamps till Feb. 3
>
> Help! Any posts in the next two to four hours are needed!! I need to get some advice.
>
>
I hope you didn't take offense at a previous poster's remark that you'd suddenly be cured of your disease if you just had a million dollars. Most of us here recognize the seriousness of our disorders and are more sympathetic to emotional pain.I wish I could help you. I hope you feel better soon. I think you should resume meds, at least to taper off if you don't want to continue permanently. Long term effects might be scary but they are only a possibility. What you are experiencing right now is real.
Marsha
Posted by Berberis on January 29, 2006, at 0:12:51
In reply to Please be civil » Berberis, posted by gardenergirl on January 28, 2006, at 21:31:52
> >
> > I think you are not very informed.
>
> Please don't post anything that could lead others to feel accused or put down.
>
> If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
>
> http://www.dr-bob.org/babble/faq.html#civil
>
>
> Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above post, should of course themselves be civil.
>
> Regards,
>
> gg acting as deputy for Dr. Bob
Sorry, gg. I was truly trying to follow the rules by using I statements. Guess I failed miserably. I'm kinda glad I got my first PBC out of the way.
Posted by fenix on January 29, 2006, at 4:41:06
In reply to Please be sensitive » fenix, posted by gardenergirl on January 28, 2006, at 21:30:07
> > But really, that is bull, I bet if you got a million dollars right now, you wouldn't be so depressed anymore would ya?
>
> The idea here is support, so please don't post anything that could lead others to feel put down.
>
> Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above post, should of course themselves be civil.
>
> Regards,
>
> gg acting as deputy for Dr. BobAnd that is the only part in my whole post that you paid attention to? You put it out of context, and you should also be a little bit more civil in regards to the respect of those that post.
Posted by fenix on January 29, 2006, at 5:03:22
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by Tomatheus on January 28, 2006, at 22:54:55
And defend it I shall dear player. It is taken out of context yet again, as was a few of my other posts of late.
Yes, when chemicals act in different ways they produce different actions. Different situations cause your body to respond in different ways, cause the neurochemistry to change, etc. When you are in a bad environment, your mind becomes ill of it, but not just your mind... your brain and its chemicals as well.
The whole thing is ridiculous about the imbalance, and this is where I will have to be more specific. It is not that a chemical imbalance doesn't happen, it is that drugs are not the answer, at least no the ultimate answer. The real problem is, you are in a trap, you are given drugs to cope in the trap, the suffocating box. The trap is the environment that you are in, what the environment is doing to you, it is established deeply in the survivalist nature of humans and of course in that of other living species.
Most people don't have a million dollars so they can escape the places that are bothering them. You may argue that the trap is in the mind sometimes as well caused by past traumas such as incest. However, just leaving a certain place that you have been at for a very long time... can do profound things on you regardless of your past experiences. I know this from personal experience s myself, and not just me, but from various people that suffered from rape, incest, and other such things in there past.
So, to sum it up, the whole chemical imbalance things being pushed on everyone is like an empty truth. Yes, it is indeed fact, but how useful is it? You aren't forever in the chains of your neurochemistry, there are other ways to change it besides powerful and often times dangerous drugs.
You may then decide to go on these drugs that they toy around you, these SSRIs.. the neuroleptics. But you ain't going anywhere anytime soon.
They gave me benzos for stress because of chemical imbalances. I went on a long vacation, I didn't need benzos anymore.
If you can escape, do it. Those drugs knock you out for a reason.
Posted by Dr. Bob on January 29, 2006, at 10:41:08
In reply to Re: Help!! Bipolar, off meds, losing it, posted by fenix on January 29, 2006, at 5:03:22
> It is not that a chemical imbalance doesn't happen, it is that drugs are not the answer, at least no the ultimate answer.
Sorry to interrupt, but I'd like to ask that follow-ups regarding the ultimate answer be redirected to Psycho-Babble Social. Or Psycho-Babble Faith...
Bob
Posted by gardenergirl on January 29, 2006, at 14:17:35
In reply to Re: Please be civil » gardenergirl, posted by Berberis on January 29, 2006, at 0:12:51
> > Sorry, gg. I was truly trying to follow the rules by using I statements. Guess I failed miserably. I'm kinda glad I got my first PBC out of the way.
It can be tricky.
I know what you mean about getting one out of the way. My first was for f*rting.
Only me. :-D
gg
Posted by catmint on January 29, 2006, at 14:28:28
In reply to Re: Help!! Bipolar, off meds, losing it, posted by fenix on January 28, 2006, at 18:20:01
> You said you are off of meds. You aren't on any at all? Sometimes if you stop taking them suddenly you can get something known as akathesia which is a feeling of painful agitation and restlessness. If you want to get off of these medicines because of fear of long term effects (quite a prudent thing to do), you should get off of them slowly.
>
> They say it is a chemical balance thing. But really, that is bull, I bet if you got a million dollars right now, you wouldn't be so depressed anymore would ya? Even though past memories would still be there, you at least wouldn't be trapped.Thank you so much. I did get off the Lamictal slowly, I just don't know what to do from here. This morning my brother died. He was 30. He had muscular dystrophy.
Posted by catmint on January 29, 2006, at 14:30:54
In reply to Re: Help!! Bipolar, off meds, losing it, posted by willyee on January 28, 2006, at 19:42:42
> Totaly agree,reacting to a single event has nothing to do with the everyday struggle we go through,we had some very ill faithed remarks today,first the pill popper thing now this one,i too find this totaly inapproiate.
>
> As for the orignal poster,my heart and soul goes out to you,every bit of it,i wish i could offer you more,just please get someone involved fast somone who can understand,get help,i dont mean help just for the disease,get someone to watch u and to maybe help in any way possable now.Thank you for your post. I can tell you understand
Amy
Posted by Racer on January 29, 2006, at 14:31:09
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by Tomatheus on January 28, 2006, at 22:54:55
> > They say it is a chemical balance thing. But really, that is bull
>
> Really? How interesting. I've personally read hundreds of research articles that have provided strong evidence that depression, bipolar disorder, and other psychiatric illnesses are at least partially caused by genetically mediated biochemical abnormalities in some patients.
>
> But for me to take a claim like yours seriously, I would need you to discredit each and every piece of research data that provides support for the idea that "chemical imbalances" do indeed exist.
Absence of proof is not proof of absence, so I don't think ALL studies ever have to be discredited. In fact, I'll offer up something much simpler:Since we know that other metabolic disorders, such as diabetes, are caused by chemical imbalances in the body, I will believe that mood disorders are caused by a chemical imbalance in the brain. Unless or until someone *proves* that the brain is *not* subject to the same sorts of metabolic disruptions as other organs of the body, it just makes more sense to me to assume that the brain *is* subject to those disruptions, and therefore that mood disorders include a chemical imbalance in the brain as part of their etiology.
Simple as can be: until you prove the brain is fundamentally different from other organs, let's assume that it's fundamentally similar, and thus subject to metabolic disruptions that cause chemical imbalances.
And, if these disorders are caused by chemical imbalances, then drugs can address those imbalances.
Simpler still: proof's in the pudding. Most of these drugs are effective for people who take them. Not all people, but many. That really should tell us all we really need to know about the subject, yes?
(Oh, and Tomatheus? I'm not disagreeing with you. Sorry if it came across that way -- just offering up what I think might be a simpler way of looking at the arguments involved, inspired by what you wrote.)
Posted by catmint on January 29, 2006, at 14:34:13
In reply to Re: Catmint, I hope you read this, posted by wanttobhappy on January 28, 2006, at 22:49:03
Posted by Racer on January 29, 2006, at 14:42:26
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by catmint on January 29, 2006, at 14:28:28
> This morning my brother died. He was 30. He had muscular dystrophy.
I'm so sorry for your loss.
>> Thank you so much. I did get off the Lamictal slowly, I just don't know what to do from here.
It sounds as though you need *something* to help you through, even if you don't want to be on drugs longterm. Considering your financial position, which I can relate to, I'm guessing you don't have access to a therapist? You do have access to local support groups, though, which can be very, very helpful. To find them, start checking the websites for NAMI, there's another group called something like the Depressive-Bipolar Alliance, Manic Depressive/Depressive associations, etc. Most have local support groups, and they can be very, very helpful, not only in providing emotional support, but also in finding local resources when you just can't afford adequate treatment.
And in the meantime, it would probably be worth getting back on medication until you can set up a support network around yourself to help you function more effectively. I'm with Tomatheus on this: Even if you've tried ALL the bipolar drugs out there, you may not have tried the right combination to get adequate relief from your symptoms. Even as a temporary measure, it sounds as though that might be in your best interest right now.
Of course, you still don't have to do it. I'm only offering an outside opinion.
Good luck to you, and again, my sympathy on your brother's death.
Posted by gardenergirl on January 29, 2006, at 14:44:32
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by catmint on January 29, 2006, at 14:28:28
Please be extra gentle with yourself in this time of mourning.
And don't hesitate to see your doc or T if you have one for extra support if needed.
And of course, we're here for you, too.
(((((catmint)))))
gg
Posted by catmint on January 29, 2006, at 14:45:38
In reply to Um, I think you're taking it too far... » Tomatheus, posted by Racer on January 29, 2006, at 14:31:09
>>>>Simpler still: proof's in the pudding. Most of these drugs are effective for people who take them. Not all people, but many. That really should tell us all we really need to know about the subject, yes?
Yes, I agree. I am struggling with the decision to get back on Lamictal; due to it's efficacy, I should, but the irritability was too constant. Lamictal worked on many levels, but some people noticed I was racy, and innatentive.
Now I am off meds, stoned again and dealing with my messed up social and economic situation as well as the death of my 30 year old brother this morning.
Posted by catmint on January 29, 2006, at 14:49:51
In reply to I'm so sorry, catmint » catmint, posted by gardenergirl on January 29, 2006, at 14:44:32
> Please be extra gentle with yourself in this time of mourning.
>
> And don't hesitate to see your doc or T if you have one for extra support if needed.
>
> And of course, we're here for you, too.
>
> (((((catmint)))))
>
> gg
I am shaking and lonely,isn't that sad. lol
Everything happens for a reason?
Anyway, I thank you for your support all of you.
Posted by Tomatheus on January 29, 2006, at 15:49:12
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by catmint on January 29, 2006, at 14:28:28
Posted by Tomatheus on January 29, 2006, at 16:03:02
In reply to Um, I think you're taking it too far... » Tomatheus, posted by Racer on January 29, 2006, at 14:31:09
Racer,
I completely agree with what you're saying. And I do think that think you are correct in suggesting that I was going too far in saying that *all* studies showing evidence for genetically mediated biochemical abnormalities would need to be discredited to make a convincing argument against what is commonly referred to as the "chemical imbalance" theory. After all, if someone were to discredit all but one of the studies showing some evidence for the "chemical imbalance" theory, there would still be one study showing evidence for the theory, but it would obviously provide for a very weak argument in favor of there being a "chemical imbalance" when taken in the context of the psychiatric literature as a whole.
So, yes, I agree with the points that you made, and I certainly think that it makes more sense to explain things the way you've explained them instead of trying to get a bit overly complex when it's not really necessary.
Thanks,
Tomatheus
Posted by Racer on January 29, 2006, at 16:58:33
In reply to Re: Um, I think you're taking it too far... » Racer, posted by catmint on January 29, 2006, at 14:45:38
> I am struggling with the decision to get back on Lamictal; due to it's efficacy, I should, but the irritability was too constant. Lamictal worked on many levels, but some people noticed I was racy, and innatentive.
>
>
That doesn't sound as though Lamictal was the optimal drug for you, then, at least as monotherapy. Can you talk to your doctor about trying to find either another mood stabilizing agent or augmenting the Lamictal with something that would help mitigate those symptoms?There's finally some notice in the medical community that what they're considering to be great responses to medications still might not improve the quality of life for patients. ("Really? Why didn't those whiny patients ever mention that their quality of life still left much to be desired?" Some days I think doctors can be a bit dim, you know?) Anyway, I mention this because maybe there'll be a bit more response if you ask about it now, than you would have gotten a few years ago. Because from what you have written here, it doesn't surprise me that you're hesitant to start that drug again.
Have you tried other meds in the past that helped? Or that didn't help? Maybe someone here can offer some other suggestions if you let us know what you've tried so far.
Good luck.
Posted by Dr. Bob on January 30, 2006, at 0:37:29
In reply to Redirect: the ultimate answer, posted by Dr. Bob on January 29, 2006, at 10:41:08
> I'd like to ask that follow-ups regarding the ultimate answer be redirected to Psycho-Babble Social.
Here's a link:
http://www.dr-bob.org/babble/social/20060124/msgs/604381.html
And for follow-ups regarding administrative issues:
http://www.dr-bob.org/babble/admin/20060111/msgs/604369.html
Thanks,
Bob
Posted by cindy lou on January 30, 2006, at 14:16:43
In reply to Help!! Bipolar, off meds, losing it, posted by catmint on January 28, 2006, at 18:05:38
Dear Catmint,
I am so so so sorry for all you are going through.I am a mother -- not a single mother -- and I can hardly deal with motherhood. I can't imagine how hard it must be going it alone.
I was wondering if you have tried a straight anti-depressant, like Prozac? I have been diagnosed as BPII (although no one is really sure if it's BPII or just depression + anxiety). I tried several mood stabilizers, and they all made me WORSE. I was on Lamictal for about 8 months, and it made me very agitated and anxious.
The thing that has worked best for me so far is a "band-aid approach"
- Lexapro for depression
- Dexedrine for fatigue, inattention, and an augment to the Lexapro
- and Klonapin for anxiety (which I usually take at night to sleep).The "miracle drug" for me is alcohol (sad to say.) I wish there was some med that could "mimic" it. I don't drink now, but I surely understand why you are turning to alcohol.
I am in agreement with everyone here about finding someone to talk to, and finding a doctor soon to give you a script for meds to help your depression. For me, alcohol doesn't feel the "same" when I am on antidepressants (just makes me tired and woozy) -- so getting on a med soon could help you get off the alcohol (and perhaps the other drugs as well?)
Please hang in there. I am really feeling for you. I can't imagine your pain, with your brother just dying on top of everything else.
Keep us posted ...
cindy
> I have been diagnosed for 7 years, been on all pych meds for bipolar since. 2 months ago stopped Lamictal monotherapy.
>
> I can't deal with my life. I felt that the Lamictal was only helping somewhat, and stooped for fear of long term effects.
>
> I'm 39, female, and living as a single parent.
>
> Now, I have a mild recreational drug problem, as well as alcohol every day. Ciggarettes, a tumultuous home-life, jobless, facing eviction,scrounging for change, no foodstamps till Feb. 3
>
> Help! Any posts in the next two to four hours are needed!! I need to get some advice.
>
>
Posted by cindy lou on January 30, 2006, at 14:28:29
In reply to Re: Help!! Bipolar, off meds, losing it, posted by fenix on January 29, 2006, at 5:03:22
A couple notes on this ...
Sure, there is a lot more to mental illness than "just" brain chemistry. However, I have heard an analogy that makes sense to me:
In the baseball game of life (for those of us with mental illness), therapy and other support help us run the bases. However, we can't even get up to bat without medication.
You were given benzos for stress. But if a vacation worked for you and you no longer needed benzos, than your stress was obviously not caused by a true "chemical imbalance."
Those of us who do have a true chemical imbalance -- for whatever reason -- would still be depressed, anxious, etc. if we were on a tropical island with no obligations or worries in the world.
cindy
> And defend it I shall dear player. It is taken out of context yet again, as was a few of my other posts of late.
>
> Yes, when chemicals act in different ways they produce different actions. Different situations cause your body to respond in different ways, cause the neurochemistry to change, etc. When you are in a bad environment, your mind becomes ill of it, but not just your mind... your brain and its chemicals as well.
>
> The whole thing is ridiculous about the imbalance, and this is where I will have to be more specific. It is not that a chemical imbalance doesn't happen, it is that drugs are not the answer, at least no the ultimate answer. The real problem is, you are in a trap, you are given drugs to cope in the trap, the suffocating box. The trap is the environment that you are in, what the environment is doing to you, it is established deeply in the survivalist nature of humans and of course in that of other living species.
>
> Most people don't have a million dollars so they can escape the places that are bothering them. You may argue that the trap is in the mind sometimes as well caused by past traumas such as incest. However, just leaving a certain place that you have been at for a very long time... can do profound things on you regardless of your past experiences. I know this from personal experience s myself, and not just me, but from various people that suffered from rape, incest, and other such things in there past.
>
> So, to sum it up, the whole chemical imbalance things being pushed on everyone is like an empty truth. Yes, it is indeed fact, but how useful is it? You aren't forever in the chains of your neurochemistry, there are other ways to change it besides powerful and often times dangerous drugs.
>
> You may then decide to go on these drugs that they toy around you, these SSRIs.. the neuroleptics. But you ain't going anywhere anytime soon.
>
> They gave me benzos for stress because of chemical imbalances. I went on a long vacation, I didn't need benzos anymore.
>
> If you can escape, do it. Those drugs knock you out for a reason.
Posted by gardenergirl on January 30, 2006, at 17:04:31
In reply to Re: Help!! Bipolar, off meds, losing it » fenix, posted by cindy lou on January 30, 2006, at 14:28:29
Posted by catmint on January 30, 2006, at 19:51:56
In reply to Re: Help!! Bipolar, off meds, losing it » catmint, posted by cindy lou on January 30, 2006, at 14:16:43
Cindy,
THank you for your post.
Here's what I've been on in the past 7 years:Zoloft
Wellbutrin, Prozac, Neurontin
Zyprexa, Prozac
Lithium
Trileptal, Prozac
Depakote
Lamictal, Ativan
Depakote, Lamictal
LamictalI am beginning to think I am treatment resistant.
anyway, I'm just not sure where to go from here. I just wish I could stop killling myself with cigarrettes, and get myself off weed and alcohol.
Posted by cindy lou on January 30, 2006, at 19:58:01
In reply to Re: Help!! Bipolar, off meds, losing it » cindy lou, posted by catmint on January 30, 2006, at 19:51:56
Oh man, I didn't realize you had been through the ringer with all of those meds. You sound similar to me -- I think I have tried all of those and more, in many different "cocktails."
Hang in there, please know that I am feeling for you, and if it's any help, that you are not alone in this.
Take care,
cindy.> Cindy,
> THank you for your post.
> Here's what I've been on in the past 7 years:
>
> Zoloft
> Wellbutrin, Prozac, Neurontin
> Zyprexa, Prozac
> Lithium
> Trileptal, Prozac
> Depakote
> Lamictal, Ativan
> Depakote, Lamictal
> Lamictal
>
> I am beginning to think I am treatment resistant.
>
> anyway, I'm just not sure where to go from here. I just wish I could stop killling myself with cigarrettes, and get myself off weed and alcohol.
Posted by cindy lou on January 30, 2006, at 20:02:42
In reply to Re: Help!! Bipolar, off meds, losing it » catmint, posted by cindy lou on January 30, 2006, at 19:58:01
P.S. Don't give up. I know it's easier said than done, especially now, but there is something out there that can help. I have wanted to give up the med thing many times, but something keeps me trying -- right now, it's my kids -- I have to keep trying for them.
Posted by Racer on January 31, 2006, at 12:41:48
In reply to Re: Help!! Bipolar, off meds, losing it » cindy lou, posted by catmint on January 30, 2006, at 19:51:56
> Zoloft
> Wellbutrin, Prozac, Neurontin
> Zyprexa, Prozac
> Lithium
> Trileptal, Prozac
> Depakote
> Lamictal, Ativan
> Depakote, Lamictal
> LamictalBefore you can think you're treatment resistant, you've got a whole slew of options to try. So far, you've only tried two SSRIs, a benzo, three anticonvulsants -- two at once, in one case -- and Lithium. There are a bunch of other options for you, many of which might work better for you.
Can you tell us a bit about the results you got with each one of those? Doesn't have to be elaborate, just the basics of whether it helped AT ALL, and what made it a bust otherwise. Also, can you tell us a bit about your symptoms?
If depression is the biggest problem for you, there are several classes of drugs that you haven't tried: MAOIs, TCAs, SNRIs, and some newer, novel drugs like Remeron. And then you can add a mood stabilizer, even Lamictal, since that seemed to ALMOST work for you.
Best of luck to you, and I hope something here can help you find relief.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.