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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 8 to 32 of 32. Go back in thread:
Posted by SLS on December 17, 2014, at 7:24:20
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 17, 2014, at 5:21:15
> Well an example would be that my parents where more on the neglecting side than on the caring side for extended periods of time.
I'm sorry. I can identify with that. In some ways, neglect is worse than non-sexual physical abuse in the way it affects someone. Chronic neglect over an extended period of time can produce developmental PTSD.
http://www.positivehumandevelopment.com/developmental-ptsd.html
It would be interesting to see how you would respond to prazosin.
> I wasnt criticizing, i just meant that when i am in severe distress (pre-psychotic) only meds help.
By now, I would expect that your biological condition needs some sort of biological intervention.
- Scott
Posted by Phillipa on December 17, 2014, at 12:08:44
In reply to Re: Why does it seem like meds are the only solution, posted by SLS on December 17, 2014, at 7:24:20
In the beginning when stress was too much I would sleep on the couch for two weeks not continuously and then wake with the answer to a problem and I would be okay. I think meds messed up this in me as then my brain said take a pill takes less time to recover from stress. I wish I'd never gone to a doctor. Phillipa
Posted by Lamdage22 on December 17, 2014, at 12:12:48
In reply to Re: Why does it seem like meds are the only solution » SLS, posted by Phillipa on December 17, 2014, at 12:08:44
My current therapist tries to turn me against my family.
Posted by Lamdage22 on December 17, 2014, at 12:16:32
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 17, 2014, at 12:12:48
Seems to me like he wants to take the only thing i got left in this world.
Posted by SLS on December 17, 2014, at 18:41:08
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 17, 2014, at 12:12:48
> My current therapist tries to turn me against my family.
I don't understand why it has to be a battle between adversaries. Perhaps it would be more fruitful to improve communication. Would it help to bring everyone in for a counseling session? A little education can go a long way.
I find it more productive to forgive in silence and move on rather than to engage in a hateful and resentful war. That doesn't mean that you should abandon the pursuit of assertiveness, however.
- Scott
Posted by Lamdage22 on December 18, 2014, at 6:10:41
In reply to Re: Why does it seem like meds are the only solution » Lamdage22, posted by SLS on December 17, 2014, at 18:41:08
> I find it more productive to forgive in silence and move on rather than to engage in a hateful and resentful war. That doesn't mean that you should abandon the pursuit of assertiveness, however.
>
>
> - Scott
>
>Me too.
Posted by Lamdage22 on December 18, 2014, at 9:20:24
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 18, 2014, at 6:10:41
Basically this therapist got me to say that my parents benefitted from my disease since they can then say "it needs a professional". To my mother.
He also basically said i should snap.
WTF?
My mother doesnt answer anymore and i could kick that guys f*ck*ng azz.
Of course i can snap since its not him who has to pick up the pieces afterward.
What a f*ck*ng douche. First kissing my *ss, then making my parents look much worse than they are. I basically left his room psychotic!!
Posted by Lamdage22 on December 18, 2014, at 9:21:59
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 18, 2014, at 9:20:24
Now i may have to spend christmas alone and this azzhole is on vacation so i cant even tell him off!
Posted by Lamdage22 on December 18, 2014, at 9:28:54
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 18, 2014, at 9:21:59
Needless to say my mother could abandon me for good
Posted by SLS on December 18, 2014, at 17:32:16
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 18, 2014, at 9:28:54
> Needless to say my mother could abandon me for good
I'm very sorry.
:-(
- Scott
Posted by Christ_empowered on December 18, 2014, at 18:02:03
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on December 18, 2014, at 9:20:24
a lot of mental health professionals are just mind f*ck*rs. Sounds like you found one. I've met plenty.
Posted by baseball55 on December 18, 2014, at 19:32:03
In reply to Re: Why does it seem like meds are the only solution » Lamdage22, posted by SLS on December 17, 2014, at 0:42:13
> I think that, for some especially vulnerable people, when psychological stresses on the brain exceed its ability to cope with them resiliently, a major mental illness can be triggered as some sort of psychoneural dysregulation. From there, changes in brain morphology can occur. Once this state is reached, somatic (biological) interventions seem to be essential to bring about a remission of these brain disorders. Psychotherapy should not be ignored, though. It can help to reduce the psychosocial stress that triggered the illness in the first place, and allow the drugs to work better. When the drugs work better, so does the psychotherapy. A positive feedback loop is thus created that might facilitate a more rapid and robust improvement.
>
This makes a lot of sense to me. When I get depressed or anxious, it might start out with some trigger, but it takes on a life of its own in my body and brain. I notice this especially with anxiety (which, thank god, I don't have very often). Some thought or situation might trigger it, but once triggered, I feel totally out of control and panicked. This becomes self-reinforcing and I get worse and worse. Eventually, I call my p-doc and get some xanax and, within a day, I feel all better. The xanax resets my body.I haven't found anything that magically resets depression though. Sometimes, just a 3-4 day course of abilify will put me back on track, but this is not dependable.
Posted by Lamdage22 on December 19, 2014, at 7:14:21
In reply to Re: Why does it seem like meds are the only solution, posted by Christ_empowered on December 18, 2014, at 18:02:03
> a lot of mental health professionals are just mind f*ck*rs. Sounds like you found one. I've met plenty.
Yes, he is pretty manipulative. Mindfuck describes what happened to me pretty well.
Posted by SLS on December 19, 2014, at 7:56:41
In reply to Re: Why does it seem like meds are the only solution » SLS, posted by baseball55 on December 18, 2014, at 19:32:03
> > I think that, for some especially vulnerable people, when psychological stresses on the brain exceed its ability to cope with them resiliently, a major mental illness can be triggered as some sort of psychoneural dysregulation. From there, changes in brain morphology can occur. Once this state is reached, somatic (biological) interventions seem to be essential to bring about a remission of these brain disorders. Psychotherapy should not be ignored, though. It can help to reduce the psychosocial stress that triggered the illness in the first place, and allow the drugs to work better. When the drugs work better, so does the psychotherapy. A positive feedback loop is thus created that might facilitate a more rapid and robust improvement.
> >
> This makes a lot of sense to me. When I get depressed or anxious, it might start out with some trigger, but it takes on a life of its own in my body and brain. I notice this especially with anxiety (which, thank god, I don't have very often). Some thought or situation might trigger it, but once triggered, I feel totally out of control and panicked. This becomes self-reinforcing and I get worse and worse. Eventually, I call my p-doc and get some xanax and, within a day, I feel all better. The xanax resets my body.Interesting. Thanks for describing your experience with anxiety.
> I haven't found anything that magically resets depression though. Sometimes, just a 3-4 day course of abilify will put me back on track, but this is not dependable.
I'm not sure there are many "standard" antidepressants that can be used PRN. They should be taken continuously. In fact, the pulsing (on-and-off) of these drugs is thought to produce treatment resistance - at least to the specific drug being pulsed. People who take Paxil (paroxetine), and ultimately relapse or build up a resistance to it, can produce a system resistant to all SSRIs. This would be considered a class effect.
What are the most prominent symptoms of your depression?
Perhaps combining Abilify with a stimulant like Focalin (dexmethylphenidate) could be used PRN.
Is bipolar disorder a possibility?
Lamictal + Abilify might make sense if this is the condition you are dealing with.
- Scott
Posted by Lamdage22 on December 20, 2014, at 12:47:48
In reply to Re: Why does it seem like meds are the only solution » baseball55, posted by SLS on December 19, 2014, at 7:56:41
My mother is pissed off but i guess she will get over it.
Im done with that therapist. Im going to tell him off and not come back.
End of story.
If he shames my family, he is shaming me as well.
Posted by baseball55 on December 22, 2014, at 21:01:41
In reply to Re: Why does it seem like meds are the only solution » baseball55, posted by SLS on December 19, 2014, at 7:56:41
> What are the most prominent symptoms of your depression?
For a long time, I became virtually catatonic and couldn't eat or get out of bed. When I was awake, I thought obsessively about suicide. Recently, I become agitated and spend all my time planning how, when and where to kill myself.
Parnate worked for me for a while, but didn't hold me. The one thing that always worked was abilfy. If I take ability, I feel better within 24 hours. If I continue to take ability, I begin to gain weight at the rate of 2-3 lbs./week. I do not eat more and, because I feel better, I increase my exercise. I still gain weight.
This is why I've been trying to use abilify PRN. I haven't slipped into a deep, chronic, vegetative depression in a few years now, so I'm hoping that just using Abilify as needed for 3-4 days will pull me out of these deep dips I have.
I recently started lithium 900mgs. My p-doc says it can help with these intrusive, insistent suicidal thoughts. I have been better since I started it.> Perhaps combining Abilify with a stimulant like Focalin (dexmethylphenidate) could be used PRN.
I don't really need a stimulant.
>
> Is bipolar disorder a possibility?
>
Not at all. Have never had anything like a manic episode.
> Lamictal + Abilify might make sense if this is the condition you are dealing with.
I do take lamictal. I was on 200mg then went up to 300mg at the same time I started lithium. I don't know if lamictal helps, but I have no side effects at all from it, so I figure it doesn't hurt. My p-doc believes it has a very strong anti-suicidal affect.I guess what's strange to me is how can a drug change the nature of my thoughts? That I go from making arrangements to purchase a gun one day to planning my summer vacation after a few days on a new med.
>
>
> - Scott
Posted by Lamdage22 on December 25, 2014, at 2:00:27
In reply to Re: Why does it seem like meds are the only solution, posted by baseball55 on December 22, 2014, at 21:01:41
Weird huh?
Just be grateful for it and enjoy your life as much as you can!
Posted by Zyprexa on January 10, 2015, at 10:06:13
In reply to Why does it seem like meds are the only solution, posted by Lamdage22 on December 15, 2014, at 13:38:06
Because you can't fix psychological issues.
Posted by Lamdage22 on January 10, 2015, at 11:49:33
In reply to Re: Why does it seem like meds are the only solution » Lamdage22, posted by Zyprexa on January 10, 2015, at 10:06:13
Yeah that sounds about right.
Posted by Lamdage22 on January 10, 2015, at 11:52:02
In reply to Re: Why does it seem like meds are the only solution, posted by Lamdage22 on January 10, 2015, at 11:49:33
Posted by Zyprexa on January 17, 2015, at 0:48:45
In reply to And why cant i fix them? (nm), posted by Lamdage22 on January 10, 2015, at 11:52:02
The damage is done. Time has passed. Your brain can't forget. Or maybe it could with ECT or something. But that will just create more problems, like forgeting everything else, like what street you lived on, or people and things that happened in life. How do you go on with out that info.
What I'm saying is the damage is done you can't take it back. You can talk about it, it helps, but you can never make it go away.
Thats my experience anyways.
Posted by Lamdage22 on January 17, 2015, at 2:04:09
In reply to Re: And why cant i fix them?, posted by Zyprexa on January 17, 2015, at 0:48:45
Yeah im certainly not doing ECT and i am wary of any doctor that recommends it.
Well what i do feel though is that the more time has passed since my psychotic break and now, the better i feel.
Was that even correct english?
Posted by Zyprexa on January 17, 2015, at 18:12:44
In reply to Re: And why cant i fix them?, posted by Lamdage22 on January 17, 2015, at 2:04:09
I feel the farther away from the ECTs the better I am.
BTW why are you taking 10mg zyprexa now? I thought you didn't like it that much.
Posted by Lamdage22 on January 18, 2015, at 5:14:15
In reply to Re: And why cant i fix them?, posted by Zyprexa on January 17, 2015, at 18:12:44
I like it but not long term.
I take 15mg even. and 900 Seroquel.
Wanting to change the 15 Zyprexa to amisulpride.
Posted by Lamdage22 on January 18, 2015, at 5:15:44
In reply to Re: And why cant i fix them?, posted by Lamdage22 on January 18, 2015, at 5:14:15
And then possibly change the 900 Seroquel to brexpiprazole when it comes out.
Then id need trazodone for sleep though.
For sure.
This is the end of the thread.
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