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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by mattw84 on August 31, 2004, at 20:04:37
I have had a crummy month thus far, but the 'creme de la creme' was losing my job today. Within the last week my boss has on numerous separate occasions, either reversed decisions I have made, broken contractual agreements that I signed as a representative of the business, and today told all of the employees not to talk to me else risk losing their job!! At this point I walked out, and have no plans of returning.
How things got to this point is a *really* (REALLY) long story, but had I been in better coping ability this whole situation could likely have been avoided...
I am diagnosed as ADHD Severe Inattention, in addition depression. My daily medication regime is 300 mg Wellbutrin XL and 3x10mg Adderall. My last visit to the pdoc was on the 24th, and I tried to explain what are now the events that led up to this. Racing thoughts, constant preoccupation with meaningless events (future or present), extreme irritability, lack of motivation, insomnia, and social anxiety that worsens by the day. The doc insisted that these are all symptoms of depression, and insisted on adding risperdal as a sleep aid and said it would augment the Wellbutrin and hopefully I would again see some good in my life.
I tried the risperdal at bedtime (0.5mg) for a few days, and came to associate it with a pounding headache the following day; though it did prove to knock me out at bedtime. I didn't call the doc as I have an appointment sep 9th, and assumed I would make it till then and could discuss other options. However, yesterday I left my girlfriends house in a grumpy mood and knew things were continuing to go down hill, debated calling the doc... didn't... Today -- spent all morning (As in like 4 hours) on the IRS website trying to make since of my employers recent decision to not pay my taxes for my income earned. Was getting really angry and frustrated by the whole situation, so I decided it was time to call the doc before I lost my job or something... couldn't find the number and it was time to go to work, arrived at work and sure enough everything hit a breaking point as expected...
At this point I don't know where to turn, nor have any idea WHY I am going thru this sort of "nervous breakdown." I haven't a clue what might be the cause of my current mental state, I am hoping the someone here may have had a similar experience, or have any advice for me. Much appreciated.
Matt
Posted by mattw84 on August 31, 2004, at 23:18:03
In reply to Been a bad day... Anyone have any advice?, posted by mattw84 on August 31, 2004, at 20:04:37
I really don't know where to turn. I just took 3mg of the risperdal, which seems to have moved some of the tension to my jaw muscles. I don't understand why I am spiralling out of control, I haven't felt like this before.
Define "nervous breakdown"
Posted by ace on August 31, 2004, at 23:27:19
In reply to HELP!!, posted by mattw84 on August 31, 2004, at 23:18:03
> I really don't know where to turn. I just took 3mg of the risperdal, which seems to have moved some of the tension to my jaw muscles. I don't understand why I am spiralling out of control, I haven't felt like this before.
>
> Define "nervous breakdown"Technically it is obsolete. But generally, it is just when you feel so overwhelmed, stressed , and/or with affective disturbance that you fell you can't go on much longer...
Xanax and Valium can help for these problems...
Posted by HappyGirl on September 1, 2004, at 0:01:02
In reply to Been a bad day... Anyone have any advice?, posted by mattw84 on August 31, 2004, at 20:04:37
Hi:
Wellbutrin and Adderall are both good for 'ADD/ADDH,' but little effect on depression. I, too take WB 300 mg. for ADD only, and taking a formal anti-depressant for my depression. Also, one of major side-effect from WB is 'irritability' and 'insomnia.' As to depression, I too feel you've been sufferring from it as reading the content of your post.
Besides two S.E.s above, these two meds. are prone to aggrevate the depression due to 'stimulating effect,' although they both are TERRIFIC on 'attention related' problems. I just wonder why your pdoc. did NOT rx anti-depressant. Risperdal that is one of newer form of Anti-psychotic med. seems TOO strong in your case as seeing side-effects you're describing. However, probably your pdoc. first trying to make you calm down in his attempt to alleviate most of the depressive episodes you're experieincing.
In my suggestion, try to call your pdoc. and talk about your current situation after the Risperdal.
H.G.
Posted by HappyGirl on September 1, 2004, at 0:26:36
In reply to HELP!!, posted by mattw84 on August 31, 2004, at 23:18:03
Hi Matt:
>>>> just took 3mg of the risperdal, which seems to have moved some of the tension to my jaw muscles. I don't understand why I am spiralling out of control, I haven't felt like this before. <<<<---- Sometime, those are side-effects from the Risperdal. Particularly, 'muscle and neurological related problems.' It's often too dangerous to ignore those S.E.s.
Try to call your pdoc. ASAP.
H.G.
Posted by nicolas on September 1, 2004, at 18:04:52
In reply to Re: HELP!!, posted by HappyGirl on September 1, 2004, at 0:26:36
I had what is called a dystonic reaction to respirdal when my dose was increased to 5 mg. It usually doesn't happen unless you go over 6. These are called somethin' like: extra-pyramidal side effects of antipsychotics. The tension I had in my jaw was nearly unbearable ... my legs also bacame so rigid that I twisted an ankle when trying to walk. Apparently you are sensitive to these antipsychotic medications so you should talk to your doctor and perhaps spread the dosage out through the day rather than taking it all at once.
This is the end of the thread.
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