Psycho-Babble Medication Thread 576399

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Re: doctor has confired that i do not have depress

Posted by iforgotmypassword on November 7, 2005, at 14:14:14

In reply to Re: doctor has confired that i do not have depression, posted by linkadge on November 7, 2005, at 13:58:31

that was what i guess i would normally figure, but two doctors who i have seen says that there is no depression... i don't see them anymore, but they sent the reports to my doctors. one was closely connected to my social worker who would say repeatedly say im just boderline. and the second for the one appointment i did see him, i puposely told him that my most sensible diagnoses were borderline and narcissistic, which i do tend to do as i do actually like being the one defeating myself... so in episodes i make the reasoning that it is just some calling card, for manipulative, undesriable uncooperative patient no one wants. but honestly, with enough doctors now independantly saying it of me... it sure seems i'm flattering myself saying that admitting i'm boderline or narcissistic is just some form of self-deprecation. when am i going to start coping with reality? who cares.

 

Re: doctor has confired that i do not have depress

Posted by linkadge on November 7, 2005, at 15:29:33

In reply to Re: doctor has confired that i do not have depress, posted by iforgotmypassword on November 7, 2005, at 14:14:14

You know yourself better than they do. If you think that you meet the critera of one disease more than another, then I would find a doctor who agrees with you.

As a whole, have medications been of any help, if so which ones ?

Linkadge

 

Re: doctor has confired that i do not have depress

Posted by iforgotmypassword on November 7, 2005, at 15:47:09

In reply to Re: doctor has confired that i do not have depress, posted by linkadge on November 7, 2005, at 15:29:33

desipramine partially, parnate less so, trying together provided much better functioning but seemed speedy and scattered, possibly initial so non-useful reaction... as with wellbutrin rage, which i had transient bouts of whenever trying to start the med. wellbutrin was one that was helpful for a while, but pooped out. effexor very possibbly yes, very possibly no. dexedrine helps sometimes other times no. ritalin used to help me complete tasks now it just makes me punch holes in the wall, break cellphones, make minor headwounds. this may be different as i would not be taking it with desipramine. prozac possibly helped, in retrospect, but not very noticable... PAXIL WAS A DISASTER! yet the symptoms that i had are presumed to have been made up or embellished by myself... which honestly, i guess is possible given my character. so i cant use that as an example with anyone... or any of these... as my doctor basically said, there is no medication that would really 'help' me as theyre is no valid psychiatric disorder to treat. personality disorders maybe, i definately fits my character, but the meds they use for those don't at all help one from being a shiftless vegetable.

 

Re: doctor has confired that i do not have depress » iforgotmypassword

Posted by tecknohed on November 7, 2005, at 17:14:21

In reply to Re: doctor has confired that i do not have depress, posted by iforgotmypassword on November 7, 2005, at 15:47:09

I feel your frustration. I have a very similar problem with my pdoc and today asked for a new pdoc. Mine seems to think he KNOWS how I think and, like with yourself, tells me this & that wont work. He is actually WAY of the mark with how my thinking works. Its very frustrating and I've had enough.

You ever tried Nardil? Seems a good choice if all else has failed. Quite different to Parnate I think.

I read that Lamactil can be good for Borderline PD.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10333987&dopt=Abstract

Regards,
teck

 

Re: doctor has confired that i do not have depression

Posted by blueberry on November 7, 2005, at 17:59:00

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

Get a new doctor please. Let your current doctor know you think he is doing a lousy job and you are seeking someone who knows what they're doing.

Your current doctor seems to not understand the seriousness of depression. Besides how torurous it is to live with it and how badly it affects ones ability to function in society, it is one of the leading causes of death. It's serious. Get a serious doctor.

 

Re: doctor has confired that i do not have depression

Posted by Phillipa on November 7, 2005, at 20:35:21

In reply to Re: doctor has confired that i do not have depression, posted by blueberry on November 7, 2005, at 17:59:00

Do you think you're depressed? Could bordom be involved? What do you do during the day? Work, go to school. And do you abuse meds or drugs and start fights? Fondly, Phillipa

 

Re: doctor has confired that i do not have depression

Posted by iforgotmypassword on November 8, 2005, at 3:02:16

In reply to Re: doctor has confired that i do not have depression, posted by Phillipa on November 7, 2005, at 20:35:21

i basically do nothing and fail whenever i try to do something (i recently gave up on school, complete failure.) i don't really pick fights, but i often get angry, violent, and spiteful spontaneously with no provocation. luckily, i am often alone when this happens, unfortunately though it translates to not being able to stick up for myself when i am being taken advantage of. this is all is apparently very borderline. but i am neither female nor was ever sexually abused, so narcissistic seems to make more sense. especially since we've had people like me in the family before.

 

Re: It takes time, my friend

Posted by UgottaHaveHope on November 8, 2005, at 3:23:07

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

The situation you are in did not happen overnight. It built up over years. The reason I say this is because things are not going to change for the better overnight. You must understand this, only because it becomes frustrating for all of us that things don't change quicker.


Yes, you really need to start working on your thought patterns. It is TRUE that happiness, contentment is a choice. They proved this in the German prison camps. Hitler demeaned those people in every Godforsaken way possible. However, the prisoners figured out the only thing Hitler couldn't take away was their attitude (thinking). They could be happy with the moment despite being in what anyone else would view as the worse conditions possible.


You have a choice. We all have a choice. Life is a matter of perspectives.

 

Re: doctor has confired that i do not have depression » iforgotmypassword

Posted by Glydin on November 8, 2005, at 6:14:36

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

> in any remote way whatsoever. he says that i am only looking for problems, and that there is nothing. i still cannot get myself to do anything what so ever. any task is impossible, and i cannot manufacture any sort of will, interest, or ambition.


Lack of motivation, drive and feeling just about anything is overwhelming are big symptoms of my depression. AND, the ones that require treatment for me to function as I wish to function. Many disorders are comorbid. I think symptoms are really important to look at for a good treatment plan. Diagnoses are labels for symptomatology - or they should be. I agree with the other posters, I would REALLY consider another doc who would have your interests at the heart of your treatment and accept your input.

 

Re: Your doctor needs to be SUED 4 malpractice » iforgotmypassword

Posted by Girlnterrupted on November 8, 2005, at 8:15:03

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42


What kind of bastard does he think he is? Telling you that you don't have depression even though you present all the symptoms?

Ask him to write you a letter explaining HOW is it that he knows that you do not have depression. See if he can come up with something rational.

Idiots like that could cause ill patients to kill themselves. It's easy for doctors to cover each other's backs by agreeing with each other (ie. saying you have nothing.. after all, the other doctor thinks the same...so you got nothing..get off my back..) Those neglectful doctors need to be locked for life.

Get a new doctor and figure out what's wrong. These losers could ruin your life if you let them.

 

Re: doctor has confired that i do not have depression

Posted by Emily Elizabeth on November 8, 2005, at 9:57:58

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

Do you have a therapist? If not, you should get one. This is helpful for soooo many reasons, but the two most relevant to your question are:

1. A T can help you sort through your life and symptoms to determine if you are experiencing depression or if you are experiencing anxiety about having depression rather than depression.

2. If you and T are pretty sure that you do have depression, T can communicate w/ pdoc and explain why you need to be treated for depression.

What do you think about this possibility?

Best,
EE

 

Re: It takes time, my friend

Posted by pseudoname on November 8, 2005, at 18:20:39

In reply to Re: It takes time, my friend, posted by UgottaHaveHope on November 8, 2005, at 3:23:07

> really need to start working on your thought patterns

I think cognitive techniques can be useful, although they are (I think) much more limited than authors of CBT books suggest.

> happiness, contentment is a choice

It may *seem* like a choice when we are neurologically all set for good feelings. But when happiness is physiologically impossible, telling someone, as IFMPW's doctor did, that their unhappiness is as much a choice as what to have for breakfast seems cruel.

On the subject of thought patterns, IFMPW's doc seems to be demonstrating several cognitive distortions:
  • EMOTIONAL REASONING: "I *feel* frustrated by this patient, therefore there is nothing I can do."
  • ALL-OR-NOTHING THINKING: "If there is some aspect of her presentation that is not classic depression, there is NO aspect that is depression. If any part of what she experiences is a choice, then ALL parts of what she feels are a choice."
  • DISCOUNTING THE POSITIVE: "She is here in my office, trying to get better, but that doesn't count. It's easier to say that she's only choosing to be stuck in her feelings."

Perhaps it is *he* who really needs to start working on his thought patterns.

 

Re: doctor has confired that i do not have depression » iforgotmypassword

Posted by Tomatheus on November 8, 2005, at 19:24:02

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

iforgotmypassword,

I agree with most of the comments that have been made on this thread.

How exactly did your pdoc confirm that you do not have depression? Did he conduct a diagnostic evaluation and then tell you that you did not meet the DSM-IV criteria for major depressive disorder or dysthymia? If so, it seems to me that he should have done this on your first visit (judging from some of your previous posts, it appears that you've seen this pdoc before). Although I am not a doctor, it is my impression that it would be out of line with the standards of psychiatric practice to prescribe a patient meds for depression and then proceed to tell the patient at a later appointment that he does not have depression "in any remote way whatsoever."

Although it sounds from your posts that you would likely meet the criteria for either major depressive disorder or dysthymia, the treatment that you receive for your psychiatric illness is (in my opinion) more important than the diagnosis that your doctor uses to identify your illness. If your doctor used a valid questionnaire to reach the conclusion that you did not meet the DSM-IV criteria for major depression or dysthymia, then he was technically correct in "confirming" that you do not have a depressive disorder (at least, based on the standards of the American Psychiatric Association). But in terms of saying that "there is nothing" and that you are "only looking for problems" - both of which imply that there is no biological basis to your psychiatric illness - there is no way that he can confirm this. On the same token, I cannot confirm for certain that there is some sort of biological basis to your illness simply from reading your posts. What I can tell you is that there is strong evidence in the scientific literature that for many (but not necessarily all) psychiatric patients, biochemical abnormalities are at the roots of their illnesses. Molecular genetics studies, for example, have demonstrated that there are structural variations in the genes that encode for the production of enzymes (such as MAO-A, MAO-B, and COMT) and the activity of reuptake pumps and neurotransmitter receptors. Some of these genetic variations have shown statistically significant relationships with one or more psychiatric illness. Can I confirm for you whether you have one these variations? Of course not. And even if I could, there would be no way for me to say with complete certainty the extent to which one (or more) of these variations contributes to the symptoms that you've been experiencing.

My point in bringing all of this up is to demonstrate that there is evidence that psychiatric illnesses have biological bases, but there is really no way (with the technology currently available to psychiatrists) to say for certain whether or not a given patient actually has a biochemically rooted psychiatric illness. But given some of your statements ("I still cannot get myself to do anything what so ever," "any task is impossible," and "I cannot manufacture any sort of will, interest, or ambition"), I think the odds favor the possibility that you do have a psychiaric condition that is caused by something other than just "negative thought patterns." And as I said, I'm no psychiatrist, but I think you might benefit from taking medications other than the ones you've already taken. If your pdoc can't recognize this, then I would recommend going to another doc who might see things differently. Remember, it's your mental health.

Tomatheus

> in any remote way whatsoever. he says that i am only looking for problems, and that there is nothing. i still cannot get myself to do anything what so ever. any task is impossible, and i cannot manufacture any sort of will, interest, or ambition. so what do i do now? i am just like this because i choose to live this way, how do i change this when i doing any single small thing is not only extremely difficult but feels impossible?

 

Re: please be civil » Girlnterrupted

Posted by Dr. Bob on November 8, 2005, at 23:12:03

In reply to Re: Your doctor needs to be SUED 4 malpractice » iforgotmypassword, posted by Girlnterrupted on November 8, 2005, at 8:15:03

> Those neglectful doctors need to be locked for life.

Please don't exaggerate or overgeneralize.

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.

Thanks,

Bob

 

Re: Happiness IS a choice

Posted by UgottaHaveHOPE on November 9, 2005, at 0:14:11

In reply to Re: It takes time, my friend, posted by pseudoname on November 8, 2005, at 18:20:39

Happiness is an emotion and emotions are fleeting, Not guarded, they can change as quickly as the direction of the wind.

I love the quote from Chuck Swindoll about life: 10 percent of it is things that happen to you, while the other 90 is how you choose to respond.

Depression is awful. I've been there. You can't even see things straight, or think straight, which impairs your decisions or perspectives. That's where depression really hurts you, on training your thought patterns.

But make no mistake about it: You can be in the most dreadful situation the world has ever known, and you STILL have the choice to determine how your mind will interpret it.

I'm not here to judge. I take meds. Without meds, I would have never been able to think clearly. Once calmed down, however, I have found long term and true healing from working on my thought patterns (and not CBT).

 

Re: Happiness IS a choice » UgottaHaveHOPE

Posted by Chairman_MAO on November 9, 2005, at 16:30:07

In reply to Re: Happiness IS a choice, posted by UgottaHaveHOPE on November 9, 2005, at 0:14:11

I think you are conflating happiness and contentment here; happiness by definition is fleeting. It falls into the interstices between activities. Contentment, on the other hand, can be constant.

Have you ever read the Don Juan story in the "Myth of Sisyphus"?

 

Re: doctor has confired that i do not have depression

Posted by paulbwell on November 9, 2005, at 18:38:11

In reply to doctor has confired that i do not have depression, posted by iforgotmypassword on November 7, 2005, at 13:40:42

> in any remote way whatsoever. he says that i am only looking for problems, and that there is nothing. i still cannot get myself to do anything what so ever. any task is impossible, and i cannot manufacture any sort of will, interest, or ambition. so what do i do now? i am just like this because i choose to live this way, how do i change this when i doing any single small thing is not only extremely difficult but feels impossible?

Change Docs , or tell the *sshole you are depressed?-OK?

Cheers

 

...

Posted by iforgotmypassword on November 10, 2005, at 17:41:15

In reply to Re: doctor has confired that i do not have depression, posted by paulbwell on November 9, 2005, at 18:38:11

i just wanted to thank everyone for responding, i really don't don't know how to respond or process appropriately right now, but thank you so much for your time and caring advice. i will try to reply again later.

 

Re: and no, i am not trying to manipulate anyone here

Posted by jeminiwmn on November 11, 2005, at 16:52:24

In reply to and no, i am not trying to manipulate anyone here, posted by iforgotmypassword on November 7, 2005, at 13:44:21

> into saying that i really am depressed. i need a valid solution. i feel very dismissed when every single person says: "People can only help people than help themselves" "In the end it all has to come from you"... i feel completely paralyzed no matter what i do, is this simply because i willfully create that reality? or is there actually something that is wrong that needs fixing.


BOY am I sick of hearing that one. Especially when it would come from family and worse/your so called fiance'. They DON'T KNOW/PERIOD DOT. THAT just makes it so much worse for you. What kind of dr. is this? You need to seek out a psych/therapist and get properly diagnosed. Who would want to manipulate w/ something like this horrible disease-it's like living in hell from day to day.

 

Re: doctor has confired that i do not have depression (nm)

Posted by jeminiwmn on November 11, 2005, at 17:03:26

In reply to Re: doctor has confired that i do not have depression, posted by iforgotmypassword on November 8, 2005, at 3:02:16

 

Re: Your doctor needs to be SUED 4 malpractice

Posted by jeminiwmn on November 11, 2005, at 17:07:18

In reply to Re: Your doctor needs to be SUED 4 malpractice » iforgotmypassword, posted by Girlnterrupted on November 8, 2005, at 8:15:03

I really like that idea-PUT IT IN WRITING DOC.and do what you gotta do. Also=why and how is it that this doc is writing letters and sending them to another doc?? is there something here that is being left out. I don't understand. It is supposed to be confidential as well. Why would this dr. write a letter and send it on =-especially based on the fact that it's negative?

 

Re: doctor has confired that i do not have depression

Posted by jeminiwmn on November 11, 2005, at 17:11:54

In reply to Re: doctor has confired that i do not have depression » iforgotmypassword, posted by Glydin on November 8, 2005, at 6:14:36

Don't CONSIDER do it!!! You have to if you are in this deep!!! You are trying to get help correct? Who is this one person to determine who you are and what your world is about? Maybe this dr. doesn't even believe it exists. Like many people out there.

 

Re: Your doctor needs to be SUED 4 malpractice

Posted by jeminiwmn on November 11, 2005, at 17:18:11

In reply to Re: Your doctor needs to be SUED 4 malpractice, posted by jeminiwmn on November 11, 2005, at 17:07:18

> I really like that idea-PUT IT IN WRITING DOC.and do what you gotta do. Also=why and how is it that this doc is writing letters and sending them to another doc?? is there something here that is being left out. I don't understand. It is supposed to be confidential as well. Why would this dr. write a letter and send it on =-especially based on the fact that it's negative?

Don't misunderstand me-I don't know what your complete situation is here, but I do mean that you should ask for your dr. to write the reasons that he/she feels you are not depressed and maybe you should put in writing that you are stating all of your depressive symptoms and ask why doc feels you are not? Again-jumping to sue someone-is a serious issue and you need to know what you're dealing w/-we don't know your complete dilema-as to why this doc is writing to your other doc etc.. but only YOU know whts going on there unless you care to share the whole story.

 

Re: Your doctor needs to be SUED 4 malpractice

Posted by iforgotmypassword on November 12, 2005, at 2:54:40

In reply to Re: Your doctor needs to be SUED 4 malpractice, posted by jeminiwmn on November 11, 2005, at 17:18:11

thank you for replying... even if it were wrong, it doesn't seem to be anything i can help now. it seems once you're diagnosed borderline or whatever personality disorder (at least in canada) you're diagnosed, a you will not be given effective treatment. i need to find a different way of dealing with this now without meds, there seems to be some herbal stuff, and i'm trying to learn how to make chemicals (safely!) now.

 

Re: Your doctor needs to be SUED 4 malpractice

Posted by linkadge on November 14, 2005, at 17:03:57

In reply to Re: Your doctor needs to be SUED 4 malpractice, posted by iforgotmypassword on November 12, 2005, at 2:54:40

Happiness is a choice when you have the option to choose it.

Just like people in chronic pain cannot choose to not feel it.

Linkadge


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