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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Roslynn on June 18, 2013, at 11:31:34
Hi everyone,
My depression has been getting worse and I'm up to 150mgs of Pristiq which is not helping so far. In the morning I wake up crying, and screaming during my crying..some self-injury but not life-threatening...it's one of the worst things I've ever experienced. I'm doing DBT with my therapist but none of the techniques seem to be able to break through this condition I have in the mornings. It just takes over. Can anyone relate? Any thoughts or suggestions?
Thank you for any help.
Roslynn
Posted by Beckett on June 18, 2013, at 20:46:17
In reply to crying and screaming (possible trigger), posted by Roslynn on June 18, 2013, at 11:31:34
Roslynn, my first thought was to question the Pristiq. I began some agitated crying bouts when a pdoc raised my dose to 100. When I dropped back to 50, the crying stopped.
I don't know if the timing is right, but it's my first response.
I wish you the very best.
Posted by baseball55 on June 18, 2013, at 21:58:40
In reply to Re: crying and screaming (possible trigger), posted by Beckett on June 18, 2013, at 20:46:17
DBT didn't help me when I was in the worst throes of depression. But maybe I should have worked at it harder. I don't know what to tell you. I've been there and it s**ks. I pray for you that this will end and you'll feel better. Maybe meds are the answer, maybe meditation or DBT stuff -- be mindful, act the opposite, stuff like that.
Posted by SLS on June 19, 2013, at 1:14:10
In reply to crying and screaming (possible trigger), posted by Roslynn on June 18, 2013, at 11:31:34
> Hi everyone,
>
> My depression has been getting worse and I'm up to 150mgs of PristiqThat's quite a bit of Pristiq. For how long have you been taking it? Beckett makes a good observation. Some people have a negative idiosyncratic reaction to a particular antidepressant. Some have made me suicidal.
I once had a crying/screaming episode when I just couldn't take it anymore. I don't think that it was the product of a negative reaction to treatment, though. I doubt that either CBT or DBT would have prevented this episode or mitigated it.
What is the reason why DBT was chosen for you? What condition(s) is it supposed to treat?
- Scott
Posted by Roslynn on June 19, 2013, at 10:28:56
In reply to Re: crying and screaming (possible trigger) » Roslynn, posted by SLS on June 19, 2013, at 1:14:10
Hi Scott,
I have been taking the Pristiq 150mgs for 16 days now. Before that, 30 days at 100mg and 30 days at 50mg.
I'm not sure why DBT was chosen, it seems to be a default treatment, with the thought that "mindfulness" will help the depression, I think...
But when I am in these crying spells, nothing can touch them or get through to me...they take over. DBT does not seem to help me with suicidal thoughts.> That's quite a bit of Pristiq. For how long have you been taking it? Beckett makes a good observation. Some people have a negative idiosyncratic reaction to a particular antidepressant. Some have made me suicidal.
>
> I once had a crying/screaming episode when I just couldn't take it anymore. I don't think that it was the product of a negative reaction to treatment, though. I doubt that either CBT or DBT would have prevented this episode or mitigated it.
>
> What is the reason why DBT was chosen for you? What condition(s) is it supposed to treat?
>
>
> - Scott
Posted by baseball55 on June 19, 2013, at 20:18:10
In reply to Re: crying and screaming (possible trigger) » SLS, posted by Roslynn on June 19, 2013, at 10:28:56
> Hi Scott,
>
> I have been taking the Pristiq 150mgs for 16 days now. Before that, 30 days at 100mg and 30 days at 50mg.
>
> I'm not sure why DBT was chosen, it seems to be a default treatment, with the thought that "mindfulness" will help the depression, I think...
> But when I am in these crying spells, nothing can touch them or get through to me...they take over. DBT does not seem to help me with suicidal thoughts.The whole point of DBT is to control suicidal and self-harm impulses. I started after my p-doc said we had exhausted all medical solutions to my suicidality and the only thing that would help would be DBT. My DBT therapist insisted I contract with her to make no suicidal plans for three months. We then talked a lot about what suicide meant to me, what it would resolve, how it felt not to have that escape plan. It was very helpful once I committed to it. But you have to make a commitment. Be honest about the suicidality and commit to not acting on it. This was what DBT was designed for by Marsha Linehan who had been suicidal as a teen and young adult.
Posted by rjlockhart37 on July 3, 2013, at 23:48:53
In reply to crying and screaming (possible trigger), posted by Roslynn on June 18, 2013, at 11:31:34
i've had my times of similar circumstances....usally the rages where hweni was 17-18, the suicide was along the whole time....but in my mind i started to think demons where imply it, so i got hard headed, and won't act on the impluse while i was shaving looking at myself in the mirror thinking how much i hate it, had a razor and so easily could of quenched the relief, but i've learned even if life is gonna be hard, there's a testimony anyone can have "i'm still here" and i live by that everyday....joyce meyer said that in her teachings....
so....the rages of outbursts i learned to rethink what bad events would happen after they happened....but i know what it feels like....but i also know that some antidepress. can increae rages, or the energy of motive to commit suicide...Clozapine and Lithium are known for suppressing it...and calming on fire thoughts...but clozipine is heavy, and sedating...it would cancel out both the the negetive and positive....
keep a journal....write down the emotions, visual techinques of the pain, anything to devert it...but my own way of looking at it...."im still here, and plan on staying here, not hoping for the best, not bothered by the worst" that's my slogan statement i have in my mind....lol
hope you get better
Posted by rjlockhart37 on July 4, 2013, at 0:51:24
In reply to crying and screaming (possible trigger), posted by Roslynn on June 18, 2013, at 11:31:34
sorry....i wrote about suicidal thoughts, im sorry i wasnt thinking, but a journal would really help these thoughts, i've been a rages of rage all the negative emotions let out....
write everything that is going through the mind....some of the things you can't descibe think of like a symbol of it....find something that will release all that....maybe, i don't know....
im sorry if i got derailed in the post....
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