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the wrong meds
Elizabeth
Saturday, October 17, 2009 at 03:16 PMre: the wrong meds
John McManamy
Monday, October 19, 2009 at 03:12 AMHi, Elizabeth. I hear you loud and clear. I advocate a whole host of non-meds approaches on this site. I also advocate smart meds strategies (it's amazing how many docs use dumb ones), as well as caution against over-reliance on meds. But above all, I advocate whatever works for you is right. Like everyone else here, my whole life post-diagnosis has been a constant work in progress. Antipsychiatrists are doctrinaire to the point that they are out of touch with reality. Morever, they have no respect for the choices of others. You, Elizabeth, are a realist who respects others. Many thanks for sharing this.
re: re: the wrong meds
S
Monday, October 19, 2009 at 08:22 PM1st suicide attempt at 15. Mother committed suicide & had dx of bipolar 1. However, I was given no treatment (as I think my father was just fed up w/this whole mental health thing since it didn't work so well for my mother & she seemed to have every treatment available at the time). I did "treat" myself mostly w/alcohol--bit of cocaine when provided for free; liked amphetimes (prescribed by clinic at college due to my sleeping so much--could barely make it to class--realize now I was probably depressed).
In my 20's I sought help but was dxed w/unipolar depression despite my mother's history of bipolar; but I was only going to my GP so he probably wasn't the best person to see about my difficulties.
FINALLY--I switched to an internal med doc when I was about 43 & she right away dxed me as being in a mixed state as I was very agitated & depressed at the same time. Put me on Depakote & sent me to a pdoc, but pdoc wanted to keep me on Depakote as it helped w/agititation, but not depression. He said if the "radio isn't giving me any special messages" then I should stay on Depakote.
Not good enough for me. Switched to a new provider & then started on Lithium. LOVED Lithium--felt great--but had kidney malfunction on it so had to get off it. Then spent a yr. of trial & error to find the right meds...
Also, DBT & idividual therapy have been very helpful.
Sometimes have to tweak meds when mood maybe will go too high or too low.
But I do take it seriously due to mother's suicide & several attempts of my own (LAST one 3 yrs. ago which will be my LAST one)
re: re: re: the wrong meds
Kad
Tuesday, October 20, 2009 at 12:23 PMHa, about Depakote.."if the radio isn't giving you any special messages" I've never heard that before (kind of off topic) just curious because that is one that I was put on for a while after being diagnosed but I started seeing the trees dance and hearing voices etc., is that what you mean by that? I don't think I asked my doc about that part, though I was just going more nuts..and it made me gain like 10 lbs in 2 weeks.
re: re: re: re: the wrong meds
S
Tuesday, October 20, 2009 at 02:46 PMActually, the pdoc asked me that it WAS a previous symptom of mine & since I didn't have it on Depakote--then the Depakote "cured" that symptom. I think he may have had me confused w/someone else as my radio has never given me special messages (like I could use a message about winning lottery numbers, though). I guess he thought if I wasn't having psychotic symptoms, then I'm fine!
My "psychosis" was delusional thinking (my husband wanted me to kill myself or he was going to poison me & obviously, paranoia abut my husband).
But it was the Lithium that took care of those kinds of thoughts. Alas, the kidney malfunction so had to get off Lithium.
But I did "fire" that pdoc. Maybe he was getting a kickback from the Depakote co. I know it is an excellent drug for some people, but this pdoc wasn't even familiar w/my personal symptoms so it WASN'T THAT THE DEPAKOTE MIGHT CAUSE THE RADIO TO TALK TO ME IN A SPECIAL WAY!
But I definitely would get off anything that caused hallucinations like you mentioned. That is scary, esp. if you plan on driving!!
Hope you are doing well now.
re: re: re: re: re: the wrong meds
S
Tuesday, October 20, 2009 at 02:50 PMSorry, didn't explain that very well. Pdoc acted like the radio thing WAS a symptom of mine, which it never was. So his conclusion that the Depaoke was "working" (due to my radio not talking specifically to me) despite my telling him I was still depressed on Depakote was incredible. That's why I think maybe he had me confused w/another patient!!
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how can my bipolar be a misdiag.
dark angel
Thursday, October 22, 2009 at 07:19 PMmostly all dr.'s say that i am bipolar, but some people seem to think that the dr. is wrong. some uneducated members of society want me to think that i am schizophrenic. i am being treated in that fashion. now i could deal better with my bipolar if that was how i was being treated, or better yet, like i is normal. the therapies and meds are the same, so why does that make a difference to society? i act like i am bipolar and i do, unfortunately, also have a psychosis--severely. so what can i say?
darkangel
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Untitled Comment
Ghani
Friday, October 23, 2009 at 07:24 AMI m 46 yrs old physician. I developed depressive symptoms at the age of 10, but did not get any medical help until I got worse and developed paranoid ideation and ideas of reference. I was diagnosed with MDD and statrted on tricyclics. with in 2 weeks I had a coplete recovery only to get a relapse with in 2-3 weeks. Then I developed hypocondriasis and would think that I have all the diseases that I would read in the book.I would go to Doctors after Doctors mainly for ressurence . I was a bright student but most of my time would be spent on doing blood tests and Doctors visits. I did Psychoanalitic therapy for 2 years and had some recovery. After that I was in dysthymic mood for about 4 years and then decided to move to US. I got a residency job but developed this extream fear that I wount be able to do it as my health is weak and the job is very tough. I had to come back and went in to the worst depresson of my life. I was started by another tricyclic and had a slow recovery. I came back to US due to the strong motivation of my family. I was in dysthymia again for one year and some how managed to go on. In 1994 I was put on prozac with the diagnosis of MDD and to my surprize, everything changed for the better, I saw light for the first time and i thought I am a new person. i was full of energy and had super confidence in my abilities.One day there was a mishap with a patient and then there was prozac poop out. i went to depression again and stopped prozac.
After my residency when I statrted a new job, same thing happened,the feelings of incompetency and went to depression again. I was diagnosed with MDD again and restarted on prozac again. Got better with in about 6 weeks or so. During this time I made lots od irrational decisions as well. I left that job and went for a fellowship thinking that I can master it as the scope will not be broader. I had several bouts of depression during this time and used all SSRI's and SNRI's but nothing helped. Finally I was diagnosed with Bipolar by 2 different psychiatirst and used all the mood stabilizers but alas nothing helped. I finally decided to move back to my country of birth as stress will be less but the disease is not leaving me.
Now i am thinking to move back to US, may be there is some thing there. I have not used lithium, atypicals or MAo's. Can anyone help.
re: Untitled Comment
Maggie36
Saturday, October 24, 2009 at 07:34 AMAs a Physician, this may interest you. A Dr. Amen opened a clinic in 1989 in California and he does SPECT imaging of the brain.
His site..www.amenclinics.com this will alow you to read the work he has been doing with people who have psych problems; with very good results.
The other issue one should consider is food allergies and proper diet. There's a plethora of information connecting, the whole body to illness's of all kinds.
Hope this helps.
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misdiagnosed
Anonymous
Friday, October 23, 2009 at 09:48 AMI was initially diagnosed as having major depression and anxiety. However, effexor and then zoloft made the depression much worse, with suicidal thoughts. Seroquel just made me feel out of it all the time, even on very, very low doasage. Depacote seemed to help, but the depression was still there to the point that I had to go on medical leave. After leaving the dr who felt that depacote was the drug I needed, I saw another dr who put me on Lamictyl (which is what I wanted the previous dr to try me on) without even suggesting it. What a difference! A year on Lamictyl / Depacote combo, I still get somewhat anxious at times (at appropriate times though probably more than I need to) but the anxiety is manageable and the depression and sense of doom is pretty much gone. I took a new job several months ago, managing the stress of the newness, but happy in the new environment and in a new outlook on life.
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great idea, John
GinaPera
Monday, October 26, 2009 at 08:45 PM
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And then there are those like me, the 30 percent "untreatables" for whom no psychmeds work. I was correctly diagnosed immediately as bipolar by a very perceptive pscychiatrist, but at the time, they gave out SSRIs to bipolars. These did nothing, made me sick, or hypomanic for a time and then dumped back into depression. Finally the pscychiatrist told me he couldn't help me. I tried homeopathy for a year, which was a failure (although a very interesting one. One remedy worked wonders and then fizzled out; then we tried about ten more, all of which made me sick in different and weird ways). Then I was talked into a new psychiatrist, who gave me a huge amount of Prozac, which catapulted me into a three month high manic--a real disaster. I went to my psychiatric appointment in the midst of it and the psychiatrist said I was fine and made no change in the meds. No mood stabilizer, no suggestion I be hospitalized, nothing, although I was very honest about not sleeping and magical thoughts and how I really liked being like this, having left my husband, etc., etc. Then after the nosedive down I went to another psychiatrist who put me on a slew of meds that did nothing, and which I threw out after a couple of years.
The interesting thing here is that noone during this time tried lithium. Everything I was given was always on-patent.
A few years later I was manic, and back to a new psychiatrist, who continued to give me everything on-patent till none of those worked, then finally told me how wonderful lithium is. It worked but blew out my thyroid. Then we were onto atypicals and really bad side effects. On Geodon I got lost in my own neighborhood and sudden intense sedation would come on suddenly at unexpected times, like when I was driving. No discernable rhythm to this effect. Then the other atypicals, which made me muddy and sleepy and did nothing for my depression, until my psychiatrist told me there was no help for me.
What's the point of this story? The point is that I wasted many years trying to get help where there was none, and I'm not an aberration. The 30 percent untreatables aren't helped by a proper diagnosis. I finally weaned myself off my meds and switched to lithium orotate, which can be taken in much lower doses and does not affect my thyroid, and St. John's Wort. I'm better now than I have been in many, many years.
We all know the score about the hope for new meds. Not good. But there are other sources of help from agents other than pharma's meds, and if we are going to disregard them because they aren't FDA approved or used by our psychiatrists, we have to wonder if most of Europe, as well as India, Japan, China--indeed most of the world--is merely deluded in thinking that there are options to help us outside of pharma's offerings.
I hesitate to say this because I don't want to suggest that pharma's pscychmeds should be avoided. They help millions. But I do mean to suggest that if they aren't helping you, and you've looked at all the psychmed options and your options and they've pretty much run out of possibilities, there's nothing to stop you from trying over the counter herbs and supplements, as long as you research them, know their risks, and research the brands--just as you should with the pharma meds. It's your body, your mind, and your choice. I would like to see our psychiatrists tell pharma that they'd like to date other people, to look at more options, and to start their treatments with the least risky options in terms of our overall health before they jump on the atypical bandwagon, but I don't see that happening anytime soon.
I finally found some help, and hope it holds. But I'm not saying alternatives are necessarily better than psychmeds, not for everybody. I tried homeopathy and Chinese herbology and acupuncture, and they did not work for me. Some people can't tolerate St. John's wort and for some it doesn't work, much like the psychmeds. I would like to see more studies about lithium orotate, but from what I've been able to find out it's safe and it works for me.
Getting better isn't about allegiance to one camp or another. This is not a religion. I am not antipsychiatrist, merely pragmatist.