Posted by Girlnterrupted78 on November 9, 2009, at 7:33:28
In reply to Re: Talked to pdoc. He makes no sense AT ALL. » Girlnterrupted78, posted by SLS on November 9, 2009, at 5:50:39
> I do think your doctor was looking for an explanation as to why you would report feeling great one day and not feeling great susbsequently.
And the explanation is that when the depressive feelings were under control, I was "too good", and now that they're back, I'm better off? That doesnt' sound like a very professional explanation to me, especially considering my doctor is a treatment resistant specialist with 20+ years experience at Columbia U. Psychiatric Institute.
"Perhaps your doctor hasn't seen enough treatment-resistant people to understand that you are more likely than others to exhibit tachyphylaxis (early poop-out), and that he might have to add adjunctive drugs on top of the Parnate; something he might be uncomfortable doing."
Actually, when we met, he told me he's been doing this his whole life, so I believe he has more than plenty of experience, which is what I find all the more shocking.
> Has your doctor offered a plan to treat you if your response to Parnate remains inadequate?
So far he only asked me to raise the adderall and add 5mgs. I was taking 5 mgs with every dose, a total of 15mgs. Now I'm raising to 20mgs. That, and we're at 80mgs of Parnate. Other than that, I don't know if he has any other plan. The only thing that seems to be his new motto is that when I was on remission and all my symptoms were under control, I was "too good", so he might be trying to brainwash me into believing I will never reach that "too good" state again, so I can agree to remain somewhat depressed for the rest of my life, with the false belief that the real remission was "too good" and not what I should be aiming for.
Thanks for your input.
poster:Girlnterrupted78
thread:923267
URL: http://www.dr-bob.org/babble/20091107/msgs/925048.html