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Re: Parnate + Lithium for a unipolar depressive » SLS

Posted by Girlnterrupted78 on December 14, 2009, at 11:52:48

In reply to Re: Parnate + Lithium for a unipolar depressive » Girlnterrupted78, posted by SLS on December 14, 2009, at 6:44:08

"In my estimation, adding nortriptyline to Parnate is a logical choice."

Thanks Scott. Just curious about how did you estimate this? A lot of times I tell my doctor things I heard here (I suggested nortriptyline after hearing success stories from different people here) so I would just like to have the whole story for him.. the whys and hows of what I suggest.

So if you can give me more info, I'd appreciate it.

My doctor thinks that because I stay up all night, that I'm "hypomanic" and "dysphoric" at the same time, since I no longer feel the initial positive effects of the med..and he also thinks that because I change from one activity to the next, that it further confirms some degree of mania.

But I keep explaining that I'm obsessive compulsive--a big procrastinator with chronic anxiety and guilt. I cannot get things done because I'm anxious and guilty during the day, and during the night I feel less guilt and anxiety because the night is not a time to "accomplish" so that freedom allows me to actually accomplish more.. but I don't feel out of control or anything.. I'm just not under the pressure of the daytime accomplishments I usually set for myself.

So I see it as a pattern of chronic procrastination, where I'm behind in 30+ things and I don't know where to start, and I only work on them when I feel less guilty or pressured--at night. I also hate mornings, so I sleep in a lot, and at night I'm not tired.. it's a vicious cycle that seems will never end.

Thanks again and I'd really like to hear your reasoning for choosing nortriptyine over Lithium so I can speak to him with a little more info.


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poster:Girlnterrupted78 thread:929179
URL: http://www.dr-bob.org/babble/20091206/msgs/929192.html