Posted by slw2 on February 18, 2010, at 7:17:29
In reply to Re: Opioids for Depression » floatingbridge, posted by Phillipa on February 17, 2010, at 20:16:39
thanks for the replies -- maybe i said something wrong, i don't think he has OCD.
his problems started with social anxiety -- and always seem to go back to that at the core.
he also has general anxiety, depression, sleep issues, and while not bipolar or schizophrenic, he has had 3 psychotic breaks that involve paranoia & delusions -- which are always about people, so it's still like social anxiety taken to the extreme.
he saw his regular psychiatrist yesterday, when we tried to talk about the opiate use last month, he kind of brushed it off & said don't do that. but our son had already gotten to the point that he was dependent on them -- cravings, mild withdrawels, that kind of thing. when my son told him yesterday what was going on, he got a real funny look on his face as he was writing things down -- and i spoke up and told him that while he still has bad days, at least he comes out of his room & talks now instead of isolating completely. he seemed a little better then, but you can never tell what these guys are really thinking.
the addiction psychiatrist (he also treats anxiety, depression, ADHD, etc) he will see again on friday. he's open to treating him for depression with the suboxone if it works out well. i don't sit in on these appts, and the guy talked to him for an hour and a half the first visit -- his regular pdoc has never spent more than 15 minutes at a time with him. my son said that the new dr said he understood why people wouldn't want to give opiates up if they are the only thing that ever made them feel normal. i'm not saying the original doc isn't a good dr, he's great about fitting us in or calling back in an emergency -- and listening to what we'd like to try -- good about everything until we got to this point. i'm not even saying he doesn't have a point.
my son has been on various AD's, benzo's, anti-psychotics, adderall, over the past several years -- they were miracles when he had a psychotic break although they did turn him pretty much into a zombie. but nothing else really did much at all for him -- maybe take the edge off a little, but no real relief.
it's only been a month on the suboxone, so who knows if this one will be the answer, but i'm hoping.
poster:slw2
thread:935598
URL: http://www.dr-bob.org/babble/20100216/msgs/937292.html