Posted by zonked on May 30, 2010, at 20:41:11
In reply to Re: On partial-response, treatment-resistance, and, posted by floatingbridge on May 30, 2010, at 15:09:23
> Gosh, how can you get around waiting until June 10th to increase? So an NP is in charge at your residence? No access to a doc?
Well, no. The NP is at the crisis clinic--it takes weeks to see a new regular prescriber after moving into this county, so I must be seen there until then. But yes, where I live now is a "social rehabilitation" program where meds are dispensed for me by staff (no on-site NP or MD.). Lots of group therapy (of limited value), and a lot of dual-diagnosis folks in there, so a lot of the groups do not apply to me.. I am one of two or three in there not dual diagnosis.
I may call my psychotherapist (whom I've seen once, he made the June 10 appointment) and ask if a sooner appointment can possibly be made. Also, there IS another possibility--see below..
> I assume your dx is unipolar depression. Your meds given to you each day.*Currently*, yes. It was changed from Bipolar II+ADD-inattentive at my most recent hospitalization (I found this out later). Honestly, I think my 2004 dxes were closest--cyclothymic disorder + ADD-inattentive. Except that my depressions are WAY more severe than cyclothymic disorder indicates, but any hypomania I've had has been infrequent and mild. Parnate did trigger it, but only after being on it awhile and at a super-high dose. If such a thing as "mild hypomania" exists, Zoloft also made me a bit hypomanic at times in 2001-2002 but what I was experiencing didn't meet DSM-IV criteria for an actual hypomanic episode... Zoloft was the only SSRI that ever worked for me, and only once!
It was like during that year I had relief from depression and anxiety, but once in awhile I had "blips" of hypomania-like elevation that only lasted a day or so at a time.
So, having told her all that during my initial appt. with her perhaps she is concerned with increasing too rapidly due to having had those diagnoses--but--I am still suffering tho, and Nardil *never* triggered hypomania when it still worked...also, I have *no* history of rapid cycling.
Anyhow, on Friday, I received a call from the local (and HIGHLY regarded) medical school's bipolar disorders clinic and told that I was accepted. I told the screener that my DX had changed back to major depression and he said I still may qualify, since I have had bipolar spectrum disorder diagnoses before. I am calling him back tomorrow.
This may be the best option--I might receive MUCH better care from a university medical center psychiatric clinic than from the department of public health...
I will continue to be proactive...today was better than yesterday--I spent the day with my Mom who said I seem much more like myself than the last time I saw her a week ago...
Easier to be me today. Will keep the board updated...
-z
> Zonked, how frustrating to wait! (Argh.) The treatment I received in the hospital was pretty pitiful. Very stock advice like you're receiving...blah, blah, walking, blah, blah, deep
> breathing. Yes, the habits of the non-depressed--all true and
poster:zonked
thread:949457
URL: http://www.dr-bob.org/babble/20100524/msgs/949571.html