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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by B2chica on August 5, 2011, at 14:16:33
i had pdoc appt this morning. i dislike morning appt first of all because i'm always better in the morning and can seem quite good. my downward always kick in between 11am and 1pm and carry on through the night.
ANYWAY...
he didnt even mention the deplin this time and i forgot to ask.
he at first mentioned MOAI, and i started commenting on dietary restrictions and blah blah...we got to talking more and i was mentioning anything that could be stressful. i mentioned my neice having 'boyfriend' issues...due to that ONE issue, and the fact that "though i may be tearful and apathetic to things" he now believes all of my symptoms are psychological...and will not be affected by medications...
he told me to make sure and exercise 5-6 days a week (which i did ALL of fricken July) and to limit my contact with niece and her issues, since i identify too much with her.ok..so im writing it probably harsher than he said it. he's very nice, and its possible he may be right... BUT
1. i cant just stop listening to my niece we have a close relationship, she's almost like a very close friend. we talk, we watch movies together, she lived with us for a few months while she was looking for an apt? we grew closer. and i already limit our conversations about problems...she's very understanding about that.
2. yes i have other stress but my life will always contain stress.
3. i'm still crying every day.
4. i'm still lethargic and apathetic every day.
5. he was very jockular today and i just couldnt seem to deal so i did what i always do...take on the personality of the person i'm around...i started joking too.i cant help it. if i pick up on people invalidation my feelings or not taking me too seriously i clam up...i cover...even though i've been seeing this guy for years.
thats the disadvantage of only seeing someone for a little while and not frequently. its easy to cover.************************************
so what do i even do? just make an appt for two weeks since i can always cancel if he happens to be right.do i wait longer? shorter?
do i push for a med?the bad part is if he really wants to try an MOAI i know from this site i'll have to first get off my meds and then WAIT what 14 days! till i can even start that, let alone till it works. we're looking at 2 months of getting worse if its for real.
im just confused, upset, partly agree with him...scared.-i just want to make a nice little bed in my closet and hold out there till next year...
b2c
Posted by Avenarius on August 5, 2011, at 22:32:34
In reply to so what the _ do i do now, posted by B2chica on August 5, 2011, at 14:16:33
I think my washout period for cymbalta was 4 to 5 weeks, but I took other meds to help me through it - 50mg of desipramine and klonopin as needed. It wasn't great but I made it. I'm now in my third week on selegiline and I'm starting to feel some benefit. I'm winding down the desipramine now.
The transition wasn't great but it was worth it. I was lucky that I didn't have to work much though so it could have been much worse. Anyway, perhaps you doctor could put you on something, like desipramine, to get you through the washout period before an MAOI.
Posted by floatingbridge on August 5, 2011, at 23:40:00
In reply to so what the _ do i do now, posted by B2chica on August 5, 2011, at 14:16:33
B2c,
This isn't adding up. An maoi discussed then saying your issues are (only?) psychological?
I'm on my way to bed right now, so will be more with it tomorrow to read and respond.
Just wanted to say that I don't get it, and I don't think it's you.
Hoping this is a bump in the treatment road and in your alliance with your doctor.
fb
Posted by Phillipa on August 6, 2011, at 0:01:05
In reply to Re: so what the _ do i do now » B2chica, posted by floatingbridge on August 5, 2011, at 23:40:00
Floatingbridge has a very valid point. Did you also post on psych? Phillipa
Posted by Chris O on August 6, 2011, at 10:45:01
In reply to so what the _ do i do now, posted by B2chica on August 5, 2011, at 14:16:33
B2chica:
I don't like this p-doc already. It's your body, and they're your symptoms, and he only knows you from little 10 or 15 minute interactions, right? That ticks me off to no end when psychiatrists become completely authoritarian telling me that I can take this drug and I cannot take this other drug. I think that if you feel ready to start the MAOI, then he should be there for you, supportive, listening to your worries, but supporting your choice. I understand what you're saying about the invalidation of feelings, too. If a person in a position of authority invalidates my feelings, I also clam up (a symptom of my GAD and depression, I'm sure). I hope you can work this out, either with Mr. Jockularity, or with another p-doc. You deserve better.
Chris
Posted by B2chica on August 6, 2011, at 19:00:03
In reply to Re: so what the _ do i do now, posted by Avenarius on August 5, 2011, at 22:32:34
thanks. its good to know i wonnt need to go uncovered for that long.
Posted by B2chica on August 6, 2011, at 19:07:42
In reply to Re: so what the _ do i do now » B2chica, posted by floatingbridge on August 5, 2011, at 23:40:00
thanks fb. im on my phone which is crap for reply. but wanna say i think he was off his game. ill explain more when i can access computer. im feeling less crappy about our mtg but no less concerned. thnk u. tty soon.
Posted by B2chica on August 7, 2011, at 16:22:30
In reply to so what the _ do i do now, posted by B2chica on August 5, 2011, at 14:16:33
ok. so im thinking more clear.
i do think he was off his game a bit. he normally jokes a bit with me but he was all joke when we met. that was not helpful for me as i was crying most of our appt.also, he did have to reschedule our appt for the morning since he had to leave out of state for a week that afternoon, so i dont believe his full attention was truly on things.
i do believe he was partially right. however there were things i dont think he took into consideration. 1)it was morning and i've never had a morning appt with him, i am better in the monrning. 2)i can ALWAYS 'look' the part of fine if i need too. 3)i think he forgets that i get 'aggitated' type depression too, that i have energy but its negative -usually most vulnerable for injury attempts.
and 4)i may not need to switch meds but i DO need to augment with something. because if basically no change to my regimine is made and my 'issues' are still present...how will things change???So i made an appt for 2 weeks.
if my mood has not drastically improved then i will suggest med change. if it has slightly improved then i will suggest augment (maybe at least Try deplin). Then maybe TCA before MAOI.
If MAOI i'm thinking Emsam first due to least dietary restrictions...then Nardil...*********************
But i can tell rightnow that my external stressors are a bit better (or at least in perspective now), family health is better. did enjoyable weekend with my babies....
and depression feelings still here.
anhedonia, lethargy (i want to crawl in bed and stare at wall), i have that grey tone to my world, and it is physically hard to smile.so wish me luck in living my 'half-a-life' for the next two weeks to see how things go.
i at least hope that my lethargy takes over my aggitation.
This is the end of the thread.
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