Geek

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About Geek

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    living better through chemistry

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  1. The Imipramine I'm on is not helping. I've been on Vraylar for about a week and a half (half a week at 3mg, before that a week at 1.5mg). My pdoc is thinking about adding Fetzima to it, because she says in her experience it is good for anxious depression. Does anyone have experience using it to treat MDD & comorbid anxiety? What should I expect? I had moderate response to Effexor, (but a horrible response to Wellbutrin (stopped sleeping for 6 weeks)), so I see the argument for trying another SNRI.
  2. Zergbug, the only person you can control is you yourself. While it's true that your brother may have gotten the idea to try SH from knowing it helped you, it's also possible that he didn't - self harm is (alarmingly) common among depressed teenagers. Also, and importantly, the only person you have control over is you. You don't have control over your brother and if he is self-harming, ultimately he made the decision to do so. So, to be clear, no, it is not your fault at all. Are you and your brother getting treatment? Do you have a tdoc (therapist) you can talk to about this? Maybe a gdoc (family doctor) or pdoc (psychiatrist)? The number one most important thing right now is to get treatment for yourself. Next steps you could take would be to offer to your brother to help him get treatment (see a doctor and find a therapist who is different from your therapist). But look after yourself first. Just like they say in the emergency instructions on an airplane: put on your own oxygen mask before helping others.
  3. DreamCatcher, I'm so sorry you're still in pain, that sucks. Can you wrap or bandage your wound to help with the sensitivity? Please consider getting a doctor to look at it if the pain continues. They can help make sure that you don't lose mobility due to scarring. I know it's super scary, but I found that the doctors/NPs in my GP's office were surprisingly non-judgmental, as was my pdoc. Things were a little harder when I had to see someone I didn't have a relationship with, but it was worth it.
  4. My pdoc re-introduced Abilify to my cocktail as I tapered off Effexor (no discontinuation syndrome), did the washout and then started Parnate.
  5. How long/deep your depression is. It's normal to be sad. It's not normal to be sad all the time for days/weeks/months on end. It's not normal to struggle to get out of bed everyday because living life as normal is too hard or overwhelming. It's not surprising you're having a harder time when trying new meds, and unfortunately life doesn't stop and wait for a good time to happen. I assume you're switching meds because the lexapro was not helping? Give it time. SSRIs take 4-6 weeks to kick in. It can be more of a gradual slope than a sudden thing. One day you'll notice you're crying less or you've gotten out of bed without grumbling about it several days in a row or something like that. You won't stop feeling, but the intensity will decrease.
  6. When I found myself asking this question (of myself) frequently is when I decided it wasn't as much of a hassle as I thought to use a pillbox. It also means that I don't have to sort through pill bottles every day twice a day, just once a week. Less of a hassle than I thought and comes with not having to worry about taking a double dose and running out of a controlled substance too soon for a refill. The other thing I do that helps is I keep a very strict routine. Not just on weekdays (workdays), but weekends as well. So I can be fairly confident that I took my meds if I fed the dog in the morning, or brushed my teeth in the evening. If you can tie it to another action you always do at around the same time, that helps.
  7. When I took Lithium I developed a minor, intermittent tremor in my hands. My doctor prescribed cogentin, which helped.
  8. It takes me a long time to feel comfortable with a new therapist. A long time. Like, a year and a half of weekly meetings before I cried in front of my current one. Admittedly it's a continuum, not a either/or kind of thing. I'm sorry your previous tdoc moved away, I would find that very upsetting.
  9. My current tdoc, like others I've seen, seems to do an eclectic mix of therapy. I talk about what's going on and/or my past, and she helps me: - see connections between past events and how I currently act/react in certain situations, which can then help me change my behaviour - practice specific strategies to help change thought patterns (e.g. using CBT/DBT skills to identify irrational thinking and replace it with more reasonable expectations) - by being a calm, supportive listener, teaching me that I am valuable, worthwhile, etc. - she holds me accountable for doing things that are hard for me, whether that's something like showering more frequently or leaving the house and talking to other people. In my experience individual therapy is not a quick fix thing. I've never had a tdoc call what we do a specific type of therapy, but I recognize the skills from group therapy/IOP, which are generally much more about concrete things to do (e.g. following a workbook). What do you want from therapy? Have you expressed that to your tdoc? Ask her straight up what she can do to help you achieve your goals.
  10. Since you have experience with limited to no response to SSRIs, if your doctor decides that the Celexa isn't working, rather than another SSRI like Zoloft or Prozac, I'd push for an SNRI like Effexor or Cymbalta (don't worry about discontinuation syndrome, lots of people don't experience it). You've failed enough SSRIs at that point, try something that will work differently. Some people find Wellbutrin activating also, it's a good thing to try too. If you get some response but not satisfactory it is pretty common to supplement with Abilify or Lamictal. I wouldn't push for Rexulti, which is similar to Abilify but unlike Abilify only available as a brand name drug. Try Abilify and only do the Rexulti if you need a bigger boost or something.
  11. I went to lunch with her. It was awkward but overall okay. Then, in a stunning example of how graceful I am, I tripped (over what is still unknown) while crossing the street and fell on the curb, in a puddle, in the rain, as we walked back to my car from the restaurant. It completely freaked out my companion, and then I got to spend all afternoon at work in wet clothes. I'm a giant klutz. Oh well.
  12. I know this is dumb, and short notice but I don't know where else to go. A woman at work invited me to go to lunch with her tomorrow. I said yes. Now I'm freaking out and panicking. I don't know her hardly at all. Like... I know her name. We joke about the men at the office (we are 2 of 5 women in our whole company) - mostly she jokes and I laugh. Sometimes we trade vague weekend plans/stories. What do I say? What do we do? She even wants me to choose where we eat! I'm really very boring. I don't do stuff. I don't pay attention to tv shows. I can't really focus well enough to read. Also she is my boss's assistant and part of me is paranoid she's trying to get to know me for him so he can fire me. I think that's possibly not true but I'm not sure. I don't trust my boss not to do that.
  13. I do not like phones. I actively and regularly use email and text messages to avoid making or receiving phone calls. I do not like unplanned interruptions because if I am focused on something it took a while to get there. I do not like phones in general because there is a limited ability to gauge reaction and emotion. I struggle with not having visual cues, and my anxiety about having the interaction makes that worse. There is no ability to, as with text-based communication, reread a comment that was missed (say, due to anxiety). I love the ability to screen calls. From a distance I am better able to put up boundaries than in the moment. For example, I will ignore a text/voice message with a work-related question if it's outside of work hours, but couldn't set/keep that kind of boundary in person.
  14. I use a pill organizer too, for my AM and PM meds. Taking those is just part of my getting up or going to bed routine. It sits on the counter in the bathroom next to the sink, so basically, whenever I go to the bathroom, I check if I should take my pills after washing my hands. I've never been on something so sensitive that a couple hours one way or the other (to account for varied sleep schedules) was a big deal. When I've had to take meds in the middle of the day, I used a keychain pill case like Melissa linked to combined with alarms on my phone. I also tried to tie the mid-day dose to something like a meal that I was likely to do at close to the same time every day (e.g. I eat dinner at pretty much the same time no matter when I get up). Try not to worry too much about withdrawal symptoms. If anything, it will train you to be more aware of the time of day so you take your med earlier. Usually within half an hour or so of taking the med (often sooner if you take it with food), withdrawal symptoms will go away.
  15. Open wounds will take longer to heal, are more likely to get infected, and will result in bigger scars. However, your wounds cannot be closed now (e.g. through stitches or steri-strips) because the risk of (worse) infection is too great. You don't want to seal that into your body. Use pressure and a sterile bandage/gauze or a clean cloth to stop bleeding. Elevate the wounds. Don't pick at or scratch them, which will become harder as they heal and scab over (likely will become itchy while healing). Wash them gently with plain saline (1 tsp salt dissolved in 8oz warm water - saline won't sting like plain water will), don't use peroxide or alcohol, they're too harsh. Wash the skin around the wounds with a mild soap, but avoid getting the soap in the wounds, it's irritating (source - Mayo Clinic). If you can acquire bandages that would be best, wounds heal better and faster when covered. What did the doctor who prescribed the antibiotics say? Ask them for dressings and direction on how frequently to change them (it depends on the type of dressing). I would expect an uninfected wound to close over and stop weeping within around 24-48 hours, but it depends on the depth/size. I don't know how the infection would change things. How fast the wounds heal depends on a variety of things including size and location (e.g. near joints or areas where it gets pulled on). If you leave the wounds open, you should expect 2-3 weeks to heal to the point of a scab coming off, 6 months to 2 years for the scar tissue to flatten and fade. Take note, I am not a doctor nor do I play one on TV. Just another self-harmer who's read a lot of wound care information online. These are all good questions to ask the doctor you've been seeing for antibiotics. They can give you information that more certainly applies to your wounds.