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About tryp

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    Bawk Bawk Therapy Cranes!
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    sleep, sanity, cats, trashy television, psychopharmacology

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  1. Yeah, it's tough - all the atypical antipsychotics have the risk to some extent. Latuda (like Abilify and Geodon and to some extent Risperdal) is less likely to cause the issue, but it still can. It depends what treatment options you have, which is really going to require an in depth conversation with your doctor. You could consider asking about a referral to an endocrinologist for an opinion from that perspective.
  2. It would be very odd for TD to occur only at night, never mind after one really tiny dose of Abilify. It seems very unlikely to me that it would be TD.
  3. If you had a minor rash and you were started on a high dose and not titrated (which I think is also an important point to convey to your doctor), many psychiatrists would likely be comfortable cautiously re-trying you. I got a minor rash of some kind when I started and luckily my psychiatrist was willing to just write it off, because it didn't have any high risk features. And I did titrate very slowly.
  4. When I was dealing with a lot of BPD-type issues, before I did DBT, I found that my mood was very unstable in that way. Therapy helped a lot. The evidence for mood stabilizers in treating mood swings specifically in BPD isn't super compelling.
  5. Lovely idea I hope it's helpful for you!
  6. I hope it went well with your therapist! Those kinds of experiences can be really hard to talk about.
  7. It sounds like you have been through an incredible amount (I did read the long version) - no wonder you are having the struggles that you are having. You are right that bipolar disorder and CPTSD (and borderline personality disorder) are frequently confused for each other, especially in folks who have experienced a lot of trauma. Certainly it's possible to have both but it's also possible to be misdiagnosed. I got misdiagnosed with bipolar disorder once because I got agitated when I took antidepressants (maybe kind of similar to what you experienced) and it resulted in my getting the wrong medications and wrong treatment. But once I saw some psychiatrists who actually knew about trauma, they thought it was ridiculous. I am like the least bipolar person in the world. I'm just really traumatized which interferes with my ability to regulate my emotions. Which is not to say that that's what's true for you - it's possible that you have BD and CPTSD. But for me, I definitely did get misdiagnosed. It's really unfortunate that you don't have the resources to have another psychiatric evaluation and try to get it worked out.
  8. This article contains an excellent cartoon (you have to scroll down a little to get the full thing) that I think explains things well. Edit: forgot to link the article. D'oh!
  9. My iphone automatically inserts a period if I press the spacebar twice. If you have an iphone and it's that, you can go to settings -> general -> keyboard and turn the "." shortcut off.
  10. This used to happen to me. It happens to me less these days, but it still does sometimes. When it used to happen to me, it was important to make some kind of post-therapy comforting ritual. Like when I was seeing my last therapist, I would stop at this tea place on the way home and get a nice tea, or a bubble tea. I do like to make notes after therapy of things I want to say next time/responses to the session. I especially like to write down positive/connected things that my therapist said to comfort me about our relationship, because when I dissociate I can never retain those and then when I feel really ashamed about whatever I did or said in the session I can check back for the evidence that actually my therapist likes me/thinks I'm okay/wants to work with me. But I also just write down what it made me feel, or what the shame was about, or whatever. Sometimes I share it sometimes I don't, but it makes me feel like I'm responding. Shame is especially hard to deal with after therapy. And always. I hate shame. I have no solution.
  11. I used to be a chat mod/chat regular - this was probably a couple of years ago now. Hats off to those who have still been in there doing it, because I simply could not anymore. It was just too much toxic drama all the time and it has if anything gotten worse since then. I am not the only one who has stepped out or stepped back due to the constant PMs, reports, and general shit stirring. Moderating here is a generally thankless, pay-less, time consuming job that we do because we give a fuck and want to help. Why the heck else would anybody do it? It's not a professional service, it's a bunch of crazy people doing the best they can to keep this place together. Our chat mods are people with lives and families and jobs and mental illnesses to tend to. We get to shit when we get to it, because that's the best we can do. Frankly, the treatment of the chat mods specifically by many people has been thoughtless, immature, and shitty as fuck. And some of the comments in this thread are prime, shining examples of why we made the decision to close the chat room. You might want to reflect on the fact that VE and all of the people here are PEOPLE with needs and feelings and lives, for whom this is a time consuming, emotionally draining volunteer job that we do the best we can. It sucks that we had to close chat. Lots of people rely on it. We know this, which is why it took us so long to come to this decision. I've relied on it at points in my life. So maybe try behaving in a way that is compatible with our having a chat again. You know, like a grown up.
  12. I'm glad you are feeling a bit better I am also always worse on weekends.
  13. OliverB, I am so sorry that it's so bad inside right now. I know how upset I get when I need to talk to my doctor and they don't phone me back, especially going into a weekend. How are you doing? I hope you got some sleep.
  14. Psychoanalysis can be effective for persistent depressive symptoms, particularly those where there is a big psychosocial underlay. It focuses on looking at interpersonal patterns and personality factors in the context of how they come up in the therapeutic relationship. So yes, it does look at the past, but it's interested in how the past informs and plays out in the present with the goal of improving relationships and functioning in the present. The disadvantage is that it is a long term therapy and improvements may take some time (it usually lasts years). So it makes sense to try a shorter term, more structured therapy first. If you have and it hasn't worked, it makes sense to try a longer term, more expressive therapy. Personally I do psychodynamic psychotherapy which comes from similar principles to analysis but is done face to face without the couch. I like it and I think it goes deeper and goes into the real issues behind my "stuff" better than the short term therapies did. That said I'm glad that I did some DBT informed therapy first to help me get a handle on my day to day life and make that piece tolerable. I would just make sure this therapist has actual analytic training because it's the kind of therapy that can go quite badly wrong if the therapist isn't qualified and is just messing around in there.
  15. It's a fair point. It's possible to be pro-treatment and also acknowledge that the mental health system (more in some countries than others - but pretty much everywhere) can be inadequate/shitty/inaccessible and that other solutions are also needed.