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Everything posted by tryp

  1. It’s an interesting paper that will definitely continue to affect clinical practice. There is a move away from opiates. Worth noting that they studied a very specific type of chronic pain, mostly in men, and excluded people with severe mental illness, among other things. So that does change the ability to generalize. Like benzodiazepines, opiates are a tool that can be used or misused. Neither good nor bad inherently. They certainly have a role, but I think part of what this study is looking at is that the role is not as large as previously thought.
  2. My experience is somewhat similar though maybe milder. I’ve exclusively dated and been sexually active with women and I have no desire to ever date men but wouldn’t rule out being purely sexually attracted to one.
  3. That really does suck. Makes total sense to feel disappointed. Appointments can be a source of comfort in hard times.
  4. Shitty situation

    Fuck that sucks.
  5. That sucks. I’m really sorry
  6. I’d expect a call.
  7. DBT skill of the day!

    Nice 3 minutes sounds like a really doable goal. Lots of anxiety provoking transitions for me right now - working ACCEPTS today.
  8. How do you prepare for PDOC appointment

    To see a new one, or my current one? When I see a new one, I bring a list of all of my past medication trials with approximate dates/durations, side effects, whether it worked. I have a lot, and it helps not to have to verbally explain it all. I also bring a list of my allergies, and current medical problems and surgeries, and past psychiatrists and therapists I've seen. It's basic questions that they all ask every single time and it's easier to just hand them a list. With my current doctor, I keep a running document on my computer where I just jot down things I want to mention at the next appointment as they come to mind, and then I read it briefly before I go in.
  9. When I have voices that are related to other parts, there's usually also a sense of something inside, like a presence, or an image, or something. Like a strong sense of "not me" like the words come out of the blue sort of. But I don't know what it would be like to have adult voices. I only have child ones. You could try asking inside and seeing what you find out.
  10. DBT skill of the day!

    Used opposite action to load my dishwasher even though I really didn't want to. Also managed to engage in balanced eating from PLEASE today. Trying for radical acceptance but not quite getting there.
  11. You’re welcome I remember being in that position and having the diagnosis did help me for a long time. I hope this conversation if you have it can lead to something productive and healing for you too.
  12. Self diagnosing isn’t the worst thing in the world. I think that when it becomes trouble is when you get so sure you know what’s going on that you don’t even engage in a discussion with your psych about it or listen to their knowledge/experience at all. But I think it’s totally appropriate to bring it as a question - “I read about this and it really feels like it could apply to me for XYZ reason, what do you think?” Particularly with BPD sometimes people don’t diagnose it or bring it up because of the stigma. So if it feels useful for you it makes total sense to ask.
  13. Yeah it totally depends where you are. Here, physicians are legally required to report anybody who has a medical condition that could interfere with their ability to drive safely, but it's not clearly defined where that line is. So if you were psychotic and due to symptoms couldn't focus on the road, or had delusions about driving that caused you to speed or if you were suicidal with a clear plan/history of causing collisions, you'd probably get reported. But if you had a stable psychotic disorder and your driving wasn't impacted you'd probably be okay.
  14. I believe quetiapine and clozapine are the least likely to cause it, followed by olanzapine. Unfortunately those are also the ones that cause the most sedation and weight gain.
  15. It has less metabolic side effects (weight gain) than the others. It’s great for that. As to unipolar depression, there’s been some literature on unipolar depression with mixed features but just straight unipolar, it hasn’t been studied well enough to really know one way or the other. I took it for depression/PTSD and it helped me until it gave me really bad EPS and plunged me into hell. I wish it hadn’t - it did good things for my brain.
  16. I figured I probably had BPD back in like 2009 - when I talked to my psychiatrist about it, I basically just said "I think I might have BPD, what do you think?" and she said "what would it mean to you if you did?" and I said that I thought it would help me understand what was going on for me better and give me a framework for working through some of my issues. So she said that she thought I'd probably meet criteria at that time, though she didn't think it was the best way of understanding me because of the PTSD and all the trauma. BPD as a diagnosis was useful to me at that time. I did some DBT-informed therapy and I learned a lot. My current therapist and I don't really talk about it because the diagnosis no longer feels helpful to me. Unsure if I still meet criteria - definitely much less than I did (not chronically suicidal, no self-harm, etc). Complex PTSD makes more sense for where I am right now. If it would feel useful for you to have/explore that diagnosis, I think it makes sense to just be really up front about that and see what your psych thinks.
  17. Some people who are assigned female at birth end up actually feeling/being male or both male and female or no gender at all. It’s not necessarily a symptom of a personality disorder or anything like that. It might just be that your gender isn’t what people put on you when you were born. Are there any gender support groups or anything like that near you? LGBT centres sometimes have them and it might give you somewhere safe to talk about your feelings about your gender and try to sort it out.
  18. I was diagnosed with BPD for many years. Found it useful initially when I was more dysregulated and had more behaviours. Then after a while it made the most sense to just think of myself as someone with complex ptsd. So I just go with that.
  19. Not Remembering

    People tell me this kind of stuff all the time. I honestly just accept that dissociation and trauma have probably made my memory crap, and that it's probably going to continue to happen.
  20. I think it’s unlikely based on what I know but I am not in the UK.
  21. This sounds really confusing and upsetting. It was confusing for me to read, so I can only imagine how confusing it must be for you to experience. It is curious to me that your last psychiatrist would have prescribed Latuda as a placebo, because Latuda is an antipsychotic, and therefore would be a treatment for psychosis (which it sounds like you identify with having, based on your post). The other thing is that both OCD and anxiety are real mental health problems, so even if you did have those things, it would be different from hypochondria. Hypochondria itself actually is also a real mental disorder. All of those things are different from your problems being "imaginary." I agree - I think it's a good idea to go back to your psychiatrist and ask him to explain things to you and tell him how you are feeling about all this. Might even be useful to bring a trusted person with you to the appointment to make sure that things get expressed clearly on both sides.
  22. HOWdy Allen.

    You've made several duplicate topics, so I've locked and merged the duplicates.
  23. DBT is saving my life

    This thread looks great - I'll pin it and hopefully it will continue to be a resource for those of us practicing DBT
  24. DBT is saving my life

    DBT was really helpful for me too. I never did a full blown DBT program but I did a bit of group and a bit of individual. It really permanently changed the way I approach my emotions, which led to my being able to quit self harm (nearly 5 years now). It also made my depressions less frequent and less terrible in a way that medication never could I will say that it didn't address the underlying issues (mostly trauma) that I'm now working on in therapy, but it did get me to a place of greater stability in order to more effectively do the deeper work. We used to have a "today I used a DBT skill" thread that was a great resource. I'm not sure what happened to it, but if you wanted to start another one, that could be great for the community.
  25. I went as high as 600 mg on Seroquel and the sedation never got better. I was totally zonked at all times and sleeping 12+ hours per night. XR was not substantially better than IR for overall sleepiness, except that the XR didn't have that "hit you like a ton of bricks/immediate unconsciousness" that the IR had for me. It was pretty good for my PTSD though. I still take it as a PRN - my brain loves it. Way better than benzos for me. Just had to come off due to side effects (predominantly weight gain)