OliverB

It's time to tell my pdoc and I am scared about it

72 posts in this topic

12 hours ago, OliverB said:

No options, I am still with my pdoc. It is not that bad in the end, he said he believes I have Complex PTSD. I never told him anything about complex PTSD, I was shocked in a possitive way when he said it.

Nice to hear from you here OliverB, how are the meds & everything going? Do you feel relieved that your pdoc agrees with your diagnosis? What are the next steps with getting the help/recovery that you need?

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On 22/2/2017 at 10:01 AM, cloudmonger said:

Nice to hear from you here OliverB, how are the meds & everything going? Do you feel relieved that your pdoc agrees with your diagnosis? What are the next steps with getting the help/recovery that you need?

 Thank you,

I am only on Concerta and gabapentin, I am not happy but not that bad either, I guess I am improving. And finally I am beginning psychotherapy with my pdoc , the diagnosis issue was really validating. I think things with him will improve a lot since now. My next step is clarify my objective and tell him something about my past, it will be this Tuesday, I hope it goes well I have written a letter...

 

How are you doing? With lamictal? Could you find a pdoc that gives you stimulants for depression?

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9 hours ago, OliverB said:

he diagnosis issue was really validating. I think things with him will improve a lot since now.

I understand how getting the diagnosis was validating.  It feels (at least to me) like 'finally, someone believes me.'  And then can work from there.

I hope things do improve for you.  I am glad you have written a letter ... IME those can be incredibly helpful.

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15 hours ago, OliverB said:

 Thank you,

I am only on Concerta and Gabapentin, I am not happy but not that bad either, I guess I am improving. And finally I am beginning psychotherapy with my pdoc , the diagnosis issue was really validating. I think things with him will improve a lot since now. My next step is clarify my objective and tell him something about my past, it will be this Tuesday, I hope it goes well I have written a letter...

How are you doing? With Lamictal? Could you find a pdoc that gives you stimulants for depression?

Glad to hear you're doing better! I'm on same dose of Lamictal (stabilizing like Gabapentin), ok at the moment, but still depressed with incredible anhedonia. Started another trial of Abilify as adjunct, but too scared to go up more than 2.5mg due to side effects everyone talks about. It could be helping a bit, I'm on a sub-therapeutic dose though.

My current pdoc said she cannot rx stimulants but she can refer me to someone else that does. I will make an appt soon, because it really helped me in the past get over the anhedonia and residual dysthymia. I am just hoping that they don't have to go through an entire new assessment & interview in order to rx it. They don't prescribe it here for depression or other issues other than severe childhood ADHD which is not really my primary ongoing issue.

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3 hours ago, cloudmonger said:

Started another trial of Abilify as adjunct, but too scared to go up more than 2.5mg due to side effects everyone talks about.

I didn't have any side effects with the abilify ... I hope you don't either.

3 hours ago, cloudmonger said:

My current pdoc said she cannot rx stimulants

Just curious ... why can't she prescribe stimulants? 

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2 hours ago, melissaw72 said:

I didn't have any side effects with the abilify ... I hope you don't either.

Just curious ... why can't she prescribe stimulants? 

No idea...she told me this during our first appointment. I gave her a laundry list of every med I've tried with the few "best ones" at the top of the list. I'm in europe and the rules are different here I guess. They consider stimulants really addictive/subject to misuse or something and most pdocs cannot rx it for off-label diagnosis (I'm guessing).

Ritalin helped me a great deal. I told her that it had no side effects. I felt calm, focused, it eradicated the negative side effects of the SSRI I was on at that time. I felt much better, motivated, positive. I was able to become engaged in life again.

Edited by cloudmonger

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I am just reading this but benzos plus alcohol does not make you stop breathing. It can't kill you. With barbiturates these kind of things can happen 

and that is the reason benzos were invented, they don't have a risk of death that barbiturates do. Barbiturates are rarely prescribed today. 

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2 hours ago, notloki said:

benzos plus alcohol does not make you stop breathing.  It can't kill you.

Enough of benzos + enough alcohol could.

 

https://www.thecabinchiangmai.com/xanax-and-alcohol-a-combination-that-could-kill/

Quote

 

The Dangerous Side Effects of Mixing Alcohol and Xanax

There are some serious side effects that can occur from combining alcohol and Xanax.

‘Minor’ side effects include:

  • Extreme dizziness
  • Abnormal behaviour
  • Tiredness
  • Impaired coordination
  • Memory problems

More critical side effects include:

  • Hives
  • Swelling of the lips, tongue or throat
  • Severe depression
  • Hyperactivity
  • Agitation and hostility
  • Hallucinations
  • Light-headedness
  • Seizures
  • Slowed respiratory and heart rates
  • Slipping in and out of consciousness
  • Breathing difficulties
  • Cardiac arrest
  • Death

 

Edited by melissaw72

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7 hours ago, melissaw72 said:

 

Give me one specific of a person who has died from benzos and alcohol alone. It is just an unreasonable amount of pills, more than one could take. You are likely to throw up if you tried to force feed that many pills. You need to addition of something that really suppresses respiration, namely strong opioids or barbiturates.

Edited by notloki

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1 hour ago, notloki said:

 

Give me one specific of a person who has died from benzos and alcohol alone. It is just an unreasonable amount of pills, more than one could take. You are likely to throw up if you tried to force feed that many pills. You need to addition of something that really suppresses respiration, namely strong opioids or barbiturates.

Whitney Houston, a possibility.

 

There are a few things that have been said on-line about her death, and then I found the autopsy report:

http://www.autopsyfiles.org/reports/Celebs/houston, whitney_report.pdf

Page one describes some things about prescription meds and alcohol, but if I read this correctly, I think the final report (on another page) was of cocaine and something else.

 

As I was looking on-line for all of this, there were speculations about the xanax and alcohol and her death (see links below).  But as I was continuing to read stuff, in the WH  articles, it didn't just give the speculations; it gave reference to why (in general) xanax and alcohol abuse can be deadly.

http://www.thedailybeast.com/articles/2012/02/13/whitney-houston-s-death-xanax-and-alcohol-deadly-duo.html

Quote

But of all the things that people ingest, there are few combinations more life-threatening than alcohol and benzodiazepines—the class of sedatives that includes Xanax, Valium, and Klonopin.

The reason? When taken together, alcohol and Xanax have what’s known as an additive effect, which means that in the presence of Xanax, alcohol is made more potent than it would be alone.

Both alcohol and benzodiazepines work by depressing the central nervous system of the body, reducing the activity of several broad-stroke mental functions, such as thought, memory, coordination, and respiration.

 

http://www.nydailynews.com/life-style/health/whitney-houston-death-anti-anxiety-meds-kill-abused-combined-alcohol-article-1.1021863

Quote

Each drug magnifies the effect of the other,” said Dr. Greg Bunt of Daytop New York.

Withdrawal from these drugs can also be a killer.

“It can absolutely lead to seizure and death,” said Fred Keane, the clinic director at Mountainside. “It can cause a heart attack.”

----------

But overall, why would xanax, alcohol, and death be all over the internet then, cautioning people about the deadly side effects, if it wasn't true? 

Examples:

http://drugabuse.com/library/concurrent-alcohol-and-alprazolam-abuse/#combined-effects-of-alprazolam-and-alcohol-abuse

Quote

and drinking in combination with alprazolam can result in fatal respiratory depression—or dangerously slowed breathing. Alcohol and alprazolam both potentiate the activity of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the brain. This neurotransmitter is responsible for muting widespread excitation in the brain and, when its actions are ramped up, can result in sedation. When these depressants are mixed together, over-sedation may occurs—a serious problem that can progress to coma or even death.

--------------

https://www.elementsbehavioralhealth.com/featured/the-most-lethal-alcohol-drug-combinations/

Quote

A similar combination is alcohol with any type of sleeping or anti-anxiety pills. These, like alcohol, are depressants, and taking them with alcohol multiplies the sedative effect.

They work together to cause the effect, which can lead to death in some people.

 

 

 

Edited by melissaw72
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1 hour ago, notloki said:

It is just an unreasonable amount of pills, more than one could take.

It isn't a matter of taking both, it is when they are taken together that can cause the sedative effect, and eventually in some people, death.

Edited by melissaw72
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How are you doing? I hope you are okay.

My dad is a psychiatrist, and he explained DID to me in the late 70s. It wasn't called DID back then, but I can't remember what it *was* called. Now that I know a few people with DID, I can look back and see that my dad was wrong about some of the details, but the overall point was he knew about it in the 70s. It is kind of shocking that there are still psychiatrists that flat out don't believe in it. It's one thing to say you're the first DID patient he's ever had, or he would prefer you see a specialist, but to deny its existence is ridiculous.

Did I really use DID 4 times in that little paragraph? 

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ETA: I realize he didn't deny its existence, I meant the average psychiatrist who doesn't know.

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@OliverB How are you doing?

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On 27/2/2017 at 1:06 AM, crtclms said:

How are you doing? I hope you are okay.

 

On 16/3/2017 at 0:23 PM, melissaw72 said:

@OliverB How are you doing?

 Thank you both for asking! I did really well for a while but now I am weird again, not sure what it is happening but my mood is OK at least.

How have you been doing?

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1 hour ago, OliverB said:

How have you been doing?

Things are going ok for me.  It is nice to hear from you!  I figured you were into your studies and all and that was why you hadn't been here in awhile.

 

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2 hours ago, melissaw72 said:

Things are going ok for me.  It is nice to hear from you!  I figured you were into your studies and all and that was why you hadn't been here in awhile.

 

Thank you.

I am glad things are going OK for you, I think I will log in on weekends, you are right about being busy with college, it is not easy to pass exams while being unstable, but I am passing them :)

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4 minutes ago, OliverB said:

Thank you.

I am glad things are going OK for you, I think I will log in on weekends, you are right about being busy with college, it is not easy to pass exams while being unstable, but I am passing them :)

Glad to hear that!  Passing exams while unstable must feel like gold :)

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13 minutes ago, wookie said:

Wow ... I have never heard of any of that.

From above link in quote:

Anna Nicole mixed meds with the chloral hydrate also, which enhanced the effects of the benzos:

Quote

Her death was ultimately ruled an accidental drug overdose of the sedative chloral hydrate that became increasingly lethal when combined with other prescription drugs in her system, specifically four benzodiazepines: Klonopin (Clonazepam), Ativan (Lorazepam), Serax (Oxazepam), and Valium (Diazepam). Furthermore, she had taken Benadryl (Diphenhydramine) and Topamax (Topiramate), an anticonvulsant AMPA/Kainate antagonist, which likely contributed to the sedative effect of chloral hydrate and the benzodiazepines.[83] Although the individual levels of any of the benzodiazepines in her system would not have been sufficient to cause death, their combination with a high dose of chloral hydrate led to her overdose.

 

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Prescribing 4 different benzos, in addition to Topiramate, and chloral hydrate seems highly irresponsible.  It sounds like she took enough drugs to kill an elephant.

 

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11 hours ago, wookie said:

Prescribing 4 different benzos, in addition to Topiramate, and chloral hydrate seems highly irresponsible.  It sounds like she took enough drugs to kill an elephant.

 

I agree.  I wouldn't be surprised if more than one DR was prescribing the benzos because I don't see why/how one DR alone would prescribe all of those meds at once.

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