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  1. I'm not sure if I can get a diagnosis and treatment plan from him, I will ask but given the med failures and my needing to call him so often it's looking like I need to change psychiatrists. Depending on how the evaluation goes at the other hospital I may ask for a trauma/PD informed psychiatrist that they can recommend (if there is such a thing..)
  2. Thanks, I will make a note of this so that I don't forget to bring it up
  3. I like my psychiatrist, I've been seeing him for over five years, he's a very caring person. He helped me through the catatonic depression I went through back in 2011. but he's hard to understand and that language barrier usually means I'm left with more questions after each appointment. Also depending on how I'm functioning and whether or not I feel rushed I may hesitate to ask for clarification on things,or just plain forget to mention something, even if I spend time preparing a list of questions (I think I have severe executive functioning issues) on top of that he's difficult to reach outside of appointments. So I'm left looking for answers myself. I'm just not sure ect will be helpful just because I had a good response last time - different symptoms and circumstances. Last time was catatonic depression, but now it's more like extremely anxious type of depression..
  4. My psychiatrist has been pushing ECT for a while since he attempted to take me off medications this past summer. Since then, my anxiety level has been higher than ever and my response to meds has been very erratic (chest pain, palpitations, tachycardia) Would ECT really be that helpful? If not, what are the alternatives?
  5. Thanks, I will consider bringing it up. The only problem with the research (that I failed to mention) is that I have this pattern of compulsive reading about psychiatric problems as a way of avoiding things. It has caused a lot of problems and hindered my progress. I get these ideas in my head and I have difficulty letting them go, and my thoughts run rampant .it complicates my treatment and I think it would be foolish to not mention this in the evaluation. That's not to say the reading is problematic for everyone, but in my case though it can be helpful it more often seems destructive. Its obviously not a black and white thing though, but most psychiatrists would still see it that way in my case, given my history
  6. So I have an evaluation scheduled soon, to get clarification on my diagnosis and to find out whether I need ECT given my erratic response to meds in the past few months. He specializes in personality disorders, but I was told they could provide clarification on other conditions besides PD. However it just occurred to me that I have had many responses to medications and other treatments that might indicate bipolar disorder. I had ECT back in 2011 but it didn't occur to me that what I experienced was in fact hypomania following ect. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301029/ That article says that ect can cause mania and a lot of the things mentioned in that article line up with my experience after ect - confusion, suicidal ideation and hypomania. Yet somehow all of this went unnoticed by my psychiatrist and I'm just now realizing this five years in hindsight... It also says that according to the DSM 5 ect induced mania indicates bipolar 1. That seems awfully specific, but I have no way to confirm that since I don't have a copy of the DSM 5 on me... I have also had extreme rage after coming off all meds this past summer under the assumption from my father, therapist and psychiatrist that they weren't needed anymore... My psychiatrist later said that coming off meds was a disaster These MH struggles have been going on for over 8 years now and I don't think I've ever been adequately stable, it feels like I've been swinging from one extreme to another and chaos has been the only constant. From what I read it can take 5-10 years to get an accurate diagnosis of bipolar. Technically though everything started when I was 10 or 11 years old where I became severely depressed, dissociated along with intrusive thoughts, ruminations, etc. I had always thought that the destroying everything in sight rages at home was PD based, but now it's looking like I'm bipolar in addition to having a personality disorder, which doesn't sound good in terms of long term outcomes.. I really don't know how I got this far without everyone finally giving up on me how should I approach the doctor if I feel that this is pretty important in finally getting an accurate diagnosis? I know I can't just say to him "I think I'm bipolar".. At the same time, I'm wary of just letting them sort everything out since so many things have gone unnoticed by psychiatrists in the past and given how complex my history is . So far I have a long description of my psychiatric history (including the constant change of therapists and medications) made up. Is there anything else I should do? Any feedback would be appreciated. Thanks.
  7. I had intended for a while to talk to my psychiatrist about trying a different anxiety medication than Klonopin since getting released from an inpatient stay 2 weeks ago.. klonopin causes me to feel spacey, emotionally flat, and mentally dull/slow. actually i would like to avoid benzos altogether because of the additional possibility of developing tolerance and having to go through withdrawal symptoms again after having done so in January this year. I have cluster C personality disorder so the anxiety tends to be extremely high (i.e. hyperarousal: aggression, irritability, difficulty concentrating, disorientation, depersonalization, easily startled, hypervigilant), So which option would be best to discuss with psychiatrist: clondidine or guanfacine? How do the two differ? Is one more easily tolerated than the other? Another reason i'm considering these two meds is that several times I have had arrythmias when changing meds. From what i understand these kind of meds could prevent that.
  8. in Stephen Stahl's book on Mood stabilizers he says: "The best evidence-based combinations [for bipolar disorder] are those that combine an AAP, especially ones that have been on the market longest such as olanzapine, risperidone, quetiapine, or aripiprazole, with the addition of lithium or valproate. These four atypicals are FDA-approved as combination therapy with lithium or valporate for manic and mixed episodes. Newer atypicals such as ziprasidone, paliperidone and asenapine may also be useful in combination with lithium or valproate but are not as well studied." https://books.google.com/books?id=ZbD_yBjRRiMC&pg=PA126&dq=mood+stabilizer+combo+stahl&hl=en&sa=X&ved=0ahUKEwjplcvTzILQAhUSySYKHVtaBOYQ6AEIMTAB#v=onepage&q=mood stabilizer combo stahl&f=false
  9. 1. That I have an understanding therapist 2. That my father has continued to be supportive through 8 years of MH struggles
  10. I am having the same problem. I hope at least ones of these songs will help On the nature of daylight - Max Richter Piano Concerto in A minor 2nd movement - Edvard Grieg Mad World - Gary Jules Illusion - VNV Nation Anna Lee - Dream Theater Save Me - Aimee Mann Piano Concerto in G - Ravel Sleep - Eric Whitacre These links might also be helpful http://www.classicfm.com/discover/music/sad-classical-music/#dLLXkas0B4mUkd26.97 : https://www.theguardian.com/culture/2010/nov/07/10-best-classical-tear-jerkers-fiona-maddocks
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