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sam78

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Everything posted by sam78

  1. I did not tell Dzo to go and kill himself. Period. Nor did I ask him for his address, but he proceeded to give it to me anyway.
  2. Thanks for throwing me under the bus...I've never done any of those thing you've accused me of.
  3. Watch "Leaving Las Vegas." It's not a fun way to go. I empathize with your pain but you have to find a better way to deal with it than alcohol and drugs. That path tends to be a self-reinforcing cycle.
  4. Diet and exercise do help me, but only at the marginal level. In other words, I don't think diet and exercise alone will fix any sort of serious chemical imbalance, but it certainly can augment the effect of AD's. I'm sure this effect will vary from person to person. Also, the benefits of exercise, strictly for mental health improvement, were stronger for me when I was younger. I'm not sure if it was because I exercised harder when I was younger, or whether there were other variables involved. Although I don't have the citation handy, there are studies out there which put exercise on par with SSRI's in terms of treating depression and anxiety. Exercise increases neurogenesis via increased levels of BDNF. In short, I think everyone, MI or not, can benefit from exercising. I know motivation is the hard part, particularly when depressed. At least for me, when I see tangible results from exercise, it motivates me to continue exercising. Unfortunately, it usually takes about three months before you see tangible results in the mirror. You just need to get over that hump. I think most people give up too early. The idea of using a fitbit to track your progress sounds great. Use whatever you can find for motivation. Personally, listening to music helps me. I just put on my headphones and kind of zone out. Another suggestion is to find a training partner. You're less likely to skip going to the gym if someone else is waiting for you. Also, the hunger problem just comes with exercising. Your appetite will increase due to exercise so you need to have some discipline. Tilting my diet toward more protein and less carbs has helped me.
  5. I would give an MAOI a try before you resort to ECT. You want to exhaust all pharmaceutical options before you proceed to that step. I think ECT should be a last resort. I have the same fears about ECT, destroying memory and such. I'm not sure if that's a valid criticism because I know it has helped some people and some don't have any major decline in their memory. You might want to consider the fact that you're suffering from clinical depression and as a result, your outlook on your life might be clouded. If you treat the depression, you might find that your outlook might change.
  6. ^^THIS for me too. I was actually thinking of this yesterday, how there would be no way I could go back to college and do everything I did throughout college. It isn't that "simple." That is definitely not the issue for me. Practicing won't make things better. I don't mean to say you'll go back to your undergraduate years. Heck, I stopped being able to pull all nighters when I hit my 30's. But aerobic exercise, AD's, and mental exercises seem to make a positive difference for me.
  7. Not necessarily "cognitive decline," as much as out of "cognitive practice." Intelligence doesn't simply go away and the brain is actually very pliable/elastic. You simply have to practice more. And it comes back pretty fast. However, I think it is harder for me to pick up a completely random new subject than when I was younger.
  8. I sympathize with your situation, but at the very least, try to find a pdoc who is willing to give an MAOI a try. You don't need to combine it with a stimulant. I know it's hard to locate a doctor that will prescribe an MAOI. It could take a year of looking. However, I wouldn't give up on it. It seems like that's the only drug that will help.
  9. If you're willing to wait, then Abilify might be a good choice. It only recently went generic. The generic is in stock at pharmacies but it will take some time before the price of it drops. The last I checked it had dropped in price by about 25%. Still, for a medication that costs $500, that isn't much of a drop. At the same time, the makers of Abilify, have just recently introduced a new atypical antipsychotic called Rexulti. It is supposed to be the follow up drug to Abilify because they are structurally similar. There is a chance that this might hasten the price drop in Abilify. If you go the antidepressant route, then Wellbutrin is considered the AD which is least likely to induce mania in bipolar patients.
  10. Are you sure it wasn't some malware that somehow examined your browser cache files?
  11. I think sending a private message saying you disapprove of their behavior is an appropriate response. There might be unintended consequences if you do it in an open post. It's a delicate balance, because if someone said that in a public place such as work, you would probably respond immediately. However, since social media is quasi-public (you choose who you friend and what posts you see), it's probably a little different. But, as you said, it's easier to just unfriend.
  12. Yes, that's one way of looking at it. It actually applies to a lot of different areas in the social sciences. Human beings look for patterns in seemingly random events.
  13. I can't speak as a medical professional (tdoc or pdoc), but from what I know about psychology, I believe you have a cognitive bias with respect to example one. You're basically ascribing a random force to a string of events. Gamblers are known to have this fallacy with respect to a string of wins. They call it the "hot hands" bias. They believe that when they're on a streak of wins, the streak will continue. However, each bet they make is an independent event. Going back to your apartment search, each apartment you look at is an independent event. It's just random chance. Humans have evolved to use heuristics, or mental short cuts, to help them deal with all the information they are bombarded with on a daily basis. Sometimes that process goes haywire. Having a MI on top of all this creates distorted thinking and compounds the problem. The second example seems more like a hallucination. I would definitely talk to your tdoc about that. I don't think it matters if you believe they're real or not.
  14. An MAOI combined with a stimulant is the most effective combination for depression. Stahl, the supposed guru of psychiatric medications, states that in his book. I would disagree with your statement that no drug can help you when your situation sucks. Psychiatric drugs are there for that exact reason. They allow you to deal with a situation. They don't fix the situation. You have to do the work, but it's not impossible. I hope you find a combination that works for you.
  15. The wikipedia definition of delusion is: A delusion is a belief held with strong conviction despite superior evidence to the contrary. It's a probability but not an absolute. That's why it's defined as a belief. You could say there is intelligent life on Mars, but all of the probes and rovers we've sent say otherwise. However, nobody could say that's an absolute truth. You might say they might all be hiding underground for all we know. Nobody would probably agree with you, but nobody could disprove your statement. If you modified your statement to say "probably false" then your first statement would be true. Your second statement starts with a truth, not a belief, and therefore is valid. I don't even want to go into what constitutes a truth. I'm sure the philosophy people on CB could create a whole thread on that.
  16. It should knock you right out. Some people will have grogginess the next day, but that effect went away for me. Also, expect some very vivid dreams since it still is an atypical antipsychotic.
  17. Unfortunately, it really is trial and error with lamotrigine. However when it works for people, it seems to work great. It really seems to be an all or none medication. Your pdoc will help with your titration and determine if you've stabilized at a level.
  18. Yes, lamotrigine does take quite a while to titrate to a therapeutic dose. You have to also come off it in the same way, through a slow titration. My titration was similar to melissaw. In my experience, I didn't have an interaction problem with other supplements or drugs. The major side effect that bothered me was the cognitive problem. It did seem to affect my memory and word recall was a little harder. If you mix lamotrogine with alcohol then you will have a very bad hangover the next day. Just my experience, but people react to meds differently.
  19. The one medication that comes to mind is an MAOI called Parnate. Sometimes it tends to be too activating for some people.
  20. I'm pretty sure Wellbutrin doesn't cause it, at least for me it didn't. It's usually the atypical antipsychotics that will do it for me. Sometimes, the discontinuation of a drug will also cause nightmares. If you stop an MAOI then you will have some of the most terrifying nightmares imaginable. I know what you mean when you say they still stay with you after you wake up. I've always accepted the nightmares as part of the cost of taking the medication. I'm not sure if something can be done about it.
  21. I don't mean to make light of your situation, but it's quite a jump to having those sorts of thoughts over a possible or not possible short jail sentence. Yes, I'm sure it would suck, but are you sure that this event just isn't a trigger for something that might have been there already?
  22. Well, I think the risk applies to the whole class of benzodiazepams, so I'm not sure how switching to klonopin might lower the risk. Most pdocs prescribe klonopin over xanax because it has a longer half-life and there also seems to be a lower propensity to abuse it. I've taken klonopin off and on for over five years. In reality, a lot of medications have some pretty bad side effects. The atypical antipsychotics can raise your cholesterol, weight, and the risk for diabetes, among other side effects. In my opinion these side effects are more worrisome than the risk that benzo's pose. Yet, at the same time, AAP's are a real life-saver for people who do need these medications, so clearly the benefits outweigh the risks for that segment out there. If you're really concerned then I think you should look at minimizing your dose of Xanax while still trying to retain its beneficial effects. Of course, you should only do this under your doctor's supervision since you've taken it continuously for 10 years.
  23. I don't have the citations to the particular studies, perhaps someone can post them up, but yes recent research has implicated benzos as possibly raising the risk for dementia or Alzheimers in older age. I think the decision on whether to take them is a cost versus benefit issue for most people. Personally, I take klonopin and I'm willing to live with those risks considering how much it helps in being somewhat functional.
  24. If you're serious about being an entrepreneur then you should read a good book on how to write a business plan. It will serve two purposes. First, the time you're forced to put into it will probably give you an idea about whether this is something you really want to do. This should also give you a better idea on whether you're stabilized. Second, writing a business plan will give you a better understanding about what you're getting into and what it will take to succeed.
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