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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. It’s just older so many psychiatrists these days don’t have as much experience using it. People also worry about movement side effects like EPS and TD, for which the older drugs get a bad rap (not entirely deservedly since the newer ones can cause those things too)
  2. MI got me OFF coffee - I used to drink it as a teenager and now it totally destabilizes my anxiety
  3. SSRIs can typically be taken at any time of day that is convenient and works with how they affect your level of awakeness. Total mixed bag.
  4. I wouldn't think that lithium would have any impact. Chemo meds have an impact because they affect cells in their division process which requires copying of DNA.
  5. Thanks for reporting back Light therapy I found made me pretty anxious, but it's a nice low side effect intervention for people it works for.
  6. I have that book - I liked it a lot. I have OSDD with parts.
  7. A person theoretically can. However the scientific evidence suggests that in the case of psychosis, at least, multiple antipsychotics typically aren’t better than one, and leave a person with more side effects. Except that of course everyone is unique and it’s always an individual decision. I’ve seen Abilify combined with others to reduce dopaminergic side effects for example, or some people add in a small dose of a sedating antipsychotic to help with anxiety or sleep.
  8. In my setting we assess risk on a person by person basis, so you might choose not to be alone with someone if you think there is more risk of them making an allegation or being violent. Also documentation is a really big deal, like if there is any inappropriate behaviour or anything concerning, or if the client makes a statement about making an allegation or anything like that, to document it in detail including your response. But knowing the policy of your organization is key to being protected as well. It also depends on your level of training - it is fair for example for a peer support work
  9. Your doctor would actually need to examine you and see if it looks like TD. If it is, it’s not dangerous but is unlikely to go away, particularly without a change in meds.
  10. When I was on it, I used to get my cholesterol and blood sugar checked approximately every 6 months. If you are on it, you should be getting bloodwork to check your cholesterol and blood sugar. I was on it for about four years and didn't get diabetes. I did gain weight. The best way to not get diabetes is to exercise, eat healthy, and keep an eye on things. If there are issues with your blood sugar you can always stop the medication and if you are being monitored appropriately, you'll catch it early.
  11. Of the SSRIs, fluvoxamine is typically the most sedating. Citalopram and escitalopram are also on the more sedating end. Of the non-SSRIs, mirtazapine is very calming - and you may tolerate it better at lower doses. Trazodone is also sedating though it is rarely used as an antidepressant these days - it’s mostly used at lower doses for sleep The tricyclics (like amitriptyline) tend to be quite sedating but can also be more side effect heavy. If you haven’t tried it you could also look into pregabalin - it’s first line for generalized anxiety these days. It won’t do anything
  12. It has very limited utility - zero utility in terms of efficacy. However specifically in people who get tons of side effects from everything, or for whom nothing works, it can be useful to try to figure out if different dosing can solve those problems. For the general population it’s not really worth it. I considered getting it because I get side effects from everything but I never got around to it.
  13. It’s hard. I’ve suspected OCD for years but just got the diagnosis formally confirmed this year. I struggle mostly with obsessions and the only things that really work for me are obsessional flooding (purposely thinking about it really really hard until my brain gets bored) or conversely radical acceptance and allowing the obsession to pass while continuing to go about my normal business. My compulsions are mainly checking related and mental compulsions. If I really wanted to work on them it would have to be from an ERP lens but I’m not really interested right now. And some of them, lik
  14. Benzos always made my depression far worse - which is pharmacologically expected given their mechanism of action. I guess what we call depression is probably a heterogeneous group of things.
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