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Upping my lexapro, when is it right


Guest BOYD

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I have been thinking of upping my daily dose of Leapro from 5mg to 10mg.

I have been taking 5mg since April.

I'm not sure if I am feeling some seasonal down change or if the med is pooping

out.

Does anyone just jump up. My fear is that once I do up it. I will have to stay

at that level.

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Edit ... ANOTHER...

For the past 2 years Jan - march is  thetime when I have hit  the bottom and flopped

into a depression without Meds

look into seasonal affecteve disorder.  light therapy helps.

IS THERE A DR. IN THE HOUSE?..

GET A PDOC!!!

ask a psychiatrist about dosage, please dear god what do you have against seeing a specalist?

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Dear Person Who Does Not Listen:

  You do not, repeat DO NOT, up your dose, lower you dose, or stop taking your medication unless a doctor ( in your case, maybe a vet? would you see a vet?) OK's it. IT JUST IS NOT A GOOD IDEA.

  Plus they get real crabby when you do it on your own. Cut out the alcohol, start working out MORE, and get the lights. If that doesn't work, oh I don't know. Call a p-doc.

  Do you somehow (and this is a wild guess) think you are not ill enough for a p-doc? Or that we are all the loonies and you have "the way"? I am curious because I have noticed many many many people offering up this advice and you simply choose not to take it. Yet YET, every few weeks, you ask us (we who are not p-docs) what you should do. Why you feel the way you do.

  I DON'T GET IT.

Breeze

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Dear Person Who Does Not Listen:

  You do not, repeat DO NOT, up your dose, lower you dose, or stop taking your medication unless a doctor ( in your case, maybe a vet? would you see a vet?) OK's it. IT JUST IS NOT A GOOD IDEA.

  Plus they get real crabby when you do it on your own. Cut out the alcohol, start working out MORE, and get the lights. If that doesn't work, oh I don't know. Call a p-doc.

  Do you somehow (and this is a wild guess) think you are not ill enough for a p-doc? Or that we are all the loonies and you have "the way"? I am curious because I have noticed many many many people offering up this advice and you simply choose not to take it. Yet YET, every few weeks, you ask us (we who are not p-docs) what you should do. Why you feel the way you do.

  I DON'T GET IT.

Breeze

<{POST_SNAPBACK}>

I get it, seeing a pdoc is some kind of admission, on a deeper level, that you really have a mental illness, depression, and that CB is NOT just a place to come and play, where you happen to be able to relate to everyone here, but you really don't belong here.

It's like going to the nuthouse and thinking, "wow, these people are all really cool, yeah I'm a little crazy, but I'm not like that. That person or THOSE people are REALLY nuts!"

Acceptance that depression is an illness itself can be very difficult, that it's a MENTAL illness is downright UN-acceptable, to a lot of us and I think you fall into this category because you function at such a high level. I think especially the dysthymic (garden variety blahs, but on a fairly consistent basis) type of depression, is particularly difficult to swallow as an MI. In comparision to MDD or other types of more debilitating depression. I am dysthymic inbetween MDD episodes (which can last for months) and when I'm *only* dysthymic, I sound just like you sound right now.

A girlfriend of mine ONLY takes Zoloft during the winter months, perhaps SAD does play a role for you. But her pdoc dx'ed her.

But the bottom line is, and I'm only saying it ONE more time, because you've had it crammed down your throat to no avail by those of us you claim to respect for our MI and MI-related know how; only a qualified specialist--a medical doctor of psychiatry--and, optimally with a qualified therpist, can make the proper dx for you. I am not going to suggest or this to you ever again, because you are simply closed to the idea, it would appear.

You are happy to admit you are crazy, woo hoo! Crazy Boyd. But when it gets to the soul level of being mentally ill, you reject this notion as weak and something you can will yourself free from.

Maybe you can, if so, you're a better crazy, woo hoo, person than I was. I used to think like that and not take my meds or the need for pdocs seriously, this is the insidious nature of the disease. I was brought to my senses in a most uncomfortable way, when my depression caught up with me and just about strangled the last breath out of me. I always thought my depression was strong, but I was stronger until this last episode of MDD. Even though I had suffered miserably for protracted periods of time for decades.

Fuck around with a gp and be your own diagnostician, but don't be surprised when you don't stop feeling like shit. And don't be surprised if our collective cry for you to see a real doctor ends up in, "if you're not going to take care of yourself properly, don't bitch about it to us." Because to me it's a message that you feel special and apart from me/us and don't have to do what I/we do to stay well. Because you're not sick, crazy, yes, sick NO FUCKING WAY.

MI is interesting to watch when you think you don't have it, it's a bitter pill to swallow as something that belongs to you, as well as the rest of us "crazies". But in the end, IMO, and experience, it was my overinflated sense of ego that kept me from getting the proper treatment and I nearly took my own life. I know what you're thinking, "oh, I'm not EVEN like that. I'll never get that bad. I'll take a little more lexepro and *snap* out of it." Maybe you're lucky and you'll never need a room in the Abyss.  For me MDD was/is a progressive and recurring disconnect in my brain. I went from seeing a pdoc once every 5-10 years, letting my gp treat me (not properly, btw) to seeing a pdoc once a month.

I'm getting much better care, I'm feeling better and everything is better.

Seriously, take a look at your pride and what role it's playing. It's okay to be ill, whether it's your body or your mind or your soul or whatever, Boyd. It's okay. It doesn't make you weak. Accepting it doesn't make you weak. In fact, quite the contrary, it's empowering because you're doing the right and loving thing for yourself AND you're probably going to feel better, ergo, more in control of your life, etc.

There is lots of love and support for you here, Boyd, but you have to examine your aversion to the psychiatric community. If you've had an experience or 12 with quacks, so have we all. You just keep looking for a pdoc/tdoc til you find one and/or both (optimally) that is a fit for you.

Now get out that phone book, or call the gd general practioner and get a fricking referral--TODAY.

Suzanne

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  I did ask him if a referral

for a pdoc was necessary and he said no, and to just see the results of his thinking

first.

How long did you spend with your doctor?

Did you phrase it as "do you think i HAVE TO see a psychiatrist?"

My GP REFUSES to give me psych meds.  BECAUSE THIS IS NOT WHAT HE WENT TO SCHOOL FOR.  He is an internist.  He deals with my insides and all of that.  He will not EVER give me psych meds because he knows that is not his realm of knowledge. 

I'm sure your GP is a nice guy.  But if you think he can manage your meds, you are fooling yourself.  If he thinks he can manage your meds, he is fooling both himself and you.

I'm so tired of you asking for advice and not listening to it.

Why do you think we all have pdocs?  BECAUSE PSYCHIATRISTS ARE SPECALISTS IN PSYCHIATRIC MEDICINE.  YOU take PSYCHIATRIC MEDICATION.

PERIOD.

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I agree with the above, see a pdoc!! They are not all created equal. If you're not comfortable, find another! In 8 yrs I've seen 5-6, and finally have one I like that spends more then 2 minutes with me. Screwing with your meds without permission from your doc is not only stupid, it's pontentially dangerous. That being said, I have some thoughts on Lexapro.

I've been using it for 18 months now I think? I'm on 20mg, considered the max dose, but I've heard of people taking 30-40 mgs. After 6 months or so I thought it wasn't helping, so I quit (without talking to the doc!) I tapered off in a few weeks. BIG mistake!! Felt like shit within 2 weeks. Went back on, and am doing ok. I won't be doing any of that without talking to my doc again, it's just stupid! Some docs will give you their email (mine did) so you can ask questions etc. without waiting for your next appt. (which can sometimes be quite awhile away). Anyway, he added the Wellbutrin SR to hopefully "boost" the Lexapro and give me a little more energy, as well as helping with the lovely sexual side effects from Lexapro. So far, not much change.

Anyway, long story short lol, talk to a pdoc now!!  ;)

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Heya Boyd,

-- OK, so is there a DOCTOR in the house? --

(Can't get the quote thing to work.)

Guess what I do for a living.

Listen.

To someone, if not me.

Because this is the *last time* I will tell you this.

Family docs can be great.  Many of us, unlike what has been put out there by some people on CB, are extremely competent at psych meds.

The majority of psych patients in Ontario, at least, never see a psychiatrist or see a psychiatrist *once,* for a diagnosis and med recommendations.

But.

Even though my own family doc is amazing.

She and I decided I should see a psychiatrist in case weird things came up with my medications.

It's also, I can say, nice to see someone who *only* sees nutjobs *all day long.*

Whatever I have, he's seen it a hundred times, and that lends a warm sense of security.

We at CB are here for support.

But you need a care team.

That's up to you.

--ncc--

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Heya,

Depends on the FP.

If you're pre-scheduled, the Ontario system will pay per half-hour (not well).

Otherwise, you're scheduled for 5-10 minutes.

I run late a few days, b/c of extra time spent with counselling patients.

*That's* why *some* of us are always behind (some are just greedy/overscheduled/unrealistic).

Lots of non-psych reasons, too, mainly HIV tests, which always seem to come up at the last minute and which require counseling and paperwork.

When someone says, "By the way, Doc," (we call them "doorknob questions" b/c our hand is on the doorknob when they're asked) some of us sit back down and listen.

We go broke, or else we are really, really good at talking you into rescheduling ;):)

--ncc--

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I feel like I lost all the support

here for some reason but that may be just a side effect. B)

This sucks . ;)   BT

<{POST_SNAPBACK}>

Boyd, you don't respect the support you get on THIS THREAD, so I--speaking only for myself--have given up on it. I think your "help me" posts are veiled pleas for attention, and that offends me--as someone who is *truly* dependent upon psychiatric (and family practice) care. Again, reference above where I basically said you are cavelier about your need for psych care, and it implies an "I'm not crazy like YOU GUYS are." I'm gladd NCC chimed in as a physician, but you won't listen to him or her either.

If you read through this thread, and REALLY read it, me, Breeze, Penny, and several others said to you, "if you won't see a pdoc, then quit bitching, and we are DONE with this thread."

Not that it matters, but I do care for your mental health, but this is for real the last comment I'm making on this thread. Even though I'm quite sure it won't get through your head, and I will merely receive a ranting retort and point-by-point about how I'm wrong.

And no, I'm not grumpy, just annoyed at your persistence in "asking" for help and then basically saying, "thanks guys, but fuck you, I know what I'm doing--really...you don't understand...I'm different...my doctor is different..."

Ad nauseum...

Your friend,

Suzanne

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To veer a bit more offtopic here, an internist or doc of internal medicine is usually a better bet than a GP for annual checkup.  You usually get longer appointments and more in depth care.  They cost an arm and a leg if you don't have good insurance though.

continuing the veer off topic.

i see an internist for my chronic fatigue.  once a year i get an hour and a half check up, and i've never had an appointment with him last less than 45 minutes.

he kicks serious ass.  he's converted me to internists over GPs

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  At that time his recomendation was to not drink alcohol and see if that was the

cause for concern. Then. if I found that my depression and anxiety was still present  I should start taking the normal 10mg. I did ask him if a referral

for a pdoc was necessary and he said no, and to just see the results of his thinking

first.

<{POST_SNAPBACK}>

Boyd-

It sounds like your doctor is an unethical, presumptuous jackass who is in way over his head. He did not go to school to treat you in the manner that you need to be treated, to be fucking around with long-term psychiatric care, to be making comorbid diagnoses with complex symtoms or to test his 'thinking' regarding SSRIs, alchohol, anxiety, and depression on his patients.

He's an asshole. Complaints should be made. He is doing you a great diservice by thinking he can treat you for things he wasn't trained to do.

Your brain is telling you things that are not true- that having racing thoughts is ok- and you need to think about this possibility. In a serious way.

You need to see a specialist, not someone who may kind of know what they are doing.

Strep Throat? yes. What you have going on? no. You are complex.

You are not ok right now, and you deserve to be. No more ups and downs. No more sudden rage or anxiety. This is not a matter of a few weeks or even a couple of months. But rather you should strive to be stable in the long term.

...

I guess the main issue at this point is who really does know better? MD or CB.

<{POST_SNAPBACK}>

And I think the problem with that question is that, automatically, your doctor is disqualified. He is knowingly practicing things that he was not trained for. 

You know you have a chemical imbalance and have openly acknowledged this.

It is a part of your life. And a general pratictioner should not try to take on those problems. They know this.

...

As to whatever your response will be to this post, I will follow suit:

*Sticks fingers in ears*

LA LA LA NOT LISTENING!

But really- this is not your family doctor's job.

Good luck.

Your GP could probably use it as well.

~navy~

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Right on Navy!

As to whatever your response will be to this post, I will follow suit:

*Sticks fingers in ears*

LA LA LA NOT LISTENING!

As you get to know him, you will see this is what HE does, the rest of us simply stop reading.

Breeze

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GAD GAD GAD GAD.

This is what I have. And I see a p-doc. I also do other things other than meds to help my situation. It's not all about meds. There are so many other things you can do in addition to meds, you will rejoice.

But first, you need a doctor that does this day in and out to diagnose you.

It is a place to start. To get your adrenaline down. Which is what is happening with your GAD. And Lexapro is stimulating. Not always the best for GAD. Sometimes, but not always.

If alllll these people are telling you the same thing, can we all be wrong? I mean really Boyd, you strike me as a smart guy. Is your GAD standing in the way of getting real help for you GAD?

And no "yeah but" answers this time. Give it to me straight, or I too am outa here.

Breeze

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