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Pdoc wants me to go inpatient


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Spoke with pdoc today as I was in a really bad way. He talked with the nurses from the home based treatment team and between them they felt I should be admitted to the Acute Psychiatric Unit.

I really don't want to be so he had another meeting with the home base treatment team and it was agreed that the support for me would be increased and i would get more visits and phone calls from the nurses over the next few days and could see the on call pdoc and be admitted if it comes to that. My pdoc also increased my sodium valproate to 1500 mg and I can have an extra 1 mg clonazepam PRN. I have access to the on call pdoc over the weekend if my meds need to be changed again.

Hope I don't totally crack up over the weekend. I really don't want to go inpatient despite suicidal thoughts. They are only thoughts. Right now the blackness and agitation and racing thoughts are really difficult to deal with but I need to keep going. Feel scared 

Thanks for listening/reading my rant

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11 hours ago, rowan77 said:

Spoke with pdoc today as I was in a really bad way. He talked with the nurses from the home based treatment team and between them they felt I should be admitted to the Acute Psychiatric Unit.

I really don't want to be so he had another meeting with the home base treatment team and it was agreed that the support for me would be increased and i would get more visits and phone calls from the nurses over the next few days and could see the on call pdoc and be admitted if it comes to that. My pdoc also increased my sodium valproate to 1500 mg and I can have an extra 1 mg clonazepam PRN. I have access to the on call pdoc over the weekend if my meds need to be changed again.

Hope I don't totally crack up over the weekend. I really don't want to go inpatient despite suicidal thoughts. They are only thoughts. Right now the blackness and agitation and racing thoughts are really difficult to deal with but I need to keep going. Feel scared 

Thanks for listening/reading my rant

I'm glad you have a plan of things you can do if you feel like you are feeling out of control/crack up over the weekend.  IP does suck, but if the suicidal thoughts you are having start getting to the point where you are thinking about acting on them, and if you just can't handle everything generally speaking in life, please go to the ER ASAP.  I'm glad you have so much support and many resources to call if you need them.  I'm thinking about you!

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10 minutes ago, melissaw72 said:

I'm glad you have a plan of things you can do if you feel like you are feeling out of control/crack up over the weekend.  IP does suck, but if the suicidal thoughts you are having start getting to the point where you are thinking about acting on them, and if you just can't handle everything generally speaking in life, please go to the ER ASAP.  I'm glad you have so much support and many resources to call if you need them.  I'm thinking about you!

Thanks Melissa. I am so grateful for the Home Based Treatment Team.  It only started up in 2002.

The  team is made up of pdocs, clinical nurse specialists , psychologist , occupational therapist, etc. They liaise with one another and in very close contact with the consultant psychiatrist.

 The nurses ring every day and sometimes a few times each day and liaise with GP and they visit me at home and monitor the mood and make sure I'm taking my Meds etc.  

Anyway they will keep in very close contact over weekend and i hope i don't have to go inpatient. Trying to do calming stuff but not easy

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11 minutes ago, rowan77 said:

Thanks Melissa. I am so grateful for the Home Based Treatment Team.  It only started up in 2002.

The  team is made up of pdocs, clinical nurse specialists , psychologist , occupational therapist, etc. They liaise with one another and in very close contact with the consultant psychiatrist.

 The nurses ring every day and sometimes a few times each day and liaise with GP and they visit me at home and monitor the mood and make sure I'm taking my Meds etc.  

Anyway they will keep in very close contact over weekend and i hope i don't have to go inpatient. Trying to do calming stuff but not easy

The Home Based Treatment Team sounds excellent! 

I noticed you have klonopin to use as a PRN ... I'm sure you already tried this but just in case not, have you tried the klonopin?  Would it be worth asking your pdoc to either take xanax instead of the klonopin, or ask for a tiny dose of xanax to help you?  I noticed it was in your past hx of meds you took, but not sure why.

Anyway, FWIW ... here is my experience with klon and xanax:  I know klonopin is longer acting than xanax, but from experience the xanax is more beneficial for me.  It acts quicker, however it doesn't stay in your system for a long time.  But for me all I need is the xanax to work (you can put the regular pill under your tongue (tastes terrible though) to help it work quicker), and by the time it leaves my system a few hours later, I've already calmed down enough to not need more.  I've found that that is more helpful than waiting for the klonopin to work (it used to take me 25 minutes minimum taking klonopin to start feeling any effect for me, but I don't feel much of that). 

For me, I find taking the klonopin on a regular basis (ie 1 in AM, 1 in PM) every day actually helps me out more than an as needed med.  It is like having a steady dose in you all the time, and then I also take a little xanax in addition to the klonopin if needed for emergencies.  But YMMV. Also with the klonopin, it works better when taken with food in your stomach.  I know you are struggling with your weight now though, from what you've written on other threads.  The klonopin works either way though ... I just find it more effective with food in me.  YMMV though and I wouldn't want you to feel like you have to have food to make this work better.

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11 hours ago, melissaw72 said:

The Home Based Treatment Team sounds excellent! 

I noticed you have klonopin to use as a PRN ... I'm sure you already tried this but just in case not, have you tried the klonopin?  Would it be worth asking your pdoc to either take xanax instead of the klonopin, or ask for a tiny dose of xanax to help you?  I noticed it was in your past hx of meds you took, but not sure why.

Anyway, FWIW ... here is my experience with klon and xanax:  I know klonopin is longer acting than xanax, but from experience the xanax is more beneficial for me.  It acts quicker, however it doesn't stay in your system for a long time.  But for me all I need is the xanax to work (you can put the regular pill under your tongue (tastes terrible though) to help it work quicker), and by the time it leaves my system a few hours later, I've already calmed down enough to not need more.  I've found that that is more helpful than waiting for the klonopin to work (it used to take me 25 minutes minimum taking klonopin to start feeling any effect for me, but I don't feel much of that). 

For me, I find taking the klonopin on a regular basis (ie 1 in AM, 1 in PM) every day actually helps me out more than an as needed med.  It is like having a steady dose in you all the time, and then I also take a little xanax in addition to the klonopin if needed for emergencies.  But YMMV. Also with the klonopin, it works better when taken with food in your stomach.  I know you are struggling with your weight now though, from what you've written on other threads.  The klonopin works either way though ... I just find it more effective with food in me.  YMMV though and I wouldn't want you to feel like you have to have food to make this work better.

Today my pdoc said i could take the clonazepam 1mg 3 times daily on a regular basis rather than PRN

I am feeling a bit more calm this evening

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