Jump to content
CrazyBoards.org

Sign in to follow this  
OliverB

It's time to tell my pdoc and I am scared about it

Recommended Posts

48 minutes ago, OliverB said:

I am not so sure about chaning pdoc, I like him even if I don't like talking to him, he accepts different approaches... I can't overlap with two pdocs since I am seeing him through the public health system, and if I am discharged from the day hosptial I won't see him again, I would have to go to a normal outpatient facility and ask for an appointment there (I can't ask while I am "signed in" the day hospital).

Oh, ok ... so he is connected to the day program ... so without your current pdoc it would cause a problem.  I don't really understand the Public health system where you live, but from what you've written over time is that it is not a very flexible system.

51 minutes ago, OliverB said:

I think I don't want to risk to lose my Concerta. Being diagnosed with schizophrenia, taking a really low dose of an AP and a stimulant it's really rare here, actually, they don't give Concerta to adults because it's not approved here. We don't have adderall either, there are really few approved ADHD meds, and only 1 of them is also approved for adult. None is approved for fatigue, depression, etc. and they are really reclutant to prescribe them.

 

Makes sense.  Going to a new pdoc you would losing risk the Concerta, so it makes sense to stay with current pdoc for that reason alone.

56 minutes ago, OliverB said:

I have to solve this instead of risking my gold med (Concerta).

That is good that you are aware it is you, not him, interms of "getting along" with each other.  I think solving this instead of not, risking the Concerta, is a really great idea.  Great Insight!

  • Like 1

Share this post


Link to post
Share on other sites
On 2/5/2017 at 11:35 AM, OliverB said:

Ahhh I think I am seeing him earlier, I don't know! I can't stand more than 1 day without Concerta because of depression... but I don't want to take it everyday either! 

I think I don't want to risk to lose my Concerta. Being diagnosed with schizophrenia, taking a really low dose of an AP and a stimulant it's really rare here, actually, they don't give Concerta to adults because it's not approved here. We don't have adderall either, there are really few approved ADHD meds, and only 1 of them is also approved for adult. None is approved for fatigue, depression, etc. and they are really reclutant to prescribe them.

My pdoc is 60 years old, he has been working time enough to know there are really big exceptions, and he has directly told me he has never given Concerta to anyone over 16 years old...... and he is someone who works in a day hospital and treats people with severe mental illness, not a regular pdoc who mostly see people with mild-moderate anxiety and depression.

He is good as a psychiatrist, he is not good as a psychotherapist for me, but that's my fault! My pride is giant, I like doing everything by my own, I can't freely talk about my problems with almost anyone (there was just one exception in all my life, my ex-pdoc). I think it's me, not him. I have to solve this instead of risking my gold med (Concerta).

 

I'm sorry you are dealing with this! This combo is rare - but if it really helps your symptoms, it shouldn't be so impossible to get! I can understand you must feel stuck with going to the same pdoc because no one wants to prescribe stimulants.

I am dealing with this same issue because my current pdoc says she does not prescribe them (even though I had a previous pdoc prescribe them to me). I will continue to see her, however, she must refer me to someone else if I want to get a stimulant (and it probably isn't guaranteed that they will approve). They didn't give ADHD tests when I was a kid, so there was no chance I could have been diagnosed as a child - they do not approve this here for adults or as an adjunct for depression :-(

Are you saying that your pdoc is also your therapist? Because you can only go to 1 person for both? How are you doing otherwise?

Share this post


Link to post
Share on other sites
On 8/2/2017 at 10:34 AM, cloudmonger said:

Are you saying that your pdoc is also your therapist? Because you can only go to 1 person for both? How are you doing otherwise?

Here what it's normal in regular outpatient facilities it's having a pdoc you see once each 2 months in the begining, then once 2-4 months and when you are stable, once each 4-6 months. You can see a psychologist once a month if they consider the issue it's mainly psychological, but since I am diagnosed with schizophrenia they won't assgined me a psychologist. When I was in one of the two regular outpatient facilities that treat mental illness here, I wasn't given the opportunity to talk with a psychologist...

When I am right now, a non regular outpatient facility (it's a day hospital), there is a psychiatrist and a psychologist, actually I could talk to both at the same time if I asked to, or with one of them, but I don't find myself really comfortable with the psychologist...

Anyway, I am doing more or less OK, I go to 2/3 of lessons and try to study a bit everyday. I am not dying, but I am unhappy deep inside, a silent sadness...

Share this post


Link to post
Share on other sites
On 8/2/2017 at 10:34 AM, cloudmonger said:

I am dealing with this same issue because my current pdoc says she does not prescribe them (even though I had a previous pdoc prescribe them to me). I will continue to see her, however, she must refer me to someone else if I want to get a stimulant (and it probably isn't guaranteed that they will approve). They didn't give ADHD tests when I was a kid, so there was no chance I could have been diagnosed as a child - they do not approve this here for adults or as an adjunct for depression :-(

Here it's not approved for adults or depression either... so I was really luckly I found this pdoc. I guess nobody else would ever prescribe it to me...

I am sorry your pdoc continue refusing to prescribe it, it's really weird because you tried it before and it went well.

Share this post


Link to post
Share on other sites

Just dropping in to say 'hi' :)  I was just going to post here to ask how you were, but others beat me to it!

I hope you start feeling happy inside again.  Did anything change for that to happen?

Share this post


Link to post
Share on other sites
2 hours ago, melissaw72 said:

Just dropping in to say 'hi' :)  I was just going to post here to ask how you were, but others beat me to it!

I hope you start feeling happy inside again.  Did anything change for that to happen?

Eysash yah Hi!

I hope I could feel happy inside, but too much trauma, stress, being poor, ... makes it impossible. It is not anything new, ... actually I think I am better because at least I am not deep inside psychotic lol

Share this post


Link to post
Share on other sites
32 minutes ago, OliverB said:

Eysash yah Hi!

I hope I could feel happy inside, but too much trauma, stress, being poor, ... makes it impossible. It is not anything new, ... actually I think I am better because at least I am not deep inside psychotic lol

I'm glad to hear you are hanging in there. 

I can empathize with the stress and being poor.  I don't need much in life, and I have what I need to survive, so it isn't that bad.  But I would love an iphone.  Something like this are things I would love to have, where if I had more money I would buy them.  With the stress, well, I just do whatever to keep the stress low.  Sometimes works, sometimes not.

Hope you have a better day today :) 

Share this post


Link to post
Share on other sites

I am done.

 

I asked for a referral hoping I can find someone like my ex-pdoc, with him I was better than now and without taking any medication. But I was told last time the only options where a regular outpatient facility seeing a psychiatrist once each 2-3months, my ex-pdoc worked in a place no longer exists. I hope there is another option I wasn't told about or I am dead.

I haven't been told where I will have to go or with whom yet. I hope really hope there is another option...

Here poor traumatized people with MI are condemned to dead or suffering.

Share this post


Link to post
Share on other sites
10 hours ago, OliverB said:

I haven't been told where I will have to go or with whom yet. I hope really hope there is another option...

When do you find out?

Share this post


Link to post
Share on other sites
On 17/2/2017 at 0:56 AM, melissaw72 said:

When do you find out?

...

No options, I am still with my pdoc. It is not that bad in the end, he said he believes I have Complex PTSD. I never told him anything about complex PTSD, I was shocked in a possitive way when he said it.

Edited by OliverB

Share this post


Link to post
Share on other sites
12 hours ago, OliverB said:

No options, I am still with my pdoc. It is not that bad in the end, he said he believes I have Complex PTSD. I never told him anything about complex PTSD, I was shocked in a possitive way when he said it.

Nice to hear from you here OliverB, how are the meds & everything going? Do you feel relieved that your pdoc agrees with your diagnosis? What are the next steps with getting the help/recovery that you need?

Share this post


Link to post
Share on other sites
On 22/2/2017 at 10:01 AM, cloudmonger said:

Nice to hear from you here OliverB, how are the meds & everything going? Do you feel relieved that your pdoc agrees with your diagnosis? What are the next steps with getting the help/recovery that you need?

 Thank you,

I am only on Concerta and gabapentin, I am not happy but not that bad either, I guess I am improving. And finally I am beginning psychotherapy with my pdoc , the diagnosis issue was really validating. I think things with him will improve a lot since now. My next step is clarify my objective and tell him something about my past, it will be this Tuesday, I hope it goes well I have written a letter...

 

How are you doing? With lamictal? Could you find a pdoc that gives you stimulants for depression?

  • Like 1

Share this post


Link to post
Share on other sites
9 hours ago, OliverB said:

he diagnosis issue was really validating. I think things with him will improve a lot since now.

I understand how getting the diagnosis was validating.  It feels (at least to me) like 'finally, someone believes me.'  And then can work from there.

I hope things do improve for you.  I am glad you have written a letter ... IME those can be incredibly helpful.

Share this post


Link to post
Share on other sites
15 hours ago, OliverB said:

 Thank you,

I am only on Concerta and Gabapentin, I am not happy but not that bad either, I guess I am improving. And finally I am beginning psychotherapy with my pdoc , the diagnosis issue was really validating. I think things with him will improve a lot since now. My next step is clarify my objective and tell him something about my past, it will be this Tuesday, I hope it goes well I have written a letter...

How are you doing? With Lamictal? Could you find a pdoc that gives you stimulants for depression?

Glad to hear you're doing better! I'm on same dose of Lamictal (stabilizing like Gabapentin), ok at the moment, but still depressed with incredible anhedonia. Started another trial of Abilify as adjunct, but too scared to go up more than 2.5mg due to side effects everyone talks about. It could be helping a bit, I'm on a sub-therapeutic dose though.

My current pdoc said she cannot rx stimulants but she can refer me to someone else that does. I will make an appt soon, because it really helped me in the past get over the anhedonia and residual dysthymia. I am just hoping that they don't have to go through an entire new assessment & interview in order to rx it. They don't prescribe it here for depression or other issues other than severe childhood ADHD which is not really my primary ongoing issue.

Share this post


Link to post
Share on other sites
3 hours ago, cloudmonger said:

Started another trial of Abilify as adjunct, but too scared to go up more than 2.5mg due to side effects everyone talks about.

I didn't have any side effects with the abilify ... I hope you don't either.

3 hours ago, cloudmonger said:

My current pdoc said she cannot rx stimulants

Just curious ... why can't she prescribe stimulants? 

Share this post


Link to post
Share on other sites
2 hours ago, melissaw72 said:

I didn't have any side effects with the abilify ... I hope you don't either.

Just curious ... why can't she prescribe stimulants? 

No idea...she told me this during our first appointment. I gave her a laundry list of every med I've tried with the few "best ones" at the top of the list. I'm in europe and the rules are different here I guess. They consider stimulants really addictive/subject to misuse or something and most pdocs cannot rx it for off-label diagnosis (I'm guessing).

Ritalin helped me a great deal. I told her that it had no side effects. I felt calm, focused, it eradicated the negative side effects of the SSRI I was on at that time. I felt much better, motivated, positive. I was able to become engaged in life again.

Edited by cloudmonger

Share this post


Link to post
Share on other sites

I am just reading this but benzos plus alcohol does not make you stop breathing. It can't kill you. With barbiturates these kind of things can happen 

and that is the reason benzos were invented, they don't have a risk of death that barbiturates do. Barbiturates are rarely prescribed today. 

Share this post


Link to post
Share on other sites
2 hours ago, notloki said:

benzos plus alcohol does not make you stop breathing.  It can't kill you.

Enough of benzos + enough alcohol could.

 

https://www.thecabinchiangmai.com/xanax-and-alcohol-a-combination-that-could-kill/

Quote

 

The Dangerous Side Effects of Mixing Alcohol and Xanax

There are some serious side effects that can occur from combining alcohol and Xanax.

‘Minor’ side effects include:

  • Extreme dizziness
  • Abnormal behaviour
  • Tiredness
  • Impaired coordination
  • Memory problems

More critical side effects include:

  • Hives
  • Swelling of the lips, tongue or throat
  • Severe depression
  • Hyperactivity
  • Agitation and hostility
  • Hallucinations
  • Light-headedness
  • Seizures
  • Slowed respiratory and heart rates
  • Slipping in and out of consciousness
  • Breathing difficulties
  • Cardiac arrest
  • Death

 

Edited by melissaw72

Share this post


Link to post
Share on other sites
7 hours ago, melissaw72 said:

 

Give me one specific of a person who has died from benzos and alcohol alone. It is just an unreasonable amount of pills, more than one could take. You are likely to throw up if you tried to force feed that many pills. You need to addition of something that really suppresses respiration, namely strong opioids or barbiturates.

Edited by notloki

Share this post


Link to post
Share on other sites
1 hour ago, notloki said:

 

Give me one specific of a person who has died from benzos and alcohol alone. It is just an unreasonable amount of pills, more than one could take. You are likely to throw up if you tried to force feed that many pills. You need to addition of something that really suppresses respiration, namely strong opioids or barbiturates.

Whitney Houston, a possibility.

 

There are a few things that have been said on-line about her death, and then I found the autopsy report:

http://www.autopsyfiles.org/reports/Celebs/houston, whitney_report.pdf

Page one describes some things about prescription meds and alcohol, but if I read this correctly, I think the final report (on another page) was of cocaine and something else.

 

As I was looking on-line for all of this, there were speculations about the xanax and alcohol and her death (see links below).  But as I was continuing to read stuff, in the WH  articles, it didn't just give the speculations; it gave reference to why (in general) xanax and alcohol abuse can be deadly.

http://www.thedailybeast.com/articles/2012/02/13/whitney-houston-s-death-xanax-and-alcohol-deadly-duo.html

Quote

But of all the things that people ingest, there are few combinations more life-threatening than alcohol and benzodiazepines—the class of sedatives that includes Xanax, Valium, and Klonopin.

The reason? When taken together, alcohol and Xanax have what’s known as an additive effect, which means that in the presence of Xanax, alcohol is made more potent than it would be alone.

Both alcohol and benzodiazepines work by depressing the central nervous system of the body, reducing the activity of several broad-stroke mental functions, such as thought, memory, coordination, and respiration.

 

http://www.nydailynews.com/life-style/health/whitney-houston-death-anti-anxiety-meds-kill-abused-combined-alcohol-article-1.1021863

Quote

Each drug magnifies the effect of the other,” said Dr. Greg Bunt of Daytop New York.

Withdrawal from these drugs can also be a killer.

“It can absolutely lead to seizure and death,” said Fred Keane, the clinic director at Mountainside. “It can cause a heart attack.”

----------

But overall, why would xanax, alcohol, and death be all over the internet then, cautioning people about the deadly side effects, if it wasn't true? 

Examples:

http://drugabuse.com/library/concurrent-alcohol-and-alprazolam-abuse/#combined-effects-of-alprazolam-and-alcohol-abuse

Quote

and drinking in combination with alprazolam can result in fatal respiratory depression—or dangerously slowed breathing. Alcohol and alprazolam both potentiate the activity of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the brain. This neurotransmitter is responsible for muting widespread excitation in the brain and, when its actions are ramped up, can result in sedation. When these depressants are mixed together, over-sedation may occurs—a serious problem that can progress to coma or even death.

--------------

https://www.elementsbehavioralhealth.com/featured/the-most-lethal-alcohol-drug-combinations/

Quote

A similar combination is alcohol with any type of sleeping or anti-anxiety pills. These, like alcohol, are depressants, and taking them with alcohol multiplies the sedative effect.

They work together to cause the effect, which can lead to death in some people.

 

 

 

Edited by melissaw72
  • Like 1

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

  • Similar Content

    • By MisterMelancholy
      I've been experiencing depersonalization frequently recently but I don't understand why. I probably don't fit the criteria of depersonalization disorder so the only other reason I could experience is if I used a psychedelic substance, which I do not. I've been wondering if depression is the cause of the depersonalization as it often, but not always, happens during MDD episodes. Could this be correct?
    • By Dewey
      Deleted post and closed due to lack of response.
    • By Dewey
      Latuda is off the table for now due to the weird reaction.  We were considering Depakote, but psych doc just called and nixed that idea due to my NAFLD and chronic hyperammonia issues.  So, he wants me to start back on Zyprexa tonight and to call him tomorrow to see how I am doing.  He has been calling me daily over the past two weeks.  Several neighbors are suggesting assisted living, but my psych doc is saying no way, I'm not at that stage yet.  However, my mother started dementia at my age, but his position in this is that when on Zyprexa, it cures the confusion and other debilitating symptoms at least for awhile.  He says that if I had early dementia, I would not respond to the Zyprexa as well as I do.
      My neighbors are now concerned due to my inability to think straight and confusion which they are picking up on.  I have known this for sometime and have expressed my concern many times over my brain feeling like it is falling apart and unable to function in the real world.  Finally my psych doc is taking me seriously. 
      Dissociation is with me all day long, extreme anxiety and fear/panic/dread all day long, confusion is there all day long, just feeling unwell with these chronic migraines is keeping me in bed 3 days out of 5 days.  This is not a functioning life for me.  I am afraid to leave my apartment, I am afraid to hear from my neighbors that I am confused and not functioning well.  These daily reports are just overwhelming me.  I now turn off my phone, close my blinds and live in a shroud of secrecy.
      I will be seeing my headache/neurologist/seizure doc this week and will bring this up to him as well.  I hope I can make the appointment.
      Just sitting here after taking .5 mg of Klonopin to take the edge off.  Will start the Zyprexa this evening or sooner.
      Just a few points about my environment.  Two neighbor threatened my life here (verbally), neighbors that I get close to pass away suddenly (one right in front of me) (I live in an independent living facility and I am the youngest here - most have varying degrees of psychosis/dementia - hard to live with).  I went to a party last week and I sat alone at my table while others crowded around with each other excluding me.  I left and came home very depressed.  I am an easy target where I live, bullies come after me. I have no trust with anyone who lives here anymore. Have been here a year and can't connect with anyone, very depressing, so I stay alone in my apartment.   I do not drive and with my agoraphobia, leaving my home and venturing out alone is very very scary to me. 
      Just not a life that I want to keep living.  I have to get on something to help calm down my brain so I can function in the world.  I have been on most medications now and nothing works or the side effects are too harsh.  It's just becoming too hard now to function in this world. 
      Well, thanks for reading *smiles*
       
       
    • By Dewey
      So I saw my psych doc today and he feels the best reactions I have had to control most all my symptoms are in this class of medications.  Where I do not like this "named" class, I will give this one drug one more try.  I have been on them all but this one. All the others I can take for short bursts of time.  We are trying to find something I can take long-term.
      Starting tonight with 20 mg of Latuda.  I also asked for Cogentin to help with the horrible muscle spasms and rigid muscles.  Mail order will eventually get me the Trasadone to help with sleep and Cogentin for muscle issues. I asked for Xanax and he wouldn't allow that since it's too short acting.  I tried to convince him I need something for emergency purposes and he still said no.
      It's been 6 months since I have seen my psych doc and in 40 minutes he went thru all my back history, last 30 years to try to find something to help me. He also wrote to my landlord stating that my new kitten is my therapy cat and can therefore not charge me any pet deposits nor fees.  I love him for doing that for me !!!  
      So, after 35 years of treating me I asked... am I BiPolar or what am I?  He said basically I suffer under the umbrella of chronic PTSD, tramatic brain injury and childhood abuse.  The symptoms I continue to have will not go away, but need to be treated, great, huh?  At least he was truthful.  Settling in for the long-haul or what's left of my life. Somehow I was magically under the illusion I would be cured, lol. 
    • By Dewey
      This is what I go thru every day from the moment I wake up: anxiety throughout the day, uncontrollable anxiety and panic only when I leave my home, dissociation in times of high stress and high anxiety and panic, insomnia every night, daily depression, scary cycling mood swings.
      My psych doc called me on a Saturday afternoon (now this doc is semi-retired and only works 3 days a week now). I was shocked when I saw his name come up on caller ID.  He was calling to suggest I go into the hospital until I become stabilized.  Stabilized in one week, no way I say.  It's gonna take time for that to happen.  He said with the dissociation and everything else I am going thru on a daily basis he is worried I might self harm.  I assured him I am not at that point and he knows that I call him when I need to go back in, plus I have a new kitten and don't want anyone in my home anyway. I think I can manage all this at home.  I will be seeing him on Tuesday.  That was soo out of character for him to call me like that, kinda got my attention and am I worse off then I realize.  I have known him for 30+ years and he knows me well, so I have to trust his direction. His concern is that I am in the middle of a perfect storm and anything can happen and he worries that if anything triggers me I might not be able to control what happens to me.
      Then several neighbors stopped by to see if I was okay as they have not seen me last week, curtains have remained closed, not answering phones nor texts.  I know I have been avoiding alot of neighbors now as I am selectively avoiding those that trigger me and those that knocked on my door I call them "the axis of terror" for what they have been known to do to other people here. So, I had their phones on block.  I have been protecting myself while I work on medication and mood and it's nobody's business. 
      Had a game of RummyKub set up for this evening and really looked forward to this all week, and everyone just canceled, really bummed about that.
      I have had no interest in bath, washing my hair, eating.  I can't focus on TV, can't read, nor listen to my book tapes. No interest in anything, I am soo flooded with anxiety/panic.
      My HMO has restricted how many benzos I take, I have been on Klonopin for 30 years and that takes the edge off, but have to stock pile them due to the restrictions and delays in getting the medication to me, so had to cut back and that makes my anxiety worse.
      So, back to my psych doc.  The plan is to keep me on Seroquel (1/2 of a 25 mg) at night for sleep and for mood control for now during the day until I see him next week.  It just sedates me too much if I take more than 1/2 of 25 mg in a 24 hour period.  But the Seroquel puts the breaks on mood cycling, I just can't tolerate the side effects, they never go away, just increase.
      So, I am going to suggest to him for sleep (I want to get off Seroquel due to over sedation and muscle rigidity), Ambien or Trazodone.  I read up that Trazodone helps with insomnia, panic, migraine.  Then I need a mood stabilizer/seizure medication so may go back on Depakote and Xanax for rescue from intense anxiety/panic.  I don't want to go back on Lithium. 
      Goal for the day, making my bed and taking a bath, maybe washing my hair.
       
×
×
  • Create New...