Posted by Elizabeth on August 9, 2001, at 16:42:05
In reply to Re: Update » Elizabeth, posted by Lorraine on August 9, 2001, at 9:59:57
> Yes, but people who have SA are not necessarily shy, although they can be.
Point taken.
> Could be, but my meeting only had 3 others in it and at least 2 were depressed.
That still leaves room for a lot of diversity. "Depression" is a big umbrella.
> > I found that spacing them as little as 2 hours apart was fine;
>
> I may end up doing that and basically taking my whole dose in the am.That might be helpful, although once you are at steady state, it shouldn't make much difference at what times you take it.
> I think I am a slow metabolizer (so drugs build up in my system quickly) and you are a slow metabolizer (or a partial non-metabolizer?) so that you need more drug to have an effect.
People who metabolise drugs slowly need to take lower doses; people who metabolise them rapidly need higher doses. Also, not all drugs are metabolised via the same pathways -- so someone who metabolises tricyclics slowly (like, say, me) might not have a problem metabolising, for example, Parnate. Usually these problems arise from drug interactions or enzyme deficiencies. Some people are just sensitive to side effects without having any sort of metabolic quirk.
> > It gets taken up into the CNS very fast, then redistributed throughout the body. So it "hits" rapidly, but it doesn't work for nearly as long as you'd expect it to based on its elimination half-life.
>
> Unless the effects that you want are not CNS but body effects, like breath rate?I think those are probably centrally mediated, actually.
> Clicking is important especially if you need to be vulnerable to make progress, but my experience with CBT is that vulnerability and disclosure aren't as important and so "click" isn't either.
Yes. I think that CBT tries too hard to take the "click" out of the picture -- to be uniform regardless of the personality of the therapist -- probably because cognitive-behavioural psychologists would like to be able to claim "objective" results. (Of course, these results are rated in a completely subjective fashion.)
> elizabeth, did you get SA as a result of having early onset depression?
No, I wouldn't say so. (I've always had some performance anxiety, though.)
> I reread this--I'm wrong I think. You can add TCAs to MAOs but not visa versa, right?
You can do either as long as you're careful. Starting with the TCA alone and then adding the MAOI is the preferred order.
> When's your pdoc home?
The important thing for me is not when he's home, but when he's back at the office. :-) (Middle of next week.)
> And how are you coping day to day?
Well enough.
> I see my pdoc tomorrow re sleep. Last night I upped the Neurontin from 300 to 500 and slept like a rock. Not sure this approach will last, who knows?
I've found that most sedating drugs stop working after a couple days, so that I need to increase the dose. Ambien is the one exception.
-elizabeth
poster:Elizabeth
thread:67742
URL: http://www.dr-bob.org/babble/20010809/msgs/74358.html