Posted by Lorraine on August 11, 2001, at 1:34:14
In reply to Re: Update » Lorraine, posted by Elizabeth on August 10, 2001, at 12:39:47
> > > So it's a self-help CBT group as well as a support group? That's cool. There's a similar group (SMART Recovery) aimed specifically at addictions.
Mainly, a CBT type group.
>
> (I remain unconvinced that CBT has any specific effect in depression.)Have you tried it? I do think that there are the physical and the mental aspects. Now, when physical is the only issue, I wouldn't expect it to be of too much help. But lots of times, both mental and physical is involved.
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> Immediate release or XR? The immediate-release formulation can cause quite a roller coaster. Before Effexor XR was available, I remember a lot of people complaining about that.Immediate Release, it is.
>
> > >Some people are just sensitive to side effects without having any sort of metabolic quirk.Turns out there are people who are insensitive to side effects also--that might be you?
>
> Can you tell me more about what Effexor and Adderall did, and what doses you were on? The effective ranges for both these drugs are quite variable.Effexor--I was at 150 XR. It seemed to completely control my depression. I was very active and really had good mood control, although in retrospect I was a bit too tranquil. The Adderal was in conjunction with Selegiline (Adderal 7.5 mg 2x day; Selegiline 2.5 2x day; Neurontin 300 3x day). During washout it was 10 mg of Adderal 2x day with the Neurontin. And, remarkably that held the course pretty steady, although I felt a bit speedy and had trouble sleeping.
> I'd be interested to see the results. :-)Actually, I'm doing a retrospective mood chart (like the one the NIMH uses) as a project right now. Just finished reviewing my files. If you are interested in the final result (which include my own cool chart in Word Format), Id be willing to share. O/w I will let you know what the results of the side effect/ partial response survey is.
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> > The CBT people I have seen act more like teachers than therapists.
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> Yes, exactly. They want to take the human element out of therapy because they're concerned with being "objective" and "scientific." But my experience has been that the human element is the most important (perhaps the *only* important) aspect of talk therapy.Oh. Well, I've found some of my most useful therapy in CBT. I've also found regular talk therapy useful. I think it depends on what you are trying to address.
> > > I was an odd duck for other reasons -- I was labelled "highly gifted" when I was very young, I was reading long before most people my age, etc. I did have some social troubles when I was 10 or 11 (that was the time that I think I was depressed but didn't see a doctor or anything for it). I wasn't very interested in hanging out with other kids, so I became very isolated. Mostly I tried to immerse myself in school work as a form of distraction or sublimation.It's one thing to not be interested in hanging out with the other kids; it's another to not fit in and hunger for it. I was the latter. It sounds like you were the former. That is a stroke of luck--genetic luck--to have found been inner directed rather than outer directed. That's great.
> > > About pdocs taking vacations: for unknown reasons, a large percentage of pdocs take a big vacation in August. I think they must all be holing up in a hotel in Paris or some kind of psychiatrists-only resort or something. :-)No, all the investment brokers take off in August and the therapists are forced to go on holiday out of boredom;-)
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> Klonopin is usually effective for treating antidepressant-induced bruxism, I think. It also might help you sleep.Thanks, it's on my list.
Lorraine
poster:Lorraine
thread:67742
URL: http://www.dr-bob.org/babble/20010809/msgs/74586.html