Posted by JohnX2 on November 12, 2001, at 17:28:03
In reply to Re: BPII and stress; can meds help one cope? » JohnX2, posted by Sue4 on November 12, 2001, at 14:32:31
I hope you do well. I think that lamictal augmentation of
topomax has been one of the latest crazes. Lamictal by itself
anecdotally on this board is one of the better meds for
rapid cycling. Its mode of action is a bit different than
topomax, so the 2 are thought to work well together. All in
theory and the anecdotal data is fairly fresh on that one.Best of luck, and if you don't like your pdoc you can
always dump him for another one. Don't forget you are the
customer paying good money for his service. Just like any
bad service (car mechanics, etc) if the experience is bad
you move onto someplace else..good luck,
john> Hi John,
>
> Your response was comforting. Thankyou. I think I need to talk to my pdoc and find out what he meant by his response. To answer your question, I currently take Topomax 200mg, Neurontin 900mg, prozac 20mg. My pdoc wonders how much more fine tuning can be done; he thinks if we do it, the route to go is to add a more potent aed, like trileptal.
> >
> > Hi Sue,
> >
> > Sounds like there may be a little miscommunication
> > between yourself and your doctor. Hopefully this is
> > the case, otherwise he is giving you bad information.
> >
> > It is true that anyone suffering from any form of mental
> > illness is going to have difficulty "coping" with life
> > especially when we are on mood swings. It is *extremely*
> > frustrating for me for example (I'm bpii) if I have a
> > string of good days, make commitments feeling that I
> > am well, and then have a string of bad days for what
> > ever reason and then can't make those commitments.
> > The unpredictability of the situation adds on to the
> > stress of the situation greatly.
> >
> > It is possible and necessary to learn coping skills for
> > how to deal with these periods. For example, I try at
> > work to stay on projects that have longer term objectives
> > as opposed to short term ones. This gives me some bumper
> > room for mood swings which may interfere with my output.
> > When I'm feeling better I have to compensate by putting
> > in a little extra effort. Its kinda annoying because I
> > would prefer to be enjoying other things in life during
> > those episodes in feeling better.
> >
> > Regarding the addition of a mood stabilizer, if you
> > are indeed rapid cycling, then a mood stabilizer that
> > smooths things out and adds "predictability" to your
> > life will by default give you better coping skills.
> > You are absolutely 100% correct in your thinking there.
> >
> > I know it really sucks that we have to learn new coping
> > skills to maximize our life dispite our illness.
> >
> > I wish you the best of luck with any additional
> > mood stabilizers. BTW, what treatment path are you
> > taking ? I found Lamictal to be the best mood
> > stablizer for me (I rapid cycle too). But everyone
> > is different. I also did well on neurontin. A lot
> > of people do well on depakote,tegetrol,trileptal,
> > and lithium also (not to mention others...).
> >
> > Good luck,
> > John
> >
> >
> >
> > > Hi,
> > >
> > > Does anyone know if the condition of BPII, and in particular rapid cycling, make it harder to cope with stressful situations, and if so, does medication, in theory, help?
> > >
> > > A doctor recently said to me that he thought my difficulty coping was "me" not the "illness"; if so, why should I bother taking a second mood stabilizer as he suggests...if it's not to treat an "illness" then it sounds like it serves no purpose at all. I have liked this pdoc in the past, but that statement made me feel rather hopeless. To some extent, he may have said it because he doesn't know how much more "fine tuning" we can do on the meds...I may be at the best that I can be, but still does that mean I'm in full remission when he says my difficultly coping is me and not the illness?
poster:JohnX2
thread:83956
URL: http://www.dr-bob.org/babble/20011104/msgs/83991.html