Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Trileptal is pooping-out on me.

Posted by linkadge on July 1, 2005, at 17:17:48

In reply to Re: Trileptal is pooping-out on me. » linkadge, posted by SLS on July 1, 2005, at 9:00:53


>It will be interesting to see where Trileptal >takes me. If I respond robustly to it, I think >it might give you another clue as to how the >pieces of the puzzle fit together. The subgenual >cingulate region (Brodmann area 25) is >metabolically overactive in treatment-resistant >depression. Perhaps the white matter in this >adjoining region becomes hyperactive for lack of >information processing in the hypofunctional >subgenual gyrus gray matter. Sodium channel >antagonists like Tegretol and Trileptal might >reduce the activity in the cingulate white >matter in depression. That sounds pretty stupid, >actually. Never mind. I was just trying to bring >into the equation the successes seen in the use >of DBS for severe depression, but that might be >something that is applicable only to unipolar >depressives who experience sadness. Maybe DBS >doesn't work for bipolar depression.

Maybe a simple pet scan could guide treatment for you?? It is known that different AD's and different mood stabalizers have effects on different areas of the brain.

I failed to see the logic in the DBS though. If the subgenual cingulate is overactive in depression, what good is done by electrically stimulating it ???

>Linkadge, I think for future visits, and prior >to seeing a doctor for the first time, you send >them a letter laying out your history, symptom >profile, previous treatments, and your most >immediate treatment ideas. Keep your comments >organized and focused rather than rambling and >thinking out loud. Give the practicioner a >little time to digest your case and develop a >respect for your knowledge and intellect before >they ever meet you. He will also need time to >engage his humility circuits.

Things are extrordinarily tight here in canada. I waited 8 months for *any* opening for *any* psychiatrist in the area. They know they have the upper hand since they are in so much demand. I feel that if I ventured to write a letter like that, chances are good I'd never hear from them again. It's almost like an "accept what you get" type of situation. It's pretty bleak unfortunately.


Linkadge


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:linkadge thread:520955
URL: http://www.dr-bob.org/babble/20050627/msgs/522078.html