Posted by Crazy Horse on April 19, 2006, at 12:06:45
In reply to Help guys, I'm getting really bad...., posted by Meri-Tuuli on April 19, 2006, at 10:42:32
> ARghhh, I'm feeling really bad, I haven't got out of bed for the last few days. I just don't know what to do. I'm not taking any medication at the moment, and a couple of weeks ago I stopped St John's Wort to try other things. I wish I hadn't.
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> Oh jeeeze I just don't know what to do. I feel the mental health care system here in the UK is just soooo bad.
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> I'm supposed to be referred to a pdoc (on the NHS) but I mean, I probally won't see him for weeks. As for seeing my GP, well I will do, and see if I can be put down for some therapy or something. And maybe I can get some useful medication from him although he told me I wasn't suitable for antidepressants. Well, I'll see another one. But still -- GPs won't prescibe anything other than SSRIs/TCAs and similar. I've done those rounds before - well actually I haven't tried the TCAs, but well, I have issues with sleepiness on SSRIs let alone a TCA. Maybe nortrpialine (sp?) but er, I don't like the sound of the antichlorigenic whatnot sife effects. Although I had some sucess on reboxetine, so maybe a noradrenic med might be the way to go.
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> I guess my main problems are depression and panic issues. I think my depression might have some atypical features (I sleep alot and I have that 'mood reactivity' and I am extremely fearful of rejection of all sorts. I tend to eat more too). I am very unmotivated and it takes loads of energy to do anything. Any idea for some good med options? (I would love to try some stimulants!)
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> Remember that I live in the UK and getting something decent will be problematic from a GP. Jeeeeze, I mean theoir eyes would pop out if I suggested wellbutrin and an SSRI. Actually, I would only try a SSRI if they gave me some benzos to counter the start up anxiety AND something like a stim or provigil to counter the sleepiness, but well, I doubt they'd do that!!!
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> I'm very frustrated with the UK system at the moment. Why do UK GPs seem to think that SSRIs are the answer to everything? I mean, they're pretty rubbish to be on, let alone trying to withdraw from them. And they're not that effective anyway.
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> I would like to try moclobemide (and good for my atypical features) but well, I think that would be almost impossible to get from a GP. And I have to wait weeks to see a pdoc, if indeed, they let me.
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> At the moment, I'm virtually bed ridden. Luckily I don't have a job but well. ARGHHHH!!!!!
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>Hi Meri-Tuuli,
Sorry you are feeling so bad. Have you ever tried an MAOI? (and everyone says, "oh geez,there he goes again") :) But i don't care, because i believe them to be the best AD's especially for those who don't respond well to the others. You say you'd love to try more stimulants. Parnate does have an amphetamine like effect...in 2.5 months it's changed my life from miserable to quite enjoyable!You'd obviously have to find a pdoc who will prescribe maoi's. Also, Parnate reduces the appetite of many people, it has for me. I've lost 10 lbs. so far-i literally have to remind myself to eat. Before, I wanted to eat all the time like you do. Parnate is not perfect, and as with all meds doesn't work for everyone, but it's the best ad i've been on in 25 yrs. of this sucky illness. EMSAM, is also getting a lot of good reviews. Anyway, I really am sorry you are hurting. I will definitely pray for you if you don't mind. And i hope this helps give you a little hope...hang in there, you will get better!
Sincerely,
Monte
poster:Crazy Horse
thread:634770
URL: http://www.dr-bob.org/babble/20060417/msgs/634785.html