Posted by jealibeanz on August 21, 2006, at 23:12:47
In reply to Re: 1 at a time, posted by UgottaHaveHOPE on August 21, 2006, at 21:57:20
Although it's an ideal approach, it's not very helpful unless I plan on seeing him every week or two, which isn't possible. Plus, all the problems are interrelated, so just bring up only one at a time seems to me like I'm holding back important diagnostic information.
But again, I worry that if I mention the enormously overwhelming fatigue me Xanax may be D/C'd. If I bring up the need for a stimulant or stimulating AD, that also affects the insomnia. Yet, I think he'd like to know about all of them, then we'd address the most dire and easiest to treat.
That's actually what we just did. My depression and ADHD went untreated b/c we were unsure about how to go about making so many changes at once and whether or not each of those conditions were exacerbated by sleep deprivation and medication.
We did decide to continue treating the anxiety with Xanax and the insomnia with an increased dose of Lunesta.
So, my next appt... concerns will be a follow up on the Lunesta, better, but really not strong enough to allow me to ever sleep more than 2-3 hours a night at a time. However, I am able to get back to sleep and am now getting at about 4-5 hours at night, an improvement.
I'd assume he'd want to know how the mood levels have been since D/Cing the Straterra. I will say that they have not improved, actually worse. Coffee is really the one thing that helps the sad feelings and tears. It's not because it's giving me a kick of energy that I need. I actually don't feel too stimulated by caffeine. It's very calming and produces a serene feeling. Is this completely abnormal or do others understand this too?
And now I am beginning to feel so overwhelmed that I feel the new to sleep constantly, which I don't believe is related completely to the insomnia. It's a totalllly different type of tiredness.
Insomnia tired is kinda cranky, achy, disoriented, but almost easily able to get through the day without stopping.
Depression tired is like a huge heavy weight on your body. You can barely get out of bed. You can barely muster up the energy to complete normal everyday tasks. In the end, you neeeed a nap, maybe several, if you day allows it. The extra sleep doesn't alleviate the fatigue though, nothing does.
OK, I suppose I just answered my own questions. I could leave things out, however I'm really hesistating to do so.
But does this seem to make sense to others? Is this a fairly clear presentation of symptoms of my already diagnosed disorders? They aren't new, they just now need to be treated differently as my life, circumstances, body, and neurotransmitters get misaligned. Right?
poster:jealibeanz
thread:677450
URL: http://www.dr-bob.org/babble/20060818/msgs/678903.html