Posted by g_g_g_unit on August 26, 2009, at 22:34:30
Hey Scott -
i was going to attach these questions to another thread, but didn't wanna steer the focus away from anyone else, so thought i'd post them here - anyway, please excuse the clutter.
i'm seeing a new psychiatrist in a couple of days, and had a couple of questions which i hope you don't mind answering.
firstly, i won't bore you with the specifics, but were i to be diagnosed as having co-morbid bipolar disorder and/or presented with a mood stabilizer is there any which is more forgiving in terms of cognitive side-effects? even if i don't have BP, i really can't tolerate SSRI's/TCA's, and thought a mood stabilizer might be worth a shot - much of my depression presents itself as anhedonia/an inner 'emptiness'/concentration issues, which just ends up worse on most AD's.i read that Lamictal is actually becoming a popular treatment for depersonalization? does it offer a cleaner/more stimulating mechanism than the other mood stabilizers? i have found that my cognition improves significantly with things that affect acetylcholine, but that just makes the OCD worse.
secondly, do you have any advice about presenting a case for Parnate? i've found that most psychs seem to get uppity when i put in a direct request, or present evidence of background research, maybe due to my age (23). many are also pushing Effexor, which i do not want to take. i was on Nardil, which didn't really help my social anxiety; i also found the insomnia quite taxing, but it did eventually pass. to be honest, i have no good reason for quitting Nardil; i became cocky and thought i could manage on my own, so gave up due to (retrospectively) minor issues like bloating and fatigue. i am no longer seeing that psych anyway. i could say that Nardil did help me, which might be incentive for him trying Parnate, but don't want to appear fickle for having no reason for quitting it. ugh, sorry if that's a pedantic question, but i have found that self-presentation in these instances can often make or break a decision on their part ..
thank you and regards
3gu
poster:g_g_g_unit
thread:914289
URL: http://www.dr-bob.org/babble/20090826/msgs/914289.html