Posted by KaraS on March 2, 2005, at 22:09:33
In reply to Re: Kara, my turn. How you are doing? » KaraS, posted by TamaraJ on March 2, 2005, at 14:01:29
Hi,
> -- I get the agitation as well. Sometimes I am so agitated that I feel like I could crawl out of my skin. The other thing I get, at times, is this extreme impatience. I keep it all inside, but sometimes I feel like I will explode. Like when I am in the grocery store or at the mall or walking along the sidewalk, and people are walking slow and cutting me off, etc., in my mind I am yelling one expletive after another.
> > > >Yeah, I had the agitation, general anxiety, panic, morning trauma (upon awakening) and the impatience. It defies logic. We know there's no good reason to be that impatient but it's out of our control. I have to say that the doxepin has taken care of most of that. I'm still quite worried about the future but at least I can stand in line at the market and not freak out. I don't wake up in a panic anymore either. Once you get on the right medication, those problems will go away.
> -- I talked to him today. I don't think he had planned to call me back. But, I had called the office to make a follow-up appointment and he answered the phone (weird). We had a nice talk, and he has prescribed Nortriptyline. I couldn't believe it. He said I could try it, altough he doesn't think it is any different than Anafranil.
YAY!!!!! GOOD FOR YOU!!!! I hope that you prove him wrong and the nort. works out really well. I bet you'll be able to tolerate it better than the Anafranil. Just remember to get your blood tested to make sure that you are within the therapeutic window for that drug.
> -- I think part of the problem was his former secretary. She could be quite rude and controlling at times. He is actually quite nice, but he finds it difficult to treat over the phone. I suppose I can understand, but body language is only one aspect of a diagnosis. When we talked about a new AD or re-trying Anafranil, he said what about Effexor. I reminded him that I had tried it for about 6 months and experienced severe night sweats, myclonus, apathy and some increased anxiety. In all fairness to him, he had forgotten and didn't have my file in front of him.
You can't blame him for not remembering all of your details. He must treat many people and would be impossible to remember all of their histories. I'm glad he was nice about it and that he relented on the nort. Glad the nasty secretary is gone too. That profession needs a good, kind admin person more than any other I can think of!
> -- The first headache kind of scared me because it was so piercing. But, they didn't last too long, so that was good. I haven't read the thread on rEEG. Sounds interesting. I'll have to check that one out. I agree, if there is something available that could take the guesswork out of prescribing meds, then people should be able to take advantage of it. I sometimes wonder if doctors realize how much one failed drug trial after another affects a person's outlook. I mean, it can be hard enough to deal with the start-up side effects, then only to find out 6 weeks later that you have not responded and have another med with its own side effects to try. I agree with you that time is too precious. Do you think that by moving in with your friend you will be able to get some insurance?
Exactly why that rEEG sounds so good to me. Plus supposedly it can tell you if you need a mood stabilizer and, if so, which one would be best. It can recommend if augmenting with cytomel would be a good idea. It has the potential to save so much time for people if it's really as good as they're claiming.
I still won't have enough money to get health insurance. I need a job for that. It's very hard to buy insurance on your own here especially when you have a pre-existing condition. Depression is one of the major things that they try not to cover. Apparently they can't make a lot of money off of us so why bother giving us healthcare? It's just disgusting.
I went to see the house today. It wasn't quite as nice as I imagined it would be. It needs some work (some of the other houses my friend looked at were in tip top shape with brand new everything) so I was a bit disappointed by comparison. My friend isn't going to have the money to fix it up either. However it was still nice and it's in a quiet, beautiful gated community. There's a small gym just a short distance from the house. I hope I'm making the right move here. I think it's better than staying where I am but I'm concerned about so many things. It won't be easy to not have my own place anymore. Also, I really wish her taste weren't so awful and I'm so not up for a move right now. I can't help but feel sorry for myself that I'm going to be in a situation like this at my age rather than owning my own home and having it decorated nicely. OK, whining is over. It felt good to get that out though.
> -- I saw part of a clip on the news last night or the night before about I think it must have been the Vagus Nerve Stimulator. That involved surgergy as well. The clip said that 8 of the 10 people who participated in the trial responded and are now depression free. That's encouraging.I'm interested in that as well as a last hope kind of a measure since it involves invasive surgery. Jerrympl went through a trail of that. He didn't respond to it but he knew of others in the study who had great responses.
> -- I think as long as you are making an effort and doing what you can, then that is progress. Take it one thing at a time. And, if it is beginning to pay off, then that is very encouraging and incentive to keep trying. I find sometimes I make this big list of things I want to do - yoga, join a gym, longer walks; dance class, book club, . . . And, then I just feel overwhelmed with everything I want to do that I don't do hardly any of it. So, I am starting to make smaller, more achievable goals -one or two things at a time (well, when I am feeling a bit better). I don't know about you, but I find I sometimes sabatoge myself by being over-ambitious and impatient for results.
Same here. I make all kinds of lists and plans all of the time. Realistically I won't be able to do all of it but I'll try to do what I can and try not to get discouraged because I'm not able to do it all.
> -- I surprised myself with him today. I was worried about ticking him off, but I stood my ground. And, he was very good about it. So, right now, I will try the nort with the Celexa. My stomach has finally settled down (again) so I don't know if I want to take any chances with the Provigil. Maybe once I have been on the nort for a while (if it works), I will try Provigil again. You may find the L-Trytophan may be worth a try. Jas seems to have had pretty good results with it, with the exception of some insomnia. I tried 5-HTP last summer for about a week or so at 50mg and it just left me feeling groggy and tired in the morning. I have never tried Tryptophan though. L-Tyrosine at a low dose may give you some energy, increase motivation and decrease apathy. Last fall I ordered a very low dose (250 mg) to trial. The first time I tried it, I was using 500mg, two or three times a day and it was a bit much. I think, if I try it again, a lower dose might be better tolerated. Like Larry always says - Start low and go slow. But, who knows, maybe you will be able to try a MAOI in the near future after you move in with your friend and have some extra money.
I've tried 5-htp before. I think I only took 50mg. to help me sleep. It did that but created some stomach problems. I haven't tried the enteric coated version yet though. I tried a bit of tryptophan many years ago for sleep and don't remember much about it. I may try it again sometime soon. Also, I've tried l-tyrosine. I got up to about 3,200 mg. a day on an empty stomach but didn't notice a thing - not even jitteryness. I used a couple of different quality brands too. Something just wasn't happening with that. I may try DLPA again. I've only used it in small dosages and not for a long enough period to really judge it. It would be so great if I could get aminos to work for me. So much easier and no doctors need to be involved.
> -- I do as well. Take care, and I'll talk to you soon.
I am crossing my fingers that the nort. will work wonders for you. You deserve it!
Have you started cutting back on cigarettes or have you stopped cold turkey yet?
Uggh! It's raining again. I can't stand it!!!
Talk to you later.Kara
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poster:KaraS
thread:456548
URL: http://www.dr-bob.org/babble/social/20050224/msgs/465757.html