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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by NikkiT2 on August 24, 2001, at 13:17:57
I feel lousy, and have no where to turn.
I wqas part of a very close internet communitity that I am no longer part of. I was driven insane by one members inane pollyanna ramblings and felt I had no choice but to leave... I tried calling out for help there, to try and talk to them, but I got no replies... They were all too interested in the new member to worry about old hands that were falling off the edge of the cliff.
Where do I go now. They were my life line.
I just feel so darned lonely and yet again, I have had enough.
I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
Nikki
Posted by JahL on August 24, 2001, at 13:35:57
In reply to How to stop feeling so shit?, posted by NikkiT2 on August 24, 2001, at 13:17:57
> I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
>
> When will this all end. Will I ever get relief. I doubt it, so whats the damned point??I don't have an answer to yr question but speaking as someone who's been all but abandoned by the NHS you have my sympathies...
J.
Posted by Beanie on August 24, 2001, at 15:25:21
In reply to How to stop feeling so shit?, posted by NikkiT2 on August 24, 2001, at 13:17:57
I have days where I feel alone and want to give up...but something out there keeps me going. Chin up and smile :)
You can email me if you want and we can talk about it.
Beanie
Posted by PaulB on August 24, 2001, at 16:16:04
In reply to How to stop feeling so shit?, posted by NikkiT2 on August 24, 2001, at 13:17:57
> I feel lousy, and have no where to turn.
>
> I wqas part of a very close internet communitity that I am no longer part of. I was driven insane by one members inane pollyanna ramblings and felt I had no choice but to leave... I tried calling out for help there, to try and talk to them, but I got no replies... They were all too interested in the new member to worry about old hands that were falling off the edge of the cliff.
>
> Where do I go now. They were my life line.
>
> I just feel so darned lonely and yet again, I have had enough.
>
> I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
>
> When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
>
> NikkiI rememeber you. Nikki from London. Right?. I feel as if I have been in a similar boat to yours. Although I was not so fortunate to be able to receive NHS treatment from the community psychiatrist every 3 months. Its a really difficult situation; the limitations of the NHS vs the cost of private health. One things I would mention though is that the NHS is limited in what medicines they will use. They have a budget too. Medications which are not licensed, as far as I am aware are not an option. i.e. the NHS pdoc I saw would not prescribe Zyprexa as an augmentor when I relapsed on Paroxetine.
This is PB not PSB so i better mention meds.
When I was in a similar boat to you I tried amino acids. I hope this doesnt sound pointless but they are cheap, require no prescription and can often work v-well. They are available in health food shops. Also is there no way you can raise the £££ to go private. Being in London gives you a great advantage. Also if you post what you have got-depression?, youve tried, what worked and
what didnt work then suggestions can be made.
Take care
PaulB
Posted by jojo on August 25, 2001, at 11:01:24
In reply to Re: How to stop feeling so shit?, posted by JahL on August 24, 2001, at 13:35:57
>
> > I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
> >
> > When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
>
> I don't have an answer to yr question but speaking as someone who's been all but abandoned by the NHS you have my sympathies...
>
> J.You didn't mention if you are being treated exclusively by psychotherapy, drugs, or a combination.
If it's psychotherapy, I have no suggestion other than changing the circumstances of your life, if this is a contributing factor.
If it's meds, are you able to afford them, and do you get some assistance in paying for them?
It appears that you can't afford psychotherapy, but if you can obtain meds, you might achieve relief if you can obtain the proper ones. Some pharmaceutical companies have compassionate assistance programs.
I say this facetiously, but it may be that society is leaving you no alternative but to engage in criminal acts in order to find relief. If your pdoc does not realize your economic situation and need for timely action, as opposed to extensive psychotherapy, possibly you should consult another one or a Social Worker, who could make some suggestions.jojo
Posted by NikkiT2 on August 25, 2001, at 11:13:37
In reply to Re: How to stop feeling so shit?, posted by PaulB on August 24, 2001, at 16:16:04
Hi!!
I'm on Zyprexa with Effexor... But I've been on SO many meds over the past 3 years its insane... My GP has given up on me... I wish there was more help available... You'd think being in London would help, but it just means HUGE waiting lists.. its a 4 week wait just to see a GP at my surgery, and I am on an 18 month waiting list for therapy :o( I have Borderline Personality discorder, but have heavy depression associated with it...
Thanks for the replies guys... i feel better today at the moment... but its hot as hell here :o)
Nikki x
> > I feel lousy, and have no where to turn.
> >
> > I wqas part of a very close internet communitity that I am no longer part of. I was driven insane by one members inane pollyanna ramblings and felt I had no choice but to leave... I tried calling out for help there, to try and talk to them, but I got no replies... They were all too interested in the new member to worry about old hands that were falling off the edge of the cliff.
> >
> > Where do I go now. They were my life line.
> >
> > I just feel so darned lonely and yet again, I have had enough.
> >
> > I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
> >
> > When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
> >
> > Nikki
>
> I rememeber you. Nikki from London. Right?. I feel as if I have been in a similar boat to yours. Although I was not so fortunate to be able to receive NHS treatment from the community psychiatrist every 3 months. Its a really difficult situation; the limitations of the NHS vs the cost of private health. One things I would mention though is that the NHS is limited in what medicines they will use. They have a budget too. Medications which are not licensed, as far as I am aware are not an option. i.e. the NHS pdoc I saw would not prescribe Zyprexa as an augmentor when I relapsed on Paroxetine.
>
> This is PB not PSB so i better mention meds.
> When I was in a similar boat to you I tried amino acids. I hope this doesnt sound pointless but they are cheap, require no prescription and can often work v-well. They are available in health food shops. Also is there no way you can raise the £££ to go private. Being in London gives you a great advantage. Also if you post what you have got-depression?, youve tried, what worked and
> what didnt work then suggestions can be made.
> Take care
> PaulB
Posted by PaulB on August 25, 2001, at 14:36:51
In reply to Re: How to stop feeling so shit? » PaulB, posted by NikkiT2 on August 25, 2001, at 11:13:37
> Hi!!
>
> I'm on Zyprexa with Effexor... But I've been on SO many meds over the past 3 years its insane... My GP has given up on me... I wish there was more help available... You'd think being in London would help, but it just means HUGE waiting lists.. its a 4 week wait just to see a GP at my surgery, and I am on an 18 month waiting list for therapy :o( I have Borderline Personality discorder, but have heavy depression associated with it...
>
> Thanks for the replies guys... i feel better today at the moment... but its hot as hell here :o)
>
> Nikki x
>
Nikki:Effexor is a very good medication for severe depression and Zyprexa has been used successfully for borderline personality diosrder. The fact that Zyprexa can be used to potentiate antidepressants makes this combination therapy sensible. But it clearly sounds it aint doing it for you.
I really dont want to give out advice on what you should try because Im not qualified to do so but I dont see the harm in making suggestions. Just like you, I have a mental health problem and other peoples suggestions have helped me.
One of the main reasons I believe that people relapse or even fail to respond to antidepressants is because AD'S increase neurotransmitter activity but not their levels. They allow only what precious little neurotransmitter there is in a depressed person to circulate for longer. That is why I recommended amino acids in the previous post because they do increase the production of neurotranmsitters. There are other reasons of course such as faster metabolism of the drug and its clearance from the body. There is no reason not to go to 375mg/day of Effexor.
Other AD's that are promising are agonists, drugs that 'mimic' neurotransmitters in the synapse. A drug that has been often talked about here at PB is Adrafanil, refferred to as a smart-drug. It is an alpha1 adrenergic agonist and I beleive the feedback from people who have used it has been very positive. And its cheap, honestly.
The anticonvulsant Lamotrigine has been tested for BPD with good results and has antidepressant properties too which are moderate. It was almost marketed as an antidpressant at one point because it has a serotonin re-uptake inhibitor built into it. Its effectiveness for BPD is believed to be because of its ability to stabilise the balance between excitory and inhibitory neurotransmitters in the brain.
Benzodiazepines can be very helpful in crisis situations or periods. The operational word there is "continuous". Intermittenet dosing(i.e. a few times a week does not produce tolerance or physical dependance.
There is so much information available on the internet that you can educate yourself on both the new or now-proven effective medications for mental health problems. But as you and I both know The NHS doesnt just prescribe them.
I wasnt surprised to see that you had to wait for four weeks to see your GP bearing in mind that you live in London. That must be difficult but would your GP allow you to visit him/her more often? If I phone to see my GP I can usually get an appointment in a day or two. I am pleased to hear you are feeling better and I hope you get well soon.
PaulB
Posted by NikkiT2 on August 25, 2001, at 16:15:22
In reply to Re: How to stop feeling so shit?, posted by PaulB on August 25, 2001, at 14:36:51
The Zyprexa has helped loads.. I was in aowrse state than this before I startedit... But we reduced my effexor down to 150mg a day when I started it...
They won't give me benzo's cos the of the suicide risk... and I dont get an appointment with my psych till october, and when I tried to get one sooner they told me top go to emergency psych services and I don;t want to do that incase they hospitlise me again!!
My GP says she wont help me till I help myself (great huh!)... there is an emergency service in the morning but I find this hard to go to cos its when all the junkies turn up and I hate the hassle they give everyone...
Thanks for the advice though
nikki
Posted by Zo on August 25, 2001, at 22:48:06
In reply to How to stop feeling so shit?, posted by NikkiT2 on August 24, 2001, at 13:17:57
Nikki, Just to add, hope something breaks for you. . .and keep posting. Let us know!
Zo
Posted by Marie1 on August 26, 2001, at 8:50:23
In reply to Re: How to stop feeling so shit? » PaulB, posted by NikkiT2 on August 25, 2001, at 11:13:37
Nikki,
I'm always astonished at the waiting lists you guys in the UK have to deal with just to see a pdoc. What's the suicide rate there? I ask because I don't think I'd still be here if I hadn't gotten an appointment with a pdoc as soon as I did (in US).
I really hope you're feeling better soon. I don't mean to minimalize how you're feeling, but could maybe some of it be related to ending your wonderful trip to Thailand? I felt more depressed (than usual) after returning from a year spent in Australia, after all the coming home excitement went away.Marie
> Hi!!
>
> I'm on Zyprexa with Effexor... But I've been on SO many meds over the past 3 years its insane... My GP has given up on me... I wish there was more help available... You'd think being in London would help, but it just means HUGE waiting lists.. its a 4 week wait just to see a GP at my surgery, and I am on an 18 month waiting list for therapy :o( I have Borderline Personality discorder, but have heavy depression associated with it...
>
> Thanks for the replies guys... i feel better today at the moment... but its hot as hell here :o)
>
> Nikki x
>
> > > I feel lousy, and have no where to turn.
> > >
> > > I wqas part of a very close internet communitity that I am no longer part of. I was driven insane by one members inane pollyanna ramblings and felt I had no choice but to leave... I tried calling out for help there, to try and talk to them, but I got no replies... They were all too interested in the new member to worry about old hands that were falling off the edge of the cliff.
> > >
> > > Where do I go now. They were my life line.
> > >
> > > I just feel so darned lonely and yet again, I have had enough.
> > >
> > > I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
> > >
> > > When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
> > >
> > > Nikki
> >
> > I rememeber you. Nikki from London. Right?. I feel as if I have been in a similar boat to yours. Although I was not so fortunate to be able to receive NHS treatment from the community psychiatrist every 3 months. Its a really difficult situation; the limitations of the NHS vs the cost of private health. One things I would mention though is that the NHS is limited in what medicines they will use. They have a budget too. Medications which are not licensed, as far as I am aware are not an option. i.e. the NHS pdoc I saw would not prescribe Zyprexa as an augmentor when I relapsed on Paroxetine.
> >
> > This is PB not PSB so i better mention meds.
> > When I was in a similar boat to you I tried amino acids. I hope this doesnt sound pointless but they are cheap, require no prescription and can often work v-well. They are available in health food shops. Also is there no way you can raise the £££ to go private. Being in London gives you a great advantage. Also if you post what you have got-depression?, youve tried, what worked and
> > what didnt work then suggestions can be made.
> > Take care
> > PaulB
Posted by jojo on August 26, 2001, at 15:12:33
In reply to How to stop feeling so shit?, posted by NikkiT2 on August 24, 2001, at 13:17:57
> I feel lousy, and have no where to turn.
>
> I wqas part of a very close internet communitity that I am no longer part of. I was driven insane by one members inane pollyanna ramblings and felt I had no choice but to leave... I tried calling out for help there, to try and talk to them, but I got no replies... They were all too interested in the new member to worry about old hands that were falling off the edge of the cliff.
>
> Where do I go now. They were my life line.
>
> I just feel so darned lonely and yet again, I have had enough.
>
> I can't get any decent medical care (my pdoc can only fit me in every 3 months or so... and thats all the care I recive as I can't afford to go private.
>
> When will this all end. Will I ever get relief. I doubt it, so whats the damned point??
>
> Nikki
This is a drug and social post. There are a lot of suffering folks out there who can't afford meds, while many of us on PB have drawers full of meds that we no longer use. Our prescription bottles say that it's illegal for us to transfer it to someone else. This is no doubt a silly question, but I wonder if that includes people in other countries. I'm not sure what word applies here (sin comes to mind), but if I made the rules, there would be some way for those who have, but don't need, to transfer to those who need, but don't have. I won't hold my breath while the FDA and the DEA resolve this issue.jojo
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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