![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by geno on February 22, 2002, at 15:14:02
can someone define this term. Does this entale too much dopamine and lack of seratonin.
geno
Posted by Ritch on February 23, 2002, at 0:12:22
In reply to psychotic depression, posted by geno on February 22, 2002, at 15:14:02
> can someone define this term. Does this entale too much dopamine and lack of seratonin.
> genoGeno,
It is a depressive episode that deepens (or is mixed up) to the point of delusional thinking (considerable thought disorder). That happened to my grandma in the 60's. She thought my grandfather was trying to kill her and that he was listening to her through the walls all of the time (and was involved with the electicity supplying their farm, etc.) I think it was really a manic-mixed-state. She was misdiagnosed with paranoid schizophrenia and got ECT and antipsychotics later and came home. I remember her compulsively counting her fingers with her thumb all of the time when I was a kid. She died a few years later. Her daughter (My Mom), had nocturnal grand mal seizures which started with my older brother's birth and ended with my birth.
I had a friend of mine who also became psychotically depressed. It wasn't manic, it was a unipolar psychotic depression. She just got so vegged out, so tired and listless, wouldn't eat for days. But, she had a weird idea system about the outside world that was just so WAY off. We had to drag her in for a 72-hr.
I couldn't speculate about neurotransmitters in these cases-they were just so extreme.
Mitch
Posted by Elizabeth on February 28, 2002, at 1:37:11
In reply to Re: psychotic depression » geno, posted by Ritch on February 23, 2002, at 0:12:22
Nobody really knows what's going on with the neurotransmitters in any of these clinical syndromes. But the standard treatment for psychotic depression is an antidepressant (TCAs are the best studied, but SSRIs and others are used a lot now) plus an antipsychotic. (The TCA amoxapine combines both features.)
Mitch, could you tell me more about your friend who had delusional depression? What sort of delusions did she have? Were they considered mood-congruent?
Lots of people with psychotic depression are agitated, BTW, rather than slowed down, tired, etc.
-elizabeth
Posted by Ritch on February 28, 2002, at 9:40:08
In reply to Re: psychotic depression » Ritch, posted by Elizabeth on February 28, 2002, at 1:37:11
> Mitch, could you tell me more about your friend who had delusional depression? What sort of delusions did she have? Were they considered mood-congruent?
> -elizabeth
Hi,That episode happened to her back when I was just out of high school (around 1980). She had been hospitalized when she was living in xxx after she shot some guy that was threatening to beat her up (I don't think she killed him). It was an unregistered weapon and she got out of going to prison and wound up in the state hospital. I think she was having some type of PTSD reaction related to the shooting. Anyhow, she came back and was visiting her family and went and seen a pdoc that gave her a big depot injection of trifluoperazine and she felt better for about a day and then she got rapidly depressed. We got scared and took her to the ER and they admitted her for a 72 hour observation. Then she came back with Navane. Well, she came back from that feeling a *little* better, but she rapidly became very depressed again within a week. This time we took her to a local GP and he put her on a high dose of Triavil (amitripytline+perphenazine) for two weeks, then switched her to plain amitriptyline after that and she was fine after about 3-4 weeks. Then he lowered her amitrip. dose down to a maint. level of 50mg/day and she has been fine since as far as I know (I haven't heard from her in several years). I didn't get a chance to personally hear any of her *delusions*. She *did* speak a lot of *nonsense* to her Mom and her sister, and they told me about some of it. She was generally very listless, uncommunicative, had no appetite. We were spoon feeding her concentrated vegetable proteins, etc. She was down to skin and bones-very scary. I think all that happened was is she shot that guy and had tremendous guilt and PTSD related to it and had to get out of going to prison, so with a helpful pdoc they copped an insanity plea and got her into the hospital. Well, she hauled her case history back with her and what happened is what happens to a lot of people. You see a new pdoc and they just go by what everybody else said about you and don't take a fresh look. Antipsychotics by themselves clearly made her worse, and she was fine on just the amitrip. for at least a year or two after all that happened.
Mitch
Posted by trouble on March 1, 2002, at 22:30:53
In reply to Re: psychotic depression » Elizabeth, posted by Ritch on February 28, 2002, at 9:40:08
Hi Mitch,
That mention of concentrated vegetable proteins caught my eye as I go through long periods of poor nutrition. Once I went 2 weeks w/out eating and went to my GP and asked for vitamin shots, and he refused, saying keep this up and we'll just put you on an I.V.
When no appetite I will gag on thick protein shakes and so forth so I just assumed my GP was implying there was no recourse, and now I saw this post. Can I get these powders at a health food store, they sound like an important addition to my larder, such as it is.
Thanks, and thanks in advance for not lecturing me like my GP does. I know I'm in the wrong.trouble
>>> had no appetite. We were spoon feeding her concentrated vegetable proteins, etc. She was down to skin and bones-very scary.
Posted by Ritch on March 2, 2002, at 9:33:26
In reply to for Mitch re vegetable matter, posted by trouble on March 1, 2002, at 22:30:53
> Hi Mitch,
>
> That mention of concentrated vegetable proteins caught my eye as I go through long periods of poor nutrition. Once I went 2 weeks w/out eating and went to my GP and asked for vitamin shots, and he refused, saying keep this up and we'll just put you on an I.V.
>
> When no appetite I will gag on thick protein shakes and so forth so I just assumed my GP was implying there was no recourse, and now I saw this post. Can I get these powders at a health food store, they sound like an important addition to my larder, such as it is.
> Thanks, and thanks in advance for not lecturing me like my GP does. I know I'm in the wrong.
>
> trouble
>
> >>> had no appetite. We were spoon feeding her concentrated vegetable proteins, etc. She was down to skin and bones-very scary.Hi,
It was 20 years ago.. From what I remember at the time there was a choice of powdered "animal" or "vegetable" proteins. It was in a large round plastic container with a screw on cap the full diameter of the container. There was a list of all the different proteins on the label on the front. I believe we got it at the pharmacy. We bought the vegetable protein for her. When she was feeling a little better, she started to kid that she was being fed "vegetable" proteins (*for* vegetables-not "made" of vegetables).
Mitch
Posted by trouble on March 2, 2002, at 11:12:05
In reply to Re: for Mitch re vegetable matter » trouble, posted by Ritch on March 2, 2002, at 9:33:26
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.