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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by sdjeff on October 29, 2004, at 22:08:31
First I just want to thank everyone who has been supportive through this wierd tough time. YOur help is appreciated.
Please note the following is pretty specific and could be a trigger.
Lately I have been ruminating a lot about suicide. I just can't get the idea out of my head. I've been considering overdosing, guns, etc. I have a lot of old meds and it wouldn't be much to take some pills. A couple nights ago I took out a couple of my dads pistols and imagined what it would feel like to use one. I have also been cutting (just once). I have no imminent plans and I do have a daughter to live for. That is the one main thing that keeps me going. I am so very tired, however, of just existing.
One ironic thing is that I don't feel very emotional. I feel down, but like in one of my previous posts I can't seem to cry about anything. I think that is because of the meds. I'm on Zyprexa 15 mg and Cymbalta 60 mg.
I don't think my T or pdoc could do anything for me at this point. Therapy is just going around in circles. I have been on so many meds under so many different combos I can't remember them all. I hae no job, no insurance and not enough money.
So, to make a long post short, I was wondering what would happen if I went to the Emergency Room. I really don't know why I would go. I couldn't tell you if this is some ploy for attention or if I legitimately need to go. Would some nurse hand me a pill and send me on my (not very) merry way? would I get admitted into a psych ward? Should I even bother going?
Posted by Peddidle on October 29, 2004, at 22:20:55
In reply to What if I went to the ER? *possible trigger*, posted by sdjeff on October 29, 2004, at 22:08:31
I have never done this, but I can tell you what will happen. If you go to the ER and tell them you are thinking about suicide and you have thought of some ways of doing it, you will be admitted into the hospital, involuntarily, and probably for at least 72hrs.
I know this sounds awful, but if you really feel you are in danger of hurting yourself, you should go...it doesn't show character flaw or anything like that, it just shows that you are brave enough to get help.Best of luck!
Posted by HappyGirl on October 29, 2004, at 23:24:53
In reply to What if I went to the ER? *possible trigger*, posted by sdjeff on October 29, 2004, at 22:08:31
Hi:
I read some of your posts in the past although I didn't respond to any of those. Because, there were some difficulties for me to answer to your questions/posts. However, this post hitting me pretty hard due to the nature of your problem, .. 'trying to get a gun from the Dad.'In my personal opinion, ... if I were in your position where there are NO concrete and constructive solution to your mental problem/illnss, then I'd certainly make a trip to the ER about which you're thinking.
Although I never been in that bad situation like yours, ... however in the first couple of years after my dxed with Bipolar, I had a VERY hard time to find the right pdoc. who was capable to dx my problem properly and subsequently rxed the right combo. At this time, I definitely made my mind to go the the hospital/mental facility to get the things straight. During that course, however I luckily found the right pdoc. and right combo.
Having experienced those 'rough days,'... I truly undrstand your struggule with your problems and highly suggest you to make a trip to the ER for the reason 'suicidal tendency.' From there, hopefully you're able to find some 'good' solution to your mental problem along with finding a right med. combo.
H.G.
Posted by linkadge on October 30, 2004, at 12:33:33
In reply to What if I went to the ER? *possible trigger*, posted by sdjeff on October 29, 2004, at 22:08:31
15mg of zyprexa is a fairly high dose. I should think that reducing it could certainly help with you flatness. Too much zyprexa made me indifferent to suicide as well.
I would reduce the zyprexa and add some lithium. Lithium reduced my suicidiality without making me numb.
Linkadge
Linkadge
Posted by Sebastian on October 30, 2004, at 20:48:32
In reply to Re: What if I went to the ER? *possible trigger*, posted by linkadge on October 30, 2004, at 12:33:33
Yah I would reduce the zyprexa also. Maybe half a pill. You will feel alive with energy. I tryed the 15 mg and felt awfull, I was so out of it that I could not function. I currently and most of the time take 10 mg. I've been adding a lot of other meds, ones that won't make me tired. Lamictal, which I think would help with the suicide thoughts. bupropion sr for energy and celexa for depression.
Posted by sooshi on October 31, 2004, at 11:12:46
In reply to What if I went to the ER? *possible trigger*, posted by sdjeff on October 29, 2004, at 22:08:31
Hi sdjeff,
This is what I experienced, and what I have helped two other people in your situation with:
First, try and get your primary physician or psychiatrist to admit you into the ER - tell your doctor you are feeling actively suicidal (even if you aren't) then get him/her to call the hospital and tell them you are coming, then go to the ER.
If this doesn't work, or you don't feel you can work with your doctor, go to the ER yourself, BUT, I can tell you right now, that you MUST tell them that you feeling ACTIVELY SUICIDAL, not just "feeling extremely depressed and like I might hurt myself...". Twice I have been let go from the emergency room when I was "feeling" suicidal and desperately needed help, because I wasn't verbal enough about how bad it was. Even if you AREN'T feeling like you would actually hurt yourself, tell them that you WILL, because if you have no insurance, you're not getting in otherwise.
I don't mean to make it sound scary, I just mean don't let them send you home when you know you shouldn't be sent home. Basically, when they ask you if you feel like you are going to hurt yourself, answer YES, period. Otherwise, a shrink will come see you after you sit there for 3-4 hours, talk to you for 5 mins, write you a 'scrip, then send you back home more depressed than before you went. They HAVE to admit you if you are going to hurt yourself or others. I got the best treatment I ever had in the county hospital, which was also a teaching hospital, so don't even be afraid of that.
Anyway, that's my suggestion. I don't know where you live, but that's how it goes down here in the south. I hope all goes well for you, and keep us posted,
Sooshi
Posted by sdjeff on October 31, 2004, at 14:45:45
In reply to Re: What if I went to the ER? *possible trigger* » sdjeff, posted by sooshi on October 31, 2004, at 11:12:46
Thanks, everyone.
I'm going to call my pdoc tomorrow and see about the Zyprexa. It's funny how these thoughts can come and go. Today I feel a little better. I guess we'll see how this next week goes.
Posted by HappyGirl on November 1, 2004, at 0:00:58
In reply to Re: What if I went to the ER? *possible trigger*, posted by sdjeff on October 31, 2004, at 14:45:45
Hi:
Recalling back three to four years ago when I started the Zyprexa, ... at first 2.5 mg., but gradually moved up to the 10 mg. as my pdoc. advised. At the 10 mg., I was quite sedating but felt quite 'calming effect,' then afterwards started feeling 'depressive' feelings. Then, it might be wise for you to lower down the Zyprexa gradually, like 10 mg. one night and 15 mg. next day, and brings it down to the 10 mg., because a sudden reduction of psycho. meds. causing you feel awful next day.Besides the reduction of Zyprexa, older form of A.D., Trazodone which I've been taking for the past six months helping me a good sleep-pattern along with 'terrific' A.D. effect I've ever got. Then, if you would get some 'sleep-problem' due to 'less' Zyprexa effect, this med., Trazodone might be good. Although the Trazodone took quite awhile to work on, but in the long run, it's well worth to wait 'this' long. From reading here and there, a lot of people giving up the Trazodone because of sedation, but if you can afford to sleep a bit longer in the morning(gradually the sedation going away with time), try to ask your pdoc. for Trazodone which is milder and first of all, a 'good' anti-depressant, ... plus 'real' money-saving med.
H.G.
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