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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Racer on June 4, 2005, at 14:49:59
I know, it's not exactly medication related, except that it kinda is...
Something that I won't go into happened late yesterday, and I'm wondering if it might be best for me to be in a place where my safety is not my responsibility. My psychiatrist, Dr CattleProd, does not have hospital priviledges, so he can't admit me. My husband is wonderful -- but he is also a bit ignorant about all this, so he will just do whatever someone else suggests. I'm not sure what to do, but I'm getting hit by waves of anxiety so intense I don't know if I can make it through the weekend right now.
Now, last time I got this bad, it led to a suicide attempt. I don't want this to go that far. At that time, when I was sent to the psych ER, though, I fought admission every time. Even when I kind of knew that I needed to be admitted, I still fought. I don't know why.
What I hope from this post is that someone -- better yet, several someones -- will offer some advice about whether or not to go to the ER now. One thing that would help is if someone knows of something that could be done inpatient that might work better than the options available outpatient.
Anyone? Any meds that maybe could help me that they could give me IP? Anything beyond the basic, obvious, "they'd keep you safe from yourself?"
Thanks.
Posted by TamaraJ on June 4, 2005, at 15:31:05
In reply to Voluntary hospitalization? (kinda urgent), posted by Racer on June 4, 2005, at 14:49:59
(((Racer)))
I am sorry that I can't help you with med suggestions. I hope someone else comes along soon who can provide some advice in that regard.
I have never been hospitalized, either voluntarily or involuntarily, but there was a time in the past year when I wished that I had been, for my own safety and peace of mind. I guess my advice, simplistic though it is, is that you need to do whatever is necessary to ensure that you get the best care possible. I know from reading posts in the past while that you have been having problems with meds for a while now, so perhaps being in hospital would give doctors and you the chance to try new meds (have you tried any of the tricyclics?), monitor your responses to new meds and get you on a med regime that will most adequately help pull out of the pit and deal with the intense anxiety. Even though Dr. CattleProd doesn't have hospital privileges, can he contact a colleague who does have priveliges and have them admit you, so you don't have to go through the ER rigamarole (sp?)?
Racer, I think you know what you have to do, and if I were in your shoes right now, I think I would do the same thing. Keep yourself safe and get the attention you need and deserve.
I am sorry I have not been more helpful. My thoughts are with you, Racer. Please take very, very good care of yourself.
Tamara
Posted by jay on June 4, 2005, at 18:14:42
In reply to Voluntary hospitalization? (kinda urgent), posted by Racer on June 4, 2005, at 14:49:59
> I know, it's not exactly medication related, except that it kinda is...
>
> Something that I won't go into happened late yesterday, and I'm wondering if it might be best for me to be in a place where my safety is not my responsibility. My psychiatrist, Dr CattleProd, does not have hospital priviledges, so he can't admit me. My husband is wonderful -- but he is also a bit ignorant about all this, so he will just do whatever someone else suggests. I'm not sure what to do, but I'm getting hit by waves of anxiety so intense I don't know if I can make it through the weekend right now.
>
> Now, last time I got this bad, it led to a suicide attempt. I don't want this to go that far. At that time, when I was sent to the psych ER, though, I fought admission every time. Even when I kind of knew that I needed to be admitted, I still fought. I don't know why.
>
> What I hope from this post is that someone -- better yet, several someones -- will offer some advice about whether or not to go to the ER now. One thing that would help is if someone knows of something that could be done inpatient that might work better than the options available outpatient.
>
> Anyone? Any meds that maybe could help me that they could give me IP? Anything beyond the basic, obvious, "they'd keep you safe from yourself?"
>
> Thanks.This is just IMHO, FWIW, etc...but I've been reading of a couple of med combos to break you out of 'suicidal thinking'...or any type of self-hurt. These are just temporary, used in emergency, but may help along the way until you find the right med combo. Risperdal, 2-3mg's at once is suggested; 1-2 mg's of Risperdal with 5 mg's of Haldol; 300-400 mg's of Tegretol with 2-3 mg's again of Risperdal. It is suggested to take cogentin with these. This, again, is only temporary, but down the road, smaller regular doses of the above meds may help with suicidal thoughts, plus you take whatever a.d. or benzo or such (your normal meds) with them.
Talk to a doctor about this, and maybe even go to an ER and tell them one of the combos above has helped you before, and try taking.
Hang on tight...this WILL pass...and maybe you can find a med combo to rid yourself of these symptoms.
Best wishes,
Jay
Posted by Maxime on June 4, 2005, at 19:25:27
In reply to Voluntary hospitalization? (kinda urgent), posted by Racer on June 4, 2005, at 14:49:59
Hi Racer. Well on the one hand, I am worried that you will become very suicidal. But on the other hand I am worried that once you go into the hospital you will stop eating like you did last time. You don't strike me as the type of person who does well in the hospital. So maybe a SHORT stay would be best before things get worse and you need a long stay where you will waste away to nothing again.
Hugs,
Maxime> I know, it's not exactly medication related, except that it kinda is...
>
> Something that I won't go into happened late yesterday, and I'm wondering if it might be best for me to be in a place where my safety is not my responsibility. My psychiatrist, Dr CattleProd, does not have hospital priviledges, so he can't admit me. My husband is wonderful -- but he is also a bit ignorant about all this, so he will just do whatever someone else suggests. I'm not sure what to do, but I'm getting hit by waves of anxiety so intense I don't know if I can make it through the weekend right now.
>
> Now, last time I got this bad, it led to a suicide attempt. I don't want this to go that far. At that time, when I was sent to the psych ER, though, I fought admission every time. Even when I kind of knew that I needed to be admitted, I still fought. I don't know why.
>
> What I hope from this post is that someone -- better yet, several someones -- will offer some advice about whether or not to go to the ER now. One thing that would help is if someone knows of something that could be done inpatient that might work better than the options available outpatient.
>
> Anyone? Any meds that maybe could help me that they could give me IP? Anything beyond the basic, obvious, "they'd keep you safe from yourself?"
>
> Thanks.
Posted by phillipa on June 4, 2005, at 20:27:32
In reply to Re: Voluntary hospitalization? (kinda urgent) » Racer, posted by Maxime on June 4, 2005, at 19:25:27
Racer, No I don't know of any inpatient meds that would help with the anxiety and suicidal thoughts. Usually when I worked in psych an AD was prescribed along with klonopin for anxiety. Maybe something for sleep. I don't think the doctors know as much as you do. But, if you feel you are not safe by all means go to the ER. Fondly, Phillipa
Posted by MidnightBlue on June 5, 2005, at 0:54:57
In reply to Voluntary hospitalization? (kinda urgent), posted by Racer on June 4, 2005, at 14:49:59
Racer, it shows great maturity on your part to be able to recognize the problem and realize what you will probably have to do to keep yourself safe. I think it might be best to check in now for a short while maybe just a few days to a week to see if you can stop this in its tracks.
Hugs, and take care!
MidnightBlue
> I know, it's not exactly medication related, except that it kinda is...
>
> Something that I won't go into happened late yesterday, and I'm wondering if it might be best for me to be in a place where my safety is not my responsibility. My psychiatrist, Dr CattleProd, does not have hospital priviledges, so he can't admit me. My husband is wonderful -- but he is also a bit ignorant about all this, so he will just do whatever someone else suggests. I'm not sure what to do, but I'm getting hit by waves of anxiety so intense I don't know if I can make it through the weekend right now.
>
> Now, last time I got this bad, it led to a suicide attempt. I don't want this to go that far. At that time, when I was sent to the psych ER, though, I fought admission every time. Even when I kind of knew that I needed to be admitted, I still fought. I don't know why.
>
> What I hope from this post is that someone -- better yet, several someones -- will offer some advice about whether or not to go to the ER now. One thing that would help is if someone knows of something that could be done inpatient that might work better than the options available outpatient.
>
> Anyone? Any meds that maybe could help me that they could give me IP? Anything beyond the basic, obvious, "they'd keep you safe from yourself?"
>
> Thanks.
Posted by Maxime on June 5, 2005, at 15:02:53
In reply to Re: Voluntary hospitalization? (kinda urgent), posted by MidnightBlue on June 5, 2005, at 0:54:57
Racer, if you haven't gone into the hospital, can you please let us know how you are doing. I am worried about you.
Hugs,
Maxime
Posted by Racer on June 5, 2005, at 21:57:39
In reply to Re: Racer please post!, posted by Maxime on June 5, 2005, at 15:02:53
Not in the hospital, but still in my nightgown. I'm just not doing all that well right now. As soon as I've got it in me, I'll write to you and tell you about what's going on.
On the plus side, gardenergirl called earlier, on her way back from Chicago and gossiped about the trip. That cheered me. I hear Dr Bob is a Tequila man, and that Dinah favors pink. After we got off the telephone, though, I lay back down on the sofa-- alone, damn that cat -- and stayed there for several hours.
I got to get past this. Grrrrr
Posted by Maxime on June 5, 2005, at 23:01:23
In reply to Re: Racer please post!, posted by Racer on June 5, 2005, at 21:57:39
Thanks for taking the time to post especially when you feel so crappy. You will get out this, although I am sure it doesn't feel like it now.
Take care Racer.
hugs,
Maxime
> Not in the hospital, but still in my nightgown. I'm just not doing all that well right now. As soon as I've got it in me, I'll write to you and tell you about what's going on.
>
> On the plus side, gardenergirl called earlier, on her way back from Chicago and gossiped about the trip. That cheered me. I hear Dr Bob is a Tequila man, and that Dinah favors pink. After we got off the telephone, though, I lay back down on the sofa-- alone, damn that cat -- and stayed there for several hours.
>
> I got to get past this. Grrrrr
Posted by 4WD on June 5, 2005, at 23:24:51
In reply to Voluntary hospitalization? (kinda urgent), posted by Racer on June 4, 2005, at 14:49:59
> I know, it's not exactly medication related, except that it kinda is...
>
> Something that I won't go into happened late yesterday, and I'm wondering if it might be best for me to be in a place where my safety is not my responsibility. My psychiatrist, Dr CattleProd, does not have hospital priviledges, so he can't admit me. My husband is wonderful -- but he is also a bit ignorant about all this, so he will just do whatever someone else suggests. I'm not sure what to do, but I'm getting hit by waves of anxiety so intense I don't know if I can make it through the weekend right now.
>
> Now, last time I got this bad, it led to a suicide attempt. I don't want this to go that far. At that time, when I was sent to the psych ER, though, I fought admission every time. Even when I kind of knew that I needed to be admitted, I still fought. I don't know why.
>
> What I hope from this post is that someone -- better yet, several someones -- will offer some advice about whether or not to go to the ER now. One thing that would help is if someone knows of something that could be done inpatient that might work better than the options available outpatient.
>
> Anyone? Any meds that maybe could help me that they could give me IP? Anything beyond the basic, obvious, "they'd keep you safe from yourself?"
>
> Thanks.
Racer, do you by any chance have any Zyprexa around? I read somewhere that you can take Zyprexa when you "absolutely positively have to feel better right away." It has worked for me on a couple of occasions when I was suicidal from anxiety. I found that taking only one dose didn't set off an eating binge.In the hospital they can give you (obviously) high doses of benzos to control the anxiety. And if you admit yourself voluntarily, you can leave when you feel better, right? I don't know if hospitals do this, but is there the possibility they would just load you up with a benzo or sleep medication or something to get you through a couple of days? Til the stress of whatever happened is less?
You don't have to let the intense suffering continue at home alone. I fought against the idea of the hospital on a couple of occasions when I should have gone. I got through it but I suffered more than I had to. And most of all, since you are already remembering a previous suicide attempt when you felt like this before, please don't let it go that far this time.
Marsha
Posted by Maxime on June 5, 2005, at 23:59:01
In reply to Re: Voluntary hospitalization? (kinda urgent) » Racer, posted by 4WD on June 5, 2005, at 23:24:51
Racer, if we can share a room, I think I will join you in the hospital. I wish I had gone in a long time ago. Oh damn, you are in the States! That won't work.
Sigh.Take care,
Maxime
Posted by SLS on June 6, 2005, at 4:55:04
In reply to Re: Voluntary hospitalization? (kinda urgent) » Racer, posted by 4WD on June 5, 2005, at 23:24:51
Hi Racer.
> Racer, do you by any chance have any Zyprexa around? I read somewhere that you can take Zyprexa when you "absolutely positively have to feel better right away."I agree. That was to be my first suggestion. I understand the ED issue, but it would only be temporary.
I have been pretty much stuck here trying to formulate some sort of sage advice. No success. Perhaps the hospital is the place to be if you want to strip yourself of all meds and start over again with a fresh set of doctors. Otherwise, you will be looking for band-aids to keep you out of the hospital that in the long run might keep *you* stuck.
I don't know.
- Scott
Posted by Phillipa on June 6, 2005, at 16:30:42
In reply to Re: Voluntary hospitalization? (kinda urgent), posted by SLS on June 6, 2005, at 4:55:04
The problem with the hospital to me is that you're locked up. And a lot of the people make a lot of noise and create disturbances. This would make me more anxious. And I don't know about the high dose benzos, the pdocs hate them. They might use high dose antipsychotics and then of course there are the groups. I hated it when they would give me and the others pieces of paper and see who could build the biggest tower. How does this help me get well. But if you want and need somewhere where you are safe from self-harm then the hospital is for you. And I once had a pdoc in the hospital who took me off all my benzos and put me into withdrawal. This was because my regular doc wasn't oncall to admit. Fondly, Phillipa
Posted by partlycloudy on June 7, 2005, at 9:36:05
In reply to Re: Racer please post!, posted by Racer on June 5, 2005, at 21:57:39
I can't believe I didn't see this thread earlier. (((Racer))) I care so very much for you. Keeping yourself safe is the primary concern!! If this means going IP, then gosh darn it, do it. Perhaps once you're there you can get a consultation with a dietician there about the Hospital Food issues.
love,
pc
This is the end of the thread.
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