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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 rjlockhart on March 11, 2006, at 17:56:59
I didnt my Prozac and i am having a great time.
But i need help with other problems , i get really unstable and feel im going crazy, or depressed. I dont post alot when im down. Since the past couple of weeks since i was in an accident.I wish i was ahead of things right now, like later in life.
I overwhelwm my self with thoughts of fear, what is going to come, and it all collapses overeachother and i get so warped i cant calm down and i have a manic attack, not pleasant.
Can advice..... please?
Matt
Posted by Maxime on March 11, 2006, at 19:07:31
In reply to No Prozac today, posted by rjlockhart on March 11, 2006, at 17:56:59
Sounds like you have a lot of anxiety. In addition to meds, you should try and learn some techniques to deal with it. It's not easy I know, but you can't live in fear.
Maxime
> I didnt my Prozac and i am having a great time.
> But i need help with other problems , i get really unstable and feel im going crazy, or depressed. I dont post alot when im down. Since the past couple of weeks since i was in an accident.
>
> I wish i was ahead of things right now, like later in life.
>
> I overwhelwm my self with thoughts of fear, what is going to come, and it all collapses overeachother and i get so warped i cant calm down and i have a manic attack, not pleasant.
>
> Can advice..... please?
>
> Matt
Posted by Phillipa on March 11, 2006, at 19:16:25
In reply to Re: No Prozac today » rjlockhart, posted by Maxime on March 11, 2006, at 19:07:31
Matt why didn't you take your prozac today? Mom 2 Jan
Posted by yxibow on March 11, 2006, at 19:18:37
In reply to Re: No Prozac today » rjlockhart, posted by Maxime on March 11, 2006, at 19:07:31
> Sounds like you have a lot of anxiety. In addition to meds, you should try and learn some techniques to deal with it. It's not easy I know, but you can't live in fear.
>
> Maxime
>
>
> > I didnt my Prozac and i am having a great time.
> > But i need help with other problems , i get really unstable and feel im going crazy, or depressed. I dont post alot when im down. Since the past couple of weeks since i was in an accident.
> >
> > I wish i was ahead of things right now, like later in life.I can sympathize with that, but one can't focus too far in the future or dwell on the past, its one day at a time, one thing that eventually creates patterns in life.
> >
> > I overwhelwm my self with thoughts of fear, what is going to come, and it all collapses overeachother and i get so warped i cant calm down and i have a manic attack, not pleasant.
> >
> > Can advice..... please?
> >
> > Matt
>
>I assume you mean _P_anic attack -- besides things like Xanax and Ativan and the like -- its true, there are ways of dealing with these things so they don't collapse together.
I don't know if you are or have seen someone for psychotherapy, but relaxation therapy for 15 or 30 minutes on your own can help diffuse some of these situations.
If you have access to a psychotherapist, ask someone to make a cassette for you to listen to, something that you think is calm.
If not, just lie in a comfortable position and visualize something that you really like and go with that. I know this is the medicine side, and I'm not a doctor obviously so I will leave it at that since I'm not qualified to advise you further, but guided imagery can have an effect.
Posted by Chairman_MAO on March 12, 2006, at 0:34:21
In reply to No Prozac today, posted by rjlockhart on March 11, 2006, at 17:56:59
Nardil. And yes, I think it is in some ways beter than sliced bread.
IMHO buprenorphine is truly, as one psychiatrist wrote, "the unadoptable orphan [drug of psychiatry]". It has antidepressant, antianxiety, antimanic, antipanic properties. At low doses, side effects are often virtually nil.
Posted by yxibow on March 12, 2006, at 3:46:02
In reply to Re: No Prozac today » rjlockhart, posted by Chairman_MAO on March 12, 2006, at 0:34:21
> Nardil. And yes, I think it is in some ways beter than sliced bread.
>
> IMHO buprenorphine is truly, as one psychiatrist wrote, "the unadoptable orphan [drug of psychiatry]". It has antidepressant, antianxiety, antimanic, antipanic properties. At low doses, side effects are often virtually nil.Ai ya. You don't jump from Prozac to Nardil in one fell swoop. Not to mention that such a bizarre concept could result in Serotonin Syndrome up to 49 days, considering the half life of Prozac.
Posted by Chairman_MAO on March 12, 2006, at 21:56:48
In reply to Re: No Prozac today » Chairman_MAO, posted by yxibow on March 12, 2006, at 3:46:02
Did I imply that a 5-week washout wasn't necessary?
And what is so bizarre about using phenelzine in the event of an SSRI failure? IMHO, if one's gotten to the point where drugs are necessary to cope with life, one might as well pull out all the stops. I wish I'd been given Nardil right off the bat. Who cares about whether you can eat soy sauce if the only thing you think about eating is the business end of a handgun?
Don't forget that there was a time when the MAOIs were given as first-line drugs. IMHO, there are many cases where they still should be.
Posted by yxibow on March 13, 2006, at 2:33:04
In reply to Re: No Prozac today » yxibow, posted by Chairman_MAO on March 12, 2006, at 21:56:48
> Did I imply that a 5-week washout wasn't necessary?
It seemed missing....
>
> And what is so bizarre about using phenelzine in the event of an SSRI failure? IMHO, if one's gotten to the point where drugs are necessary to cope with life, one might as well pull out all the stops. I wish I'd been given Nardil right off the bat. Who cares about whether you can eat soy sauce if the only thing you think about eating is the business end of a handgun?Soy sauce, soybeans, tofu... but then I'm a vegetarian... and it goes on... RIMAs might not be a last resort as MAOIs should be, but you just don't jump to MAOIs. I'm glad you are fine with Nardil but interactions with it, and overdosing on it especially -- will lead to comatose states. Is that living ?
>
> Don't forget that there was a time when the MAOIs were given as first-line drugs. IMHO, there are many cases where they still should be.And there was a time when people were stuck with insulin in the funny farm and held down with withstraints, and Kellogg believed in the bowels, along the way Corn Flakes(tm) came by.
Star*D is a fascinating insight into protocols for treatment resistant depression, and you might look into it because yes, it does include MAOIs, but that's not the beginning of the maze. Years of research produced something that looks like a promising idea.
This is the end of the thread.
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