![[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 jerryTRD on December 6, 2010, at 20:52:31
Since Thanksgiving I've just been going downward as far as mood goes. I've been much more depressed with some suicidal ideation at times. My anxiety is horrible and I constantly feel a sense of impending doom along with a lot of obsessive anticipatory anxiety.
I see my pdoc tomorrow and I'm literally having panic attacks about seeing him and I'm not sure why. He's a good doctor and usually listens to me but sometimes I feel as if I don't get him to understand how horrible I feel.
My meds (as I've posted before)
Adderall - helps tremendously except for the crashes after it wears off
Lexapro - not sure it's doing anything
Effexor - think it was helping at the higher dosage (my doc was gonna switch me from Effexor to Lexapro)
Klonopin -helps a little
Seroquel - when I finally get to sleep on it, it makes me want to sleep for the next week and sometimes I do sleep for 2-3 days!!I'm horribly anxious right now and have no one to talk to. I'm afraid my pdoc is gonna throw up his hands and tell me he can't treat me because my depression is so resistant.
I'm also very depressed and need a boost somehow. I don't know what to do.
Any support is appreciated
Jerry
Posted by Phillipa on December 6, 2010, at 23:06:40
In reply to Impending doom -need support, posted by jerryTRD on December 6, 2010, at 20:52:31
I get the same way and have no idea what is unless just feeling will be told I'm hopeless. Phillipa
Posted by shes_initforthemoney on December 6, 2010, at 23:56:09
In reply to Impending doom -need support, posted by jerryTRD on December 6, 2010, at 20:52:31
> Since Thanksgiving I've just been going downward as far as mood goes. I've been much more depressed with some suicidal ideation at times. My anxiety is horrible and I constantly feel a sense of impending doom along with a lot of obsessive anticipatory anxiety.
>
> I see my pdoc tomorrow and I'm literally having panic attacks about seeing him and I'm not sure why. He's a good doctor and usually listens to me but sometimes I feel as if I don't get him to understand how horrible I feel.
>
> My meds (as I've posted before)
> Adderall - helps tremendously except for the crashes after it wears off
> Lexapro - not sure it's doing anything
> Effexor - think it was helping at the higher dosage (my doc was gonna switch me from Effexor to Lexapro)
> Klonopin -helps a little
> Seroquel - when I finally get to sleep on it, it makes me want to sleep for the next week and sometimes I do sleep for 2-3 days!!
>
> I'm horribly anxious right now and have no one to talk to. I'm afraid my pdoc is gonna throw up his hands and tell me he can't treat me because my depression is so resistant.
>
> I'm also very depressed and need a boost somehow. I don't know what to do.
>
> Any support is appreciated
> JerryJerry:
Your Synthroid..I'd suspect to be cause of overstimulation and anxiety. I had the worse time on this drug, even though my thyroid was slightly underfunction. As I tapered off the Synthroid,some extra benzos and a week of treatment with Risperdal calmed me down. Plus, your Androgel will increase the effects, and side-effects, of Synthroid.
Second, I have had major problems with Seroquel, as I believe that in higher doses, it can stimulate norepinephrine activity. This made me feel VERY suicidal and desperate.
You may want to try Risperdal at a good dose, say 1mg, for a month or so and see how you feel like on that. Make *sure* you get your doctor to realize you are having SI and all.
Best,
Jay
Posted by ace on December 7, 2010, at 1:21:43
In reply to Impending doom -need support, posted by jerryTRD on December 6, 2010, at 20:52:31
> Since Thanksgiving I've just been going downward as far as mood goes. I've been much more depressed with some suicidal ideation at times. My anxiety is horrible and I constantly feel a sense of impending doom along with a lot of obsessive anticipatory anxiety.
I can empathize and I am sorry to here this.
> I see my pdoc tomorrow and I'm literally having panic attacks about seeing him and I'm not sure why.Can you speculate why?
He's a good doctor and usually listens to me but sometimes I feel as if I don't get him to understand how horrible I feel.
Some people who are extremely depressed appear very happy. It's called 'reaction formation'. Sometimes we run around with a big smile and all jokes while we are feeling like hell within.
Express to him your feelings and the fact that you feel he may not understand your sense of despair.
> My meds (as I've posted before)
> Adderall - helps tremendously except for the crashes after it wears off
> Lexapro - not sure it's doing anything
> Effexor - think it was helping at the higher dosage (my doc was gonna switch me from Effexor to Lexapro)
> Klonopin -helps a little
> Seroquel - when I finally get to sleep on it, it makes me want to sleep for the next week and sometimes I do sleep for 2-3 days!!
That's a lot of medications. Too many IMO.
Which means a lot of interactions. Which makes things awfully confusing. What is helping? what is hindering? what is causing the s/effects?
Polypharmacy is all the rage these days, but i am not sure it is really helping.The very medications you are taking and/or their interactions could be accountable for your symptoms.
> I'm horribly anxious right now and have no one to talk to.No. You have us to talk to. Even though it is over a computer.
I'm afraid my pdoc is gonna throw up his hands and tell me he can't treat me because my depression is so resistant.
Well, you are paying this MD, right?
You are paying for a service here. And even if he/she did this, plenty others out their.
>
> I'm also very depressed and need a boost somehow. I don't know what to do.This is what you should do IMO: Be extremely gentle with yourself at the moment. Let your FAMILY know the honest truth of how you feel and if possible have them near you. If you have the energy, write down a list of what you need to sort out in your life. Prioritize this list.
Do not put pressure on yourself now. I think your role now is to only be concerned about your own well-being.And keep keeping on. I will tell you that brighter days are on their way my friend. They MUST be. keep that thought in mind. And keep us all abreast of your situation.
> Any support is appreciated
> JerryPeace,
Ace
Posted by Phillipa on December 7, 2010, at 19:08:38
In reply to Re: Impending doom -need support (warnSI) » jerryTRD, posted by shes_initforthemoney on December 6, 2010, at 23:56:09
What was your TSH and dose of synthroid as all hormones as sure you know. But the range the endos use is between 1-2. I also have thyroid and take synthroid. Phillipa
Posted by jerryTRD on December 11, 2010, at 19:43:29
In reply to Re: Impending doom -need support (warnSI) » shes_initforthemoney, posted by Phillipa on December 7, 2010, at 19:08:38
> What was your TSH and dose of synthroid as all hormones as sure you know. But the range the endos use is between 1-2. I also have thyroid and take synthroid. Phillipa
I think my TSH was 6.75 and is supposed to be around 3.5 if I remember correctly. Dose 150mcg.
Posted by Phillipa on December 11, 2010, at 20:24:20
In reply to Re: Impending doom -need support (warnSI) » Phillipa, posted by jerryTRD on December 11, 2010, at 19:43:29
Jerry seriously the new endo values are between l-2 but some docs still go to 5 the old values. Google thyroid values for normal thyroid function. Phillipa
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.