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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by Horse on August 6, 2015, at 13:18:26
Can this happen? I think it's happening to me. Ugh. Trying to distract myself. Certainly not what I expected.
Posted by SLS on August 6, 2015, at 13:48:06
In reply to akinesia from AD, posted by Horse on August 6, 2015, at 13:18:26
> Can this happen? I think it's happening to me. Ugh. Trying to distract myself. Certainly not what I expected.
This happens to a friend of mine whenever he takes a serotonin reuptake inhibitor. It must be horrible. I don't know if there is a connection, but he suffers from a circadian rhythm disorder.
- Scott
Posted by Horse on August 7, 2015, at 1:30:36
In reply to Re: akinesia from AD » Horse, posted by SLS on August 6, 2015, at 13:48:06
Interesting. My sleep is wacked. However, I haven't had it with other ADs, only AAPs.
I am a bit of a wimp about med changes. Hopefully this won't happen tomorrow morning.
How are things going with you?
> > Can this happen? I think it's happening to me. Ugh. Trying to distract myself. Certainly not what I expected.
>
> This happens to a friend of mine whenever he takes a serotonin reuptake inhibitor. It must be horrible. I don't know if there is a connection, but he suffers from a circadian rhythm disorder.
>
>
> - Scott
Posted by SLS on August 7, 2015, at 6:45:48
In reply to Re: akinesia from AD, posted by Horse on August 7, 2015, at 1:30:36
> How are things going with you?
Thanks for askiing.
:-)
Things are tolerable, but I am still left empty. I am less vegetative, but most other features of bipolar depression remain. I lack interest, drive, and motivation. Anhedonia persists. My thoughts are slow and there is no sense of clarity. I am still content to sit quietly and stare into space - although this has improved somewhat.
I am still trying to tweak the dosage of Lamictal. I had been taking 300 mg/day, but I began to realize the extent to which it was affecting adversely my memory and cognition. Even 200 mg/day is too much. With each reduction in dosage, I experience a temporary worsening of depression. However, I seem to have recovered most of the antidepressant effect at 100 mg/day, and I am less impaired.
I have worked with two doctors this year who both agree that it might be time to move towards an electrical or magnetic brain stimulation therapy. I will continue with drug therapy.
Currently:
Parnate 100 mg/day
nortriptyline 100 mg/day
Lamictal 100 mg/day
lithium 300 mg/day
Abilify 10 mg/day
prazosin 30 mg/dayI found that I slept most of the day away when I increased the dosage of Parnate to 120 mg/day. Despite an initial increase in mental energy, the higher dosage was no more effective for me.
- Scott
Posted by Lamdage22 on August 7, 2015, at 7:22:52
In reply to Re: akinesia from AD » Horse, posted by SLS on August 7, 2015, at 6:45:48
Dont get the "i try, take and tweak meds so i am doing everything i can" attitude.
Its not helpful. At all.
Posted by SLS on August 7, 2015, at 7:24:26
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 7:22:52
> Dont get the "i try, take and tweak meds so i am doing everything i can" attitude.
>
> Its not helpful. At all.What would be helpful to you?
- Scott
Posted by Lamdage22 on August 7, 2015, at 7:53:22
In reply to Re: akinesia from AD » Lamdage22, posted by SLS on August 7, 2015, at 7:24:26
Facing your life.
Posted by Lamdage22 on August 7, 2015, at 7:54:15
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 7:53:22
not running away from it
Posted by Lamdage22 on August 7, 2015, at 7:58:11
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 7:54:15
Yes i could face my life if oly med, supplement or procedure XY would be a success for me.
You give too much power to circumstances you cannot influence. You cant "make" yourself respond to something.
Posted by Lamdage22 on August 7, 2015, at 8:25:35
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 7:53:22
im not using a one size fits all approach anymore than you do.
Seriously, what i said will make sense to most people, except unfortunately this forum is frequented by people that have lost their sense.
Posted by Lamdage22 on August 7, 2015, at 8:32:50
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 8:25:35
the only thing you can do is try biological treatments.
wow
Posted by SLS on August 7, 2015, at 8:35:00
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 7:58:11
> Yes i could face my life if oly med, supplement or procedure XY would be a success for me.
>
> You give too much power to circumstances you cannot influence. You cant "make" yourself respond to something.Your opinions offer me nothing. You know nothing about me, my life, or my psyche. I appreciate your candor, though.
When you are able to discontinue Effexor without becoming suicidal - something that you have previously described - I will cheer for your success.
Let us know how you feel once you stop taking everything.
Good luck.
- Scott
Posted by SLS on August 7, 2015, at 8:37:10
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 8:32:50
Your vitriolic anger towards me and others on this forum is interesting. Perhaps you should explore that.
- Scott
Posted by phidippus on August 7, 2015, at 8:50:35
In reply to Re: akinesia from AD » Horse, posted by SLS on August 6, 2015, at 13:48:06
Akathesia
Eric
Posted by Lamdage22 on August 7, 2015, at 8:50:58
In reply to Re: akinesia from AD » Lamdage22, posted by SLS on August 7, 2015, at 8:35:00
you know as well as i do that i cant just stop taking everything and this is not my short or middle term goal.
You call the reason for that illness
, i call it habit.
Posted by Lamdage22 on August 7, 2015, at 9:09:00
In reply to Re: akinesia from AD » Lamdage22, posted by SLS on August 7, 2015, at 8:37:10
This forum has put me on this road.
I dont need to explore anything.
Posted by Lamdage22 on August 7, 2015, at 9:16:42
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 9:09:00
let me know how you do after DBS.
Good luck.
Wtf? And you tell me i am angry?
Posted by Lamdage22 on August 7, 2015, at 10:08:05
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 9:16:42
Well im not being angry to harm you.
I think it is a bummer you feel that way.
It may change. For me it did.
Posted by Lamdage22 on August 7, 2015, at 10:15:37
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 10:08:05
even psychiatrists say you cant rely solely on meds so i just dont want readers to be mislead like i was with the oh so precious Nardil.
Posted by Lamdage22 on August 7, 2015, at 11:41:36
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 9:16:42
Seriously,
let us know how the DBS comes in.
Posted by Lamdage22 on August 7, 2015, at 11:49:26
In reply to Re: akinesia from AD, posted by Lamdage22 on August 7, 2015, at 11:41:36
> Seriously,
>
> let us know how the DBS comes in.
>
>Its just as supportive as you.
Your own medicine.
Posted by SLS on August 7, 2015, at 12:50:48
In reply to Re: akinesia from AD » SLS, posted by phidippus on August 7, 2015, at 8:50:35
> Akathesia
>
> EricMy friend had akinesia.
- Scott
Posted by Horse on August 7, 2015, at 14:57:46
In reply to Re: akinesia from AD » Horse, posted by SLS on August 7, 2015, at 6:45:48
I meant akathesia. I'm not sure I'll continue :(
I hear you on lamictal and cognition. At 200 mg, it the best mood stabilizer I've taken although my word recall has taken a hit. I can't say I encourage any invasive procedure because I feel that would be irresponsible on my part; however you are in your rights to consider one. Do you have access to good care?
I guess there's no moderation here.
Thanks Scott.
This is the end of the thread.
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