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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 Shadowplayers721 on September 20, 2004, at 0:36:17
Do you find any medication makes you worse? I had a horrible experience with Geodon and I am not sure why. Doc thinks it's because it relaxed me.
Do you find any medication makes you better?
Posted by Dr. Bob on September 20, 2004, at 7:42:34
In reply to Med question for dissociatives, posted by Shadowplayers721 on September 20, 2004, at 0:36:17
> Do you find any medication makes you worse?
Sorry to interrupt, but I'd like to redirect this thread to the main Psycho-Babble board. Here's a link:
http://www.dr-bob.org/babble/20040915/msgs/392880.html
Thanks,
Bob
Posted by Dinah on September 20, 2004, at 12:41:49
In reply to Med question for dissociatives, posted by Shadowplayers721 on September 20, 2004, at 0:36:17
My therapist and I have been talking about this recently. With one ego state increasingly depressed to the point of having SI/suicidal urges, and the other ego state cheerful and slightly sub-hypomanic, a medication that helps the whole being seems unlikely. Yet if depression and hypomania are brain based, how can different ego states experience completely different states. And how can either state be efficiently medicated when the result of medicating either would likely be harmful to the other.
A conundrum.
Posted by Dinah on September 20, 2004, at 13:07:56
In reply to A NOT medical board answer (Please, Dr. Bob) » Shadowplayers721, posted by Dinah on September 20, 2004, at 12:41:49
I suppose this may be a rare instance where having my pdoc know about ego states might be useful. However I have a strong suspicion from things the very blank slate of a man has let drop that he doesn't believe in ego states. So if I admit to having them, is he likely to drop me or put me on an unwanted AP?
Posted by gardenergirl on September 20, 2004, at 13:36:04
In reply to Hmmm...., posted by Dinah on September 20, 2004, at 13:07:56
Yikes, I see your dilemma with your pdoc. I do know that in people with DID (and I'm interpolating from that to your own situation), the others can have different physiologies...BP, blood sugar, etc. So it makes sense that you might have different responses to meds based on your differing ego states moods and symptoms. I don't know how you can medicate that. I suppose target the most distressing symptom and hope it doesn't adversely affect the rest?
Just mostly thinking aloud here.
gg
Posted by Dinah on September 20, 2004, at 13:49:00
In reply to Re: Hmmm.... » Dinah, posted by gardenergirl on September 20, 2004, at 13:36:04
Because heaven only knows if I'll be in the mood next time I see him. He thinks I need to take the depression seriously and is willing to talk to my pdoc if I can't. And believe me, I can't. This is not the sort of guy I can mention something like that to. So, we're going to wait and see if it's absolutely necessary before doing it. And he's going to let me know when he thinks it's necessary. Once done, it can't be taken back and for the first time ever will be on my permanent record. I really don't want it on my permanent record.
Posted by alexandra_k on September 20, 2004, at 20:24:31
In reply to Re: Hmmm.... » Dinah, posted by gardenergirl on September 20, 2004, at 13:36:04
One way to think of it is that physiology varies over time in a more extreme way than the majority of the population. Different alters share the same brain so what varies must be patterns of neural activation. If one alter tends towards mania and another tends towards depression a mood stabiliser may assist. If another alter has an okay mood a mood stabiliser shouldn't hurt. Medication isn't that precise a science in the sense that the same old 'wonderdrugs' get prescribed for a variety of symptoms anyway when they are in fashion. I have been prescribed anti-psychotics for mood stabilisation etc.
The 'relax you' kind of drugs sometimes make me worse as I am disinhibited and can get carried away with mania and / or too engrossed in memories and / or rumination. I think there is something where some people react to benzo's with agression and hostility which is paradoxical given that they are intended to alleviate anxiety
This is the end of the thread.
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