Psycho-Babble Medication Thread 1109162

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Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 5:04:34

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 4:58:47

Im a big friend of getting blood work and optimizing nutrients. I had several deficiencies. I should have done that in the first place. And if I had been given my current Antidepresant regimen right away, things would be MUCH better. The combination of these two things would have been the sweet spot. But you can't know in advance! That is the problem.

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 5:12:31

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 4:54:54

> I don't think that either. Yeah, i didn't have any problems going from 800 to 700 but I was on 800 for months. I started out at 900. Amisulpride can have a mood brightening effect which would be an advantage. Also less weight gain. But the weight gain is under good control! So the only arguments left would be less sedation and more mood brightening.
>
> Hmm. I don't know. I did get symptoms from Haldol. I had Face spasm. Also I am very prone to Akathisia. Thats why I remain sceptical.
>

I had a kind of neck-spasm on mirtazapine. These things happen, I don't mean to claim otherwise, but I'm trying to put it into perspective.

In my experience, you can get the antidepressive effect from sulpiride too. Amisulpride is not available where I live, which is why I tried sulpiride first, and got tolerance to the stimulating/antidepressant effect. I bought amisulpride (Solian) on the Internet in the hope that it might work better, but it didn't.

Flupenthixol has antidepressant effects (typically 0.5 to 1 mg for this purpose), but I did not have success with it.

And a bunch of atypicals have been approved for adjunctive uses in depression. This means they are better than placebo.

-undopaminergic

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 5:17:40

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 4:58:47

> Better! At least in the long run. Yeah it was tough to give up but necessary. I should have quit the first time I had Psychosis on it.
>

How long did it take to get the psychosis under control? Did you have to try many APs?

-undopaminergic

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 5:22:23

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 5:17:40

4 months for overly psychotic symptoms, one year for more subtle symptoms. Then it took several years to really beat the post psychotic depression. The shame and guilt for how I behaved still remains.

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 5:25:28

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 5:04:34

> Im a big friend of getting blood work and optimizing nutrients. I had several deficiencies. I should have done that in the first place. And if I had been given my current Antidepresant regimen right away, things would be MUCH better. The combination of these two things would have been the sweet spot. But you can't know in advance! That is the problem.
>

Right. There are doctors who specialise in this kind of thing. It would be interesting to work with one.

If anything, I regret that I have been unable to try MAOIs, and that I have taken so long before I tried my first TCA. I have mixed feelings about reboxetine (Edronax). It was helpful at the time, but I now have "tardive" depersonalisation due to it.

-undopaminergic

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 5:25:33

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 5:22:23

I was much less belligerent right away after stopping though. Like I said: It didn't help.

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 5:31:58

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 5:25:28

You mean nutrients? Yeah I work with one

> Right. There are doctors who specialise in this kind of thing. It would be interesting to work with one.

But you could have reacted the way I did. You never know. I think it is good that other meds are tried first. I think the first thing if somebody is initially depressed should be testing for nutrient deficiencies. Then therapy to see if history and surroundings contribute to the problem. If both can be anwered with "no", you can then try meds. And not right away MAOI. Just my two cents!

> If anything, I regret that I have been unable to try MAOIs, and that I have taken so long before I tried my first TCA. I have mixed feelings about reboxetine (Edronax). It was helpful at the time, but I now have "tardive" depersonalisation due to it.

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 5:32:12

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 5:22:23

> 4 months for overly psychotic symptoms, one year for more subtle symptoms. Then it took several years to really beat the post psychotic depression. The shame and guilt for how I behaved still remains.
>

My hallucinations resolved quickly, and have not come back yet, more than 10 years later. Some of the delusions took a long time.

Then again, I have not particularly been working on all of the delusions, but only the negative (eg. paranoid) ones. Things like "I have all the time in the world" I have even been deliberately cultivating in the interest of positive thinking.

-undopaminergic

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 5:43:58

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 5:31:58

I mean nutrients, vitamins, herbals, and supplements.

> You mean nutrients? Yeah I work with one
>
> > Right. There are doctors who specialise in this kind of thing. It would be interesting to work with one.
>

----

I went to a psychologist, before the drugs (except for caffeine). She kind of "diagnosed" a mild depression, and she arranged for me to see a doctor, who then prescribed a SSRI.

But the talk therapy was not intense enough to expect much effect. I mean that once of twice a months is not enough.

Yeah, I suppose anyone is at risk of responding to MAOIs the way you did, but we never can predict that.

I am of the opinion that the approach to treating mental disorders should be multi-modal. You should use psychopharmacology in addition to psychotherapy for best effects. Some drugs can even facilitate psychotherapy. And of course you should address vitamin and mineral deficiencies if you have them. Hormones too.

> But you could have reacted the way I did. You never know. I think it is good that other meds are tried first. I think the first thing if somebody is initially depressed should be testing for nutrient deficiencies. Then therapy to see if history and surroundings contribute to the problem. If both can be anwered with "no", you can then try meds. And not right away MAOI. Just my two cents!
>
> > If anything, I regret that I have been unable to try MAOIs, and that I have taken so long before I tried my first TCA. I have mixed feelings about reboxetine (Edronax). It was helpful at the time, but I now have "tardive" depersonalisation due to it.
>
>

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 5:58:55

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 5:43:58

There is no one size fits all. Someone who is completely delusional cant do real therapy.

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 7:50:32

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 5:58:55

> There is no one size fits all. Someone who is completely delusional cant do real therapy.
>

That's what I meant by using psychopharmacology to facilitate psychotherapy.

In your example, you would first use APs to get the worst of the psychosis under control, and then you would initiate psychotherapy.

Another example is that a person who is too apathetic (or has alogia) will have nothing to say in therapy, so you could use a stimulant to ameliorate the apathy first.

-undopaminergic

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 11:29:07

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 7:50:32

True, true. However i wonder if that is the case for so many people.

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 11:40:35

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 7:50:32

True, true. However i wonder if that is the case for so many people.

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 11:46:26

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 11:40:35

Yeah, my relationship with meds is complicated due to this MAOI experience. Meds scare me.

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 12:13:47

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 11:29:07

> True, true. However i wonder if that is the case for so many people.

Everyone who has an opinion says that the combination (of drugs and psychological measures) is best, but in practice, this approach is not used as much as it should be.

-undopaminergic

 

Re: AP's and relief

Posted by undopaminergic on March 25, 2020, at 13:20:41

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 11:46:26

> Yeah, my relationship with meds is complicated due to this MAOI experience. Meds scare me.
>

I should probably be more "afraid" than I am, given that I have experienced neurotoxic effects from PEA abuse and "tardive" depersonalisation from reboxetine.

Actually, I've been using "tardive" wrong. I thought it meant "persistent" but it is actually "late-occurring". My apologies!

My persistent depersonalisation actually happened almost right away with reboxetine. Partially lasting to this day, which is more than 15 years later.

-undopaminergic

 

Re: AP's and relief

Posted by Lamdage22 on March 25, 2020, at 13:45:39

In reply to Re: AP's and relief, posted by undopaminergic on March 25, 2020, at 13:20:41

Hmm that sounds really tough.

 

Re: AP's and relief

Posted by rjlockhart37 on March 25, 2020, at 23:16:16

In reply to AP's and relief, posted by rjlockhart37 on March 22, 2020, at 16:31:30

right now i take zyprexa and seroquel, and prozac, they are definitely more preferable than diazepam. It's aspirin, you know like headaches, well its just like taking aspirin, does not totally relieve anxiety

 

Re: AP's and relief

Posted by Lamdage22 on March 26, 2020, at 4:03:13

In reply to Re: AP's and relief, posted by rjlockhart37 on March 25, 2020, at 23:16:16

Do you have weight gain?

 

Re: AP's and relief

Posted by undopaminergic on March 26, 2020, at 5:09:27

In reply to Re: AP's and relief, posted by Lamdage22 on March 25, 2020, at 13:45:39

> Hmm that sounds really tough.

Objectively, yes, subjectively, I'm so used to it that I scarcely notice.

-undopaminergic

 

Re: AP's and relief » Lamdage22

Posted by rjlockhart37 on March 26, 2020, at 14:07:38

In reply to Re: AP's and relief, posted by Lamdage22 on March 26, 2020, at 4:03:13

actually no, that's surprising, but i've been on zyprexa for years, and at first when i started it, yes there was weight gain. But ... very surprisingly, i date moderate amount of both, there is no weight gain. I just stay at the same place, which very unusual.

just forget about the benzos crap wrote about, anti-psychosis meds are very calming and at times better than benzos. diazepam doesn't do sh*t for me nad i'm serious, that's why i posted APs are better

 

Re: AP's and relief

Posted by rjlockhart37 on March 26, 2020, at 14:10:56

In reply to Re: AP's and relief, posted by rjlockhart37 on March 25, 2020, at 23:16:16

you know, just forget about posting about benzos, thd main part of thd post is thd APs are better in ways because they put out the fire, thats going on during high stress or crazed feeling states.

 

Re: AP's and relief

Posted by Lamdage22 on March 27, 2020, at 2:53:07

In reply to Re: AP's and relief, posted by rjlockhart37 on March 26, 2020, at 14:10:56

They are calming, yes. And not as addictive as benzos.

 

Re: AP's and relief

Posted by Lamdage22 on March 27, 2020, at 3:23:30

In reply to Re: AP's and relief » Lamdage22, posted by rjlockhart37 on March 26, 2020, at 14:07:38

I take the same combination and I also initially had weight gain but not anymore! I have gone from 204 lbs to 180 in the timeframe of November- February while taking both Seroquel and Zyprexa.

 

Re: AP's and relief

Posted by undopaminergic on March 27, 2020, at 6:22:54

In reply to Re: AP's and relief, posted by Lamdage22 on March 27, 2020, at 2:53:07

> They are calming, yes. And not as addictive as benzos.

I haven't noticed that, unless you mean sedative?

Sedative is also anti-manic.

The only things that were pleasantly calming for me were the first few doses of phenylethylamine (PEA; with selegiline) and codeine (pro-drug for morphine).

-undopaminergic


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