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Re: pharmacologist report? jazzdog

Posted by JahL on December 6, 2001, at 18:44:03

In reply to Re: pharmacologist report? JahL, posted by jazzdog on December 6, 2001, at 12:20:58

> Hi Jahl-
> So what did your pharmacologist have to say about depersonalization? And new ideas?

Hi Jane.
You know what, I did the full 90 minutes w/o mentioning depersonalisation. Might have something to do with having only 3 hours sleep over 2 days & a sodding 6 hr round trip.

Also I'm not especially depersonalised at present and because I've been this way all my life, I only tend to notice when the DP is particularly bad. Actually, I found it pretty easy to connect today & I know I gave a good a/c of myself. I suspect it may have had something to do with the low-dose Methadone I'm taking, though I wouldn't like to comment further until I've upped the dose. I've actually spied a couple of articles implicating the endogenous opioid system in DD disorders. I think there are at least 2 board members here who suffer from dissociative disorder and benefit from opioids...

We concentrated on BPII as a single entity and mainly focussed on the depression. When this remits, so do all my other symptoms.

He said that as far as British psychiatry was concerned I had already pushed the envelope far beyond what was considered 'reasonable' and that I would probably have a better chance treating myself, "given you seem to know more than the average psychiatrist." < g > (I know sh*t-all)

His main suggestion was to retain all present meds and add Tryptophan to augment the SSRI (currently Celexa). Of course this is not popular practice in the US right now because of the past EMS scares but he assures me he has had some success with this method (tho he doesn't deny that there still exists a theoretical risk).

I have a modicum of faith if only because this was the first pdoc I've ever met who truly knows his stuff. No pretence. No picking apart of my childhood. No condemnation for my drug *use*. You get the picture. Easily the most valuable 90 mins I've ever spent with a doc ('cept the one who operated on my hand...) It's just a shame I finally find this person when my journey seems to be nearing its end...


PS I'm still technically at the DP unit so I'll keep you abreast of any developments. However they've recently started mumbling about 'disability management' & the like which doesn't sound too promising...




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