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Re: psychopharm consultation - NYC or NC OldSchool

Posted by Elizabeth on December 28, 2001, at 14:51:35

In reply to Re: psychopharm consultation - NYC or NC, posted by OldSchool on December 19, 2001, at 10:04:55

Hi, "OldSchool." I believe I recognize you from your writing style and some things you've said. Nice to chat with you again.

I used to have a really good pdoc in W-S, but she's not taking new patients right now. Dr. Mattox seems like he might be a good choice. I wonder if he would be willing to try stuff like amantadine, pramipexole, vigabatrin, amisulpride, etc. that I think might have potential.

I tried getting in touch with Duke and I agree with you about them -- although there may be some research types there who are willing to try anything vaguely exotic, their outpatient clinic is definitely not the place to go if you haven't had adequate success from conventional treatments. My problem is that although regular ADs like Parnate and desipramine improve my mood, the anergia and anhedonia aren't as easy to get rid of.

My doctor in NJ recommended some people at Chapel Hill who might be willing to see me for a consultation. I'm hoping that if I can't find a really good psychiatrist here to see regularly, I can at least see someone good once for a consultation and that person can make some recommendations that my regular pdoc will be willing to listen to.

Unfortunately, a lot of pdocs who are very arrogant seem to be well respected around here. The outpatient clinic at Baptist is much like what you describe experiencing at Duke.

BTW: I haven't been diagnosed with epilepsy because none of the tests confirm that the episodes I've been having (which are very infrequent so I haven't been able to have an EEG while I was having one) are seizures. I think the neurology department at Baptist is supposed to be pretty good (certainly better than the psych department!) and hopefully I will be able to get some help there. Trileptal is a pretty good, side effect free anticonvulsant; the only problem I have with it is that it's so expensive.

-elizabeth


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URL: http://www.dr-bob.org/babble/20011222/msgs/88059.html