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  #226  
Old Apr 03, 2020, 08:24 AM
Anonymous46341
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Originally Posted by bluebicycle View Post
@BirdDancer: Yes, that's correct. I don't know if this is true or not, but I've heard that Provigil is "milder" than stimulants, FWIW. It is also sometimes used in patients with bipolar to improve depression -- although with close observation. So it can help with @childofchaos831 with depression, too. (See here: Adjunctive use of modafinil in bipolar patients: just another stimulant or not? - PubMed - NCBI)

In one case, a patient developed psychosis within 2 days of taking it (See here: Modafinil Induced Psychosis in a Patient with Bipolar 1 Depression). So, I guess the uptick in mood can happen pretty rapidly, if it does happen. Though the article does go on to state that the patient's psychosis had abated within a few days of cessation, so I guess the good news is that if it *does* happen, it seems to go away quickly? The unfortunate thing about the article, though, is that it doesn't really say what happened after the psychosis wore off (e.g., if he became depressed again, etc.).
Hi bluebicycle. The "milder" aspect was what I was originally told, too. However, I was one of the group of people with bipolar disorder where Provigil caused a switch to mania. I was trialed on Provigil three times. The first time, the doctor gave me free samples. It worked, as was intended, within about five days, but then the samples (and IOP) ended. Not too long after, a hospital doctor put me on it again. Shortly after, I started to get manic, so was taken off. Then not too long after, my own private psychiatrist put me on it, reluctantly. I hadn't told him what had happened previously. It was a hassle med because it required prior authorizations.

The third time I was put on it, I got manic again. Unfortunately, the mania really escalated during a trip to Maine. My behavior became out of control. I remember people on a boat making remarks about it, as did people at the hotel. It was November. The hotel had a pool. I remember having insomnia where I got zero sleep, and started having visual hallucinations and delusions. I got up at about 6 am and went to the hotel's outdoor swimming pool and started to swim. Yes, 6 am in November in Maine! Hubby yelled at me to get out. Others noticed, so hours later a big sign went up at the pool and a chain was put up. Hubby threatened to take me to the hospital there. Maine is a little hike from New Jersey. The vacation was cut short because of my mania.

Hubby forced me to stop the Provigil and called my psychiatrist, who told me to get off of it immediately. Hubby urged me to call the pharmacy to cancel refills. My mania did quickly ease after stopping Provigil, as you referenced. That's a bit different than other manias, I've had. However, as my mood leveled, I missed the high. I started to abuse Provigil for a bit. This was not the only time I've taken a stimulant against medical advice. There was a time in the past that I abused pseudophedrine (Sudafed) for the same reason. My regular pharmacist started refusing to sell it to me (it requires purchase at the pharmacy desk, with a license presented). For a bit, I went to other pharmacies where they didn't know me, to get it.
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  #227  
Old Apr 03, 2020, 08:26 AM
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Originally Posted by bluebicycle View Post
Congrats on getting toilet paper! I don't know why people are hoarding that stuff. Sounds like maybe your grocery store limits the amount of toilet paper one can buy?

Nothing wrong with cake for breakfast. I've done the same... on multiple occasions.
Thanks Yeah I don't get the hoarding either Unfortunately they don't seem to limit how much people can buy because I see people with cart fulls of just TP and paper towels checking out, I only got one because that's what I could afford with the money I had on me but yeah.. I think they really should put at least some sort of limit on it, most stores seem to be

Yeah cake is the breakfast of champions
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  #228  
Old Apr 03, 2020, 08:27 AM
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Well, I'm not feeling right today. Angry, lightheaded, and nauseous. Though, I suppose I was fortunate that I managed to sleep 10 hours after getting "six" or "seven" a night. (I put those in quotes because I may sleep from like 12am until 6am/7am, but I will have awoken multiple times a night, sometimes up to 5 times!)

I wasn't feeling nauseous until about an hour ago when I started eating breakfast, so I don't know. I think it's because I didn't take my meds last night. I wanted to take them, but I passed out at 9pm before that could even happen. And my phone alarm that I normally have set everyday for 11pm didn't go off! I checked the app this morning and app was frozen.

I was feeling kinda angry yesterday, but the nausea just makes me flat out grumpy and a little angrier. My emotions (or mood...?) was flip-flopping between happy and angry yesterday. Like, I was happy a lot, but then tiny little things would just set me off. Now I'm feeling awful because of the nausea. Sometimes I wish I would just throw up to get it over with... but I don't think throwing up will help this time because it seems to be med induced, possibly. Guess I'll have to take my meds this morning and totally screw up my med schedule... I'm sure I can fix it though. I'll just space out my meds so that I take them every 26 hours instead of every 24 hours... until I get back to my normal time.
I hope your stomach calms soon, bluebicycle. I can't know why you're nauseous, but I can say that the rare times I've missed medications, I have had similar physical reactions. Often I also have a major headache, especially when I've missed evening medications. Feel better!
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  #229  
Old Apr 03, 2020, 09:18 AM
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Quote:
Originally Posted by bluebicycle View Post
@BirdDancer: Yes, that's correct. I don't know if this is true or not, but I've heard that Provigil is "milder" than stimulants, FWIW. It is also sometimes used in patients with bipolar to improve depression -- although with close observation. So it can help with @childofchaos831 with depression, too. (See here: Adjunctive use of modafinil in bipolar patients: just another stimulant or not? - PubMed - NCBI)


In one case, a patient developed psychosis within 2 days of taking it (See here: Modafinil Induced Psychosis in a Patient with Bipolar 1 Depression). So, I guess the uptick in mood can happen pretty rapidly, if it does happen. Though the article does go on to state that the patient's psychosis had abated within a few days of cessation, so I guess the good news is that if it *does* happen, it seems to go away quickly? The unfortunate thing about the article, though, is that it doesn't really say what happened after the psychosis wore off (e.g., if he became depressed again, etc.).
We'lll take a look at those. Thanks!
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  #230  
Old Apr 03, 2020, 12:56 PM
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Originally Posted by childofchaos831 View Post
Modafinil (I think the brand is Provigil)
Oh, good. As long as it's not Nuvigil. Stay away from that one. It made me soooooo sleepy. Lots of other people, too. Nuvigil works the opposite of how it is supposed to, but companies get desperate when they lose their patents. I am quite certain they lied to to get it FDA=approved. Maybe I am wrong, but I doubt it.


Hope it works great for you!!!!
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  #231  
Old Apr 03, 2020, 01:00 PM
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Originally Posted by bpcyclist View Post
Oh, good. As long as it's not Nuvigil. Stay away from that one. It made me soooooo sleepy. Lots of other people, too. Nuvigil works the opposite of how it is supposed to, but companies get desperate when they lose their patents. I am quite certain they lied to to get it FDA=approved. Maybe I am wrong, but I doubt it.


Hope it works great for you!!!!
What?!?!?! Big pharma lies? I can't believe you'd say such a thing.
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  #232  
Old Apr 03, 2020, 01:08 PM
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Hoo boy the weather is weird. Yesterday it was in the 60's and tons of people were out walking. Today it's an icy mix that I thought was snow until I went out to get the mail. Cold! On the noon news it said 32!! Very slippery out there. The paper was only 6 pages long.
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  #233  
Old Apr 03, 2020, 01:11 PM
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Just finished my therapy appt 1 hour ago. It went well. We discussed that I'm (apparently) still having symptoms.

Pdoc did not return my call. Guess I will have to call again... except today is Friday and idk how the heck to contact him over the weekend. The "after hours emergency services" never think anything is urgent. It's always "call back during normal business hours."

He does not check his own voicemail, and since his stupid assistant only works from 10am-2pm on M-F, I'm SOL.

Hopefully this weekend will be okay for me, but I'm not too optimistic.
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  #234  
Old Apr 03, 2020, 01:17 PM
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blue. Maybe there will be a miracle, I hope so.
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  #235  
Old Apr 03, 2020, 01:23 PM
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Hope you feel better bluebicycle!
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  #236  
Old Apr 03, 2020, 01:26 PM
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I noticed that my former therapist "liked" my most recent blog post. The post was only about Easter bread. Nothing that deep/serious. Nevertheless, it made me feel a little uncomfortable. I stopped seeing this therapist over a year ago. I really liked her a lot, but had to change because she moved far from my home. After this therapist moved, she stopped being able to accept my insurance. In response, she let me see her for several sessions for next to nothing ($10 per session), on Saturdays. My husband would drive me to her new office, since it was almost an hour away on stressful highways. Hubby would wait in the car or go to a coffee shop. I just couldn't continue putting hubby through that inconvenience. Also, there was a transference and countertransference between us. She reminded me of my late mother. She almost assumed a motherly role towards me. It was a loving kind of relationship, but I eventually saw that as unhealthy.

Obviously, I had shared my blog address with the above therapist, while still going to her. She became very interested in it, and read several of my posts. She signed up to receive my post notices. I didn't think that would be a problem, but as said, it's become uncomfortable. Maybe six months back, I wrote a very sad post about my father. She read it and thought it was about my husband. She contacted me via email begging me to explain to her what was going on. I did, and she responded again. I didn't respond to her second email, feeling it was best not to.

Ideally, I wish this therapist would unsubscribe to my blog. I could manually remove her from my post notification list, but that is so awkward. My point to this post is to recommend that others think seriously before sharing a blog address with a therapist. I couldn't write about this on my blog, or she'd see it. Or select other things.

I really like my current therapist of over a year, and think the relationship is healthy.
Hi BirdDancer! While I get why her just unsubscribing would be ideal, I don't really see anything awkward about manually removing her. It's not like she'd get a notification of it or anything, right? Besides, the feature is there for you. If you're not comfortable with a reader --any reader, for any reason -- then you are only protecting yourself. You shouldn't have to be uncomfortable! I think that any therapist worth their salt would say the same (not that I'm a therapist, lol, but it seems to be a matter of personal boundary setting).
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  #237  
Old Apr 03, 2020, 01:36 PM
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What?!?!?! Big pharma lies? I can't believe you'd say such a thing.
Lol! So true!
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  #238  
Old Apr 03, 2020, 01:38 PM
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Originally Posted by bpcyclist View Post
Oh, good. As long as it's not Nuvigil. Stay away from that one. It made me soooooo sleepy. Lots of other people, too. Nuvigil works the opposite of how it is supposed to, but companies get desperate when they lose their patents. I am quite certain they lied to to get it FDA=approved. Maybe I am wrong, but I doubt it.


Hope it works great for you!!!!
Good to know! So far so good with this one. We haven't fallen asleep against our will at all today or yesterday... We had been falling asleep at IOP, just head against the wall, sleeping kind of thing. Not the past two days...
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  #239  
Old Apr 03, 2020, 01:54 PM
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Hi BirdDancer! While I get why her just unsubscribing would be ideal, I don't really see anything awkward about manually removing her. It's not like she'd get a notification of it or anything, right? Besides, the feature is there for you. If you're not comfortable with a reader --any reader, for any reason -- then you are only protecting yourself. You shouldn't have to be uncomfortable! I think that any therapist worth their salt would say the same (not that I'm a therapist, lol, but it seems to be a matter of personal boundary setting).
Thanks, Innerzone! Maybe I will go ahead and remove her email from my follower list. Maybe I'll wait a day or two to be sure she's sort of forgotten about me.
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  #240  
Old Apr 03, 2020, 02:50 PM
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Originally Posted by Nammu View Post
Hoo boy the weather is weird. Yesterday it was in the 60's and tons of people were out walking. Today it's an icy mix that I thought was snow until I went out to get the mail. Cold! On the noon news it said 32!! Very slippery out there. The paper was only 6 pages long.

Yesterday it was 63 and sunny. This morning, I had to scrape my car! (Granted at 4:30 a.m.) And now its almost four and its 65 and sunny. The flowers are up around here and the bushes have bloomed too. It seems a little early for both- usually its like this a month from now.
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  #241  
Old Apr 03, 2020, 03:01 PM
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N3 worked from 5-2 today. That's good because tomorrow he probably will be let go early. You never know though- I thought he'd be out early today from going in so early. After I picked him up we went for a walk in my mom's neighborhood. It's 65 but walking it was too hot with a sweatshirt on. I'm trying to think of what to eat for dinner. Chicken is not thawed. Darn it! But if I have enough spaghetti sauce we could have pasta.

I weighed myself today and I am almost forty pounds down from my highest. (Give or take 3.) Now if I could just lose the last 40 it would be great!
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  #242  
Old Apr 03, 2020, 03:07 PM
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Originally Posted by Moose72 View Post
Yesterday it was 63 and sunny. This morning, I had to scrape my car! (Granted at 4:30 a.m.) And now its almost four and its 65 and sunny. The flowers are up around here and the bushes have bloomed too. It seems a little early for both- usually its like this a month from now.
It's snowing now! The outside ground is white! Looks like November out there not April
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  #243  
Old Apr 03, 2020, 03:16 PM
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Originally Posted by Nammu View Post
It's snowing now! The outside ground is white! Looks like November out there not April

Crazy. But we could have that same weather here. You just never know. You know what they say about Michigan weather- if you don't like it, wait 5 minutes...
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  #244  
Old Apr 03, 2020, 04:00 PM
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Originally Posted by bluebicycle View Post
Just finished my therapy appt 1 hour ago. It went well. We discussed that I'm (apparently) still having symptoms.

Pdoc did not return my call. Guess I will have to call again... except today is Friday and idk how the heck to contact him over the weekend. The "after hours emergency services" never think anything is urgent. It's always "call back during normal business hours."

He does not check his own voicemail, and since his stupid assistant only works from 10am-2pm on M-F, I'm SOL.

Hopefully this weekend will be okay for me, but I'm not too optimistic.
Late start here today, but I hope you call the aftre-hours people, blue!!!!
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  #245  
Old Apr 03, 2020, 04:14 PM
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Good to know! So far so good with this one. We haven't fallen asleep against our will at all today or yesterday... We had been falling asleep at IOP, just head against the wall, sleeping kind of thing. Not the past two days...
Awesome. It has been a miracle drug for me. But don't take more than the prescribed amount--like BirdDancer correctly points out, it's just not good. I was in a very high Provigil dose at one time because my brain was so sick. Then, when I started to get better, that same dose was just too much. It totally over-activated me. Tweaking, basically, for me, anyhow. Not like Adderall at all--there is no euphoria from Provigil, at least for me. So, taking too much really is the worst of all worlds, even if you don't get mania.

Just a tip from someone who has been on it for a very long time.
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  #246  
Old Apr 03, 2020, 05:45 PM
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Thanks everyone. I'm feeling a little better after doing some distractions.

Quote:
Originally Posted by bpcyclist View Post
Late start here today, but I hope you call the aftre-hours people, blue!!!!
It's a waste of time. I need a new prescription to replace Rexulti. The last time I said that one of my meds conked out on me and I was feeling heavily depressed, they said that I needed to call during normal business hours to set up an appointment with my provider. They said it's against their office policy to allow providers to prescribe medications outside of business hours.

Also once knocked some meds into the toilet in my bathroom on a Friday night at like 8pm and they said to call back during normal business hours because of the whole "not allowing providers to prescribe medications outside of business hours" thing.

Back in 2018, I said that I was calling because my pdoc didn't call me back and that I needed an urgent response. Then they said, "It is up to your provider to decide when they will return their calls. This line is for urgent matters." Then I repeated that it WAS urgent. Then the idiot on the phone said, "Ok, but if you left a message, then your doctor will get back to you when they have time." I fought with the moron for literally like 3 minutes before hanging up on him.
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  #247  
Old Apr 03, 2020, 06:35 PM
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Ok, I can't really elaborate on this, but I think I have to report my first therapist to my therapy office. She had left the office about 4 years ago, but is apparently making a return to the office as of mid April. She did A LOT of bad things and I never reported her because she left and I thought, "good f***ing riddance, you dumb b****." I briefly told my current therapist about her when we started therapy in 2017... and my therapist gave me a WTF look. But I think she would probably encourage me to report her if I told her EVERYTHING this lady did (which includes her accusing me of lying about symptoms to my pdoc, saying I am manipulative, saying that a PhD psychologist doesn't know what she's doing (even though she herself is only a MS social worker), etc.).

Really frustrating, but I think I have to do it for the sake of everyone else who has to deal with her horrible treatment of people.
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  #248  
Old Apr 03, 2020, 06:39 PM
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@bluebicycle I'd report her too. It sounds like its only a matter of time before she is treating you the exact same way.
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  #249  
Old Apr 03, 2020, 07:22 PM
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Thanks again for the suggestions folks! I'll see what I can do. Unfortunately I asked about the stimulus package and hubby says that's peanuts to what he's lost. (Apparently he took a pay cut too in addition to losing the bonus and raise.) But again, at least he has a job right now! Ugh!
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  #250  
Old Apr 03, 2020, 08:42 PM
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Earlier this morning I managed to walk over the hill to the beach. It is only a 10 minute return walk but with my Fibromyalgia/CFS being bad it made me a little dizzy. Still, it was great to see the ocean again. I also managed to clean my bathroom. More needs doing around my flat but that's it for today exercise wise. I have to pace myself or I will get sicker. Anxiety down and sleeping better. Yey! I have managed to reduce clonazepam and seroquel doses too. Hopefully things are on the up for me health wise.

My home state (Australia) has shut its borders to all other states, and internationally as well. Our state is fairing well so far in comparison to other states and countries. Even so we are in a type of lockdown. As we have a major port in the Southern Hemisphere cruise ships have been our main problem. Why people still chose to go on a cruise a month ago is beyond me but now they are filling our hospitals. It is a horrible situation for everyone. We can't turn back ships in distress. We must help. The problem is we are an isolated state (in usual times) with limited hospital space. Thankfully there is minimal community transmission so far so the hospitals are coping.

Yesterday the leader of our state got a huge case of the giggles during a press conference. He was asked if a person was still allowed to go for a jog and eat a kebab. I think he pictured the person doing both at the same time and couldn't help but burst into laughter before saying it is not against the law as long as social distancing is in place. Anyway, it was funny to watch and great to see the Premier laugh for a change. Poor guy must be so stressed. He also wrote an official order allowing the Easter Bunny to cross our border. lol. I think he is doing a great job.

Anyway, I digress. Weird times to live in indeed.
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Bipolar 1 with psychotic features
PTSD




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