[elevatedsoul]

every time i go to see the drs i have trouble explaining what i am feeling and how medication has effected me

today i got an appointment for tomorow to discuss the meds im taking because they havent helped at all and my depression is just getting worse because im feeling more helpless
( i was feeling a little hopeful because i was seeing profesional help finally but i guess that fades)

i am wanting to change my meds tomorow and im not sure how to go about doing this, i have read about a ton of different meds now and it just seems like theres a handful of them, they work sometimes and sometimes they cause bad reactions or no effects at all
im hoping to be able to open a dialog about different medications and how they may be able to help me

currently my Dx is wrong and i need to be treated for MDD/C-PTSD i am 100% certain, i dont know how to say this either

i also am curious as to what meds some of you who may have C-PTSD / MDD / Social phobia ; are taking, have had success with.
i am just starting to feel like i am unable to keep going forward when i keep trying to do what they tell me and it doesnt work... i tried not to think of the dx as too important but right now i feel that i will never feel better if my dx isnt correct, not be able to get the treatment i need or access to meds that will help

i am tired of being tired, tired of being sick, tired of feeling dead and dread, i just want a little hope back in my life so that i can wake up in the morning, happy to be waking up instead of wishing i could just sleep through all of this

i have no energy to make myself go out and excercise, i have paranoia it seems too that keeps me from going outside i dont know if it is agoraphobia...
i cant focus or concentrate on things anyomre and just feel more confused each day

as my apt is tomorow i was just hoping i could get some words that may help me in the apt tomorow, i already have a bunch of notes that i am going to take in and just let her read because i evidently have a huge problem being able to talk

i have always been optimistic, but its so painful to be so optimistic yet so full of desperation; i just dont know what to do anymore, im not suicidal or have suicidal ideations... i have intrusive thoughts from time to time, of me dieing, of a weapon discharging and harming me, a knife flying off the table and cutting me, but i dont think this is suicide ideation...

thanks..
im not sure where to post this so if this is wrong place apologies

[elevatedsoul]

i feel like the real me is trapped under all this gunk and im just dieing to burst out so i can enjoy life

[jadedbutterfly]

I cannot advise you on meds, there are so many out there and they effect people in different ways.
I have had that overwhelmed feeling with new pdocs... and I do write a list of symptoms, but I also write examples of incidents with the hope the pdoc can get a better understanding of what I mean with the symptoms I write.
It is very intimidating for me with a new pdoc too.
I hope that you will be able to get some help when you see the pdoc tomorrow.

[splitimage]

ok - if you want to challenge your Dx, you'll need to be pretty clear on why you think it's wrong. As was suggested, write down examples.

As for meds they can be roughly classed -
some are sedating and good if you have anxiety.
some are more activating, good if you have no energy but bad if you have anxiety

You can use that as a starting point to figure out which anti-D's may be the most helpful.

I can share the chemical cocktail I'm on, but I'm on really high doses of multiple meds, so a new pdoc would probably be hesitant to go there at first.

Effexor 375 mg
Celexa 40 mg
Seroquel 200 mg
Risperidone 4 mg
Clonazapam 3.5 mg I went off the clonazapam for a while, but found I needed it.

My DX is Atypical Recurrent MDD with psychosis, PTSD, and DDNOS.

Good luck.

splitimage

[elevatedsoul]

yeah im trying to take as detailed notes as i can, i am new to getting treatment so they dont really know me and i dont really have much of a medical back ground i think to go on...

so far i've tried to write down how the medicines i've taken have effected me and how i think the meds im taking now are effecting me (which i dont think they are doing anything,,) i was taking sertraline 150mg for almost a year and it didnt do anything for my anxiety and i guess i was just drinking so much (as was usual) i blurred out the depression

im sober now and i can feel the depression.. i dont know if the zoloft was doing something but all i do know is that the discontinuation symptoms i had were horrible.. i feel that i've exausted my self medicating coping techniques as well.. as if i was to just try to get drunk now it wouldnt work and it wouldnt make me feel better, nor would i beable to drink because i just feel too depressed to try

the other notes i have are disorders, information on the disorders and how i think they effect me...
Social anxiety disorder, MDD, C-PTSD, ICD, Dissociation, hypervigilence

I used to ring very highly with this "rescuer identity" i am too drained to help anymore ...

I've also taken notes on just symptoms, Trouble falling asleep / staying asleep, Nightmares, Persisting low mood (for longer than i can remember) exaustion, fatigue, loss of interest and pleasure, loss of hope, confusion and unable to understand why this is happening to me, the earliest moment i can recall social phobia effecting my life - in middle school causing me to drop out and become homeschooled which lead to my withdrawing and isolation, i have very splotchy memory where i know i should have more memories i cant remember things, i feel guilty and ashamed... i think that i have a dependent personality type...

i've read alot about the SSRI's , SNRI's, TCA's, atypical antipsychotics, and yeah i've noticed that they can be classified roughly as you said

to me i feel broken and unsure... i feel as if i had a stimulant i would be able to have energy and get myself to do more things, but i worry it could increase my anxiety too, then i worry that if i take one of the others i will have absolutely no energy and not be able to do anything even if i feel better... i feel stuck, in a dillema and just want to see a little progress so i can see a twinkle of light, thats all...

is it abnormal to be put on both stimulant and depressent types..?

edit: i also have been using the program optimism to monitor my mood and sleep patterns for 3+ months now, i was thinking if i can show it to her she could see how my mood is, it doesnt fluctuate at all besides up 1 point or 2 and down... always below and never above, i have never had a manic episode as well so i dont know where the bipolar dx came from...

[elevatedsoul]

sorry about the rampant post, im just scared and this is the only place i have i can openly "speak" (type) to the best of my ability to try and figure out what in the world is in the middle of all this confusion fog.. i appreciate you guys

[sewerrats]

List of Psychiatric and Neurological Medications | The Good, the Bad & the Funny of these Crazy Meds HEAR IS A LIST OF ALL MEDS

[vans1974]

Originally Posted by elevatedsoul

every time i go to see the drs i have trouble explaining what i am feeling and how medication has effected me

today i got an appointment for tomorow to discuss the meds im taking because they havent helped at all and my depression is just getting worse because im feeling more helpless
( i was feeling a little hopeful because i was seeing profesional help finally but i guess that fades)

i am wanting to change my meds tomorow and im not sure how to go about doing this, i have read about a ton of different meds now and it just seems like theres a handful of them, they work sometimes and sometimes they cause bad reactions or no effects at all
im hoping to be able to open a dialog about different medications and how they may be able to help me

currently my Dx is wrong and i need to be treated for MDD/C-PTSD i am 100% certain, i dont know how to say this either

i also am curious as to what meds some of you who may have C-PTSD / MDD / Social phobia ; are taking, have had success with.
i am just starting to feel like i am unable to keep going forward when i keep trying to do what they tell me and it doesnt work... i tried not to think of the dx as too important but right now i feel that i will never feel better if my dx isnt correct, not be able to get the treatment i need or access to meds that will help

i am tired of being tired, tired of being sick, tired of feeling dead and dread, i just want a little hope back in my life so that i can wake up in the morning, happy to be waking up instead of wishing i could just sleep through all of this

i have no energy to make myself go out and excercise, i have paranoia it seems too that keeps me from going outside i dont know if it is agoraphobia...
i cant focus or concentrate on things anyomre and just feel more confused each day

as my apt is tomorow i was just hoping i could get some words that may help me in the apt tomorow, i already have a bunch of notes that i am going to take in and just let her read because i evidently have a huge problem being able to talk

i have always been optimistic, but its so painful to be so optimistic yet so full of desperation; i just dont know what to do anymore, im not suicidal or have suicidal ideations... i have intrusive thoughts from time to time, of me dieing, of a weapon discharging and harming me, a knife flying off the table and cutting me, but i dont think this is suicide ideation...

thanks..
im not sure where to post this so if this is wrong place apologies

Sorry to hear!! A couple of things I'd do: First- for PTSD, MDD and anxiety, there is a great AD, that isn't commonly prescribed but I love it...Nefazodone, it's an SARI AD, and is weight neutral. Most docs won't presribe it since 1 out of 300,000 can have liver problems, but it's quite effective at 400mg -600mg, and you can take it with your Wellbutrin SR. You can even go up to 450mg on Wellbutrin SR. Then if you're going to take an AAP, Latuda is the only way to go, especially for depression and it's weight neutral as well. If you're tired and hate weight gain, I'd avoid Zyprexa like the plague. Lastly, I'd even go with Viibryd if your doc won't write Nefazodone, at 40mg for an AD, if you want...it's pretty effective and is weight neutral as well and can be taken with Wellbutrin SR also. Best of luck, and hope that helps a bit!!

[elevatedsoul]

thanks so much, yeah i have looked at those meds too (Nefazodone and Latuda) but i guess its just always gonna be scary for me to try a new med...? my fear is being put on something too strong and not knowing it, causing more dmg or something like the liver dmg, i do love myself deeply and want to be happy so bad i dont want my body to be harmed or to go through more harm/pain

i want the dr to decide in the end what i should take of course for my safety but i just want to get on the right track atleast, i've only been taking wellbutrin and this buspar for a month or so now and i've been having a pretty rough time

i have also heard about raising the welbutrin to 450mg but i was wondering if i havent felt anything off the 350mg, will another 100mg help..? im almost starting to fear that my body is trying to be resistant

[elevatedsoul]

im just hoping i can go in there tomorow and talk to her about what im thinking and my notes and figure out together with the dr what would be good for me... so far i just feel like there is a check list of meds to try and ones marked off... i dont wanna just shoot till i hit something, i wanna do a little aiming first..

[vans1974]

Originally Posted by elevatedsoul

thanks so much, yeah i have looked at those meds too (Nefazodone and Latuda) but i guess its just always gonna be scary for me to try a new med...? my fear is being put on something too strong and not knowing it, causing more dmg or something like the liver dmg, i do love myself deeply and want to be happy so bad i dont want my body to be harmed or to go through more harm/pain

i want the dr to decide in the end what i should take of course for my safety but i just want to get on the right track atleast, i've only been taking wellbutrin and this buspar for a month or so now and i've been having a pretty rough time

i have also heard about raising the welbutrin to 450mg but i was wondering if i havent felt anything off the 350mg, will another 100mg help..? im almost starting to fear that my body is trying to be resistant

I understand. I'd only see a psychiatrist for these specific and detailed meds, not a family doc, internist, APRN, or a PA. And obviously, consult your pharmacist with any questions! Yes, 100mg increase in Wellbutrin SR should help, obviously that will take at least 2 weeks to work, but it should. For me, Aplenzin is much more potent than any type of Bupropion, since it's all generic. If you don't want Nefazodone, Viibryd has a high success rate only at 40mg for MDD. For me it's all about finding the right dose, then tweaking my med cocktail about every six months, since the "poop out effect" kicks in 30% of the time.

[elevatedsoul]

yeah i go to MH clinic, i read about viibryd and it sounded interesting but im afraid of ssri withdrawals again, if you experience it from 1 ssri does that mean you will experience it from all? for me im thinking they are trying to limit the things they want me to try because im 24years old.. im not sure when the next psychiatrist apt is but im hoping to get to see him tomorow when i talk to the case manager about the medicine, i dont know what to expect but im not going to get my hopes up that i will get the meds changed tomorow so i wont be disapointed hehe.. thanks for the replies again, atleast im not as nervous

[vans1974]

Originally Posted by elevatedsoul

yeah i go to MH clinic, i read about viibryd and it sounded interesting but im afraid of ssri withdrawals again, if you experience it from 1 ssri does that mean you will experience it from all? for me im thinking they are trying to limit the things they want me to try because im 24years old.. im not sure when the next psychiatrist apt is but im hoping to get to see him tomorow when i talk to the case manager about the medicine, i dont know what to expect but im not going to get my hopes up that i will get the meds changed tomorow so i wont be disapointed hehe.. thanks for the replies again, atleast im not as nervous

Ok good...Viibryd isn't actually a true SSRI, so the withdrawals and "poop out effect" are different for that one. You shouldn't have any problems withdrawing if you do it properly. It's hard to say, but generally, if you "poop out" from one SSRI, you will then from all of them. Another thought, is Cymbalta...it's an SNRI as I'm sure you know, has a generic, is weight neutral, and can be taken with Wellbutrin as well. The combo is called "California rocket fuel", if your doc will put you on both at the same time, it's great for energy and depression, but not a common combo since it can cause hypomania and similiar possible side effects. Also, Duloxetine starts to work in just one week, not two. Best of luck, and pm me anytime if you have any additional questions!

[elevatedsoul]

thanks, im going to just try to put all of this on the table tomorow and try to talk about different options because i could really use some imediate relief but i know thats not likely
i feel more confident that i will be able to say what i need to say to atleast initiate the dialog tomorow

gotta be brave right?

edit:
and hopefully since i have their help this time i wont have to experience any withdrawal symptoms

[elevatedsoul]

attended the apointment, im always nervous before going but she always makes me feel so much better before i leave
i didnt talk as much about the medicine as i wanted but i learned some important things, i was infact dx with ptsd but i just never received any papers on my dx, and i was told that the psychiatrist is to treat the symptoms and not so much the "labels"
so everyone requires different treatment, i told her i will do the feeling and they can do the dr stuff for me!
the zyprexa Rx still hasnt gone through eli lilly, dunno whats taking that so long or how that works (supposed to get it directly from them?) but they gave me a 7 day sample of zyprexa zydis 15mg

i stated my concerns about being treated for the wrong thing and was very much reasured that they are paying attention to my symptoms and not the labels

i don't feel 100% better but i feel better now knowing that they know what i feel and that they are on the right page too, i feel like we are working together more now - i just hope that i can get my concentration and focusing skills under control so that i can have detailed conversations at my next appointments...

didnt get any med changes besides the zyprexa zydis sample, i hope that starting at 15mg isnt too high

im also glad to be part of this group, it helps to have a place to try to gather my thoughts!

i mentioned ritalin being used for depression and concentration and she told me that since i have anxiety i probably wouldnt get to try that, but i was wondering if the wellbutrin hasnt increased my anxiety (nor decreased it) would ritalin really cause any anxiety problems for me? it would be nice to have something to help me concentrate and focus so that i dont forget mid sentance every 10seconds and have a little extra energy to put my shoes on .. experiences?

[FaithlessCat]

I wrote all of my symptoms down and kept a diary. I was also sure I was being wrongly diagnosed with depression and GAD and finally saw a Pdoc last week. He asked lots of questions and at the end of our session he asked if there was anything else so I went through my list of symptoms.

during the session he indeed identified that my Depression and GAD were actually symptoms of Pure O OCD and my Hypomania could possibly mean BP II. He agreed that the Antidepressant Effexor was likely doing nothing for me and has put me on Tegretol as a mood stabiliser to start with for four weeks. I am still questioning bits and pieces but for the most part I feel heard for the first time. I think for me it is because I let him lead the session instead of me trying to throw all my information at him.

Best of luck with getting your needs and worries across

[elevatedsoul]

thanks Faithlesscat, yeah i have a bunch legal pads im writing my symptoms down in, keeping tabs on the medicines i take too how the treta me and make me feel ! i hope im writing down accurate information as im not sure how to describe somethings lol but i feel more positive about the treatment now too since i know they have a bigger list of dx than i though... i didnt get all of the dx' but she told me that they also had me down for ptsd which made me feel a little better

last night i took the firzt zyprexa zydis, didnt taste nasty.. almost had a nice taste, disolved instantly which i thought it would take a few seconds atleast so i had a cup of water and cup of soda to wash it down if i needed (which i didnt really) and i think i fell asleep pretty easy, i still had my normal general racing thoughts, even though i dont think they were racing so much as just driving side by side hehe, but now in the morning i just woke up 30 minutes ago and i havent felt this tired in a long time.. im hoping that it doesnt continue to make me feel so tired, because this is what i was trying to take the medicine for - to get enough good sleep to have energy and not be ready to fall asleep at any time!

i am trying to gulp down some cofffe to get my eyes open atleast, is this normal for zydis to cause? 15mg at 8:30pm last night, and now 8:30 today and i feel more tired than i did last night at 12pm

atleast it didnt taste horrid like i was imagining it would! alas if this medicine only helps me fall asleep and doesnt help me stay asleep and has me waking up feeling more tired i dont think it will be the right one for me, but as only the first day i wont judge so quickly

thanks for reply again, going to try to finish waking up hehe