Roll Call 24

Well maybe there is a difference in bp ppl and sz ppl. But when I'm on the right meds I've never felt so stable. And stability for me feels odd. So now what I've decided is a little stability is what I should strive for. Like sleeping every night, not being extremely irritable or paranoid. But too much stability and I feel extremely bored, thus I think I'm over medicated. My psych nurse agrees with me.

I wish more pdocs knew about the info you have. Why do you think pdocs push meds so much. Is it their ties with big pharma?

Yeah everything I know is pretty much based on sz....from the little I know about BP it may be that if you get the mood component stable enough the psychotic component will be blocked but from what I understand the APs can help stabilize mood as well so it's very interwoven and the medication burden for people with bipolar(and I assume sza) is the highest of all the conditions. What I had was pretty easy to manage as I was only on one med at a time.

I don't think it's ties to pharma....pharma itself has been slowly cutting support for all MDs because they know it looks bad. 20 years ago even in GI they would shut down a zoo and throw a big party for the national meetings now almost everything is paid for by membership fees.....even five years ago they did the shuttle buses for the conferences...they would have purple pill ads across the sides. Now you have to go to the exhibit halls to even see them and you're lucky to get a USB drive with product info where like 10 years ago they would give out cool electronics like travel mice or personalized day planners or whatever that was way nicer than anything academics ever got.

So why do they do it....if all you have is a hammer everything looks like a nail. The really aren't all trained in talk therapy these days but some are but the style of therapy is often discredited. The pay they make for an hour of therapy is like the same they would make with 2 15 minute med management sessions so imagine 4 an hour vs seeing 1 patient to talk doubles $$$. My pdoc would bill for med management and therapy at a slightly higher rate and give a 30 minute appointment but hour appointments are rare except in cash practice. That's not to say they can't refer you to a psychologist and they will if the condition can be treated with therapy alone...like mild anxiety. So basically they are all trained in medicine and not talk.

Next thing they all start working at in-patient facilities so they can be supervised and they perform a service for the hospital and they are normally paid for by fellowships so hospital doesn't even have to pay them while they're learning. Anyway working inpatient you see people on a short term basis and meds are the only thing that works that fast and their job is to get you good enough to get out and not to permanently heal you but the you see an outpatient doc and he or she was trained the same way...get them stable...ok done. So meds are great the first couple of years you invariably do better on them. People that go off meds really don't need to see a pdoc so there is something called the clinicians bias....They never see the people who get better off the meds they really don't know they exist. They only see what happens in the short term when people come off the meds usually too quickly and it's a train wreck. So to a pdoc no meds tends to be bad. However the harrow study got mentioned in a book by Robert Whitaker and kind of exploded then there was a seven year study by wunderink that also showed a similar thing. Now the director of the NIMH has basically come out to say that maybe we shouldn't be keeping people on APs forever so things are changing within the system itself...

So that's great but he's head of research not actual practice of psychiatry so it will take a while for docs to come up with a new standard of care and the best way to taper people because really they don't have a standard way to take people off of medicine...heck a lot of pdocs don't even know you can get better from sz and that people living in developing countries actually do better because they never see meds...

I can never read all of the long posts so I can't reply sorry

It takes me a couple of tries to read long ones too. So don't feel bad

I don't bother reading long posts most of the time. I don't think it's anything you have to be sorry for! People do what they can.

i plan to go on a tea detox plan by the name of Skinny Me Teatox to lose weight

That sounds interesting! Can you tell me more about it?

Exactly! Just do the best you can. I always read Sometimesp's long posts very carefully. It might take me a couple of tries. But she always has great information and I learn a lot from her long posts

heres the website

SkinnyMe tea | Skinny Me tea

its a tea detox called skinny me teatox. it comes with colon cleanser packets.

I'll check out that link. I did see that there are some videos about it on YouTube too.

It sounds really interesting from what I read on the link and the reviews that were posted. I'd read all I could find on it before doing it just to be sure.

Newtus: I found this video interesting about it.

heres another video from me

yea i saw that video thank you. she said it works best if you are eating a lot of processed foods.

I think I do. It might work for me.

I was never offended by anything you said. I understood that the things you were saying was how you felt about yourself. I hate that you feel that way.

thanks. maybe i crossed a line. idk . but thank you. i appreciate it.

hope you liked my video

Nothing's boring in my world... even when I litterally been sitting home all day.

your lucky. my world is pretty boring.

I can only speak for myself when I say I didn't think you crossed a line. I felt like you were just expressing how you felt about yourself and your weight issues. I feel the same about myself but I feel like I should considering what my weight is for me. Everyone is different though. I don't think you should keep apologizing for it because Roll Call is here for you to express how you feel about yourself and your situation. It doesn't mean you think that about other people. Please don't worry over it anymore

I like sitting home all day. I prefer it

I welcome boredom. I hate always having to be on the go. I'll be so glad when summer comes so that everything slows down.

I guess there's lots of news that came my way today. My uncle Tim is living back with us. He ended up giving his dog to my step dad so now we have 2 dogs. Found out my stepmom might have colon cancer. Oh and we're going on vactation somewhere (not decided yet but probably Florida) in mid July.

Newtus: I also think that when we think those negative thoughts about ourselves that we should recognize it and do our best to turn the negatives into positives. I am very guilty of having negative thoughts about myself too. But I should try to be more positive. Sometimes it is hard to do especially when you don't feel well.

He's still working on it. It's half what it was when he started.

That's too fast.