Posted by DL on November 5, 1998, at 22:54:55
In reply to Re: MD visit, posted by Toby on November 3, 1998, at 14:08:40
I posted a message here on 11-4 and it acted just like it had been posted, but when I came back today it was gone.
I have decided to try other methods to deal with the speech/clenching problem before I go back to the klonopin. I remember the dentist said I should not chew gum since it tenses and tires the jaw muscles. I have sugarless gum in my car and use it for alerting while driving (started when I had excessive drowsiness on low dose Remeron). So to start I will stop the gum. I will also try to be more conscious of the clenching and practice relaxing neck and jaw muscles. If the spasms continue to get worse I will try a quarter tablet of klonopin during the day.
Real sleep continues to leave me awestruck. I just can't believe that I can have sleep with dreams, relaxation and depth. I think my focus on work may be a little bit better because of it. People who have never had a persistent, intractable sleep problem take this state of mind for granted. I never will. This sleep is the best present I could ever have...
> To decide whether you need to increase the Remeron dose, talk to your therapist and go over what improvements you've made and what still needs improving in terms of how you feel emotionally and then talk about which of those things can be addressed in therapy and which she feels may need further medication adjustment.
I see her on Sat and can try to do this. I'm not quite sure exactly which "non improvements" would be on the therapy list and which would be on the medication list.
> It sounds like (from afar) that improvements in mood, etc could still be made,
Tell me why you have this sense--it might help me decide where I am on the improvement scale. Unfortunately I have been in such a low/anxious/stressed mental state for so long I find I just don't have a "feel" for normal anymore. I have forgotten what that's like. So I may be there or not--I just don't know.
> but if things are still getting better even now (no matter how slowly), I probably wouldn't increase it until you have been at this dose for a total of 6-8 weeks and then evaluate again.
I will have been on the 30mg 5 weeks on this coming weekend. As I said it is hard for me to judge my improvement. It would be easier for someone living with me to evaluate. But my son is at college and my husband is angry and distant and passive aggressive especially now. He is not interested in helping me out in any way. I do definitely feel the sleep is even getting better. This surprises me because last week I didn't think it could get better. I thought that was pretty great then. Any suggestions?
Hope this one posts and stays.
poster:DL
thread:827
URL: http://www.dr-bob.org/babble/19990601/msgs/1093.html