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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1252 to 1276 of 1838. Go back in thread:
Posted by headachequeen on November 29, 2004, at 11:04:08
In reply to Re: Topamax/Zonegran eating disorder, posted by stresser on November 28, 2004, at 22:28:22
> Thanks everyone for the input on the topamax and therapist advice. After my daughter's seeing the same one for two years, we have decided to switch to another......I have to be an advocate for my childs mental health and will fight for her until I get what she deserves.
> Kat....Thanks so much for the info you are gathering up for us....no hurry...we have time and will get it when you are ready. I'm sure it will help many of us.
> It's really hard for me to reply to everything that has been posted because I can't seem to remember what everyone has said without looking back five or six times
> Is 250mg on the topamax enough for appetite suppressant? I do know that empotional eating will not be stopped with that, but we are working on that with therapy.......Feel free to give advice....I always want your input. -L
We have to be our own advocates for health, mental and physical... so this is the first and strongest step, L...
and 250 mg is a good step forward... but not enough from the information that is available...
400 mg is the usual dosage that seems to work for most people...
kat
Posted by rainy on November 29, 2004, at 13:18:57
In reply to Re: Topamax/Zonegran eating disorder » stresser, posted by headachequeen on November 29, 2004, at 11:04:08
Howcome the exact message that you posted last night shows up at the foot of these two last posts? Did you post it again, L ?
Posted by headachequeen on November 29, 2004, at 14:22:30
In reply to Re: Topamax/Zonegran eating disorder » headachequeen, posted by rainy on November 29, 2004, at 13:18:57
> Howcome the exact message that you posted last night shows up at the foot of these two last posts? Did you post it again, L ?
>Which two last posts???
I posted it only once that I know of...
kat
Posted by rainy on November 29, 2004, at 15:15:48
In reply to Re: Topamax/Zonegran eating disorder » rainy, posted by headachequeen on November 29, 2004, at 14:22:30
Sorry, I thought it was from Stresser. The posts from the guy from the Addams Family (sp?) and his responder.
L, I think I began losing weight at 225 mgs, but there were so many other variables in my life at that time that it's really hard to tell. I had broken my rib and was in pain and living on ice water so calories were already restricted.
I do gain weight when I eat more than I usually do, even on Topamax. Exercise and diet play a strong role in my experience of weight maintainence on this med. No free lunch for me.
rainy
Posted by stresser on November 29, 2004, at 17:06:52
In reply to Re: Topamax/Zonegran eating disorder, posted by rainy on November 29, 2004, at 15:15:48
I still don't understand the way these posting work half the time, and no, I didn't mean to post the same thing twice. I don't think I did? Who knows <ggggg>
Now...
Herman Munster:
I'm not trying to come off sounding rude or impolite, but I'm sure you were not refering to the topamax......I do think you may need to post your message on a different board. Dr. Bob may re-direct it that direction anyway.
As for the 400mg working best for most people, maybe the doc. will increase her dosage up higher in the future.....I just don't know if he knows how high she should go. -L
Posted by headachequeen on November 29, 2004, at 19:58:05
In reply to Re: Herman Munster and eating disorder/topamax/new, posted by stresser on November 29, 2004, at 17:06:52
> I still don't understand the way these posting work half the time, and no, I didn't mean to post the same thing twice. I don't think I did? Who knows <ggggg>
> Now...
> Herman Munster:
> I'm not trying to come off sounding rude or impolite, but I'm sure you were not refering to the topamax......I do think you may need to post your message on a different board. Dr. Bob may re-direct it that direction anyway.
> As for the 400mg working best for most people, maybe the doc. will increase her dosage up higher in the future.....I just don't know if he knows how high she should go. -Las for Herman munster, let's just ignore that whole issue... some people are better off ignored... they thrive on the attention their behaviour receives...
and if the only time they receive attention is when their behaviour is negative that suits them just fine...
better not to play into that game...
other times it is someone trying a blind test for a psych paper in college...
have seen that one a few times...
just ignore the child until it learns to behave properly --- recognise the proper behaviour and ignore the negative is the way they taught us to react back in child psych 101 <g>
kat
Posted by Dr. Bob on November 29, 2004, at 20:55:30
In reply to Re: change of subject, posted by HermanMunster on November 28, 2004, at 23:57:53
> You need to reach an orgazam.
>
> I prescribe you going out and getting a good lay.Please be supportive.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above post, should of course themselves be civil.
Thanks,
Bob
Posted by Dr. Bob on November 29, 2004, at 21:05:54
In reply to Re: Herman Munster and eating disorder/topamax/new » stresser, posted by headachequeen on November 29, 2004, at 19:58:05
> just ignore the child until it learns to behave properly --- recognise the proper behaviour and ignore the negative is the way they taught us to react back in child psych 101
Sorry, but:
> replies to the above post ... should of course themselves be civil.
If you want to encourage others not to respond, one civil way to do that is to post something like:
> Different points of view are fine, but sometimes discussions just lead to discord and it may be best just not to respond.
Thanks,
Bob
Posted by Dr. Bob on November 29, 2004, at 23:35:37
In reply to Re: please be supportive » HermanMunster, posted by Dr. Bob on November 29, 2004, at 20:55:30
> Follow-ups regarding these issues should be redirected to Psycho-Babble Administration.
Here's a link:
http://www.dr-bob.org/babble/admin/20041109/msgs/422145.html
Thanks,
Bob
Posted by AuntieMel on November 30, 2004, at 17:04:18
In reply to Re: please be civil » headachequeen, posted by Dr. Bob on November 29, 2004, at 21:05:54
Brilliant phrasing. I've bookmarked this one - I suspect I'll have lots of use for it.
Posted by rainy on November 30, 2004, at 20:24:32
In reply to Re: please be civil » Dr. Bob, posted by AuntieMel on November 30, 2004, at 17:04:18
Hi, AuntieMel. Usually we don't have to use tamping down techniques. People are pretty supportive of each other on this board although we don't always agree with what each other says and our experiences with medications vary widely. Are you on Topamax too? It would be good to have a fresh voice on the board.
rainy
Posted by iris2 on November 30, 2004, at 22:18:02
In reply to Re: Herman Munster and eating disorder/topamax/new, posted by stresser on November 29, 2004, at 17:06:52
Okay 400mg of Topamax works best for what specific symptoms?
irene
Posted by headachequeen on November 30, 2004, at 23:33:24
In reply to Re: Herman Munster and eating disorder/topamax/new » stresser, posted by iris2 on November 30, 2004, at 22:18:02
> Okay 400mg of Topamax works best for what specific symptoms?
>
> ireneAt 400 mg it works best at supporting other AEDs for one thing and it seems to achieve its best side effect (have to stress that I think) work regarding appetite suppressant work...
several people I know who are using the medication for other reasons found that when they reached that level it really worked at suppressing the appetite as well as achieving its main role...
either migraine suppression or AED support...
Others found that when they reached this level it also helped in supporting their attempts to control Bipolar II...
Some of these people I have been trying to convince to enter into these discussions as I think they might find some of the discussions and some of the support helpful...
still working at it...
kat
Posted by bridgey1128 on December 1, 2004, at 14:07:25
In reply to Re: Herman Munster and eating disorder/topamax/new » iris2, posted by headachequeen on November 30, 2004, at 23:33:24
I am still at 200mg and doing well so far, even with my bipolar II. I suspect eventually I will have to go up on it but for the mean time I am ok. I don't WANT to have to go up on it because I am just now feeling like I am getting beyond the stupids but I have noticed a lot of errors in my typing. So it seems to be switching. This is odd for me. Normally it's my speech and not my typing that is affected. I have also been really REALLY tired lately and my right shoulder has been KILLING me. Went to the chiro today and he got a good adjustment so hoping that will help. My birthday present is a good "rolfing" which I hope will help work out some of these huge crunchy knots I have had forever all over my back, neck and hips. It's also the day of my audition so I am hoping that I am not so sore I can't do the dance they are making us learn at the audition! Has anyone had it done before? I sure do with insurance would cover massage therapy. I really think people would get a lot LESS sick if they covered that but of course they won't because GASP! IT FEELS GOOD!!! Can't have that now. We have to be in misery before they cover something. I better not tell them they cover that massage table at my chiro. I should tell them to label it...TABLE OF MISERY AND HORROR!! Maybe they would cover more...hmmm
Posted by rainy on December 1, 2004, at 14:49:04
In reply to Topomax and bipolar II, posted by bridgey1128 on December 1, 2004, at 14:07:25
You've probably mentioned and I've forgotten, but are you on any other meds besides Topamax? I noticed Kat said 400 mgs was an effective dose as an antiepilesy drug but I haven't heard or read anything about what an effective mood stabilizing dose is. It seems from the literature that there's a general agreement that doses above 400 aren't much more effective that those at 400. (My typing sucks too.)
I think in January we'll order my Top from Canada. Without insurance it'll be cheaper than here, even with Drugstore.com. where I've been getting most of my meds.
Know what you mean about coverage, Bridgey. We've been paying over $900/mo for the two of us and there's still co pay. We may save money when I lose mine.
rainy
Posted by bridgey1128 on December 1, 2004, at 15:29:04
In reply to Re: Topomax and bipolar II » bridgey1128, posted by rainy on December 1, 2004, at 14:49:04
I took other meds when I thought it was just depression but Topomax is the first one I have been on since being diagnosed as bipolar II. All the rest of the antidepressants just didn't work and I guess that is because I am not depressed, I am bipolar. My husband is without insurance right now because we just can't afford for him to have it. Personally we were losing money with him having it because he NEVER went to the Dr and he was never sick! He hasn't had it for more than a year and he still hasn't been sick enough to go to the Dr. His mother is a nurse so she can bascially get any antibiotic we need. He has never had anything more than a sinus infection and we are VERY blessed by that. I am not a sickly person either but, being a woman and having allergies, I tend to go more often. I HAVE to have insurance. I guess it sounds like I am sickly because of all the meds I have to take but I really am a pretty healthy person otherwise. I have good bloodpressure and other than my bipolar and my allergies I don't have too many colds or get sick much. Last year when everyone got that horrid stomach virus I had it for 5 hours. YES, I said 5 hours. I guess my system just kicked it's butt. I came home from handbells, felt puny, threw up twice, took a 3 hour nap, woke up and felt fine. The other people in our show were throwing up for days at a time. Of course, last winter I DID have bronchitis for 3 months straight....I think I would rather have the barfing stomach virus!
Posted by headachequeen on December 1, 2004, at 15:59:18
In reply to Topomax and bipolar II, posted by bridgey1128 on December 1, 2004, at 14:07:25
>is a good "rolfing" which I hope will help work out some of these huge crunchy knots I have had forever all over my back, neck and hips.
almost afraid to ask... but what does this mean LOL
our private insurance covers massage therapy in half-hour sessions and it is sensational...
when the therapist hits a tension spot one can feel the tension flowing down the body and out...
unbelievable...
of course the massage therapist has to be registered for the insurance to cover...
kat
Posted by rainy on December 1, 2004, at 16:14:18
In reply to Re: Topomax and bipolar II, posted by bridgey1128 on December 1, 2004, at 15:29:04
Bridgey--how well do you think the Topamax controls your cycling? You've described yourself as a rapid cycler (spelling isn't so hot, either) -do you think the Topamax is working for you? Has anybody suggested cognitive therapy or anything like that? My pdoc was on me about that like a duck on a June bug.
And Kat, did your neuro change any of your meds?
rainy
Posted by headachequeen on December 1, 2004, at 16:38:45
In reply to Re: Topomax and bipolar II and Bridgey, posted by rainy on December 1, 2004, at 16:14:18
>
> And Kat, did your neuro change any of your meds?
> rainyDidn't go
Apparently the forecast was for more snow and these southerners panic at the thought so my husband thought we had better cancel
I am now on the cancellation list...
and not a very happy camper
I have a list of questions a mile long that need to be answered and will be out of meds in another three days and don't quite know what happens then...
well I know that to run out of Tegretol means instant seizures ...
and of course the freezing rain that was predicted didn't come ...
I could have told him that, I have lived in far worse climes than this where they know how to cope with weather, real weather...
and I am not in the mood to be put off by a couple of inches of heavy snow...
arrgghhh
I am tired of thinking one thing and saying another and all the rest of this nonsense; tired of typing then realising that I forgot to hit the spacer bar and all that goes with it...
we are supposed to be cutting a CD in a few days... and I need all my wits about me...
and no stress about potential seizures or what to do about auras or whatever...
I want it settled and over with...
I could have driven myself in this weather with no problems but someone decided that one must be a year free of seizures before one could have a licence...
this whole thing is really a royal pain...
kat
Posted by rainy on December 1, 2004, at 16:45:40
In reply to Re: Topomax and bipolar II and Bridgey » rainy, posted by headachequeen on December 1, 2004, at 16:38:45
Well, if I said what I want to I would be blocked from the board. I'm sorry to hear this news.
rainy
Posted by stresser on December 2, 2004, at 6:47:45
In reply to Re: Herman Munster and eating disorder/topamax/new » stresser, posted by iris2 on November 30, 2004, at 22:18:02
We are talking about topamax working for binge eating disorder at 400 mgs -L
Posted by bridgey1128 on December 2, 2004, at 8:29:06
In reply to Re: topamax symptoms, posted by stresser on December 2, 2004, at 6:47:45
hahaha rainy!I know what mean! Kat I called my insurance company and they won't cover the rolfing. Rolfing is a form of deep massage therapy where they use their elbows palms etc. It's like deep tissue massage to the extreme. I would assume it is not for everyone. Most people go to a massage therapist to relax. This one kinda hurts but it's a good kinda hurt. THey work out all those crunchy knots and it goes hand in hand with chiro. My chiro says it's a shame that insurance companys don't cover it because for people with fibro myalgia and yes he finally admits I have it now(unfortunately), massage and chiro are on the top of the list to treat it. This guy is licensed and I am going to take it off my taxes, dang it! I consider it a valid medical treatment! I am doing this not just for fun but to help relieve some of this pain in my tight muscles so my chiro can do a better job. I'm sorry you are having such a horrid time getting to where you need to go Kat. :( It really sucks that people freak out when there is hardly any snow on the ground. I KNOW! I live in the south where they moment they announce snow, before the first snowflake has fallen, all you know what breaks loose and people are stampeding to the stores to buy BREAD AND MILK! I guess they plan on making bread soup. Who knows. ALL THE SCHOOLS CLOSE! AHHHH IT'S THE SECOND ICE AGE!! You catch my drift. And people can't EVEN begin to drive in the snow. It's very frustrating, especially when you need to get out and actually get medicine. I'll pray that you can get out soon! We don't want you to have any more seizures!
Posted by headachequeen on December 2, 2004, at 20:34:49
In reply to Re: Topomax and bipolar II and Bridgey » headachequeen, posted by rainy on December 1, 2004, at 16:45:40
> Well, if I said what I want to I would be blocked from the board. I'm sorry to hear this news.
> rainyThanks, rainy...
also found out this morning that I am on a different form of tegretol now as they work out the balance of meds... it is a short lasting version... so as I take it twice a day I have AED coverage from it for about three to four hours twice a day...
no wonder the seizures are moving in to stay...
topomax is only a supportive med and not a stand-alone AED...
but at this point it is all that is standing between me and a lot more seizures I guess....no wonder I am always defending the stuff :(
kat
Posted by rainy on December 3, 2004, at 8:38:31
In reply to Re: Topomax and bipolar II and Bridgey » rainy, posted by headachequeen on December 2, 2004, at 20:34:49
It's bad enough when we mess up our own lives but when someone else does it for us it really sucks. Especially when it comes to prescription writing. If I am not extremely vigilant at pdoc's office, when I get home and look at the scripts I usually find that there's something that needs to be changed.
This must be a function of the American system of ten minutes to a client so that more and more people can be seen per day--the sheer number of prescriptions written has to numb the brain of the person writing them. My psychophamachologist is unique to me, so I assume I am to her, forgetting that I'm just one out of thirty or more people she'll see during an ordinary work day.This is a question to help me make up my mind: how many of you who have a bipolar diagnosis and are on medication are also having talk therapy? Do you think it helps? I've been seeing a therapist since September and I'm not sure it's doing any good.
I feel like I'm losing hope with medication and therapy. Bummer.
rainy
Posted by redscarlet on December 3, 2004, at 9:26:09
In reply to Re: Topomax and bipolar II and Bridgey, posted by rainy on December 3, 2004, at 8:38:31
raniy ~
I'm bipolar and I'm on five medications and was in talk therapy from April 1998 to March 2004.
I feel the talk therapy was a help at the time. I really needed to have someone to talk to about what I was going through.
However now I feel I'm past that kind of therapy and if I went back into therapy I would want to have sessions geared more to goal and problem solving, not just like hanging out talking for an hour to someone.
My therapist for those six years was the best, but I would pick someone new if I were to go back into therapy.
I do attend every now and then a bipolar support group that meets twice a month.
I have really stepped up my exercise to everyday, that's right seven day's a week for and hour and a half daily.
And I've started doing some volunteer work at a new hospital here in town and I feel these things have helped me a lot.
But I know that I would not be able to do these things if it weren't for my meds working pretty good right now.
I really feel that with bipolar that getting your meds working is key. I know they can't do everything, but if you can get them as close as you can you can do the rest.
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Dr. Bob is Robert Hsiung, MD,
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