![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1316 to 1340 of 1838. Go back in thread:
Posted by redscarlet on December 14, 2004, at 10:21:13
In reply to Going to the Max, posted by rainy on December 14, 2004, at 5:42:35
raniy ~
"From what I've been reading on Psych Education or another site, a lot of bipolar people aren't on ADs at all-just mood stabilizers and anti-psychotics."
Can you please share the names of these websites, I'm bipolar and I'm always looking for good website for information... Thanks
Posted by rainy on December 14, 2004, at 17:18:14
In reply to Bipolar meds, posted by redscarlet on December 14, 2004, at 10:21:13
By far the most helpful site has been Psycheducaion.org. I google it. It gives links to articles and sourses on some of the comments that the moderator, a Dr. Phelps, makes. That way you can do your own research. McMan's Web is another good resource with a hook in to Medscape, but I don't have the correct address at hand--I'll post it later. NIMH has some published research abstracts that aren't much help, too short, but are interesting.
The alternative board here has links to interesting research but it takes some sifting to get to it.
I've been glued to Psycheducation for most of the past week. You probably already know most of this stuff though--you've been diagnosed for longer than I have.
The big Psycho Babble Board has more stuff on Effexor than I wanted to know--it surely did help me make up my mind about both it and Abilify--no no no!
So good luck and please, let me know what you find out. I'll get back to you about McMan. His newsletter is very useful.
rainy
Posted by headachequeen on December 14, 2004, at 19:09:39
In reply to Going to the Max, posted by rainy on December 14, 2004, at 5:42:35
> Week two of titrating up from 300 to 400 mgs Topamax. This from a woman who wanted to go down to 200. I've been at 325 for a week without too much serious forgetfulness (other than letting our expensive, anniversary present tea kettle boil dry)and plan to stay here for another week before upping to 350. It was at 350 last year that I became disorented while driving and couldn't hold my own in a conversation, so I'm leery of it.
>
Rainy, I am here... but just LOL
spent a delightful ???? time at club med and I don't mean the tropical club Med either while they attached more electrodes to my head and ecg wires and I forget what-all to try and figure out what it is that does or does not make me tick...
then the sleep lab...now, that was an experience ...
the tech informed me that I do not sleep very well... no kidding? I do not have sleep apnea; she thinks that the nurse who told me that I do was really missing seizures... they were supposed to be checking every few minutes to see if they could catch a seizure occuring to see what happens when it does and the tech figures (and I have secretly thought the same thing) that the sudden stoppage of breathing accompanied the start of the rigid comatose type of tonic clonic seizure I have at night... she also suggested that perhaps this nurse did not belong on a neurological service if she could not recognise this behaviour...
another thought that was occurring to me as she was suggesting what the breath stopping might be...
she is going to hand the stuff over to the doctor for evaluation of course...
besides, apparently as soon as I reach deep sleep I waken; she told me I wakened at least ten times during the night in a soundproofed room so it is not the neighbour's dog barking or a car door slamming that wakens me, it is me or something in me...
she said it was the oddest thing... I gave her permission to say it was wierd <g>... and she would be interested in discussing it with the sleep doctor who would be talking with my doctor and the neurologist about it...
here we go again thinks I...
so in a couple of weeks I meet with this doctor and perhaps with the other two at the same time to see if there is some way to get all this sorted and have a normal response to sleep at least...
or to see what effect the epilepsy is having on my sleep or vice verse....
tomorrow it is off to the clinic and to meet with the neurologist in charge or whatever he is called...
such fun...
I can't think of a better way to spend the week...
not
meanwhile I have been reading articles and things that keep popping up about depression and weight and sleep and so on...
there is a definite link between too much sleep and the wrong kind of sleep and overweight...
and now a definite link between the lack of omega3 and depression. we knew that, but a lack of it is a definite link to post partum depression and there is considered to be a definite link to bipolar...
going to dig out the info and post it...
this psychiatrist who is preeminent in his field to quote someone or other, insists his patients treat themselves to one salmon oil capsule a day...
I am not depressed but I am surely anxious about this sleep thing... another thought the tech had was that the treatment for this deviated septum might have helped if there had been sleep apnea but she still suspects it is seizure related, so why the snoring (and I was always taught that ladies do not snore... sigh another rule of etiquette broken)
and back to this broken sleep and constant fatigue which does not help the seizure thing...
so I am going to try the salmon oil thing...
I will even eat salmon if it helps...
can't hurt....
kat
Posted by redscarlet on December 14, 2004, at 20:57:45
In reply to Re: Bipolar meds » redscarlet, posted by rainy on December 14, 2004, at 17:18:14
Rainy ~ Thanks for the info on the website, I'll check it out.
I tried Abilify in the summer of 2003, I got BAD akathisia from just the lowest starting doses and had to stop taking it.
I'm having a touch of akathisia on the 40mgs of Geodon that I take, but because it works so well I'm willing to live with it.
However I think it may bother other people, I can't sit still to well, and stuff like going to the movies is a true test of my friends patients.
Out of all the meds I've been on, I've never been on Effexor, and nor would I be !!! I know all to well to stay away from that one ! The only SSRI I can take is the Wellbutrin.Here's a website that has some med info, if you don't already know about it...
There's a lot of info about Topamax from other people's experience with it.
Well, so much to read and so little time !!! :-)
Posted by rainy on December 15, 2004, at 8:15:04
In reply to Re: Bipolar meds, posted by redscarlet on December 14, 2004, at 20:57:45
> Rainy ~ Thanks for the info on the website, I'll check it out.
> I tried Abilify in the summer of 2003, I got BAD akathisia from just the lowest starting doses and had to stop taking it.
> I'm having a touch of akathisia on the 40mgs of Geodon that I take, but because it works so well I'm willing to live with it.
> However I think it may bother other people, I can't sit still to well, and stuff like going to the movies is a true test of my friends patients.
> Out of all the meds I've been on, I've never been on Effexor, and nor would I be !!! I know all to well to stay away from that one ! The only SSRI I can take is the Wellbutrin.Don't mean to be a know-it all but wellbutrin is one of the few ADs that's "allowed" for us bipolars and it isn't an SSRI. It falls into some other class of the little things. That's probably why you(and I) can tke it.
Here's a website that has some med info, if you don't already know about it...
> There's a lot of info about Topamax from other people's experience with it.
>>Yes, I've gotten some useful information from it, but the last time I looked it had been shut down for repairs or something--at least the trileptal info part had. I also found the tone rather negative, but maybe that's because I was.
Another good one is Remedyfind, because I don't have complete address, I Google that one.
There's where I got a lot of good "reviews" of Effexor, but not enough. They all mentioned the yuck, even though it was working for them.
Does Geodon cause weight gain--I know his is an issue for you--and does it help with depression? I'm going down the tubes again on the lower dose of wellbutrin--100 just doesn't cut it. 200 is here we go with the anxiety. That's why, along with the fish oil Kat mentions (although not salmon, according to other research) I'm thinking of trileptal.rainy
>
> Well, so much to read and so little time !!! :-)
>
Posted by rainy on December 15, 2004, at 8:37:05
In reply to Re: Bipolar meds, posted by redscarlet on December 14, 2004, at 20:57:45
Hi Kat. Glad you're home safely; I was getting worried about you. It seems like you've been dealing with this stuff for ages. I certainly hope it resloves soon.
Very selfishly, I'm glad you're back because I want to know about your experience with trileptal. I'm considering suggesting it to my pdoc as an alternative to the Abilify she gave me a sample of. I'm not entirey sure what she was thinking about but I think it was mood stabilizer-antidepressant all in one.
If you have time can you tell me what kind cognitive problems you've had with it? Weight gain? Anxiety? You know, the usual run down, even though you don't have the usual symptoms.
Thanks.And again, glad you're back for yourself, not just for information.
rainy
Posted by redscarlet on December 15, 2004, at 10:52:31
In reply to Re: Bipolar meds, posted by rainy on December 15, 2004, at 8:15:04
Rainy ~
"Don't mean to be a know-it all but wellbutrin is one of the few ADs that's "allowed" for us bipolars and it isn't an SSRI. It falls into some other class of the little things. That's probably why you(and I) can tke it."Ya, I meant to say antidepressant not SSRI. I've been on 450mg of Wellbutrin for a year now so I know quite a bit about it.
The website is just like this one, just a group of people sharing their options. You have to take the information for what it's worth to you.
I was on Trileptal over three years ago, before the Topamax, I stayed on it for a few months but the stomach pain was just to much for me and I had to stop taking it. Maybe you'll have better luck with it, hope so... :-)
Geodon has not caused me any weight gain and is supposed to be weight neutral. Not sure what's helping with the depression side of my bipolar, if it's the Wellbutrin or the Geodon or the combination of the two, but I'm doing OK.
I also take Omega-3 flax seed oil with high DHA and EPA fish oil daily, been doing that for over two years. Not sure it has any effect on my mental state but I guess it's good for me so it doesn't hurt to take it.
Sorry to hear your not feeling to well, I know how hard this illness can be. I was official diagnosed in 1998 but was told I've had bipolar since I was a young child. And I've been on the med roller coaster since then. It seems almost every month or two I'm having to adjust my meds some. I've been hospitalized twice and have done an out patient program also. However today (now) I'm the best I've been so far and have great hope for a full and happy life, and I wish that for you as well.
:-)
Posted by stresser on December 15, 2004, at 21:50:23
In reply to Re: Bipolar meds, posted by redscarlet on December 15, 2004, at 10:52:31
I'm happy to hear everyone's input on the meds. and I, just like rainy, thought this was a med board. What is it? I'm really confused now as to exactly what this is...it's the blond coming out in me, darn it! My daughter is taking 300mg of topamax, and is just starting to notice a difference in her cravings, but she won't be seeing her pdoc until Jan. I want her to increase it before then, and I don't know what to do about that. From what you have all said, 400mg seems to be the magic number as far as controling binge eating. Should I increase another 25mg at night? She has been on 300mg for one month, my husband says be careful, so I don't really know what to do. Maybe I should call the doc. just to be sure, but mabye he will never take her that high. Then what? I press on? I do think it's leveling out her moods, and she told the new doc it was helping her in many ways. I have also read that bipolar people are taking mood stablizers for that condition more and more these days. There must be something to that. Advice PLEASE. -L
Posted by rainy on December 16, 2004, at 6:38:44
In reply to Re: Bipolar meds, posted by stresser on December 15, 2004, at 21:50:23
L, is her new pdoc a psychiatrist and did he/she say to go up to 400? It sounds from what you've written that you're doing this on your own. Not so, right? What might be the most prudent thing to do would be to call him/her, and get some advice from the medical person and then, first, ask M what she thinks. Is she having cognitive problems? Forgetting stuff? Slowing at all in her thinking? What does she want to do? Is she stable? What's her goal? The more she's involved in her medication management, the better she'll feel about it, I think (all of this is my own opinion, you understand).
I'm in my second week at 325, up from 300 and I'm having more trouble now than in week one. The Dopamax factor. But M's half a century younger than I am, too--that's got to factor in.This is a thread on the med board. That's why Ellen Brodie heads it up. The med board itself is about three feet long--I was like surprised. Hello!!
rainy
Posted by bridgey1128 on December 16, 2004, at 9:09:39
In reply to Re: Bipolar meds, posted by stresser on December 15, 2004, at 21:50:23
I take an Omega fatty acid capsule it has 3, 6 and 9 in it. It's flax seed, borage oil and fish oil. t's for heart health as well. Dunno about mental health. I don't eat any kind of fish or seafood whatsoever. I have noticed that my fingernails are growing like mad and they never have grown much in my entire life! The rolfing went well but he wasn't anything like I had thought. He didn't do much massage but did more manipulation and taught me how to breathe better, which was fantastic! My auditions were Monday night, had a call back last night and got to see ALL my competition and I was pretty confident. I find out next Wed! ARGH! Anyway, Topomax doing ok for now. I don't think I am going to go up on it any time soon because I am still having mental blockage and waiting for that to go away first. I don't want to have a huge mental fart onstage!!! ACK! Anyway, hope you all are having a good season and Kat I hope all your testing goes well. Wouldn't it just be nice to be able to wipe the slate clean and start over!!
Posted by rainy on December 16, 2004, at 11:38:56
In reply to Re: Bipolar meds, posted by bridgey1128 on December 16, 2004, at 9:09:39
Let us know immediately about the audition, Bridgey!! It sounds like you've got a whole leg in the door, though, to break later. I just bought fish oil, which I'm going to return ($23) for cheaper and stronger ($6.99.) Target vs "Natural Pharmacy." It's supposed to be a mild mood stabilizer--see Psych education.org. It's listed along with lithium and other anti convulsants.
Sure know what you mean about brain farts, although I hadn't thought of the Topamax blank outs quite that way--between them and brain shivers we're getting a real vocabulary for the people who write the package inserts for the meds we take. I like your lizard tongue for tardive dyksinesia, for example (which hasn't quite gone away, by the way.)
Anyway, you want your brain to behave. So do I. Want your brain to behave in a Bridgey way. I was going to say ladylike which of course excludes farting, but Bridgey is what I meant.
rainy
Posted by headachequeen on December 16, 2004, at 22:05:34
In reply to Re: Bipolar meds, posted by stresser on December 15, 2004, at 21:50:23
> I'm happy to hear everyone's input on the meds. and I, just like rainy, thought this was a med board. What is it? I'm really confused now as to exactly what this is...it's the blond coming out in me, darn it! My daughter is taking 300mg of topamax, and is just starting to notice a difference in her cravings, but she won't be seeing her pdoc until Jan. I want her to increase it before then, and I don't know what to do about that. From what you have all said, 400mg seems to be the magic number as far as controling binge eating. Should I increase another 25mg at night? She has been on 300mg for one month, my husband says be careful, so I don't really know what to do. Maybe I should call the doc. just to be sure, but mabye he will never take her that high. Then what? I press on? I do think it's leveling out her moods, and she told the new doc it was helping her in many ways. I have also read that bipolar people are taking mood stablizers for that condition more and more these days. There must be something to that. Advice PLEASE. -L
Thought what was a med board??? this is a topomax board isn't it? doesn't that make it a med board? or have I missed something in all the chaos of late???
at 400 mg if one titrates slowly up to it of course, says the broken record, there is little loss of cognitive function and little risk of it...
but one has to do things slowly...
higher doses can lead to problems and to toxicity...
just a warning there... the increase is best at night... with the balance following later in the am... so that the doses are balanced night to morning...
and I keep meaning to ask the neuros why...
oh there are so many things I keep meaning to ask them and I have this list that I keep forgetting to complete the question series when I am there...
so next time it will be a loooonnnngggg session....400 mg is the level at which weight loss is best achieved according to anyone I have spoken to about weight concerns...
and oversleep must be avoided too....and don't forget the salmon oil capsules...
what a life this is...
kat
Posted by merry on December 16, 2004, at 23:57:55
In reply to Re: Bipolar meds » stresser, posted by headachequeen on December 16, 2004, at 22:05:34
Feeling terrible of late. These past several days have been bad. Mixed moods. Hypo/depressed. Up one minute down the next. Can't get my moods stabled. I feel like the topomax pooped out on me. I've been taking my meds on time. I never skip. My schedule is always the same but I don't know what the heck is going on with me now. Maybe it's the holiday stress but I don't feel stressed. That's just what people tell me it could be. I am going to see my new pdoc next week. Maybe I need to go up on the topomax.
Anyway....hope you all are feeling better than I am. :(signed....Not Feeling Too Merry
Posted by rainy on December 17, 2004, at 3:05:10
In reply to Re: Bipolar meds, posted by merry on December 16, 2004, at 23:57:55
Ugh, merry, I'm sorry. What meds are you on? I seem to remember wellbutrin, klonopin and Topamax. From all that I read, Topamax is no great shakes as a mood stabilizer for a fair number of bipolar II people. I read an article this week in which a psychiatrist said she used it to treat the stuff that goes along with the disease rather than the mood swings themselves.
The wellbutrin does have a poop out factor, I think. I haven't read about it as much as with the SSRIs, but after having been on it since 2001, I think it's much mushier than it was at first. Of course if you're not on these meds all of this is about me and not you, which isn't my intention at all.
How's your diet? And are you doing extra stuff like baking or preparing for guests or anything out of your usual routine? I guess it really doesn't matter what is causing you to be so up and down, what matters is that you are. I hope your new pdoc can help--the rapid cycling is so awful. The alternative board might have some helpful information for you.
good thoughts to you
rainy
Posted by rainy on December 17, 2004, at 8:22:47
In reply to Re: Bipolar meds » stresser, posted by headachequeen on December 16, 2004, at 22:05:34
Kat, I think I wrote I thought it was THE med board, not A med board. I didn't realize it is a thread until I went to the BIG Psycho Babble med board and saw all the entries. This even after reading the entire Ellen Brodie Topamax thread. How dense could I be?? Really dense.
rainy
Posted by bridgey1128 on December 17, 2004, at 13:16:53
In reply to Re: Bipolar meds, posted by merry on December 16, 2004, at 23:57:55
My doc switched me to the 200mg tablets..which, frankly is STUPID because I have to take 100mg in the morning and 100mg at night. I have to split the dang pill myself. I don't feel like it works as well as the 25mg pills. Anyone else have this problem with the different pills?
Posted by rainy on December 17, 2004, at 14:21:35
In reply to Re: Bipolar meds, posted by bridgey1128 on December 17, 2004, at 13:16:53
200 mgs of what, Bridgey? I'm chopping 100 mgs Topamax into quarters and it's a pain in the forbidden word. Plus, chopping dang pills isn't accurate without a pill splitter. Who wants to spend extra bucks on that?
rainy
Posted by bridgey1128 on December 17, 2004, at 14:58:26
In reply to Re: Bipolar meds » bridgey1128, posted by rainy on December 17, 2004, at 14:21:35
Rainy ask for 25mg tablets. There is no sense in you having to split a pill into quarters. I would have asked for 100mg tablets of Topomax if I had known they were going to be stupid and give me 200mg tablets. My Dr KNEW I was taking 100mg at night and 100 in the morning and yet he still thought, oh GEE I'll give her 200mg tablets because she takes 200mg. DUR! I really don't think they works as well as the 25mg anyway. The reason I was taking so many 25mg tablets is because I was taking 150mg and they wrote two separate prescriptions, one for 100mg and one for 50mg and I was NOT about to pay $70 a month for the same med! That was ridiculous! So I said, Uh can you change this to all 25mg tablets so I can pay just one copay? So they did. That worked out much nicer and I feel that they worked better anyway. Ever since I have been on the 200mg tablets I have felt aggitated and sleepy. I have also had more breakthroughs of hypomania. Not bad, mind you, but it's the foot in mouth syndrome. Not the 200mg dosage, just the 200mg PILLS. I was ok on the 200mg dosage because I had enough 25mg pills to start on that dosage. When I ran out and had to start a new prescription they gave me the 200mg and that was just odd because of my dosing schedule. I am going to call the pharmacy and see if they can switch them back. I know it's not supposed to make a difference but I think it really does. I can tell, at least. Anyway, so that is my dilhema. And whomever is on Welbutrin and is bipolar, I couldn't take that. It made me crazy. Dried my mouth out like CRAZY!! Then it started making me really irritable. Prozac made me bonkers too. My brother tried to take Welbutrin to help him quit smoking and it made him crazy too. He's ADHD. I dont know if that was the reason or not. Anyway, off to try and get my prescription fixed! Wish me luck!
Posted by rainy on December 17, 2004, at 20:18:31
In reply to Re: Bipolar meds, posted by bridgey1128 on December 17, 2004, at 14:58:26
Barrels of luck! I called the office to ask for 25 mgs a week ago and they didn't return my call. (Answereing machine.) Instead of being assertive and calling again, I just kept chopping. I didn't know Topamax came in 200 mgs--whooeee. I've been doing 300 t.i.d. and plan to do 400 like wise, if I ever get there.
That foot in mouth business has me pulling out of public events. As my son and I walked down a really crowded street in Manhattan this week I heard myself telling people out loud to "move it!" Uneven quarters. Got to get those 25 mgs.As for the wellbutrin, I'm less anxious at 100 mgs but more teary. Medication management is pretty discouraging, especially when the minds of doctors and consumers are a hitch apart. They just don't think about cost--co-pay, what's that?--or convenience. I always have to remind mine that I need generic. Every single time. Maybe your pdoc thought it would be more convenient for you to take 200 mg pills rather than all those little 25 mg suckers, but he could have asked. Drug reps do a job on the medical mind, I believe.
My mind is ready to go read a beach book.
rainy
Posted by stresser on December 18, 2004, at 11:03:07
In reply to Re: Bipolar meds » stresser, posted by headachequeen on December 16, 2004, at 22:05:34
What is the connection between the topomax and Salmon Oil? I don't think moveing up the extra 25mg has impaired her anymore as of yet, but I will keep asking. I don't want that to happen, of course. She hasn't been taking any.....I didn't make the connection earlier. I think this darn Welbutrin is making ME a nervous wreck! I cannot wait until my dr. appt. in Jan...., to get it changed to something else. I had one ealier, but the office had to move my appt. because the dr. was going to be out of the office that week. I'm too leary of just tapering off and not taking anything, but would like to know what all of you think about that? I refuse to take anything that will make me gain weight, that's just off the table for me.
Bridgey, Please let us know when you hear anything about your audition....we are keeping our fingers crossed for you. -L
Posted by iris2 on December 18, 2004, at 13:51:02
In reply to Re: Bipolar meds and Salmon Capsules, posted by stresser on December 18, 2004, at 11:03:07
>I refuse to take anything that will make me gain weight, that's just off the table for me.
If you are depressed and want help than if a medication really helps a lot and you gain a little weight from it the tradeoff is well worth it. Is your weight more important to you than your mental health? No one wants to gain weight from taking a medication but if you are unwilling to get help for your depression because you might gain a little weight in the process than I think you are not just depressed. Imagine if you had a physical illness and say in your leg and had trouble walking. If you could take a medication that would alleviate the pain and enable you to walk better but it made you gain some weight would you not take it because it made you gain weight? It would make no sense would it? No one would say I would rather be a cripple and in pain and be thin than be pain free and be able to walk. Why do you think depression, as an illness is any different? Of course in this instance I would not be happy to gain the weight either but I would rather be able to walk just as I would rather not be mentally ill.
Posted by rainy on December 18, 2004, at 14:21:11
In reply to Re: Bipolar meds and Salmon Capsules » stresser, posted by iris2 on December 18, 2004, at 13:51:02
I dunno, Irene, I think that's where I'm completely bonkers. I've been fighting that very question because I really need to gain weight and I don't want to take a medicine that would make me do so. Last night I saw a picture of myself taken four years ago when I weighed 30 or 40 pounds more than I do now, maybe a bit more, and I don't want to go back there.
The SSRIs that I took slowly but surely put it on. Not all of it to be sure, screw drivers did their share. But I'm completely irrational and my pdoc says I've tied her hands. I understand where L's coming from and I also see your point. You make sense. I don't, not even to myself.
rainy
Posted by bridgey1128 on December 18, 2004, at 15:57:50
In reply to Re: Bipolar meds and Salmon Capsules » stresser, posted by iris2 on December 18, 2004, at 13:51:02
Actually usually the weight gain adds TO the depression, it doesn't usually help it. That is why I refuse also to take anything that makes me gain weight. Why should I take somethign that is supposed to make me feel better that is also going to make me fat? That just adds more fuel to the fire if you ask me and adds one more problem. 10 or 15lbs is not something to get depressed about but 50-100lbs IS!!! It is also not healthy. So the trade off isn't worth it in my book. That is why I wouldn't take lithium. I've been crazy for 27 years I can be crazy for just as many more and NOT fat if that is what it takes. And YES that is worth it to me. I have been heavy for most of my life and I know that my physical health is worth more than my mental health sometimes. I have more ups than downs and if I gain more weight my back doesn't have a shot in you know what of ever getting any better. The Topomax hasn't done squat of helping me lose weight or controlling my appetite but at least it hasn't made me gain weight so I know EXACTLY where she is coming from. I guess some of us are that stubborn. It's not really a vanity thing, it's a health thing. I feel 10 times worse and more depressed when I am fat so why take something that is supposed to help get me undepressed but only adds to the problem? That doesn't make any sense to me. And personally, I don't think that Welbutrin is for people who are bipolar. Are you bipolar L? That could be the problem. I have known lots of people that it has driven bonkers. It may not be the right drug for you. I wouldn't be surprised if that was what was doing it to you. It did it to me.
Posted by iris2 on December 18, 2004, at 16:03:25
In reply to Re: Bipolar meds and Salmon Capsules » iris2, posted by rainy on December 18, 2004, at 14:21:11
Rainy,
You do make sense though because you are aware of your own irrational thoughts from what you just said. Somethimes we cannot help feeling irrational but we can still be aware of the rational side of things. It is like if you know you are insane then you are not actually insane. Being aware is key.
It's not that I don't think these irrational thoughts myself but it is important that I recognize them for what they are. I know I have irrational thinking about weight and my body even as I have the thoughts. I recently fought with myself for several months because I was gaining weight from antidepressant. If I had not been aware of my own irrational thinking about it all I probably would never have tried the medication. It helped me some but not enough for the trade off of gaining weight and body changes from increased prolactin along with my mensus stopping because of it. If it had relieved my depression a great deal I would have still had thoughts about being very unhappy about gaining weight but in the end I do believe that I would have decided to stay on it because I am able to recognise my irrational thoughts about weight for what they are. Of course no one wants to gain weight they do not need but given the severity of my depression I would hope that I can be rational enough to accept a weight gain if the medication relieves the depression. Streesor said she would not take any medication that might make her gain weight. If I have that attitude, given that most of them can make me gain weight I might as well not even try to find a medication to alleviate the depression. I hope it will not increase my weight but if it does I will just have to deal with it.
Posted by rainy on December 18, 2004, at 16:04:34
In reply to Re: Bipolar meds and Salmon Capsules, posted by bridgey1128 on December 18, 2004, at 15:57:50
How come you don't think WB is for BP people, Bridgey? It's one of the few antidepressants that's theoreticlly approved by who knows who for use with us. I'm not sure it works, mind you.
rainy
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Dr. Bob is Robert Hsiung, MD,
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Script revised: February 4, 2008
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