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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Christ_empowered on December 19, 2013, at 8:23:22
OK. Here's the line up: 40 Prozac, 30 abilify, up to 300 Neurontin, 1200 trileptal.
The jump from 20 to 40 Prozac was great! Problem is...still depressed. I get psychotic depression. Sometimes, I get so depressed that only after adding an AD do I realize how depressed and inert I was.
OK. Anxiety is generally well controlled, between orthomolecular and the meds. Voices are gone. Agitation and mood swings are well-controlled.
My problem is some OCD-ish stuff that's still lingering and exhaustion/fatigue. I was thinking: remeron at night, low-dose buspar, or wellbutrin (preferably a once daily formulation).
What do you all think?
Posted by SLS on December 19, 2013, at 8:53:05
In reply to What to do now?, posted by Christ_empowered on December 19, 2013, at 8:23:22
> OK. Here's the line up: 40 Prozac, 30 abilify, up to 300 Neurontin, 1200 trileptal.
>
> The jump from 20 to 40 Prozac was great! Problem is...still depressed. I get psychotic depression. Sometimes, I get so depressed that only after adding an AD do I realize how depressed and inert I was.
>
> OK. Anxiety is generally well controlled, between orthomolecular and the meds. Voices are gone. Agitation and mood swings are well-controlled.
>
> My problem is some OCD-ish stuff that's still lingering and exhaustion/fatigue. I was thinking: remeron at night, low-dose buspar, or wellbutrin (preferably a once daily formulation).
>
> What do you all think?Have you tried Luvox (fluvoxamine)? If so, how did it affect you? Luvox has some mild antidepressant properties along with its anti-OCD effects. It has been shown to be effective for psychotic depression.
http://www.ncbi.nlm.nih.gov/pubmed/20492642
I should think that fluoxetine would make things worse.
http://www.ncbi.nlm.nih.gov/pubmed/19594506
Take it slow if you can. I know how difficult it is to not play with medication when you are not happy with your present state. The thing is, you have to allow enough time for a new homeostasis to settle in before you see any kind of enduring improvement.
- Scott
Posted by Phillipa on December 19, 2013, at 8:57:33
In reply to Re: What to do now? » Christ_empowered, posted by SLS on December 19, 2013, at 8:53:05
Luvox is also the least stimulating SSRI and someone mentioned it also has a melatonin relationship forget what it is. But very low doses. Help with sleep. As for psychotic depression can't speak to this. Phillipa
Posted by bleauberry on December 19, 2013, at 12:04:29
In reply to What to do now?, posted by Christ_empowered on December 19, 2013, at 8:23:22
Have you considered attacking the disease itself, rather than swatting flies at the resulting symptoms of it?
Posted by SLS on December 19, 2013, at 12:42:50
In reply to Re: What to do now?, posted by bleauberry on December 19, 2013, at 12:04:29
> Have you considered attacking the disease itself, rather than swatting flies at the resulting symptoms of it?
Please don't leave us in suspense!
- Scott
Posted by bleauberry on December 19, 2013, at 13:10:09
In reply to Re: What to do now? » bleauberry, posted by SLS on December 19, 2013, at 12:42:50
Lol. Sorry Scott. :-) I get bored listening to my own preaching post after post.
They all basically say the same thing. If a longterm psych patient aggressively takes on generalized inflammation, generalized unknown infection, generalized toxin respect, and generalized diet improvements for chronic illnesses, they are going to feel a lot better with a degree of certainty much higher than an antidepressant clinical trial.
Scott, my doctors are so friggin smart and experienced, I respect them a great deal. I am not easy to impress. They are very impressive. So when they tell me 90% of psychiatric symptoms come from unsuspected lyme disease, how am I supposed to ignore that? Especially when I have seen that bear out true in my own case, exactly as they assured me.
If their clinical opinions are true, that means 8 or 9 out of every 10 people here at pbabble has lyme disease or another infection looking similar to lyme disease. And since everyone here has had years piled upon years of meds and spotty improvements, it definitely raises suspicions that cannot be ignored by anyone with thought and wisdom.
My message could be misinterpreted as "everyone has lyme disease so screw the psychiatrists". That is false. My message is, nearly all psychciatric patients and symptoms stand a very high probability of improving significantly when the same strategies of lyme treatment are utilized, totally regardless of whether they actually have lyme or not, and in fact will probably never know. Testing just isn't good enough so we have to go on clinical observation in the real world. Stuff I share on pbabble is that.
While some scientists specialties seem to be a little ahead of the curve, such as groundbreaking genetic researchers, and some of the pharmaceutical companies for rare diseases, most of the science world I believe is about 5 years lagging behind what we already see in the clinical real world. In other words, clinical medicine is making greater strides than scientific medicine, and has a considerable head start. Science in general is lagging behind, which is sad because so many people put their faith and hope into pure science.
The Chinese know which plants do what, and have done so reliably for 2000 years. They don't care how they work or that they cannot scientifically explain how they work. All that is beside the point. Only the Western World makes explanation a priority, rather than the actual healing. Eastern medicine doesn't care much how something works, only that it does so reliably.
I think treating difficult psychiatric cases has to take on that same sort of outlook....do stuff that makes sense whether there is any science to back it up or not. Wait for the science and you'll probably be dead by then. Lots of suffering that could have been avoided.
Long story short....keep the psychiatric box because we need it, but for Pete's sake, open it up and take a look around outside the box! Most of the healing is outside that box, not inside it!
That's all I'm saying.
If anyone wants specific details on any particular issue or question, please let me know. Thanks.
IMO
> > Have you considered attacking the disease itself, rather than swatting flies at the resulting symptoms of it?
>
> Please don't leave us in suspense!
>
>
> - Scott
Posted by SLS on December 19, 2013, at 15:37:08
In reply to Re: What to do now?, posted by bleauberry on December 19, 2013, at 13:10:09
> They all basically say the same thing. If a longterm psych patient aggressively takes on generalized inflammation, generalized unknown infection, generalized toxin respect, and generalized diet improvements for chronic illnesses, they are going to feel a lot better with a degree of certainty much higher than an antidepressant clinical trial.
I would love to have you document any of your assertions here. Let's take the above paragraph. It is very well written and does a good job of portraying your current belief system. My current belief system finds that almost nothing you have said to be true. With regard to your reference to antidepressant clinical trials, let us look at the ones that include only severe depression, as that is the only presentation that one can be reasonably certain is the expression of either true Major Depressive Disorder or Bipolar Disorder.
https://psychology.sas.upenn.edu/system/files/Fournier%20JAMA%202010.pdf
I contend that it would be a tragic waste of time - and perhaps the loss of life - should you spend months and months attempting to treat the illness using the methods you describe before attempting to treat it with psychiatric pharmaceuticals.
- Scott
Posted by SLS on December 19, 2013, at 15:49:15
In reply to Re: What to do now?, posted by bleauberry on December 19, 2013, at 13:10:09
Hi again.
I neglected to ask you how you were feeling. I know you have tried a great many things to feel better. So...
How are you feeling? Are you in full remission? If so, it would be instructive to know what interventions, if any, are responsible for your improvement.
As for me, I am beginning to feel severely better :-).
I just said a prayer for your enduring health. It was sincere and heartfelt. I don't think it can hurt.
Even though there is a chasm separating our beliefs regarding the origin and treatment of mood disorders, I wanted to affirm that I consider you a genuinely special human being who has been blessed with intellect, compassion, and spirituality. I'm sure these things will continue to serve you well in life.
- Scott
Posted by Christ_empowered on December 19, 2013, at 22:51:20
In reply to Re: What to do now?, posted by SLS on December 19, 2013, at 15:49:15
hey. I do Orthomolecular. Some people love it, some people sweat its 60s BS. For me, it has definite benefits. My allergies have improved. I seem to get better results from my meds. My skin and hair are healthier. No TD, eps, stiff gait. My agitation and anxiety are vastly improved. Good stuff, and its relatively inexpensive.
Now, with that out of the way....how could I 1) reduce my lethargy and fatigue while also b) avoiding psychosis and agitation and c) maybe further reduce my OC-Disease?
Any thoughts? I'm rather pleased with Prozac, at least for now.
Posted by SLS on December 19, 2013, at 23:43:37
In reply to me again, posted by Christ_empowered on December 19, 2013, at 22:51:20
Curcumin?
Wellbutrin?
- Scott
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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