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Sep 04, 2013 21:50

I have a question.First it should be understood that between the therapist I was seeing at an Indian Health Center, and my Psychiatrist of numerous years there is a difference of diagnosis on my BP. One says Type II, the Psychiatrist Type I ( Read more... )

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fallen_castiel September 5 2013, 07:40:36 UTC
First off after reading your post, thinking about my answers and reassessing going of any of my meds at this present time would be bad.

I have never stopped a med without strict doctor orders and monitoring. So that is good.

I'm extremely stressed and I think it's making me think not so clearly. We are moving in a few weeks adn my roommate is being odd about giving me my key after she gets the apartment on the 11th. This is the first time I am only an Occupant and not a lease holder in 13 years. It should be fine, she is honest and loyal, but I have to have a key in hand to know I have a place to live. It will be fine I am sure.

Aspergers adn change make a person a ranging wreck.

My therapist adn Psychiatrist are separate. I get therapy at our Indian Health Center. I pay full out of pocket for my psychiatrist. She has seen me since 2005, so we have very good relationship. I trust her diagnoses more, but it is confusing how one person can listen to the same thing and get one diagnosis adn the other another.

I watched this thing about a lady with schizophrenia on no meds and I guess I got hopeful. I worry about being able to get them after not signing up for medicare next year. (I am on SSD) as the prescription companies are helping me get them now for free. It terrifies me I won't be able to afford them. So that glimmer of hope, but I know now that it's not for me, but after reading and thinking LOL.

The stress though has my moods very...all over, and fall is coming and I can get a bit manic in fall.

I don't mind saying what I take
Trileptal 1500mg
Lamaictal 400mg
SeroquelXR 800mg
INderal (For supposed migraines) 120mg
Klonopin 3mg
Meclazine 100mg (For dizziness)
Melatonin 10mg at night

I think I am a bit scared too from teh seizure like episodes I mentioned in another post. I worry what if the meds are causing them. Which is silly. It's more likely the stress. Good nes is a see a regular doctor for those the 16th, adn Indian health can get me any testing I need free of charge, so we can figure them out.

I do fairly well controling my emotions. Even as stressed as I am I don't lose control or anything like that. I get a bit snippy at my roommate at times, but it is things she knows I don't like her doing that she does. Like telling me her bed costs more than I make a month. I do nto need to know how much the bed cost. how about I just look at it. it's gorgeous, she works hard a hell, she deserves it, but she constantly brings up money. She buys me nice things when I need them, like my Nintendo DSi. So NO complaints, just. it's hard. I hate not being able to work.

I do meditate, though not as often as I should. I enjoy it when I do though. I am a pretty spiritual person so I always come out of it with some teeny bit of something I guess.

I personally don't self medicate but I think things like those things can and do help lots of people. Your memory probably isn't as bad as mine!

OK longest thing EVER. I hope that answered your questions and made sense.

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princesswhore September 5 2013, 12:28:43 UTC
Geez looking at your list of meds, yeah I'd say you sound way overmedicated. Maybe, anyway (I'm not a doc and I don't know all the details ever of your symptoms). It's no wonder at least that you are having memory issues!! Once I hit 250 on Lamictal my word recall & short term memory took a major dive, and they were already somewhat impaired before that. You're on twice the standard dose!! Perhaps once things around you settle then you could look at reducing some doses, but definitely it doesn't sound like a good time to quit anything.

I've noticed that my boyfriend seems to be a little more prone to seizure issues when stressed, btw, too. And I'd like to hear how the appt for the seizures goes! I am interested in what they will tell you... My bf is still waiting on figuring out how to afford or find a free option for a neurologist.

I have posted on crazymeds several times about Trileptal and no one there has had a lot of personal experience feedback. I am so shocked you are on so much. I couldn't handle 900mg. It gave me the worst double-vision, made me high, some other problems.

Also, Trileptal can lower blood serum levels of Klonopin!! http://www.drugs.com/drug-interactions/klonopin-with-trileptal-703-357-1765-1129.html (switch to "professional" info instead of "consumer")

The main difference in type 1 and type 2 is supposed to be the mania's duration and severity, so if you're confused about the difference in their opinions then it might be worth mulling that over, looking through old journals or mood logs or what-have-you. Perhaps it would also help you better understand it if you asked the therapist and pdoc each to justify their dx.

I think it sounds like you may benefit from doing an overhaul of your meds since taking so much of so many things makes it unclear as to what helps and what hinders and such, but again, definitely need to wait, see the neurologist, let life things settle down. Start talking over the concept of taking fewer meds with both your tdoc and pdoc though.

I feel a little like this was "all over the place" for a comment, brain's a little wonky right now, sorry.

Also, I'd be frustrated with a friend or roommate who wanted to often remind me of the disparity in our incomes. It's pretty insensitive and I don't think you're wrong to be bothered by it.

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fallen_castiel September 6 2013, 02:24:42 UTC
Yeah I have been on that much Trileptal since like 2004 if I remember right. Maybe 2006 somewhere in there.

I agree with the med overhaul, especially if I have to start using Indian Health.

I definitely get Mania, at least Hypomania. It's really hard to control my moods, but she definitely does not want to up any more. We may try Lithium at some point if one of these stops working.

No I understood what you meant, my brain is always all over the place especially in the fall.

I agree on the med overhaul. I gotta talk to her. *nods*

Yeah I agree life needs to just settle, I want to get settled i and stuff. I think that will help a TON, then I can go from there. *nods*

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en_nova September 6 2013, 00:33:55 UTC
i didn't want to discourage you, but that's a lot of medication, especially the seroquel.. if you're already struggling, then i wouldn't suggest to just drop all your meds. it would be possible to wean down, but you need to work at staying under control without them.

most mood stabilizers and bipolar medication in a way shorten the possible range of emotions that you might feel. which means that while you get stressed and sad and angry now, it's likely you'll get A LOT MORE stressed, sad, angry and happy too.

i'm happy to keep in touch and continue discussing this and other things~ such as maintaining control without medication.

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fallen_castiel September 6 2013, 02:32:34 UTC
I agree. After much thought.

And thank you!!! :D

I like your icon :D

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en_nova September 6 2013, 16:16:39 UTC
lol thanks, icon collecting is one of my fav parts about LJ..

i'm glad, you should certainly work with your therapist and psychiatrist to develop the coping skills you would need, it'll help you keep control even with your meds also; as well as lay the ground work for you to slowly remove the medications and gain the willpower and control to do so.

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fallen_castiel September 6 2013, 23:57:03 UTC
Indeed!!!

Yeah icons are awesome.

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