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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by pathetic_n_useless on January 23, 2002, at 7:57:51
ok this is where I'm at
hate my psychiatrist (haven't seen him since oct 2000 and I don't want to) He thought I was " grossly avoidant. avoiding the world", that all my difficulties are "clearly personality based" (after 2 20 min meetings!), that I "like to be enigmatic to force people into interrogating me" and I evoke
anxiety and inappropriate behaviour in people. I still don't get why he has this almost obsession with keeping boundaries clear- he obviously thinks I have a
"boundary problem" whatever that means! When my appt was longer than 10 mins he got annoyed about boundaries! He doesn't seem to want to discuss much apart a therapeutic community for a yr- total group therapy from nurses n social workers, no meds allowed. he talks total bollocks about me a lot of the time but doesn't seem to consider the fact that he might be wrong.I don't see him but he's still in charge well "over view of my care" which basically means he's supposed to come to a meeting with my t, GP and me every 3 months or 6 months. There's been one in 2 yrs which was a disaster. The other kept being cancelled n postponed by him for 9 months and then he never turned up anyway or rang or anything. He thinks I shouldn't be on meds.
anyway My GP was prescribing. She didnt think I should be on anything but I was v suicidal so she put me on mirtazapine for 3 months, helped with sleep and a little with anxiety but made me put on too much weight and sedated me too much at 30mg but Gp wasnt willing to change it so I have been off meds for 2 months i think now. My t says I have noticably worsened and thinks I need to go back on something. How can I persuade my GP to prescribe me anything? Psychiatrist says I'm avoidant and have borderline PD I strongly disagree and he's not involved with my care at the moment really. T says I have PTSD and depression. No one is prepared to prescribe benzos for anxiety- I get 5 panic attacks a day and severe flashbacks. SO far efexor i couldn't tolerate due to side effects, paxil did nothing but make anxiety worse and I don't want the weight gain on mirtazapine. What does anyone suggest might help? Don't bother suggest combinations cos thats a no no- my GP doesnt think anything will help so trying to persuade her to give me one drug will be hard enough!
Sorry I went on so long, just figured it might help with suggestions
P n U
Posted by Dinah on January 23, 2002, at 8:45:15
In reply to advice?, posted by pathetic_n_useless on January 23, 2002, at 7:57:51
Have you tried an SSRI? Most doctors seem to have no problem prescribing these. Do you have any choice as far as psychiatrists go? Can you at least get a consultation with another one?
Sorry I have no real answers for you. It sounds like a frustrating experience.
Take care,
Dinah
Posted by pathetic_n_useless on January 23, 2002, at 10:19:17
In reply to Re: advice? » pathetic_n_useless, posted by Dinah on January 23, 2002, at 8:45:15
tried paxil- made me restless agitated n anxiety unbearable. Don't think another pdoc is possible am going to try to nag GP on monday
Posted by TSA West on January 24, 2002, at 2:17:58
In reply to advice?, posted by pathetic_n_useless on January 23, 2002, at 7:57:51
Dear ma'am (P n U),
I'm thinking of nefazodone (Serzone) for you, because it works well for your possible diagnoses:
*Borderline Personality Disorder (http://www.dr-bob.org/tips/split/Treatment-of-people-with-b.html)
*Insomnia, Sleep Disorder (http://www.dr-bob.org/tips/split/Nefazodone-and-sleep.html)
*Post Traumatic Stress Disorder (see below)
"Patients with chronic PTSD (N = 36) were enrolled in an 8-week open-label trial of nefazodone... Improvements were also seen on the Hamilton Rating Scales for Anxiety and for Depression. Nefazodone treatment was well tolerated by this patient population, with only four patients discontinuing because of adverse effects. In summary, nefazodone treatment improved the symptoms of PTSD, including the core symptoms."
From:
J of Clin Psychopharmacology, April 2000 "Nefazodone Treatment for Chronic Posttraumatic Stress Disorder: An Open Trial"
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