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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 Jeroen on July 19, 2008, at 17:30:44
my problem is i get psychotic since the lamictal induced psychosis i gotten a year ago
Clozapine, Zyprexa, psychosis worsepsychosis treated with Seroquel, Abilify
not reversed,man man man, what kind of science is this
Posted by Phillipa on July 20, 2008, at 0:10:19
In reply to lamictal induced psychosis - psychotic on anti, posted by Jeroen on July 19, 2008, at 17:30:44
Jeroen didn't you do well when you were on seroquel? Love Phillipa
Posted by yxibow on July 20, 2008, at 3:07:39
In reply to lamictal induced psychosis - psychotic on anti, posted by Jeroen on July 19, 2008, at 17:30:44
> my problem is i get psychotic since the lamictal induced psychosis i gotten a year ago
>
>
> Clozapine, Zyprexa, psychosis worse
>
> psychosis treated with Seroquel, Abilify
> not reversed,
>
> man man man, what kind of science is this
Well you just said that you had 2 months of improvement -- I don't mean to be nagging but this seems like a continual cycle as mentioned before. If you don't stay on one thing for a LONG period of time you are not going to get some good results. That's not two weeks or even a month, it may take up to three months for some cases.I feel for you but if every side effect is focused on and every nuance of every day of using a substance for helping a situation to the best that science can do now, there is a mind-body connection that is going to say that things won't work. And these are very real things that I'm not discounting, but I know I micro analyze things and it doesn't contribute to treatment. Perhaps I'm projecting, but it just seems this way as mentioned by an earlier poster, a trial of something has to stay long enough.
Because otherwise, it just seems like a blanket statement perhaps I'm wrong, that all treatments won't work and I just don't see that as a convincing argument in today's world. Something will do -enough- work so that you can have -enough- function to be happy -enough- and focus on the social and work-oriented side of society which is where therapy works best, at least for a lot of people.-- best wishes
Jay
Posted by Racer on July 20, 2008, at 13:04:44
In reply to lamictal induced psychosis - psychotic on anti, posted by Jeroen on July 19, 2008, at 17:30:44
> psychosis treated with Seroquel, Abilify
> not reversed,
>I'm not sure what you mean by this? If you mean that you had improvement in your symptoms on Seroquel and Ability, then I strongly suggest you give one or the other a longer trial, perhaps at a higher dosage.
I know far less about psychosis than about depression, but I know that depression is best treated by continuing effective medication for a significant period of time after remission is reached -- and that many antidepressants continue to improve symptoms for the first three months or so. That is, a medication which is partly effective at six weeks, may be even more effective at twelve weeks. It may be that you've stopped medications prematurely, and one of those medications would have provided the relief you're seeking had you stayed on it longer, with or without an increased dose.
Jeroen, I know that you've been suffering a very long time now. I have to agree with some of the other posters here who have noted that focusing on side effects is often counter-productive. If you are looking for side effects, you're almost guaranteed to find them. Similarly, if you are monitoring yourself constantly for any effect whatsoever, you're far less likely to notice genuine improvement, which tends to be gradual. It's like when someone goes on a diet -- it's better to weigh yourself once a week, and note trends in weight, rather than a daily weigh in.
Do you have a therapist or case manager who can help you with ways to cope with the start up phase of a drug trial? Maybe that would help you tolerate the inevitable adjustment phase effects of medications, and thus make it possible for you to give an adequate trial of an adequate dose of a medication.
Best luck to you.
This is the end of the thread.
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