Posted by sid on January 4, 2002, at 11:55:30
In reply to Still confused and on St. John's Wort » jimmygold70, posted by anaya on January 3, 2002, at 21:38:13
Don't take both at once though, my pharmacist warned me about mixing St. John's Wort and Effexor.
> Jimmy, you are a gem.
> Thanks for for the download nice and slow.
> My mind is amuck racing right now with regrets, irritation, and self-loathing. (PMS, disappointing acting class I drove an hour for, miss California, regrets, boredom) Right now I want to move to NYC, and I have a taste for a breakdown if only someone were awake.
> I WANT MEDICATION SOON! Get the picture?
>
> I will take your advice on the books. Already read some good articles and may take a class on personality psychology.
> And I am in the process of locating a psychiatrist who deals with BPD. Unfortunately the closest psychiatrists are 2 hours away. I'm in the "boonies" back in the nest as some cackling woman said to me today. I wanted to spit on her.
>
> My doctor (regular physician) told me that because I am so sensitive and intolerant of side effects, she wants me on a high dose of St. John's Wort for the dysthymia. I wanted to cry. Maybe I'll just take the effexor after all.
>
> I appreciate your thoughts, and look forward to a real p-doc soon. Hopefully I can find one with experience, but I have my doubts. Perhaps I need to move to NYC to get good help. The idea now is that my folks help me out while I am dealing with my mental health. One step at a time, I guess. But I may be suffering unnecessarily here.
>
> chaos or creativity?
>
> anaya
>
>
> > Listen, all you need is to read a good book or article about BPD (Borderline Perosnality).
> >
> > First, get into amazon.com and order 'Borderline Personality Disorder - A Clinical Guide' by Gunderson, 2001. It's pretty costy but worth every buck you pay for it.
> >
> > Now, if you have access to a library (academic-medical one), get yourself "The psychiatic clinics of north america - Borderline Personality Disorder" - March 2000 issue.
> >
> > > I feel so confused. I thought I knew what I wanted to do (Serzone), but here I sit, still looking at this web site and putting off calling my doctor. Ahh.
> >
> > I don't say Serzone is a bad option at all. It's a good alternative to SSRIs. You can try that in the higher doses, but don't forget to add low-dose antypsychotic such as Risperdal or Zyprexa. The latter might give you some weight gain, but it's worth the try.
> >
> > > I would like to try and SSRI, but worry about weight gain and feeling numbed out.
> > > I suppose the indecisiveness is another symptom of BPD and depression?
> >
> > Ye, Serzone will not make you fill numbed out. SSRIs do make some people numbed out. Did you feel that ? some do. I just say they're better studied for BPD. But Serzone at 300-400mg will do as well, with many side effect though, I warn you.
> >
> > Indecicisiveness is a symptom of depression...
> >
> >
> >
> > > > > Sid, I haven't ruled out effexor xr (I WAS trying the XR), but will keep it in mind for future. I read that serzone and effexor xr can possibly make a good combo for various reasons which can be found on these archives.
> >
> > Try one AD at first with an antipsychotic. Effexor is good as well, another option for you (in 150mg).
> >
> > > > > Anyway, I think what I am learning is that this takes patience and attention.
> >
> > Sure it does.
> >
> > effective. However, when I took it 3 years ago (for 1 month), I felt less depressed, but numbed out. No lows, but no highs either (a bummer for a passionate dramatist).
> >
> > OK, so go for serzone 300-400mg or Effexor 150mg + Antypsychotic, I STRESS.
> >
> > > > > We'll see, if Serzone doesn't quite do it, then perhaps an augment with Prozac.
> >
> > Not a good combo. If serzone dosn't help, try Effexor. If Effexor doesn't help (compined with an Antipsychotic), try remeron or add lithium to the cocktail.
> >
> > > > > And definitely lots of self observation. Maybe I'll finally keep that "tides" chart.
> > > > > thanks.
> > > > > anaya
> >
> > I you got yourself a PDoc with experience with BPD, that would be your best bet !!!
> >
> > Jimmy
>
> ////
poster:sid
thread:88106
URL: http://www.dr-bob.org/babble/20020103/msgs/88747.html