Posted by Ritch on March 31, 2002, at 10:40:24
In reply to PTSD, medicate or process?, posted by trouble on March 31, 2002, at 2:45:59
> Hello all,
>
> If someone is having severe PTSD symptamology, consisting mostly of preoccupation, overwhelming emotional experiences, uncontrollable public sobbing, and hard memories, plus (necessary?)rehearsals of future death-bed reconciliations w/ estranged family members, including convulsive sobbing, and this is new, not a way of life, but a breakthrough, and there are no nightmares or terrors or dissociative symptoms like before, is it ok then to go through this w/out adding a PTSD medication?Wow, whether these are just breakthrough symptoms or not-I think you need to treat it somehow. You had some trouble back a few weeks ago I think and you got your Wellbutrin dose.. lowered? I had some "freak outs" on Wellbutrin where I got angry and ruminative and they just suddently cleared (once I thought out the whole thing as rationally as possible). I guess what I am saying is do you think the WB is triggering some of this stuff? If you want to add-on something I am sure you are familiar with some of the meds often used for PTSD: Zoloft, amitriptyline, Neurontin.. etc.
>
> I'm just not sure what my p-doc will say when he hears about all this, he's very into emotional stability (he won't okay my doing EMDR therapy yet, but will when it's time). My psychologist, who he respects might take my side on this, I'm just wondering what my side is, obviously don't know much about PTSD but it feels right to let this business finally run its course so I can get rid of it once and for all.
>
> Any opinions heartily appreciated!
>
> thanks,
> trouble
Yes, I hear you about explaining something that you consider temporary to your pdoc and then they kneejerk with a big med change or something. Maybe you could water down the episode and try not to get too affected by it when you explain it and maybe their reaction will be more measured.hope this helps,
Mitch
poster:Ritch
thread:101066
URL: http://www.dr-bob.org/babble/20020327/msgs/101102.html