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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by judy1 on March 21, 2001, at 18:49:16
I'm not sure what's meds and what is me. I seem to alternate between agitation and dissociation (which leads to SI). The agitation is really uncomfortable- almost akathesia which I've had on risperdal before but higher doses (6 vs the 3mg now). so taking xanax, pdoc said no more than 5mg/day on top of 6mg klonopin and the 100mg lamictal. The dissoc is almost always part of depression for me no matter what meds, just confused about the agitation. any ideas? (i know that's a lot of benzos) as always, thank you-judy
Posted by judy1 on March 22, 2001, at 12:20:21
In reply to help me sort out med effects?, posted by judy1 on March 21, 2001, at 18:49:16
Shrink just said maybe risperdal so i'm stopping- can't stand this. plus i'm answering my own question which is rather pathetic.- judy
Posted by SLS on March 22, 2001, at 21:27:05
In reply to Re: help me sort out med effects?, posted by judy1 on March 22, 2001, at 12:20:21
> Shrink just said maybe risperdal so i'm stopping- can't stand this. plus i'm answering my own question which is rather pathetic.- judy
Here is the stuff I posted to you on Psychosocial:
Clonidine (Catapress) might work to treat the akathisia and agitation and allow you to continue on Risperdal.Oh yeah, I almost forgot. Hi. :-)
- Scott------------------------------------------------
Dear Judy,
> if I can manage to stop the hydrocodone abuse, naltrexone is definitely the next step.
Do you think you would experience significant withdrawal symptoms should you discontinue hydrocodone? I guess you already know that naltrexone can make it worse. Once you are detoxified, naltrexone will help prevent you from abusing hydrocodone again and treat the SIB.
Maybe cool: Clonidine can help you get through hydrocodone withdrawal, reduce anxiety, agitation and aggression, and treat akathisia.
For Noa - naltrexone seems to work well to help some alcohol abusers maintain abstinance. I don't know if it serves any role in treating someone who is still abusing.
> (Actually if you are not a psychopharmacologist, you should be)
Thanks, but the flattery is truly underserved. No false modesty here. I guess I have learned enough to know how much it is that I don't know. Yes, when I was in my twenties, it was my passionate goal to become a research clinical psychopharmacologist. I wanted to get lots of people well. Unfortunately, by age 32, I realized that the stresses and demands placed upon a medical school student and, perhaps worse, the terms of internship and residency, were prohibitive if I wanted to maintain any kind of remission from bipolar disorder. I would still consider going to school to pursue a Ph.D. in neuroscience. Gotta' win the lottery first, though.
> I think I read somewhere that things that happen in childhood actually cause changes in the brain. Is that true?
Yes. Definitely. Almost any kind of chronic stress or trauma can do this.
> When you get a chance can you please look at my question on agitation on the other board? I really value your input. I am doing better (drugged to the hilt) and hope you are well- judy
Thanks, Judy
- Scott1: Bull Menninger Clin 2000 Summer;64(3 Suppl A):A37-51 Related Articles, Books, LinkOut
Understanding and treating PTSD: past, present, and future.Tucker P, Trautman R
Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City 73190, USA.
After highlighting historical perspectives of posttraumatic stress symptoms, the authors describe PTSD's diagnostic features, frequent co-occurring symptoms and psychiatric disorders, and risk factors for developing this often chronic and disabling illness. In addition, they summarize research findings on the neurobiology of PTSD, including changes in neurotransmitters, hyperactivity of the hypothalamic-pituitary-adrenal axis, autonomic reactivity, and differences in brain structure and function. Finally, they present psychopharmacological and psychotherapeutic treatments, concluding that current clinical practice favors a combination of these two types of treatment, tailored to the patient's needs.
Publication Types:
Review
Review, tutorialPMID: 11002529
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