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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by TheMeekOne on September 27, 2006, at 21:38:50
I'm a 43 y/o male with a mixed bag of ADD, depression, hypomania, and social anxiety. My impulses are the worst: they come out of nowhere and I do things despite what others (family and co-workers) have previously told me NOT to do and I still do it. My acts are not criminal, but they cause serious aggravation to others and ultimately to myself. At core, my behavior is self-damaging. Previously, they have cost me a well-paying job that took years of schooling and hard work to get to, and after being unemployed for a while, I'm now doing a menial office work with a minimal contact with others.
I started my pill odyssey two years ago with Lexapro (10 mg./daily). While on Lexapro, I was happier and easier to get along with, but it had no effect on my impulsive behavior. So I took it for about 16 months and quit on my own.
While I was taking Lexapro, I tried, in succession, Wellbutrin SR (100 mg. daily), XL (150 mg. daily), and regular (75 mg. daily). (To those who say that's too low, I agree, but I can't tolerate the full, so-called therapeutic dosages.) Wellbutrin focused me better, kept some control over me, and I had few impulses, mostly because I was tired and sleepless.
The next step was Buspar but I felt bad on it after several days and had some bad cardiac effects.Then came Ritalin (5 mg/daily), replaced by Dexedrine (5 mg/daily). They were an eye-opener. On Ritalin, I was functioning well, although in a robot-like fashion. On Dexedrine, I appeared to others as a smart, enthusiastic guy that was a pleasure to work with. But I couldn't tolerate either of them for more than a week at a time. Dexedrine, which is far superior to Ritalin, eliminated most, if not of my impulses, but the price of Dexedrine (and Ritalin, too) in my opinion is an early death from heart failure.
After the stimulants, I've moved to the other extreme. I've been on Xanax 2 mg. daily for the past 2 weeks and everything seemed OK until tonight when those ugly devils came through and have caused so much problems at home -- my behavior was at fault -- that no one is going to speak to me for weeks.
People with impulses, what meds are you talking to keep your impulses down, other than what I've already tried? Please share your knowledge.
Posted by notfred on September 27, 2006, at 21:50:20
In reply to (Self)Destructive Impulses - Can't keep them down, posted by TheMeekOne on September 27, 2006, at 21:38:50
> Then came Ritalin (5 mg/daily), replaced by Dexedrine (5 mg/daily). They were an eye-opener. On Ritalin, I was functioning well, although in a robot-like fashion. On Dexedrine, I appeared to others as a smart, enthusiastic guy that was a pleasure to work with. But I couldn't tolerate either of them for more than a week at a time. Dexedrine, which is far superior to Ritalin, eliminated most, if not of my impulses, but the price of Dexedrine (and Ritalin, too) in my opinion is an early death from heart failure.
>Heart failure on 5 mgs a day ? you must be joking !
Posted by rjlockhart on September 27, 2006, at 21:59:28
In reply to (Self)Destructive Impulses - Can't keep them down, posted by TheMeekOne on September 27, 2006, at 21:38:50
Im not exactly know what you mean. I take Xanax 2mg daily X 3. I used to be on dexedrine 40mg, but i was taken off it.
Impuleses, well if im not mistaken? i have similar situation to yours, i just had post about i wanted to jump across a desk and attack this jerk in my professor's class , i swear if there wasnt security.... '
Anyways, im still pissed off about that. Ok what i think is best for you is Dexedrine. Or Adderall, it can boost your personality to be ok with others. Xanax just makes me not think about my social problems....its just a get away.
Also a therpist, such as in conversation. There is a name i think for it, linguestics? im very mistaken on spelling.
My problems is not get mad....get madder. I do have hypomania (im telling you we have somethings in common) and i get very mad when i am mad. Social anxiety, not really i just dont know what exactly to say in a converstation.
I was on Wellbutrin XL 450mg for 5 months until i had a siezure on it, which eventually made me get off it. it did somewhat help me focus but not really, just be more anxious, like i took 5000mg of l-tyrosine.
Needless really to say anymore about me, get aggressive in therpy, and trying to better yourself. That is what i think is best. Dont hurt yourself, sometimes i have thought about .......... im not saying for what people have said to me.
Take Care
your friend
Matt
Posted by Phillipa on September 27, 2006, at 22:40:56
In reply to (Self)Destructive Impulses - Can't keep them down, posted by TheMeekOne on September 27, 2006, at 21:38:50
Do you see a pdoc? I think you should. Love Phillipa
Posted by Declan on September 28, 2006, at 3:59:20
In reply to (Self)Destructive Impulses - Can't keep them down, posted by TheMeekOne on September 27, 2006, at 21:38:50
Self destructive impulses are normal. Psychiatric drugs suck. The illegal ones that work are more trouble than they are worth. Part of being mature is learning to live with ambivalence. Still, if one of these drugs is useful to you, that's just great by me.
Posted by Declan on September 28, 2006, at 13:34:45
In reply to Re: (Self)Destructive Impulses - Can't keep them d, posted by Declan on September 28, 2006, at 3:59:20
Tianeptine has been a good drug for me. It just makes me feel better. I've been self destructive all my life. What on earth does it take to make us care for ourselves and others? Or is that not the issue?
Posted by Phillipa on September 28, 2006, at 18:29:38
In reply to Re: (Self)Destructive Impulses - Can't keep them d, posted by Declan on September 28, 2006, at 13:34:45
Declan I just don't know. But the world gets faster and faster maybe it's abnormal for humans to move so fast and have so much expected of them? All the kids near me their after school schedule is so structured. Besides sports, dance, art, etc. when do they do what we did as kids and play? Love Phillipa
Posted by jaclinhyde on September 28, 2006, at 21:30:54
In reply to Re: (Self)Destructive Impulses - Can't keep them d » Declan, posted by Phillipa on September 28, 2006, at 18:29:38
Sounds to me like you might need to be on an anti-psychotic like Abilify or Geodon. Or maybe some Topomax or Lamictal. There is no shame in going that route as even my 11 year old son is on Abilify for his Bipolar. Don't let the term psychotic throw you.
Terri
Posted by Phillipa on September 28, 2006, at 21:35:52
In reply to Re: (Self)Destructive Impulses - Can't keep them d, posted by Declan on September 28, 2006, at 13:34:45
Who is your post to. Love Phillipa
Posted by Declan on September 29, 2006, at 0:32:00
In reply to Re: (Self)Destructive Impulses - Can't keep them d » Declan, posted by Phillipa on September 28, 2006, at 21:35:52
I had second thoughts about the post I made immediately prior to the one you mention, so I qualified it. The 'psychiatric drugs suck' bit.
love, Declan
Posted by TheMeekOne on September 30, 2006, at 22:05:35
In reply to Re: (Self)Destructive Impulses - Can't keep them d » Phillipa, posted by Declan on September 29, 2006, at 0:32:00
Thank you all for your responses. I'll look for Tianeptine (Stablon) if I can find it in the U.S. And thank you, Matt, for your support.
For those who like reading about psychiatric drugs, a very decent and inexpensive (about $12) pocket book reference on psychiatric drugs is put out by CCS publishing at www.ccspublishing.com. It's called "Handbook of Psychiatric Drugs" by Albers, Hahn and Reist @ Univ. of California at Irvine med. school. It was recommended to me by a librarian in a medical school library to which I sneak in once in a while to copy medical articles. He said that many psych. doctors carry it around with them. The last edition is 2005, published in the fall of 2004. It's better than any of the others I've seen, including the one by Stahl. And judging by what I experienced, the book's description of drugs' pluses and minuses are close to reality.
No, I don't go to psych. doctors any more. I saw 2 psych. doctors. Each of them was interested in protecting his own skin. The first put me on Wellbutrin, the second recommended Provigil, which I couldn't afford and judging from my research isn't that great.
So I'm reading that book and trying psych. drugs on myself on my own, thanks to an understanding GP. Again, appreciate your responses.
This is the end of the thread.
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