![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by uncouth on January 23, 2009, at 22:09:49
im having a tough time right now. been off parnate for over 2 weeks and experiencing extremely severe, suicidal depression. constant thoughts of suicide, and constant obsessions over past regrets and losses (both personal and professional). been on pristiq 100mg for a week, effexor has always kicked in quickly but not feeling anything yet.
nearing the end of my rope. do not know how much more of "this" life I can endure.
question is, at what point does one go to the hospital. am i at that point? or does one need to have actually attempted suicide. if i went to the hospital, what would i expect? i'm already on medication, just waiting for it to kick in.
don't have health insurance, so i figure it would be extremely expensive proposition.
at home with family but afraid when i go back to my place (living alone) i will be so suicidal i would go through with it. emergency ECT an option?
my dr. just says 'patience' and 'take it easy' until pristiq kicks in. but as we all know medicine doesn't change the bad things that depression has caused in one's life (job/relationship losses, etc.).
maybe this post has no purpose, but i have never wanted to give up as much as i do right now. if you're reading this please pray for my recovery.
thanks
uncouth
Posted by Seroquel on January 23, 2009, at 22:30:39
In reply to ready to give up...hospital?, posted by uncouth on January 23, 2009, at 22:09:49
> maybe this post has no purpose, but i have never wanted to give up as much as i do right now. if you're reading this please pray for my recovery.
>Your post has a purpose, as do you. I don't believe there is a prerequisite for attending the E.R. when you are in despair, let the professionals decide that.
Please don't delay seeking medical help if you feel the need to do so. They may be able to assist, you have nothing to lose and everything to gain.
I would think a pdoc would require some sort of evaluation before administering ECT, but it's always an option.
Again, please seek professional help. I would not want to speculate on the outcome of your current meds at the moment, seems you require additional help which may help you through this "temporary" crisis.
I will keep you in my thoughts and prayers.
Best to you, Rick
Posted by Phillipa on January 23, 2009, at 23:57:34
In reply to ready to give up...hospital?, posted by uncouth on January 23, 2009, at 22:09:49
Uncouth I hear you. Please call your local hospital or hotline and tell them you are suicidal. Must take care of you with or without insurance if USA. Let the Professionals help you. Have you told your family what you're feeling? Don't go home stay with them til proper help arrives and call your pdoc now!!! I care about you. Love Phillipa ((((uncouth)))) cyber hug to you.
Posted by Sigismund on January 24, 2009, at 0:42:28
In reply to ready to give up...hospital?, posted by uncouth on January 23, 2009, at 22:09:49
Sure your post has a purpose.
I think you need care for sure, which does not necessarily mean hospital but might.
Emergency ECT?
I hope you don't need it, and if you have it, hope you don't regret it.
Posted by Jay_Bravest_Face on January 24, 2009, at 0:42:35
In reply to ready to give up...hospital?, posted by uncouth on January 23, 2009, at 22:09:49
Healing powers and prayers sent your way..I'm a bit of a mess myself. Take good care of *you*..okay?
Jay
Posted by SLS on January 24, 2009, at 8:37:44
In reply to ready to give up...hospital?, posted by uncouth on January 23, 2009, at 22:09:49
You are very well liked here. :-)
There has to be some reason why.
It was extremely important that you posted what you did when you did. Yes, it seems like you are reaching the point at which hospitalization becomes a rational alternative to seek relief and safety. One can be suicidal and not yet even have a plan. One does not wait for the point where a plan is developed and attempted. You might indeed be a threat to your own safety. I don't know.
If you decide to do what might be the smartest thing you can do in your circumstance, go first to an emergency room for screening. They will tell you if you need to be in a hospital. Speak to a social worker there about your financial limitations. Very often "Charity Care" or some other state run program will fund your hospitalization. You might do well in a partial hospitalization program, which is basically an outpatient support and education program. You would have some place to go every day and avoid the suicidality that often comes with isolation.
Go to screening, at least.
I know this is something you KNOW, but don't FEEL: You are intelligent, affable, responsible, and worthwhile - among other things. You are in no way responsible for your current inability to accomplish your goals or even those you did not achieve in the past. You are doing the best you can with what you have to work with. That is all anyone can ask of you - especially you. Be merciful with yourself and put down the baseball bat. This is no time to be beating yourself up. At least try to tell yourself that your thoughts and feelings are being manufactured in your brain without your consent. They are involuntary.
I hope the Pristiq helps you. I don't have enough of a "feel" for the drug to know what to expect from it.
- Scott
Posted by uncouth on January 24, 2009, at 11:15:35
In reply to Re: ready to give up...hospital? » uncouth, posted by SLS on January 24, 2009, at 8:37:44
thank you to everyone who posted such intelligent responses so quickly. i am still in a holding pattern and will give it a few more days before i decide whether to go in.
my love,
uncouth
Posted by SLS on January 24, 2009, at 11:33:38
In reply to Re: ready to give up...hospital?, posted by uncouth on January 24, 2009, at 11:15:35
> i am still in a holding pattern and will give it a few more days before i decide whether to go in.
Sounds like a good plan. Please keep posting as you go through this thing.
- Scott
Posted by uncouth on January 28, 2009, at 21:31:36
In reply to Re: ready to give up...hospital? » uncouth, posted by SLS on January 24, 2009, at 11:33:38
Things are still very rough a few days later. I just can't believe this Pristiq 100mg hasn't kicked in yet. I'm just not feeling ANYTHING. Effexor I could always feel progressive responses, even within a few days, as I titrated up.
I just wish I hadn't accidentally let my health insurance lapse (now I can't get it again) otherwise i'd be more comfortable going to the hospital.
The sadness is just so extreme, the regrets, the rumination and obsessions. This is a truly horrible illness in all of it's forms and levels.
Thanks to all who have offered their support on this board. Please continue to pray for my recovery at this time.
Posted by Phillipa on January 29, 2009, at 19:05:38
In reply to Re: ready to give up...hospital?, posted by uncouth on January 28, 2009, at 21:31:36
Uncouth hang in there will do. Love Phillipa
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.