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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by julie1977 on June 11, 2010, at 7:20:32
I find that my mood is cycling more than it used to do. I seem to have about a week of feeling euthymic and then a few days of feeling depressed. I've only noticed this recently. Has anyone found themselves cycling on MAO's? I'm also on Olanzapine.
Posted by angels78 on June 11, 2010, at 11:07:28
In reply to Nardil - Good Days, Bad Days, posted by julie1977 on June 11, 2010, at 7:20:32
I have noticed this aswell, some days I am outgoing, and social other days not so much. I don't know why.
Posted by chujoe on June 11, 2010, at 11:25:16
In reply to Re: Nardil - Good Days, Bad Days » julie1977, posted by angels78 on June 11, 2010, at 11:07:28
I've never taken Nardil, so this may be a totally uninformed opinion, but maybe feeling better one day and worse the next isn't a direct effect of the drug. Maybe other things have made you feel happier or sadder: a phone call from a friend, sunshine, a good meal -- or their opposites. Anyway, I find that sometimes I just put too much emphasis on my reaction to my AD or stimulant and not enough on my own experience.
Posted by Phillipa on June 11, 2010, at 11:32:42
In reply to Re: Nardil - Good Days, Bad Days » angels78, posted by chujoe on June 11, 2010, at 11:25:16
Chujoe was thinking same thing. Like some days are good and some are bad and first thing we look to are meds we're taking or took less of looking for a change negative or positive. I know I do this. Phillipa
Posted by jedi on June 13, 2010, at 13:45:00
In reply to Re: Nardil - Good Days, Bad Days » chujoe, posted by Phillipa on June 11, 2010, at 11:32:42
> Chujoe was thinking same thing. Like some days are good and some are bad and first thing we look to are meds we're taking or took less of looking for a change negative or positive. I know I do this. Phillipa
This can sure be very true if your depression is atypical. One of the defining factors of atypical depression is mood reactivity (mood can brighten in response positive events). As apposed to melancholic depression, where the mood disturbance is severe unremitting apprehension and sadness.
IMHO Nardil is still the gold standard for atypical depression.
Jedi
Posted by Phillipa on June 13, 2010, at 21:08:44
In reply to Re: Nardil - Good Days, Bad Days » Phillipa, posted by jedi on June 13, 2010, at 13:45:00
Jedi now I have atypical depression. What are the meds for that seriously? Something has to give and my pdoc isn't the same since her car accident over a year ago. She's also 73. Love Phillipa
Posted by jedi on June 13, 2010, at 23:55:03
In reply to Re: Nardil - Good Days, Bad Days » jedi, posted by Phillipa on June 13, 2010, at 21:08:44
> Jedi now I have atypical depression. What are the meds for that seriously? Something has to give and my pdoc isn't the same since her car accident over a year ago. She's also 73. Love Phillipa
Hi Phillipa,
Here is the DSM-IV defenition of atypical depression from Wikipedia:The DSM-IV-TR defines Atypical Depression as a subtype of Major Depressive Disorder with Atypical Features, characterized by:
a) Mood reactivity (i.e., mood brightens in response to actual or potential positive events)
b) At least two of the following:
* Significant weight gain or increase in appetite;
* Hypersomnia (sleeping too much, as opposed to the insomnia present in melancholic depression;
* Leaden paralysis (i.e., heavy, leaden feelings in arms or legs);
* Long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment.c) Criteria are not met for Melancholic Depression or Catatonic Depression during the same episode.
Despite its name, "atypical" depression is actually the most common subtype of depression[1][2] up to 40% of the depressed population may be classified as having atypical depression.
-----------------------------PDOCS will almost always start treatment for atypical depression with the SSRIs. When that does not work they will try one of the newer generation ADs. When that doesn't work they may finally try a MAOI.
Another defining feature of atypical depression is that the MAOIs work significantly better for it than the tricyclics.
Be Well,
Jedi
Posted by Phillipa on June 14, 2010, at 0:47:15
In reply to Re: Nardil - Good Days, Bad Days » Phillipa, posted by jedi on June 13, 2010, at 23:55:03
Jedi since I don't sleep too long guess I don't but am sensitive to rejection and grieve loss of career, and youth. Think they need a new DSM category before 2013 isn't that when it comes out? Thanks Love Phillipa
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