I'm wondering how many of you have a pdoc who treats your hypomania.
In other words, they make appropriate med adjustments and/or changes.
None of the pdocs I've had since my diagnosis (2) have ever treated my hypomania. My current/new pdoc told me that if I'm hypomanic, I should pay close attention to my moods and go IP if I start to feel myself escalating into mania or crashing into a severe depression.
I have to admit that I envy people who have pdocs that change meds when necessary. I can't seem to find these kinds of pdocs (with the exception of my previous pdoc) for whatever reason.
I'm frustrated by this to the point where I feel like giving up, not taking my meds or seeing a pdoc.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Last edited by dreams in neon; 04-08-2009 at 01:13 PM.
I'm wondering how many of you have a pdoc who treats your hypomania.
In other words, they make appropriate med adjustments and/or changes.
None of the pdocs I've had since my diagnosis (2) have ever treated my hypomania. My current/new pdoc told me that if I'm hypomanic, I should pay close attention to my moods and go IP if I start to feel myself escalating into mania or crashing into a severe depression.
I have to admit that I envy people who have pdocs that change meds when necessary. I can't seem to find these kinds of pdocs for whatever reason.
I'm frustrated by this to the point where I feel like giving up, not taking my meds or seeing a pdoc.
Any thoughts?
My pdoc treats hypomania and of course (we all know) makes med changes when necessary. If I'm hypomanic, then I call him and he has me come into the office and we talk about what's going on and then if anything needs adjusted he does. Usually he just ups the clonazapen and one of the mood stabilizers if necesary. He doesn't force me to go IP, he's strongly, strongly reccomended it the past 2 weeks but not made me, he makes sure that I know I can alwasy call his home number at any time of the day or night as does my pdoc..
I don't have my pdoc's home phone number and I highly doubt he would give it to me.
My pdoc doesn't force me to go IP. He encourages me to do so, but has never told me that I had to go.
I just wish I could find a pdoc who would take hypomania seriously. I can't seem to find a pdoc who believes in changing meds when needed.
I did find an Internet listing for an old pdoc I used to work with years ago. I'm strongly thinking about contacting his office to schedule an appointmemt with him since I'm familiar with his treatment philosophy and thought he was one of the best pdocs I've ever had.
By the way, I hope I'm not coming across as if I'm hopping from one pdoc to the next. I'm not. All I'm trying to do is find a pdoc who believes in changing meds when necessary and treating hypomania -- especially since I'm prone to manic/psychotic episodes and psychotic depression.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Last edited by dreams in neon; 04-08-2009 at 01:33 PM.
Dreams,
My pdoc will adjust meds as necessary and treat my hypomania. My tdoc also tells me I can call him anytime. I have both of my docs cell numbers, that way if there is an emergency during non office hours, I can still reach them. Having those numbers is a comforting feeling. Even though I have never has to use those numbers, just having them makes me feel a bit safer.
I don't think my pdoc will give me his cell phone number.
However, I do have the number for his voice mail, nurse and receptionist.
Good news. I decided to call my pdoc's nurse to let her know that I'm hypomanic. My pdoc agreed to a 2500mg PRN dosage of Depakote whenever I feel hypomanic. He also said that I could take an 8mg PRN dosage of Risperdal. I was told that either med would work and that it was up to me which one I wanted to take. Since this is the case, I do not intend on seeing a different pdoc.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Last edited by dreams in neon; 04-08-2009 at 08:08 PM.
That's awesome that he is giving you that flexibilty to use at your discretion. Just knowing you those options available to you should make you feel safer and not worry as much.
That's awesome that he is giving you that flexibilty to use at your discretion. Just knowing you those options available to you should make you feel safer and not worry as much.
I agree caitlin. His nurse told me that he said I'm responsible enough to take these meds on a PRN basis given how good I've been about taking Clonazepam exactly as prescribed. I feel alot better now -- especially since I don't have to change pdocs!
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Dreams,
My pdoc will adjust meds as necessary and treat my hypomania. My tdoc also tells me I can call him anytime. I have both of my docs cell numbers, that way if there is an emergency during non office hours, I can still reach them. Having those numbers is a comforting feeling. Even though I have never has to use those numbers, just having them makes me feel a bit safer.
My tdoc got onto me this mornign because I didnt call her at 3:00 am sunday monring when I got to the point of self injury, but I'd already called her 3 times last week for that and felt like I was just bugging her life too much.
I know what you mean Kat, I had that same situation the other day. I was tyring to reach my friend all day because I really needed her, but she wan't answering, so I stopped calling, and ened up not doing so well that night. Well...I guess it's not the same, because you were trying to reach your doc and I was only trying to reach my friend, but i know how you feel about trying to reach someone when you truly need it and them not being able to be there...It totally sucks
I know what you mean Kat, I had that same situation the other day. I was tyring to reach my friend all day because I really needed her, but she wan't answering, so I stopped calling, and ened up not doing so well that night. Well...I guess it's not the same, because you were trying to reach your doc and I was only trying to reach my friend, but i know how you feel about trying to reach someone when you truly need it and them not being able to be there...It totally sucks
Well no my doc was home, I just didn't call her 'cuz i felt so bad callign her at that time of the morning when I'd already called her 3 times that week. I just alwasy feel like i'm bugging her. But sometimes she's the only one who can talk me down from cutting.
My tdoc got onto me this mornign because I didnt call her at 3:00 am sunday monring when I got to the point of self injury, but I'd already called her 3 times last week for that and felt like I was just bugging her life too much.
kat
My tdoc does the same thing to me if I come to an appointment manic or severely depressed and don't call him beforehand.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Well no my doc was home, I just didn't call her 'cuz i felt so bad callign her at that time of the morning when I'd already called her 3 times that week. I just alwasy feel like i'm bugging her. But sometimes she's the only one who can talk me down from cutting.
kat
Just wondering but aren't there any numbers you can call in your local area. Like there are numbers that I can call that are on 24/7. They let you talk to someone whether its depression, anxiety, psychosis anything really.
Just wondering but aren't there any numbers you can call in your local area. Like there are numbers that I can call that are on 24/7. They let you talk to someone whether its depression, anxiety, psychosis anything really.
Have you ever called a crisis line when you were psychotic? I've never been able to because I've never been able to think clearly enough.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Last edited by dreams in neon; 04-08-2009 at 10:32 PM.
Just wondering but aren't there any numbers you can call in your local area. Like there are numbers that I can call that are on 24/7. They let you talk to someone whether its depression, anxiety, psychosis anything really.
I have that as well Under...plus my pdoc's number.
__________________
Jenay
Hashimotos
IBS/Gerd
Bipolar
PTSD
Panic and Anxiety Attacks
lower back/hip/leg pain being checked
My tdoc got onto me this mornign because I didnt call her at 3:00 am sunday monring when I got to the point of self injury, but I'd already called her 3 times last week for that and felt like I was just bugging her life too much.
kat
kat, i know how you feel, if i call pdoc too much i really feel like a bother, then if he tells me to call at a particular time and doesn't answer i give up because i then feel even worse. si continues at same rate and is only thing still that provides any relief. wish he would come up with the magic combo for me! am tired of taking the meds and nothing working.
Wow. I'm really surprised at how many people have their pdoc's number. Not many pdocs do that. None of the pdocs I've worked with over the past 18 years ever did.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Have you ever called a crisis line when you were psychotic? I've never been able to because I've never been able to think clearly enough.
I'm able to think clearly enough in order to do it. All I have to do is remind myself that they trained to speak to people in need of help. I don't know whether that answrers your question.
Well I've called this line and really all you have to do is tell them what is troubling you. You could even let them come over to your place in case of some emergency, personally I try to avoid that. The great thing about this to is that they have no power whatsoever to put you in IP. Unless they call 911.Never happened to me though. There was this one time where they had to come to me though because I didn't want my parents to call 911 and end up going IP. I didn't even feel the need to then. Anyways I was experiencing a touch hallucination at the time. I was totally convinced that bugs were crawling under my skin but nobody would believe me. They would say something like I know it may seem real to you but there are no bugs. It has got to be one of the most painful experiences. When the I guess you could call it "crisis team" arrived they would give me tips on how to deal with what I was going through.
Wow. I'm really surprised at how many people have their pdoc's number. Not many pdocs do that. None of the pdocs I've worked with over the past 18 years ever did.
dreams,
this is the first time i've had pdocs numbers but the thing is then that when he's not available or too busy i have become dependent on the calls and feel really bad when he doesn't get back to me. tdoc i had i used to be able to call her on cell phone any time between mon -fri , 9-5.
Not to be on a pdoc's side but if I was one I'd be too busy to have to return calls from my patients. I don't know what you guys well girls mostly sorry think but if I had a pdocs number I'd feel pretty lucky.
this is the first time i've had pdocs numbers but the thing is then that when he's not available or too busy i have become dependent on the calls and feel really bad when he doesn't get back to me. tdoc i had i used to be able to call her on cell phone any time between mon -fri , 9-5.
btw. how are you doing?
I can reach my tdoc anytime since he's the on-call tdoc at the mental health clinic I go to. That's just as good as having his cell number.
I've only had to call him twice in the 1.5 years I've seen him.
The first time was when I was manic and didn't know what was happening to me.
The second time was in December when I was hearing voices that told me to harm myself and was severely depressed.
I'm doing better tonight. I no longer feel flat and am starting to feel a little happier.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN
Last edited by dreams in neon; 04-08-2009 at 11:08 PM.
