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Old 04-13-2009, 11:53 AM   #1
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Today's Pdoc Appointment

Hi everyone,

I met with my old pdoc today and my appointment went very, very well.

He began by asking me how I've been doing since our last appointment. I said
although I was hearing voices due to my friend's death, I haven't rapid cycled or felt severely depressed. I also said I haven't heard any voices since
starting Risperdal. He was very pleased to hear this and said that it sounds as if my moods are stabilizing nicely. He was also happy to learn that I didn't
cycle into mania, agitation or severe depression during my last hypomanic episode 2 weeks ago and feels that the Clonazepam I take to help control my rapid cycling is responsible for this. He was happy to hear that I've been able to decrease my dose of Clonazepam from 2 tablets 3x/day to only once a day in the morning.

We also discussed his recommendation for me to find another pdoc. I told him
that I felt very comfortable with him as a pdoc and really didn't want to see
another pdoc if I didn't have to. I mentioned the fact that my tdoc and I plan to work on stress management techniques as well as techniques to help control my anger. I said that I've never learned how to control my anger or manage stress before, so learning these techniques will do me a world of good in the long run. He agreed wholeheartedly.

He apologized for recommending that I see another pdoc and said that his reason for doing this was because he did not know how to treat my voices since I was already on a high dose of Risperdal. He also said I made the right decision to call him immediately when I started hearing voices so that it did not turn into full blown mania or psychotic depression. He reassured me that if this happens again, I am to call him ASAP so that we can address my symptoms further. While he didn't know what that would entail, he did say that we could always try a typical (older) antipsychotic like Haldol to see if it helps.

When I asked if he could continue seeing me, he said I was more than welcome to and apologized again for saying what he did. He also said he didn't mean to imply that my case of bipolar was impossible to treat -- just that treating my auditory hallucinations may be difficult since I'm already on a high dose of Risperdal.

Overall, he thinks I'm doing very well on my meds and is pleased about the fact that I haven't rapid cycled into mania, agitation or severe depression since I saw him last.

He thinks I have an excellent chance of remaining stable especially if I learn
coping mechanisms for dealing with stress and anger.

I'm relieved my appointment went as well as it did.

It's good to know that my pdoc and I are on good professional terms with each other and there is no longer anything for me to worry about.
__________________
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; 04-13-2009 at 11:56 AM.

 
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Old 04-13-2009, 12:06 PM   #2
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Re: Today's Pdoc Appointment

Dreams, i'm glad it went so well.
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 12:16 PM   #3
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Join Date: Oct 2008
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Re: Today's Pdoc Appointment

Quote:
Originally Posted by typeing View Post
Dreams, i'm glad it went so well.
Thanks, typeing.
__________________
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

 
Old 04-13-2009, 12:18 PM   #4
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Join Date: Dec 2008
Location: texas
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typeing HB User
Re: Today's Pdoc Appointment

No problem, hows the rest of the day going?
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 12:24 PM   #5
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Join Date: Oct 2008
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Re: Today's Pdoc Appointment

Quote:
Originally Posted by typeing View Post
No problem, hows the rest of the day going?
So far, so good. I'm tired today though and feel like taking a nap, but I worry that if I do, I won't be able to sleep tonight. I don't know why I'm so tired since I slept for 8 hours last night.
__________________
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

 
Old 04-13-2009, 12:26 PM   #6
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Join Date: Dec 2008
Location: texas
Posts: 480
typeing HB User
Re: Today's Pdoc Appointment

Maybe you will sleep really well tonight.
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 12:53 PM   #7
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Join Date: Oct 2008
Location: WI
Posts: 4,189
dreams in neon HB Userdreams in neon HB User
Re: Today's Pdoc Appointment

I hope you're right. I'm debating whether or not to take my Trazodone before bedtime since I'm so tired.
__________________
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

 
Old 04-13-2009, 12:54 PM   #8
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(female)
 
Join Date: Oct 2008
Location: WI
Posts: 4,189
dreams in neon HB Userdreams in neon HB User
Re: Today's Pdoc Appointment

Speaking of sleep, how has your sleep been lately, typeing?
__________________
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

 
Old 04-13-2009, 12:56 PM   #9
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Join Date: Dec 2008
Location: texas
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typeing HB User
Re: Today's Pdoc Appointment

Dreams... sleep is no longer in my vocabulary... what is this sleep you speak of? lol, maybe 4 hours a night, but there are still times that i'm still awake to hear my moms alarm go off.
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 01:23 PM   #10
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Join Date: Oct 2008
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Re: Today's Pdoc Appointment

Quote:
Originally Posted by typeing View Post
Dreams... sleep is no longer in my vocabulary... what is this sleep you speak of? lol, maybe 4 hours a night, but there are still times that i'm still awake to hear my moms alarm go off.
Have you talked to your pdoc about raising your Trazodone dosage?

I wouldn't be able to sleep if it were not for my 100mg dose when I feel level and 300mg dose when I'm manic or can't sleep. Without this med, I'd never get any sleep.
__________________
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

 
Old 04-13-2009, 01:25 PM   #11
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Join Date: Dec 2008
Location: texas
Posts: 480
typeing HB User
Re: Today's Pdoc Appointment

Not yet, my next appointment is on friday.
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 02:03 PM   #12
Senior Veteran
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Join Date: Oct 2008
Location: WI
Posts: 4,189
dreams in neon HB Userdreams in neon HB User
Re: Today's Pdoc Appointment

Quote:
Originally Posted by typeing View Post
Not yet, my next appointment is on friday.
Let us know how everything goes. Good luck.
__________________
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

 
Old 04-13-2009, 02:04 PM   #13
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(female)
 
Join Date: Dec 2008
Location: texas
Posts: 480
typeing HB User
Re: Today's Pdoc Appointment

I will, thank you a ton, let us know how Wednesday goes as well. <hugs>
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
Old 04-13-2009, 02:08 PM   #14
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Join Date: Oct 2008
Location: WI
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dreams in neon HB Userdreams in neon HB User
Re: Today's Pdoc Appointment

Quote:
Originally Posted by typeing View Post
I will, thank you a ton, let us know how Wednesday goes as well. <hugs>
You're welcome! <hugs back>

I will definitely let you know how Wednesday's appointment goes.

I plan to talk to him about the situation I mentioned on AD as well as hypnosis for my voices. I'm interested in learning more about hypnosis so I can determine if this is something I'd like to try as a means of dealing with my voices.
__________________
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; 04-13-2009 at 02:09 PM.

 
Old 04-13-2009, 02:09 PM   #15
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Join Date: Dec 2008
Location: texas
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typeing HB User
Re: Today's Pdoc Appointment

Sounds good. *smile*
__________________
anxiety disorder
severe depression
ONH and nystagmus causing legal blindness
hypothyroid
cortizone deficient

 
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