Posted by TemporarilyBob on October 26, 2012, at 16:11:40
In reply to Re: F U Prozac and 5htp and... serotonin crazy makers, posted by PrettyLady on October 26, 2012, at 15:11:48
Have you ever tried TCAs? Nortriptyline, amitriptyline ... any of those "-iptylines"? The responses you describe to SSRIs remind me of the 2.5 years of hell I went through because my pdoc was certain that one of those damn SSRIs was bound to work sooner or later, until threatening him with dropping him finally made him try nortriptyline. It's been a long haul since. I've also been lucky enough to have 2 pdocs at different times who were up on the bipolar literature. From what I understand of the way it has been explained to me, there are variations of bipolar that do not necessarily involve mania -- the mania is more substance-dependent and if you try to treat the "mania" aggressively you just make matters worse. Latest pdoc of mine has talked about how the latest research is talking about a bipolar III and even bipolar IV category and he admitted that it's still not all that well understood -- they know more about what NOT to do than what to do.
I'm not saying that's where you are, I'm just throwing it out there as a talking point for you and your pdoc. Your bipolar mixed states diagnosis might not be quite on the mark.
Obviously I'm bringing this up because my current pdoc says this *is* where I am and that 2-4% of the population (that's 2-4% of the general pop, not the disabled pop, so BIG nuumber), according to the studies he has seen, are being misdiagnosed. And, however innocently and well-intendedly, are being improperly medicated, making their situations worse, possibly worse than they would be unmedicated.
Great wits are sure to madness near allied,
And thin partitions do their bounds divide.
poster:TemporarilyBob
thread:1029313
URL: http://www.dr-bob.org/babble/20121018/msgs/1029896.html