Category: treatment issues

What Happens When Your Doctor Gives Up On You?

Posted by Natasha Tracy | Jul 19, 2010

I have had two doctors give up on my bipolar disorder (mostly depression) treatment. One almost a decade ago, and one just a couple of months ago. I didn’t take the most recent doctor abandonment all that well, as I’ve mentioned. In fact, if I saw the woman today, I’d still want to call her a cunt. An unfeeling, malpracticing, cold-hearted cunt. It seems I’m still a little upset about it.

A Doctor Giving Up on You is Unacceptable

But regardless as to my personal feelings about this woman, I feel that a doctor dismissing a patient without referral, medication, treatment or care, is unacceptable. It leaves the ill person with few visible options outside of suicide. A depression, suicidal person with no options. Peachy. These doctors are killing people through their own ignorance.

So, what should you do if your doctor gives up on your treatment? (You know, other than call them nasty names online, which I heartily recommend. It’s cathartic. HealthyPlace isn’t a fan of such things, however.)

Getting Off Pristiq – Or Not

Posted by Natasha Tracy | Jul 7, 2010

A couple of posts ago I talked about getting off of the antidepressant, Pristiq. I just thought you might like to know I was unsuccessful at getting off the final 50mg of Pristiq. I stopped taking the final Pristiq pill while increasing the antidepressant, Welbutrin and fell entirely apart in withdrawal. I became a swamp of tears, echos of choking sobs and a rainforest (?) of suicidality.

Yeah, so I gave into the withdrawal and just took the Pristiq again. Ah…failure. Failure getting on antidepressants, failure getting off antidepressants, and failing to get better. Sheesh. That’s quite a lineup.

Drugs are bad. Just say no. Or ow. Or please god stop.

Or that might be just me.

How To Get Off Pristiq or Reduce Pristiq

Posted by Natasha Tracy | Jun 26, 2010

Now I’m not a doctor, in fact, I don’t even play one on TV, but I wanted to share a little about me and how I’m handling getting off of, or at least reducing, Pristiq.

Please also read: When to Get Off Antidepressants with Bipolar Disorder

Antidepressant Pristiq – Easy On, Not-So-Easy Off

I’ve been talking the antidepressant Pristiq (desvenlafaxine) for months and it doesn’t seem to be doing much, but honestly, the withdrawal from Pristiq is so bad I didn’t want to attempt getting off of it. As you might know, Pristiq is a metabolite of Effexor and Effexor, another antidepressant, is also a nightmare to get off of. If I would miss a Pristiq dose by even a few hours I would become suicidally depressed. Really. No joke.

No Taper Strategy for Pristiq

So getting off of Pristiq wasn’t on my short list of fun things to do. There is no taper strategy for Pristiq as it only comes in 50 mg and 100 mg tablets and you cannot cut them.

How I’m Getting Off Pristiq

But I seem to be successfully reducing the dose of Pristiq with minimal impact and withdrawal.

Antidepressant Comparison: Are Pristiq and Effexor the Same?

Posted by Natasha Tracy | Jun 18, 2010

Does Pristiq Just Serve to Extend the Effexor Patent?

If you live in the US, you’ve probably seen all the commercials for the new and pastel-pink-coloured antidepressant Pristiq. (Yes, prescribed for depression.) Pristiq is new and has a huge marketing push behind it and is a selective serotonin norepinephrine reuptake inhibitor (SNRI) antidepressant. In other words, it’s an antidepressant that works on both serotonin and norepinephrine neurotransmitters. It is not the only antidepressant to do this, but SNRIs are a smaller class of drugs than those that just effect serotonin alone (like Prozac). (Although admittedly, there seems to be a suspicious number of SNRI antidepressants in development.)

Pristiq and Effexor Are Almost the Same Drug

What you might not know, is the same company that makes the drug Pristiq (Wyeth) also makes Effexor, which is an almost identical antidepressant, and Effexor has recently become available in generic form (Venlafaxine). Pristiq, O-desmethylvenlafaxine, is actually the main metabolite of Effexor, venlafaxine hydrochloride.

This means that if you take Effexor, your body breaks it down into Pristiq and other chemicals. Yes, Pristiq and Effexor are almost the same drug.

Will ECT Work for Me? — Predictors of ECT Efficacy

Posted by Natasha Tracy | May 12, 2010

It would be nice to know ahead of time, if a treatment would work. Unfortunately, no one cal tell the future: not for cancer treatment and not for mental illness treatment like electroconvulsive therapy (ECT) either.

Will Electroconvulsive Therapy Work for Me?

But very smart people try to figure out what might predict the outcome of treatments. Especially treatments like ECT, a hotly debated, and much maligned treatment. That’s the good news. And the bad news.

In a retrospective chart review of depressive and bipolar patients in a Netherlands hospital, of those who received ECT, 65.8% met the standards for remission. The only predictor of response found was duration of index series.

Dimensional Diagnosis of Mental Illness

Posted by Natasha Tracy | Apr 23, 2010

There is a recognition among many of us crazies, as well as the professionals that treat us, that most of us do not simple fall into one camp – we’re bipolar with a hint of ADD; we have a borderline personality disorder with depressive and psychotic features; we suffer from schizo-affective disorder with post-traumatic stress disorder (PTSD) and addiction mixed in. Humans are complex, and their brains even more so.

My Depression Isn’t Your Depression

And what’s more, my depression isn’t like your depression. In fact, so much so, that using the same word is almost nonsensical. I sleep 15 hours a day, but you only sleep 3. I have a successful job, but no family or friends. You have neither but participate in online support groups 10 hours a day. I think about killing myself every day but you actually plan for it once a week. You never cry but I cry all the time. Are we the same? Am I more depressed than you, or less?

And things get more complicated when you compare personality disorders and bipolar and ADD and PTSD combined with comorbid conditions like addiction. And yet somehow we’re supposed to suss this all out, find a label, and a treatment that goes with it. That’s pretty tough.

Who Do You Trust for Mental Illness Medication Information?

Posted by Natasha Tracy | Apr 11, 2010

As you might have noticed, I’ve been writing about bipolar and mental illness for a really long time. Seven years in internet time is a lifetime or so.

I Write About and Research Mental Illness

And in all that time, in addition to the writing, I’ve been reading, or more commonly, researching mental illness. I’ve been looking up information on mental disorders, psychiatric medications, mental illness treatments, supplements and everything else of which you can think. This is because I like to be educated about my bipolar disorder and my healthcare and treatments. I often share that researched information because I think others should be educated about mental illness too. I strive to make anything I write accurate and provide links to reputable sources.

Who Do You Trust for Mental Illness Information?

But what information should you trust? Who should you trust for mental health information? Should you trust me, a random blogger? People on discussion groups? Information sites? Drug company sites? Doctor sites?

Pretty much, almost always, no.

Anticonvulsants as Calcium Antagonists in Mood Stabilization

Posted by Natasha Tracy | Mar 20, 2010

This is a paper I wrote for a psychology course I am taking so the level of discourse is quite high, sorry about that. I promise though, it is comprehensible. What I’m basically talking about is calcium-channel blockers and other calcium antagonists (they turn calcium down). This refers to calcium in your brain and not calcium in your blood.

Mood Stabilizers and Bipolar Disorder

Because inadequate response, poor compliance, chronic recurring symptoms, and functional disability are constant challenges is the treatment of bipolar disorder, (Gitlin, 2006) efforts have been made to search out new mood stabilizing medication and determine new methods of action. There has been an effort to treat bipolar disorder with a class of medication termed “mood stabilizers”, most notably consisting of some anticonvulsants (also known as antiepileptics) in addition to the traditional lithium.[1] While anticonvulsants are widely used in the treatment of mood disorders, their method of action in mood stabilization is mostly unknown.[2] Recent research has indicated that disrupted calcium homeostasis is present in bipolar disorder, and that anticonvulsants and lithium effect calcium channels and concentration in the brain (Amann, 2005). The mood-stabilizing effects of calcium channel blockers like Nimodipine (Levy, 2000) further add to the evidence that calcium antagonism is useful in the treatment of bipolar disorder. I will show that these “mood stabilizers”, anticonvulsants, stabilize mood in bipolar disorder, at least partially, through their ability to act as calcium antagonists.

Caffeine and Mental Illness and Caffeine Disorders

Posted by Natasha Tracy | Feb 21, 2010

Caffeine is the world’s most popular psychoactive substance. So many of us love it a la Starbucks, Tim Hortons or just out or our home coffee machine. Me, I love coffee and I’m a fan of caffeine too. Coffee’s the nectar of the gods and nothing will convince me otherwise.

It seems though, caffeine can actually hurt you. I know, I never thought my beloved coffee could harm me, but I suppose anything that you abuse, will abuse you back. So, here is everything you ever needed to know about caffeine, caffeine disorders and caffeine and mental illness but were afraid to ask.