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Home > Archive > Neurological Disorders > October 2006 > Depression OR manic deprsion?
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Depression OR manic deprsion?
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| Raymond A. Miller 2006-09-15, 8:23 am |
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Thank You for taking the time to read this!
I have severed, by mutual agreement, the relationship with my psychiatrist
of the past several years. My objective herein is to describe myself and my
my treatment to become a better informed patient. I will be seeking a
replacement psychiatrist and feel that I would like to possibly recognize if
the
one I choose is right for me..
PATIENT: 53 YR OLD CAUCASION MALE / Retired police officer 21 years
decorated service (road patrol) / Disabled.
MEDICAL: Dilated cardiomyopathy (13% ejection fraction); I have an
implanted pacemaker - defribulator unit supposed to
regulate my heartrate as well as defribulate mode activates with a shock
like the paddles used in hospitals and
first - aid units.Pulmonary sarcoidosis (under control with 5mg
prednisone)
Obstructive sleep apnea / last blood gas test showed
carbon dioxide level over 1470 - where a reading considered
appropriate is 50 to 150) A trial of a CPAC forced
oxygen passed my uvula to instill more O2 to my lungs and subsequenrly
bring my bloog gasses to appropriate level ls
currently on-going..
Extremely deteriated dental, as evidenced by several
missing, loose, frequently becoming abscessed (which places my cardiac
muscle at higher than normal risk of infection which
in most cases is gravely dangerous / life threatening).
MENTAL: Was being treated for depression last several years by a
psychiatrist through combination of counseling and 4mg Xanax combined
with 200mg Zoloft daily.
THE ABOVE STATED, It seems to be a strong possibility that my symptoms fit
bi-polar disorder as opposed to depression according to the research
I have been doing. God only helps those who help
themselves and a reasonable person generally knows their own body/mind
than anyone else even if, as a lay person, he/she
may not be able to give the problem a name. In addition, I believe as in
many religions,
that this life is just one step of our existence,
thusly my multiple medical conditions cause concern, but not fear.
QUESTION: what are the differences in the treatment of bi-polar versus
the treatment for clinical depression?
Any suggestions on picking a mental health
professional without going into the task "blind"?
Kind Regards,
Raymond
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| John Jones 2006-09-15, 8:23 am |
| Raymond A. Miller wrote:
> Thank You for taking the time to read this!
>
> I have severed, by mutual agreement, the relationship with my psychiatrist
> of the past several years. My objective herein is to describe myself and my
> my treatment to become a better informed patient. I will be seeking a
> replacement psychiatrist and feel that I would like to possibly recognize if
> the
> one I choose is right for me..
>
> PATIENT: 53 YR OLD CAUCASION MALE / Retired police officer 21 years
> decorated service (road patrol) / Disabled.
> MEDICAL: Dilated cardiomyopathy (13% ejection fraction); I have an
> implanted pacemaker - defribulator unit supposed to
> regulate my heartrate as well as defribulate mode activates with a shock
> like the paddles used in hospitals and
> first - aid units.Pulmonary sarcoidosis (under control with 5mg
> prednisone)
> Obstructive sleep apnea / last blood gas test showed
> carbon dioxide level over 1470 - where a reading considered
> appropriate is 50 to 150) A trial of a CPAC forced
> oxygen passed my uvula to instill more O2 to my lungs and subsequenrly
> bring my bloog gasses to appropriate level ls
> currently on-going..
> Extremely deteriated dental, as evidenced by several
> missing, loose, frequently becoming abscessed (which places my cardiac
> muscle at higher than normal risk of infection which
> in most cases is gravely dangerous / life threatening).
> MENTAL: Was being treated for depression last several years by a
> psychiatrist through combination of counseling and 4mg Xanax combined
> with 200mg Zoloft daily.
>
> THE ABOVE STATED, It seems to be a strong possibility that my symptoms fit
> bi-polar disorder as opposed to depression according to the research
> I have been doing. God only helps those who help
> themselves and a reasonable person generally knows their own body/mind
> than anyone else even if, as a lay person, he/she
> may not be able to give the problem a name. In addition, I believe as in
> many religions,
> that this life is just one step of our existence,
> thusly my multiple medical conditions cause concern, but not fear.
>
> QUESTION: what are the differences in the treatment of bi-polar versus
> the treatment for clinical depression?
> Any suggestions on picking a mental health
> professional without going into the task "blind"?
>
> Kind Regards,
> Raymond
I don't understand. You must have looked up all their possible options
for treatment by now. After all this time, unless you think that some
medical drug fine-tuning can work wonders, then you must have a good
idea of the range of biochemical stunts that are likely to be pulled on
you. So is it that you are really looking for company in your self
experimentations?
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| Raymond A. Miller wrote:
> QUESTION: what are the differences in the treatment of bi-polar versus
> the treatment for clinical depression?
> Any suggestions on picking a mental health
> professional without going into the task "blind"?
Hi Raymond ~
My recommendation would be to first find out if you are indeed
bi-polar. I assume that somewhere on line is the DSM-IV, if you want to
check out the symptoms for yourself.
As for treatments, there are several, and which would work for any
particular individual is a matter of working with a professional who
can assist with choosing the medications, ordering the appropriate
bloodwork for therapeutic levels, and working with you to decide on
what level of medication works.
I do not know of any reputable person who would recommend a particular
treatment without having a LOT more information about what is going on
with you. However, if you did not feel that the psychiatrist was
listening to you, changing to someone that you have confindence in is
good idea.
Best of luck to you ~
Susan
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I know what you mean. I've been with four psychiatrists over the years
and they haven't helped me one bit. I have a manic episode every 9
days, usually lasting about 24 hours.
I use ham radio to keep me sane. It's something to focus on during the
times when my mind is raving. And it helps me communicate with other
people - something I can't cope with, and never have.They frighten me.
Even the radio I can only face when I'm in the manic state. The rest of
the time I'm too depressed.
My ham radio callsign is GM3POI. If you hear me on the air give me
a call.
73, Clive
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Raymond A. Miller wrote:
> Thank You for taking the time to read this!
>
> I have severed, by mutual agreement, the relationship with my psychiatrist
> of the past several years. My objective herein is to describe myself and my
> my treatment to become a better informed patient. I will be seeking a
> replacement psychiatrist and feel that I would like to possibly recognize if
> the
> one I choose is right for me..
>
> PATIENT: 53 YR OLD CAUCASION MALE / Retired police officer 21 years
> decorated service (road patrol) / Disabled.
> MEDICAL: Dilated cardiomyopathy (13% ejection fraction); I have an
> implanted pacemaker - defribulator unit supposed to
> regulate my heartrate as well as defribulate mode activates with a shock
> like the paddles used in hospitals and
> first - aid units.Pulmonary sarcoidosis (under control with 5mg
> prednisone)
> Obstructive sleep apnea / last blood gas test showed
> carbon dioxide level over 1470 - where a reading considered
> appropriate is 50 to 150) A trial of a CPAC forced
> oxygen passed my uvula to instill more O2 to my lungs and subsequenrly
> bring my bloog gasses to appropriate level ls
> currently on-going..
> Extremely deteriated dental, as evidenced by several
> missing, loose, frequently becoming abscessed (which places my cardiac
> muscle at higher than normal risk of infection which
> in most cases is gravely dangerous / life threatening).
> MENTAL: Was being treated for depression last several years by a
> psychiatrist through combination of counseling and 4mg Xanax combined
> with 200mg Zoloft daily.
>
> THE ABOVE STATED, It seems to be a strong possibility that my symptoms fit
> bi-polar disorder as opposed to depression according to the research
> I have been doing. God only helps those who help
> themselves and a reasonable person generally knows their own body/mind
> than anyone else even if, as a lay person, he/she
> may not be able to give the problem a name. In addition, I believe as in
> many religions,
> that this life is just one step of our existence,
> thusly my multiple medical conditions cause concern, but not fear.
>
> QUESTION: what are the differences in the treatment of bi-polar versus
> the treatment for clinical depression?
> Any suggestions on picking a mental health
> professional without going into the task "blind"?
Referrals count when picking a mental health professional. In your
case, given your complex medical and psych history, a
psychopharmacologist may be your best bet.
The use of Prednisone may be having profound influences on mood and
behavior in your case, along with insulin resistance and high blood
glucose it causes, which lead to sleep apnea, too. Diet and exercise
may be able to overcome some of the insulin resistance and hyperglycemia
caused by Prednisone.
Susan
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