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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by iforgotmypassword on October 19, 2007, at 13:00:28
i need to do something as soon as possible or i will lose my housing. i am living with flies and garbage everywhere. they fly on my face as i sleep. i keep my computer in my bed. i have akathisia, stiffness and wierd facial tension, feelings in my skin, and muscles causing me to hunch and scruch my face. i can't focus on anything, thinking, talking, the steps of doing anything. this post. feeding my cats. keeping clean. changing clothes. i still have my dad, who does everything for me. he makes sure i eat. but he can't help me with my living area, and neither can anyone as i am extremely protective, and cannot process anyone being there or doing anything there. officially likely, i fall into the symptoms of the hoarding ocd syndrome, unless it is a part of negative symptoms.
i am trying to deduce what it is even to treat in my brain. i have no emotions or mood. i have made approximate guesses of clusters, that it could be a negative symptoms syndrome, but not schizophrenia, a dysthymia/cognitive-chronicfatiguesyndrome, with motor problems, glycemic oversensitivity (insulin resistance?), the lack of cognitive salience as goldstein (CFS doc/author) describes, lack of ability to take in my surroundings.
recent admission estimated possible diagnosis scribbled: "major depressive disorder vs. OCD vs. psychotic disorder NOS"
ECT did not help long term, maybe even did not do anything short term... i respond well, a bit, to lorazepam. i can flow, am no longer as clogged. but it has its own problems. trying year-old xanax again now, no effect really. lamotrigine helped a bit i think, the times i tried it, i don't remember how much it helped tho, and dosing was always hard to interpret.
was thinking of trying it again (lamotrigine) with a benzo, low-dose, lorazepam, if it really is the best...? clonazepam, that other CFS doctor recommend. i really don't even know what to look at at all. feels like i have looked at everything. if i really want to try amisulpride, it feels like i would need a gun to pull to really be listened to. i am very dismissable in conversation. even when i can talk, i am never able to lead a conversation. even if its about me and my fate. i have no idea what to do. what medication to consider now?
is this a dopamine or GABA/glutamate thing? autoreceptors?
Posted by Meagan on October 19, 2007, at 13:08:48
In reply to can't do anything, posted by iforgotmypassword on October 19, 2007, at 13:00:28
Can't help you with your dopamine/gaba questions, but I would suggest that you write down what you want and present it to your doctor.
Often times, a doctor will let a patient try a medication they want to try (unless it really is contraindicated), because there is some therapeutic benefit to be gained by having hope that a particular med will work.
So sorry how difficult everything is for you.
Meagan
if i really want to try amisulpride, it feels like i would need a gun to pull to really be listened to. i am very dismissable in conversation. even when i can talk, i am never able to lead a conversation. even if its about me and my fate. i have no idea what to do. what medication to consider now?
is this a dopamine or GABA/glutamate thing? autoreceptors?
Posted by cumulative on October 19, 2007, at 15:13:10
In reply to can't do anything, posted by iforgotmypassword on October 19, 2007, at 13:00:28
Lack of ability to take in surroundings. I have experience with what you describe, I think. Like you can't the visual information. In my case it was the obvious effect of chronic stress/anxiety, and your fatigue and glucose intolerance are also indicative of the long-term effects of chronic stress.
This was helpful to me:
http://www.mindandmuscle.net/forum/lofiversion/index.php/t28485.htmlAs far as medicationgoes, it seems like you need multimodal treatment. Ever taken Nardil?
Posted by Phillipa on October 19, 2007, at 21:49:54
In reply to Re: can't do anything, posted by cumulative on October 19, 2007, at 15:13:10
I seriously suggest you call your pdoc and get admitted to the hospital for a proper diagnosis as you are or seem too upset to begin to diagnose yourself . Yes on taking something to calm down. You can't continue to live the way you are. I'm confident you will get proper help. For now have you called a crisis line? Lots of good ideas from them and seriously good luck. Phillipa
Posted by cumulative on October 20, 2007, at 1:13:34
In reply to Re: can't do anything, posted by cumulative on October 19, 2007, at 15:13:10
"Like you can't the visual information"
This was supposed to read "can't process the visual information".
Posted by kaleidoscope on October 21, 2007, at 6:40:55
In reply to can't do anything, posted by iforgotmypassword on October 19, 2007, at 13:00:28
IFMP,
>i have akathisia, stiffness and wierd facial tension, feelings in my skin, and muscles causing me to hunch and scruch my face
Are you on an antipsychotic?
Ed
This is the end of the thread.
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