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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by alchemy on September 17, 2012, at 19:36:08
Hi Scott. Your doctor seems willing to try things that most psychiatrists won't. There may be some more risk involved and it is out of their comfort zone. Do you have any advice on finding a similar dr? Are you participating in drug trials?
Psych drs are already hard to come by, mine has a good rep, but I am pretty sure I am his most tx-resistent patient. And he only takes his patients directly when they are inpatient in the hospital - so the ones that are pretty bad!
(I tried babblemail, but I guess you aren't active)
Thx
Posted by jono_in_adelaide on September 17, 2012, at 22:44:00
In reply to SLS - the out of the box meds, posted by alchemy on September 17, 2012, at 19:36:08
Hi, I'm not SLS, but I have a couple of out of the box suggestions to discuss with your doctor:
Sertaline (or another SSRI) plus bupropion
Sertraline plus nortriptyline
Effexor or Cymbalta plus Remeron
Nardil or Parnate + Nortriptyline
You could also enhance the effect of any of these by adding low dose risperidone at bedtime (0.5-1mg) or another low dose atypical.
Or, you could augment them by adding thyroid
Many other possabilities as well, the possible combinations are virtualy limitless
If your doc is good but struggling, assessment at a specialist facility such as the Menninger Clinic might be worth looking into?
Posted by Phillipa on September 17, 2012, at 23:42:38
In reply to Re: SLS - the out of the box meds, posted by jono_in_adelaide on September 17, 2012, at 22:44:00
I wonder if there is a site from the NIMH that lists docs in your area that do? Phillipa
Posted by ChicagoKat on September 19, 2012, at 12:55:31
In reply to SLS - the out of the box meds, posted by alchemy on September 17, 2012, at 19:36:08
> Hi Scott. Your doctor seems willing to try things that most psychiatrists won't. There may be some more risk involved and it is out of their comfort zone. Do you have any advice on finding a similar dr? Are you participating in drug trials?
> Psych drs are already hard to come by, mine has a good rep, but I am pretty sure I am his most tx-resistent patient. And he only takes his patients directly when they are inpatient in the hospital - so the ones that are pretty bad!
> (I tried babblemail, but I guess you aren't active)
> ThxI'd just like to chime in if you don't mind. I have a pdoc that is willing to try absolutely anything I come up with. I'm one of his treatment resistant pts, and I first met him in the hospital. On top of being more than willing to try new things, he listens to my ideas and tries them too. And he is not shy about prescribing meds, eg he'll up my dose of gabapentin with no question, put me on a high dose of Ritalin, and he even was willing to try Tramadol. On top of it all he is the kindest man in the world and you can truly tell he cares.
Now, I have suffered from depression/anxiety for most of mmy life, and I have looked long and hard for a good psychiatrist. I'm not shy about giving up on one when he/she does not meet my expectations. It took me years to find my current, wonderful pdoc. So be willing to search, and don't give up. You will find a goood doc, they are indeed out there. And if you live in the Chicago area, send me an email, katharinelk@yahoo.com, and I will refer you to mine. Best of luck to you!!!!!
Regards,
Kat
Posted by alchemy on September 20, 2012, at 14:25:23
In reply to Re: SLS - the out of the box meds, posted by jono_in_adelaide on September 17, 2012, at 22:44:00
> Hi, I'm not SLS, but I have a couple of out of the box suggestions to discuss with your doctor:
Thank you so much for your response and concern. Unfortunately, I have tried those before.
Posted by SLS on September 20, 2012, at 18:41:14
In reply to SLS - the out of the box meds, posted by alchemy on September 17, 2012, at 19:36:08
> Hi Scott. Your doctor seems willing to try things that most psychiatrists won't. There may be some more risk involved and it is out of their comfort zone. Do you have any advice on finding a similar dr?
You could refer to this list:
http://www.psycom.net/depression.central.psychiatrists.html
You could contact a good doctor at a major university hospital and ask for some suggestions on who to see if they themselves aren't taking new patients.
> Are you participating in drug trials?
No. The only way that I would do that is if the treatment were novel and otherwise unavailable AND if I could continue the treatment after the study period is over.
> > Psych drs are already hard to come by, mine has a good rep, but I am pretty sure I am his most tx-resistent patient.
I don't doubt it. You have been ill for a long time.
- Scott
Posted by jono_in_adelaide on September 24, 2012, at 1:55:42
In reply to Re: SLS - the out of the box meds » alchemy, posted by SLS on September 20, 2012, at 18:41:14
Have you tried parnate + welbutrin + an atypical such as low dose risperidone?
This is the end of the thread.
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