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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by ButterflyHigh on September 26, 2005, at 23:08:25
Already told her I was binging and purging, she had an eating dosorder - I felt so messed up today with so many things on my plate - hate to talk about it with here. Not sure what to do.
one thing at a time.
Posted by 10derHeart on September 27, 2005, at 0:23:06
In reply to to tell t or not?, posted by ButterflyHigh on September 26, 2005, at 23:08:25
Sorry, I'm probably dense....but what are you trying to decide about telling her?
If you already told her you were binging and purging, I mean..?
I probably missed something.
Sorry there's so much on your plate. I hate that feeling - IRL and/or in therapy. Sometimes I feel like I have so many little and bigger issues for my T., all bothering me and all that matter, but I can't seem to pick one, never enough minutes in those 55 minutes, either...
Posted by ButterflyHigh on September 27, 2005, at 1:13:33
In reply to Re: to tell t or not? » ButterflyHigh, posted by 10derHeart on September 27, 2005, at 0:23:06
Sorry, no, you're not dense. I should have made myself more clear. I don't know if I should tell her it is getting worse. That's why I said one thing at a time. It's just something I would rather keep to a message board you know?
lol you're right, when I first started seeing her I got an hour - maybe more, now I get 50 minutes if I'm lucky, wonder why?oh well.
I need to post on something over at psych, hope you see it
Posted by gardenergirl on September 27, 2005, at 6:56:27
In reply to Re: to tell t or not? » 10derHeart, posted by ButterflyHigh on September 27, 2005, at 1:13:33
Hi,
I know it's probably not your favorite thing to talk about, but I would try very hard to tell her. She can't help if she doesn't know what's going on.What was her reaction when you told her before? Are you worried about anything in particular about telling her you're doing worse?
Take care,
gg
Posted by Racer on September 27, 2005, at 12:39:22
In reply to Re: to tell t or not? » ButterflyHigh, posted by gardenergirl on September 27, 2005, at 6:56:27
This might be the pot advising the kettle, but I think it's important to tell her, no matter how hard it is.
Why am I the pot? Well, this current T I'm seeing knew from the start, since it's the reason I chose her and the main reason I'm seeing her, but the T I was seeing last year? I saw her for nearly six months, and while I did say things that I knew were probably enough to tip her off -- apparently not, by the way -- I just couldn't tell her what was going on. I finally did only when my psychiatrist asked if he could talk to her about it -- I said no, not until I tell her myself. Even then, I had to leave it as a message on her voicemail!
If you have trouble telling her in session, voicemail is another option. It would allow you to get over the first hump of telling her that it's getting worse, and then give you both a starting point on discussing it in session.
Also, did you know that there are medications that can help with it? It's worth discussing with a psychiatrist, because everyone I know who's been on them has been very positive about it.
Hope that helps.
Posted by ButterflyHigh on October 8, 2005, at 12:30:26
In reply to Re: to tell t or not?, posted by Racer on September 27, 2005, at 12:39:22
Thanks guys, haven't been around, just too busy. It is getting worse, but my t doesn't seem to be taking it seriously, so not sure what I'm going to do.
So much to "fix" maybe she thinks it just doesn't need to be adressed.kinda pissing me off. :-(
Posted by ButterflyHigh on October 8, 2005, at 12:34:10
In reply to Re: to tell t or not? » ButterflyHigh, posted by gardenergirl on September 27, 2005, at 6:56:27
>
> What was her reaction when you told her before? Are you worried about anything in particular about telling her you're doing worse?
She is taking it lightly, right now I don't care what she thinks, I'm kind of mad b/c all she says, is "go walking" - this goes SO MUCH DEEPER! I just need help with this, and she doesn't seem to be helping, b/c I haven't really told her much after she seemed not to take it seriously.**What medications can help with this?
Please tell me.
Thank you
Posted by Racer on October 8, 2005, at 12:52:31
In reply to Re: to tell t or not?, posted by ButterflyHigh on October 8, 2005, at 12:34:10
> >
> > What was her reaction when you told her before? Are you worried about anything in particular about telling her you're doing worse?
>
>
> She is taking it lightly, right now I don't care what she thinks, I'm kind of mad b/c all she says, is "go walking" - this goes SO MUCH DEEPER! I just need help with this, and she doesn't seem to be helping, b/c I haven't really told her much after she seemed not to take it seriously.It doesn't sound as though she's really hearing you, and I wonder if it might be worth your while to find another T? If she's not hearing this, I'd wonder what else she might not be hearing from you? Make sense? (I really only bring this up because a lot of people don't really think about 'firing' Ts that don't work out. My mother was like that, thought you had to be lucky to end up with a T who worked out for you. Shopping around for a good fit is in your best interest, if you can do it. Just keep that in mind.)
I don't know why she isn't getting this -- even a little binge/purge can be very damaging physically. She should know that, and if she's treating your reports of this behavior so casually, I really question her thinking. I can't emphasize enough how very, very damaging this behavior is, and how much damage you can do even if you don't meet full criteria for bulimia.
>
> **What medications can help with this?
> Please tell me.
> Thank you
>
>Topomax is the big one -- it really seems to reduce the urges for everyone I've spoken to who's taken it. I know it's got some side effects, but as a temporary measure while you're working on the behavior itself, it really is something to look into.
There are also a few ADs that have good effects, and APs, which apparently reduce the urgency of the urge. Do you have a good pdoc? Or a good relationship wiht your GP? Talk to one or the other of them about what you can try.
Hope that helps.
Posted by Poet on October 8, 2005, at 17:21:05
In reply to Re: to tell t or not?, posted by ButterflyHigh on October 8, 2005, at 12:34:10
Hi Butterflyhigh,
Does your T work with alot of people with EDs? Mine doesn't and said that if I start actively bingeing/purgeing that she would recommend me to someone with more expertise. Maybe your T isn't taking it lightly, but doesn't know what to do and won't admit it?
I have trouble talking in therapy so the idea of going to see someone else scares me. I do tell my T when I binge/purge. I did last night and will tell her next session. She wants me to tell her. She keeps telling me that she needs to know everything that is going on with me. I know that having me see someone else if she thinks I need to is in my best interest. I just don't want to do it. Could you see another T without it being too hard on you? It seems like this is a borderline crisis and you need help that your T just can't seem to give.
Some ADs do help with bulimia. Paxil is one of them. Right now I'm on Effexor XR, but that's more for depression, but then again that's related to my bulimia. Wellbutrin is not good for bulimics- it can cause imbalances of the electrolyte system, but you might want to try Paxil.
Poet
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