![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Poet on April 8, 2007, at 15:57:19
My first binge/purge was around Easter 29 years ago. I've been majorly out of control lately due to anxiety and today was no exception. Easter buffets and bulimia are a dangerous combination.
I feel physically drained and the skin around my eyes looks horrible- red, blotchy and frankly old and wrinkled. I wish I would go into a major depression because then I don't eat. I've gained weight, because purging doesn't do the trick the way it used to. I think I'm going to ask Dr. Clueless if I should try some sort of med, but that would mean reminding her that I'm bulimic. Yes, I know it's crazy to try to keep something from pdocs, Ts, etc.
I am not in therapy for bulimia and my T once said if I get majorly out of control she'll refer me to someone with more expertise. Though maybe she could just consult that other T and stick it out with me until I get back in control. Which I can have done for very long periods of time. I know I can do it again. I have to, this is just way too hard on me physically.
Poet
Posted by Deneb on April 11, 2007, at 0:48:07
In reply to I am too Old For This, posted by Poet on April 8, 2007, at 15:57:19
I'm sorry you're having a hard time with your bulimia right now. I think it would be a good idea to tell your T and pdoc about it. You're not too old to get help and you deserve help.
Deneb*
Posted by Racer on April 14, 2007, at 18:59:34
In reply to I am too Old For This, posted by Poet on April 8, 2007, at 15:57:19
But frankly, I think you're too wonderful for it, rather than too old...
You know all the things I'm thinking about saying, right, so I can save myself the trouble of typing them, right? {sigh} OK, here we go...
1. Talk to Dr Clueless, see if she can navigate the SD minefield enough to discuss something like Topomax, which really is supposed to help. Or, I know someone who had great results with Zyprexa...
2. Bring up with your T the fact that any other T would get nothing buy a very tightly crossed Poet in her office, so what are the options for working on your BN with her? Or, just do what I've done in similar situations: "I will *not* see someone else about this, because it's taken too much effort to get to trusting you *at all.* The options are: you can consult with someone on my case so that we can work on it here, or I just won't work on it." It's not a great choice to make, but at least it getss the point across -- although it will also likely bring up discussions of control issues...
3. Maybe journal about what you're feeling? Write down the feelngs that are bringing on the b/p cycle?
4. Remember that I care about you a very great deal. It probably won't help, but you never know.
I've got to go now. My hair doesn't fit so well today...
Posted by Poet on April 15, 2007, at 14:13:02
In reply to Re: I am too Old For This » Poet, posted by Deneb on April 11, 2007, at 0:48:07
Hi Deneb,
It's been a week since I binged and purged so of course I'm thinking, why tell T or pdoc? Though you are right, I should talk to them and see if they can help me.
Thanks for your support.
Poet
Posted by Poet on April 15, 2007, at 14:24:11
In reply to Well, you're certainly too something for this... » Poet, posted by Racer on April 14, 2007, at 18:59:34
Hi Racer,
Did you wash your hair in hot water and it shrunk? ;)
I will try to get up the nerve to talk to Dr. Clueless who I see on Tuesday (also see my T on Tuesday, won't that be fun?) Hopefully Clueless will turn off her SD mode and remember that I have a whole bunch of other reasons why I see a pdoc.
I'm still not keen on talking to T about it, but maybe if I tightly cross myself for protection, or grab a pillow and hold it tightly crossed I can do it. Don't know about that until I see her.
I did know all the things you were thinking of saying, but I'm glad you said them anyway. Though me being too wonderful? I don't think so. Nope.
Poet
Posted by Poet on April 17, 2007, at 21:16:17
In reply to Well, you're certainly too something for this... » Poet, posted by Racer on April 14, 2007, at 18:59:34
Dr. Clueless has me trying Lexapro. She said it causes minimal weight gain and should help my anxiety which is what triggers binges. I looked her straight in the eye and said it better cause no weight gain. She said *that would be very bad for you, it shouldn't.* So she did listen, maybe if this stuff doesn't work she'll give me Topomax or Zyprexa. I should have walked in armed with evidence that they work, but hey, I didn't do my homework. I have enough homeword for school.
Poet
Posted by karen_kay on April 18, 2007, at 6:46:23
In reply to Okay, I Didn't tellT, but I did Tell Clueless, posted by Poet on April 17, 2007, at 21:16:17
i've heard rumors that it may contribute to feelings of anxiety. i'm beginning to believe that one.
but, if you're wanting it for appetite control, it works well in doses at 400 mgs (i can only say that for myself anyway). i do think it's supposed to help at levels over 200 though.
i'm sorry you struggle with this poet. i typically joke 'i must have been bulimic in a former life' because i have no qualms with throwing up, as i hate an upset belly and would rather empty it, than struggle with that upset feeling (i really hope i'm not upsetting you dear.) but, if the lexapro doesn't help, try the topamax. it does curb the appetite. (i may have missed something, but are you jsut wanting to take it for the appetite loss effect? i saw mention of zyprexa, but that made me sleep for all day long.)
kk, with anxiety that is nonstop and not a thing in her belly for 2 days other than coffee and smokes
not trying to interrupt, though i know my interruptions are always welcomed, right? :)
oh, did i mention i'm on topamax, 400 mgs currently? the only mood stabilizer that's worked well for me... can you hear me cackling right now?
Posted by Poet on April 19, 2007, at 8:16:23
In reply to about topamax... » Poet, posted by karen_kay on April 18, 2007, at 6:46:23
Hi KK,
I heard your cackle and I don't even have the volume up on my computer speakers.
I wonder if Clueless didn't suggest Topomax because it contrubtes to anxiety. My anxiety level is high right now: new job and school. When my anxiety is high my bulimia gets out of whack.
I wanted Topomax to curb my appetite. If Lexapro doesn't help, I'll ask her again about Topomax, though if it increases anxiety she'll probably not give it to me.
I don't smoke, but I've done the nothing, but coffee diet. Usually when I'm depressed. The positive for me when I'm in a major depression is weight loss. I do not tell that to T or Dr. Clueless by the way.
Poet
This is the end of the thread.
Psycho-Babble Eating | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.