Guest guest Posted June 10, 2012 Report Share Posted June 10, 2012 Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt WhitmanI'm very brave generally, only today I happen to have a headache -- Tweedledum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2012 Report Share Posted June 10, 2012 Do you work in the person's home? In the last 10 or so years that my mother was living most the psychiatric visits were in home visits. > > Thank you all for the feedback. I have asked my Endo re adding magnesium, > waiting for a response. My biggest problem is that my K is so unstable. BP has > been good since starting Spiro. - while I agree with a lot of what you > posted, I have to take exception re those with bipolar disorder. I'm a > psychiatric social worker and have many patients with Bipolar Disorder on my > caseload - it is a truly devastating disease the has a huge impact on the > sufferer's relationships, work, etc. If we could find something that truly > stabilizes mood without the negative side effects for the bipolar spectrum, it > would really be a blessing. Joyce > > > This is what you should do: Love the earth and sun and animals, despise riches, > give alms to everyone that asks, stand up for the stupid and crazy, devote your > income and labor to others, hate tyrants, argue not concerning God, have > patience and indulgence toward the people... reexamine all you have been told in > school or church or in any book, dismiss what insults your very soul, and your > flesh shall become a great poem. -- Walt Whitman > > I'm very brave generally, only today I happen to have a headache -- Tweedledum > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2012 Report Share Posted June 10, 2012 That's my point. I don't see anything that truly stabilizes mood, and the little we see at the beginning with SSRI's may be placebo effect or simply the bipolar patient, many who are already well into substance abuse when they enter the system, will grasp at something at first with the hope they will find that mind altering - escapism - they are always searching for. SSRI's tend to give that "weird" feeling in their head initially which a substance abuser or someone seeking medication for something usually senses as a benchmark for something working, but that quickly stabilizes and the false hope ends. The patient wants that feeling and when it leaves, they stop the med or lie and say they take it to satisfy the doc or counselor. Anything that helps many a pateint not have to think about reality and the real things of life is often what they judge against. Either way the psych fields will always "see" bipolar and psych diseases because that's their bread and butter. Just like a surgeon thinks all appendixes have to come out - against what the research says - because that's their bread and butter - and a desperate patient wants an answer so they get one. Any answer sometimes. Most of those diagnosing bipolar, and it takes only one time to put it in the chart, really do not even know the criteria, but use the mood variance as evidence of bipolar. If we are putting you on cymbalta we can't "experiment" but we have to put in the chart why, and we have to have a diagnosis. Bipolar wins often. Social work deals predominantly with what tends to go against normal societal standards, those with addictions, those with child abuse, histories of spousal and sexual abuse, neglected and abandoned kids, those in the lower financial classes, people down on their luck, I am not surprised in any way that you see them diagnosed very often with bipolar, as a matter of fact, that is also my point. I would FIGURE they would already be diagnosed if they had in any way entered the system because labels are what make the patient. And labels get us paid. And labels satisfy and validate alot of bad behavior so the patient often likes labels. I hate that. But we can disagree. I believe that not all bad behavior in life has a foundation in mental illness. I think some people can make evil choices, like slap their wife or rape someone, and they did it for selfish reasons, not due to mental illness. If we think all negative behavior has a foundation in mental illness, then we have to say that we are all born (more grow up perfect) inherently perfect, and designed to do nothing but good, and there is no such thing as choice or personality. Yet IF you go to the doctor with complaint of some negative or bad behavior report - you get labeled. 100% of the time. From: Joyce Alessi <jalessi@...>Subject: Thanks for the feedbackhyperaldosteronism Date: Sunday, June 10, 2012, 8:49 PM Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt WhitmanI'm very brave generally, only today I happen to have a headache -- Tweedledum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2012 Report Share Posted June 10, 2012 DASh like your K depended on it as well as BP. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 10, 2012, at 20:49, Joyce Alessi <jalessi@...> wrote: Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt WhitmanI'm very brave generally, only today I happen to have a headache -- Tweedledum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2012 Report Share Posted June 10, 2012 With what you say I do not think you know what true bipoar disorder is. > > > From: Joyce Alessi <jalessi@...> > Subject: Thanks for the feedback > hyperaldosteronism > Date: Sunday, June 10, 2012, 8:49 PM > > > > Â > > > > > Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce > > Â > This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt Whitman > > I'm very brave generally, only today I happen to have a headache -- Tweedledum > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2012 Report Share Posted June 11, 2012 There was no attempt to define bipolar. I could QUOTE the DSM criteria. But that's moot here as I could as easily copy it. I am not only referring to bipolar, but the gamut of over diagnosed psych issues. I think they're over diagnosed and mistreated. I think much of what is called bipolar is personality, not a disease. I feel the exact same about ADHD. From: Francis Bill SUSPECTED PA <georgewbill@...>Subject: Re: Thanks for the feedbackhyperaldosteronism Date: Sunday, June 10, 2012, 9:57 PM With what you say I do not think you know what true bipoar disorder is.> > > From: Joyce Alessi <jalessi@...>> Subject: Thanks for the feedback> hyperaldosteronism > Date: Sunday, June 10, 2012, 8:49 PM> > > > Â > > > > > Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce> > Â > This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt Whitman> > I'm very brave generally, only today I happen to have a headache -- Tweedledum> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2012 Report Share Posted June 11, 2012 I total agree with you. I wish there was something in the DSM called 'plain old nasty personality disorder". Phyllis On 6/11/2012 12:40 PM, Bingham wrote:  There was no attempt to define bipolar. I could QUOTE the DSM criteria. But that's moot here as I could as easily copy it. I am not only referring to bipolar, but the gamut of over diagnosed psych issues. I think they're over diagnosed and mistreated. I think much of what is called bipolar is personality, not a disease. I feel the exact same about ADHD. From: Francis Bill SUSPECTED PA <georgewbill@...> Subject: Re: Thanks for the feedback hyperaldosteronism Date: Sunday, June 10, 2012, 9:57 PM  With what you say I do not think you know what true bipoar disorder is. > > > From: Joyce Alessi <jalessi@...> > Subject: Thanks for the feedback > hyperaldosteronism > Date: Sunday, June 10, 2012, 8:49 PM > > > >  > > > > > Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce > >  > This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt Whitman > > I'm very brave generally, only today I happen to have a headache -- Tweedledum > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2012 Report Share Posted June 11, 2012 I will agree that Dr are to quick to DX mood changing drugs. In fact It should not be the PCP that DX or treat depression or any mental illnesses or RX mood changing drugs. It is hard enough for those that have the training do do this. If the need is so strong that in the middle of the night you have to change someones bed while they are sleeping in it or you get to the point that you thing food is poison. Then maybe it is just part of your personality and not a disease > > > > > > From: Joyce Alessi <jalessi@> > > Subject: Thanks for the feedback > > hyperaldosteronism > > Date: Sunday, June 10, 2012, 8:49 PM > > > > > > > >  > > > > > > > > > > Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce > > > >  > > This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt Whitman > > > > I'm very brave generally, only today I happen to have a headache -- Tweedledum > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2012 Report Share Posted June 11, 2012 Criterion for bipolar and other mood disorders are in the DSMIV...and SSRI's are contraindicated for bipolar disorder. Makes most bipolar folk's feel worse, can increase mania, etc. People who suffer from bipolar and families who live with someone with bipolar know how real, unmistakeable, devastating, heart breaking it is. I have recently read that NIMH is doing research with the drug Ketamine for severe/non responsive depression and possibly bipolar. It would be wonderful to have something without horrific long term side effects for them to use for medications. Dr. Zarate, I believe. Saw one of his grand rounds presentations. > > > > > > From: Joyce Alessi <jalessi@> > > Subject: Thanks for the feedback > > hyperaldosteronism > > Date: Sunday, June 10, 2012, 8:49 PM > > > > > > > > Â > > > > > > > > > > Thank you all for the feedback. I have asked my Endo re adding magnesium, waiting for a response. My biggest problem is that my K is so unstable. BP has been good since starting Spiro. - while I agree with a lot of what you posted, I have to take exception re those with bipolar disorder. I'm a psychiatric social worker and have many patients with Bipolar Disorder on my caseload - it is a truly devastating disease the has a huge impact on the sufferer's relationships, work, etc. If we could find something that truly stabilizes mood without the negative side effects for the bipolar spectrum, it would really be a blessing. Joyce > > > > Â > > This is what you should do: Love the earth and sun and animals, despise riches, give alms to everyone that asks, stand up for the stupid and crazy, devote your income and labor to others, hate tyrants, argue not concerning God, have patience and indulgence toward the people... reexamine all you have been told in school or church or in any book, dismiss what insults your very soul, and your flesh shall become a great poem. -- Walt Whitman > > > > I'm very brave generally, only today I happen to have a headache -- Tweedledum > > > Quote Link to comment Share on other sites More sharing options...
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