SRS Remeron

Discussion in 'On Topic' started by PuppyCat, Jun 2, 2005.

  1. PuppyCat

    PuppyCat O.T. Mom

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    :wtc:So I went to see the shrink today. He wants me to take 60mg of Remerin a day. I flatly refused. Mainly b/c I had a brain aneurym back in '91 (I am okay I don't do any weid stuff or have brain failure) and I kind of don't like have my brain messed around by chemicals. He says he can't help me then. I said "fine" and walked out of his office. Is that all shrinks do, dispense pills? We never even talked. I feel more depressed now.
    What ever happened to inkblots, laying on a couch and spilling your guts? It was a total waste of time and I an angry about it as well.
     
  2. civicmon

    civicmon got all my game from the streets of california.

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    well, what were you expecting? a talking session?

    if that's the case, go to a psychologist.
     
  3. veonake

    veonake OnT poster, OT lurker

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    You can always get a second opinion. I doubt you just walked into his office and he wanted to immediately write you a presciption. Some conversation must have taken place to come to the conclusion you need to take medicine. If he was a psychiatrist then so long as you tell him your medical history (i.e. aneurysm) then he is qualified to take that into account when deciding on a prescription so that it will be as safe as possible. If you really want to spill your guts, go to a clinical psychologist.

    After some initial research on Remeron, I have a couple more comments. First, you say he wanted to prescribe 60mg per day, when the largest dosage available is 45mg, and usually 45mg is reserved for extreme cases. This would mean he would prescribe two 30mg doses a day, unlikely. There are no cautions listed for people who have had an aneurysm, but there is cautions for people with general blood problems, such as high blood pressure, or people who have seizures. Remeron is also listed as a drug for people with major continuous depression. If you do indeed have major depression, simple talk therapy probably is unlikely to be successful. The combination of sessions with a psychologist/psychiatrist and medication is most likely what will help you the most.
     
    Last edited: Jun 2, 2005
  4. johan

    johan Active Member

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    You should go to see a family therapist or clinical psychologist.
    Look at their credentials. It will say Ph.D, not M.D.

    Technically, it could say a lot of things, but usually not M.D. But consider that you might just really need Remeron. You must've seemed really quite depressed to him.

    If you really are clinically depressed, just lying on the couch and shooting the shit with him isn't going to do it.

    Still, I commend you for sticking to your guns and speaking up. It's important to be an active participant in your healing. You're going to be just fine.
     
  5. PuppyCat

    PuppyCat O.T. Mom

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    Thank you.
     
  6. PuppyCat

    PuppyCat O.T. Mom

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    :hs: Yes, I stand corrected it was 45mg per day. I will not take bug juice, as I am of the mindset that the mind can ovecome problems of this sort. It would of been nice had he at least taken the time to point me to a person I could talk to and perhaps get some insights from (ie: therapist) and I found his clinical coldness all rather daunting.
     
  7. Peyomp

    Peyomp New Member

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    The mind can overcome problems of this sort, through therapy, without drugs. So go to a psychologist.

    Bottom line: it will take significantly longer to get well without medication along with the therapy.

    Its your time, and your happiness. Do with it what you choose. As long as you're getting some help, I think we're all pleased.
     
  8. Everyone has provided you with the right information, so I can only agree. I have one additional piece of insight. I would suggest you call this doctor and explain to him why you're upset. Be blunt, and be honest. Trust me on this -- he's seen people exactly like you walk in and out over the same exact conflict and he's also seen people like you come back and acknowledge you might have made a hasty decision by emotionally reacting rather than talking further with him about your feelings on taking the medicine, your options - who you can speak with, as well as his point of view and what he thinks. It takes more than one session to gain trust - even of a medical doctor who is only going to prescribe medicine.

    I suggest you seek both a second opinion as well as call this doctor up and express yourself clearly and without reacting. You may find he's right, and that while you're both not on the same wavelength at this time.... that if you're both willing to listen and talk to each other you may better understand what is happening. Don't let walls and reactions stop you from really hearing his perspective - but also don't merely accept the *truth* someone else gives you unless you're at a place where you're ready and willing to hear it!

    It's a contradiction, but it's yours.
     
  9. Darketernal

    Darketernal Watch: Aria The Origination =)

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    Well, sit relax, and type down in here what is bothering in your mind.If it relieves you, you go tell us all the things that you wanted to discuss with your psychiatrist, if you psychiatrist wouldn't listen, then i (and im sure a lot more people here) will listen to you :hug: so talk talk talk . :wavey:
     
  10. iamyourtech

    iamyourtech New Member

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    What ever happened to inkblots, laying on a couch and spilling your guts?
    my shrink basically only writes prescriptions ,but he should have been able to direct you to a counselor ,as that is part of my therapy as well......infact i started counseling 1st before ever seeing him , check around for therapist's or clinical social workers , they do not prescribe drugs..........goodluck
     
  11. Peyomp

    Peyomp New Member

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    You guys went to a psychiatrist first. They write prescriptions. I had a psychiatrist as my primary therapist because he specialized in homosexual shame issues, and was the best in Atlanta... so I shelled out the $180 an hour to him. He also wrote me prescriptions. And without both... I really don't think I would have made it out of that suicidal depression without winding up seriously injured, dead, or in jail. Thats to give you an idea of how much psychiatrists (MDs) cost. Now, an MS (Masters degree) therapist is going to run you more like $30-40 US an hour. A psychologist is more like sub-hundred dollar range. You can find them that charge less, if you call around and ask for a "sliding scale," payment system. In fact, these guys are often the best because their payment system shows that they CARE about their patients and want to get help even to those that can't afford their regular rates.

    Psychologists often work with psychiatrists in the same practice. You see a psychologist, get to know each other for a few sessions. Then dig into your problems and he recommends you to see the group's psychiatrist, which you do to get the pills the MD thinks you need. These help the therapy. Its a symbiotic relationship, and research has shown it to be much more cost effective and just plain most effective at achieving improvements in your mental health.

    So, it sounds like you went to the wrong guy for what you're looking for. Don't throw the baby out with the bathwater. Hang in there. Maybe someone else will read this and not make the same mistake.

    M.S. Therapist: "I'm not sure where I'm going in life." "I am getting a divorce." "My mom died." blah blah

    Psychologist: "I am depressed. What is the point?" "I hate myself cause I'm gay."

    Psychiatrists: "My Therapist/Psychologist told me to come." "I am hallcuinating." "I AM STUCK IN MY SKIN! AAAAAH!" "I haven't slept in a week." "They're all out to get me."

    Thats just a rought guideline, but I hope you get the point.
     
  12. johan

    johan Active Member

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    Psychiatrists get the fun ones, eh?
     
  13. civicmon

    civicmon got all my game from the streets of california.

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    eh not entirely... dealing with some of those non-med fixable disorders like disassociative disorders and stuff must be a handful.
     
  14. johan

    johan Active Member

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    er, yeah I know, I was being sarcastic.
     

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