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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by LiLi80 on April 1, 2002, at 20:47:43
Ok i am on neurontin, effexor xr. I was on paxil and zoloft but those didnt work. I still have suicidal ideations and they arent going away. They are very extreme suicidal thoughts that i act on and are never successful (mainly because i fear pain). I need a med that works. I still get sad and cry but its not all the time, so somethings is working but i still want to kill myself. I go to therapy all the time. I still want to die. That hasnt gone away. I tried to hang myself twice in the last week and a half alone. I am so behind on my hw and i need to do it for graduating, I know i am not doing it because i think i will succeed in killing myself before graduation. sometimes i think i am too stupid to do it or i am too scared of the pain. Tell me of medications that get rid of suicidal ideations please!!!!!
lili
Posted by TSA West on April 1, 2002, at 21:44:07
In reply to Dc. Kramer: help!!!!!!!, posted by LiLi80 on April 1, 2002, at 20:47:43
Your absence of response to Neurontin and Effexor leads me to recommend Neurontin's Cousin: Lamictal (same basic action), and Effexor's rival: Remeron. Combos are also good. The Effexor + Remeron combo is called "big gun" therapy by Dr. Stahl, and is comparable to ECT for depression.
Wishing you all psychiatry has to offer,
===============TSA West======================
Posted by Bob on April 1, 2002, at 23:50:10
In reply to Dc. Kramer: help!!!!!!!, posted by LiLi80 on April 1, 2002, at 20:47:43
> Ok i am on neurontin, effexor xr. I was on paxil and zoloft but those didnt work. I still have suicidal ideations and they arent going away. They are very extreme suicidal thoughts that i act on and are never successful (mainly because i fear pain). I need a med that works. I still get sad and cry but its not all the time, so somethings is working but i still want to kill myself. I go to therapy all the time. I still want to die. That hasnt gone away. I tried to hang myself twice in the last week and a half alone. I am so behind on my hw and i need to do it for graduating, I know i am not doing it because i think i will succeed in killing myself before graduation. sometimes i think i am too stupid to do it or i am too scared of the pain. Tell me of medications that get rid of suicidal ideations please!!!!!
> liliLili:
If you are in that serious of a situation, I think it might be time to consider ECT. It works quickly, and would provide you some relief from the danger of imminent suicide. If you are as suicidal as you say you are, you need intervention soon. Maybe you should be in a hospital for awhile?
At the very least try some of the suggestions TSA West has mentioned. The only worry I'd have about Lamotrigine is that you sound like you need help quickly, and it often takes awhile to ramp up on that drug.
Bob
Posted by Dr. Kramer on April 2, 2002, at 11:19:36
In reply to Dc. Kramer: help!!!!!!!, posted by LiLi80 on April 1, 2002, at 20:47:43
If you have suicidal impulses you can't control, you need to be in the hospital. Period. Then, and only then, should treatment options be discussed. Go to the closest emergency room immediately.
Posted by LiLi80 on April 2, 2002, at 11:29:33
In reply to Re: Dc. Kramer: help!!!!!!!, posted by Dr. Kramer on April 2, 2002, at 11:19:36
Hospitals around here dont admit people who are able to function. I know how to get around the docs. I want a med that will get rid of it, i dont need to be locked up and sedated in there. I am perfectly able to be sedatd in my own home. Please just tell me some meds that can work. My pdoc is an idiot and i cant find a new one yet. I wont go to him because i am just wasting money. I need advice that works. Please just name a med that i can research. PS. Please dont lecture about hospitals, i've heard it before.
lili
Posted by Denise528 on April 2, 2002, at 12:21:20
In reply to Re: Dc. Kramer: help!!!!!!! » Dr. Kramer, posted by LiLi80 on April 2, 2002, at 11:29:33
> Hospitals around here dont admit people who are able to function. I know how to get around the docs. I want a med that will get rid of it, i dont need to be locked up and sedated in there. I am perfectly able to be sedatd in my own home. Please just tell me some meds that can work. My pdoc is an idiot and i cant find a new one yet. I wont go to him because i am just wasting money. I need advice that works. Please just name a med that i can research. PS. Please dont lecture about hospitals, i've heard it before.
> liliHi Lili,
I keep harping on about Zyprexa but have you tried it? It is the only drug that has helped me with suicidal ruminations.
Denise
Posted by LiLi80 on April 2, 2002, at 12:31:49
In reply to Re: Dc. Kramer: help!!!!!!!, posted by Denise528 on April 2, 2002, at 12:21:20
Posted by mcd on April 2, 2002, at 12:46:38
In reply to Re: Dc. Kramer: help!!!!!!! » Dr. Kramer, posted by LiLi80 on April 2, 2002, at 11:29:33
> Hospitals around here dont admit people who are able to function. I know how to get around the docs. I want a med that will get rid of it, i dont need to be locked up and sedated in there. I am perfectly able to be sedatd in my own home. Please just tell me some meds that can work. My pdoc is an idiot and i cant find a new one yet. I wont go to him because i am just wasting money. I need advice that works. Please just name a med that i can research. PS. Please dont lecture about hospitals, i've heard it before.
> liliDear Lili,
I have been reading your posts, which sound increasingly desperate. My heart breaks for you, because you sound so much like me in the past. I have suffered from chronic, severe depression and suicidal ideation for almost 20 years. I have also acted on those impulses and tried to kill myself. I could never seem to find meds that worked, so it just went on and on. I also didn't like my pdocs. I really identify also with your resistance to the idea of hospitalization and others' caring attempts to help. Many people have reached out to you here and suggested some really good ideas, but you seem to rebuff them. I don't mean that as a rebuke, just an observation. The reason I mention it is that I totally understand. You just want the pain to stop, and it doesn't seem like any of these interim suggestions or possible solutions will help. But when I was in the position that you're in now, the ONLY thing that helped was to admit to myself (although I couldn't admit it entirely) that I couldn't control the impulses, (as Dr. Kramer so aptly phrased it), and the hospital was the lesser of the evils. I was SO scared of the hospital because of stereotypes I'd seen and heard. I too know how to get around docs by not revealing all the info. But the fact that you are able to function will not keep you from getting the help you need if you go to the ER. I was "able to function" at a high-level job, (if you call functioning working all day and then contemplating killing myself all night). I had everyone fooled, because I put on such a good front. But functioning to a greater or lesser extent will not keep you from getting the help you need if you want it. If you go to an ER and say that you are thinking of killing yourself, or have attempted to, (as you have said that you have done), they will have a social worker come in and talk to you and ask you some questions. If you are honest and tell them what's really happening, they will admit you. You will be able to get a new pdoc when you are admitted. You do not have to keep the one you have now; you are always able to request another. I have never been "sedated" in the hospital. But I have been treated. Although I dreaded "losing control" by being in the hospital, once I was there I realized that I hadn't been "in control" for a long time. My suicidal thoughts were controlling me. You will have the opportunity to find a med or meds that will help. (Even if you found this right now, it would still take awhile to get to a therapeutic level, during which time you would still, most likely, be suffering (and I know it is suffering) from the suicidal thoughts and actions.) The hospital gives you a chance to be safe while this process is happening. The pdocs can also be more aggressive in their treatment because your reactions to meds can be observed better. I was actually amazed that I found being in the hospital comforting because I had been so opposed to going in. I hadn't felt safe for so long. I have only had one bad experience in the hospital (out of many hospitalizations). The rest of the time I have found that there are some very caring people working in these places, and that, if I need to be there, it is the best place in the world for me at that moment.
I'm sorry this is so long, and I hope you don't think that this is just another "lecture about hospitals." I hope that you will receive this message in the manner in which I intend, which is extending a caring hand to someone who is suffering, from someone who has been there. Please do what you need to do to be safe and take care of yourself. I care about you.
Mary
Posted by Bill L on April 2, 2002, at 14:31:07
In reply to Re: Dc. Kramer: help!!!!!!! » Dr. Kramer, posted by LiLi80 on April 2, 2002, at 11:29:33
Lili - Since you don't like your p-doc and don't feel as though you can find a new one right now, and you don't want to go to the hospital, why don't you just call your general practitioner? Either an internist or family doctor or even an OBGYN. Primary care docs prescribe about 70% of antidepressents. Maybe your primary care doc would decide to increase your dose of Effexor or try something else.
Posted by Dr. Kramer on April 2, 2002, at 19:30:14
In reply to Re: Dc. Kramer: help!!!!!!! » Dr. Kramer, posted by LiLi80 on April 2, 2002, at 11:29:33
You are not safe. Hospitals admit people who tell them that they have suicidal impulses they can't control. Go there.
Posted by Zo on April 3, 2002, at 0:46:05
In reply to Dc. Kramer: help!!!!!!!, posted by LiLi80 on April 1, 2002, at 20:47:43
I can tell you that Zyprexa can take the edge off, used as needed. And that I used to rely on Xanax, when in your shoes. But I can't *advise* anything. . .honey, this is your life and death we're talking about. You've got to know how clear it all is, from the outside, and put your trust in the rest of us, your judgement is obscured right now, okay?
You MUST take Dr. Kramer's advice. . .and there are people here with experience with short term measures that work---but we can only help you on your way to getting help, do you understand? And we'd be glad to.
Email if you want. zozo1029 at mac dot com
Love, Zo
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