I walked into my psychiatrist’s office (let’s call him Dr. E) with my husband and my heart was pounding so hard it felt as if it was going to jump right out of my chest. My anxiety was extremely high, despite the fact that I took a Valium as prescribed and had my husband with me. It was a good thing that I wrote everything down that I wanted to say. I opened my notebook and started reading what I wrote, and he seemed to appreciate what I was saying. He let me ask all of my questions; and he answered every one of them thoroughly.
We decided that I would go back to ECT and I would only do it twice a week to start. That was the treatment that Dr. E thinks is the best approach, and he explained why, so that’s the treatment we decided to go with. I’m so happy that I’m not starting at three times a week. He said that he can give me anti-alzheimer’s medications to help with the memory loss and Toradol to help with the migraines and jaw pain. He’s also helping me work on weight loss.
It was such a successful appointment. I feel like Dr. E really listened to what my husband and I had to say. He approached every one of our concerns and answered everything we asked. Now, I just have to go get a physical from my PCP, get an EKG and blood work..
Today is my appointment with my psychiatrist. I’ve been looking forward to this but I’ve also been extremely nervous about it. A couple of weeks ago, I emailed my psychiatrist telling him that I wanted to get off of the Clozapine because of the side effects such as severe weight gain, and that I wanted to try IV Ketamine. He responded to me and said that this is something we need to discuss in person and that he didn’t want me to get off the Clozapine. My psychiatrist suggested that I bring my husband with me, so I am.
I was upset when I first received the email, but with the help of my mom and my aunt, I realized that he is looking out for my best interests. I’m going to this appointment with an open mind. I wrote down everything I want to say to him and all of the questions I have. I have decided to do whatever it is that he thinks is best. I trust him and I know that he is looking out for me. I have a feeling I will be going back to ECT, but I’m not sure yet.
I’ve had a lot of anxiety lately and I think that comes from not knowing what the next step is. I have a feeling that my anxiety will reduce after this appointment because I will have a plan in place. I will let you all know how the appointment goes.
Yesterday went well. I got everything done that I wanted to and I was able to visit with my friend. It really helps to be able to talk to someone who completely understands what I deal with on a daily basis. I slept fairly well again last night. I only one up once in the middle of the night and I was able to fall back asleep in about 30 minutes.
I’m preparing for my appointment with my psychiatrist that I have on Wednesday. I’ve written down all my questions for him. During my appointment I plan to stay calm and listen to what he has to say. I know he has my best interests in mind. I have a feeling I will be going back on ECT. I’m not excited about that, but I am open to it if he thinks that it will help me. Treatments and medications usually work for me for the first year or so, but then they stop working. It’s a pattern I’ve seen in lots of the treatments/meds that I try. That’s another thing that I plan on asking my doctor about.
Today has been unusually rough. I reached out to my psychiatrist because I wanted to change my meds. Specifically, I want to get off of the Clozapine and possibly try IV Ketamine. However, his response was not as I hoped it to be. Basically, it was an ultimatum. Either I go back on ECT or possibly try IV Ketamine, but it would be in addition to Clozapine. If I go off of Clozapine, he will no longer be my psychiatrist; he would only continue to see me for 30 days or until I find a new doctor.
I’m going to come up with a list of questions to ask him at our next appointment on January 11th. My husband will be coming with me. I don’t know what I’m going to do.
I’m off to go see a Coyotes game; hopefully that will make me feel a little better.
My therapy session went okay yesterday. We talked about what I’m going to do about the weight gain from the Clozapine. I want to go off the medication, but I’m afraid that if I do it will cause some horrible episode. I need to think about both my physical and mental health. The decision is impossible. I wanted my therapist to tell me what to do, but I know he can’t do that. I want someone (that I trust) to tell me what to do. I’m leaning towards going off the medication after the new year. I’m even willing to try IV Ketamine in order to get off Clozapine. I would do almost anything to get off this medication.
The weight gain is causing me to feel bad about myself. I’m crying off and on and I have no desire to leave the house. I would rather stay home alone where no one has to see me. Why does this have to be so difficult? I hate my life. I’m too overwhelmed with everything.
My psychiatrist emailed me to let me know that my blood work has improved, but it’s still not where he wants it to be. I take Cytomel, a thyroid medication, even though I don’t have a thyroid problem. There have been some studies in the past few years that show high doses of thyroid hormones can act as a mood stabilizer for bipolar depression patients. However, taking this medication has thrown off my thyroid level, so we’re working at finding the right dose that will help as a mood stabilizer and not mess up my thyroid levels. He is increasing my Cytomel and I will do more blood work in one month to see if it has helped. I always get nervous every time there is a medication change or dose increase/decrease.