community-based psychiatric adventures of the mentally normal

[Mitchy1nge]

am not sure if mavis is still in this one

Oh no, opiates are awful for doing that. How's the back?

Well I guess it's an opioid, not an opiate. Not entirely sure of the difference. Have you got anything for sickness? I don't know how people cope without a ready supply of anti-emetics in the house but you ask people and they tend to give you a blank look

it's a very weak opi-something or other

no, might be some chlorpromazine from about 2001 knocking around somewhere but prob not v effective now

sorry about mysterious weight gain, am glad that back pain makes getting scales from their hiding place impracticable so is one less thing to stress over

need to make emergency appt, HATE going to see gp even though none of them are horrible, scared of being told off yet they are always welcoming with open arms when it comes to it.

have bravely made contact with GP surgery

medal?

Sadly it's not mystery weight gain - I've eaten over my maintenance calories every day for at least a wek according to MFP and that's assumig I've bothered logging everything because I'm so fucking hungry and spend most of the time thinking "ah who gives a fuck and it probably won't notice and I'm doing exercise and woooo fuckit".

Massive hairy kudos for making GP appointment; have a whole chest ful of medals and an extension pole for the rest

FUCK ME MY HOUSE IS FUCKING COLD

the heater in the bathroom has broken

Off to Wilko's to buy a heater. Also need to buy some trainers.

but you'd need a calorie surplus of 19,250 to gain 5.5 lbs of actual mass

now that is heroic! I bet it is mostly water retention or something

am dressed for my Friday Long Run, that was a bit optimistic of me

Perhaps some gentle stretching instead?

19250kcal is only 4 jars of peanut butter.

Today's soundtrack is Damned Damned Damned by The Damned

that's still roughly 3x my weekly intake

gp was fucking useless, said 'don't take naproxen, just paracetamol, go about your daily life, call back next week' how can I go about my daily life when I can't even put my shoes on or get in and out of a car or on and off a horse? argh

Oh FFS. Do they know what pain is?

Did she give you any useful advice at all?

no and am still vomiting (although nothing left to come up) and tramadol doesn't hang around for that long

am reluctant to call again and meet more of her indifference, wish own gp was working today, I really need to pull self together to collect teen and get to CAMHS but can't imagine how that will happen

What a shitty, shitty day for you Mitch.

Was just rung by hospital consultant re letter I sent her and discussed that for a bit but she changed the subject and ALSO thinks I should cut down my phenelzine

Arsing arsing arsing arsing arsing bollock.

WIsh I knew something to suggest for back pain/vomiting. Maybe you should ring again and ask for something for sickness, or I believe you can buy buccastem OTC? That does mean leaving the house though. Good luck with the teen and CAMHS.

thanks

teen's dad will do CAMHS, friend is bringing heat pads and paracetamol in a minute

why do they want you to reduce the phenelzine already?

That is so rubbish, mitch
What do you think about the phenelzine, enpo?

God only knows Mitch; I should be increasing the dose but it seems that I come across too high already and instead of giving me a mood stabiliser they'd rather see me depressed again.

Snowy, I'd rather push up to 60-90mg and augment with lamotrigine or topiramate, get myself stable, then consider either switcjing my antidpressant or just tapering the phenelzine down to 15-30mg. I'm quite worried about reducing - will only be on 30mg a day at least until Monday, and although it's an irreversible MAOI and the effects should linger, I'm not sure what will happen - last time I tapered off phenelzine I'd been stable for months and was on a mood stabiliser. Also I think they're assuming an awful lot if theyre acting on the belief that if 45mg makes me slightly high, 15-30mg will be juuuust right, as it's not exactly likely to be a smooth dose response curve what with all this cumulative inhibition shit, and the possibility the plan is actually to take me off them altogether is also a worrying one - hopefully I can have conversations about this but ATEOTD if they advise the GP to stop prescribing it there'll be very little I can do about that.

Mitch, I'm glad you've managed to get so much of today sorted and worked around the back thing to some extent and hope the heat pads and paracetamol help too.

Sounds complicated, it's important that everyone's agreed on how to do changes, they should listen to you.

Yeah, I don't really know what to do drugwise or treatment-wise. Glad the depressiin is fixed but for how long? I want my old psychiatrist back, but he's in Canada now and I don't know any of the ones they have there now. I think they do listen and of course there's no reason I have to take what they offer. I might take my parents up on their offer to pay for me to see a different doctor if I don't end up having any confidence in this one, but it would be nice to have access to a doctor I already know and trust rather than having to get used to a new one every time I blip.

How are the voices today Snowy?

Its enough of a fucking pain trying to prevent/treat depression without all this other stuff getting in the way too.

Didn't think much further than "get on phenelzine, fix depression".

My CPN is off indefinitely I've just been told. It's causing me way more panic than I expected it would

Sorry to hear that, Mental. Do you know who will be replacing them in the meantime yet?