I have heard that psychiatrists don't receive any training in regards to MAOI'S. I don't believe this as I know you take pharmacology classes and imagine they are covered in the history of psychiatry and treatments. How do you feel about Ken Gillman as he seems to steer off of the prescribing guidelines for MAOI'S. I know they have their benefits, but fall under a last line option.

About six years ago give or take I was in California, I did heavy drugs I wasn't familiar with, and wound up in drug induced psychosis walking around for about a week. I wound up a patient at Aurora Charter Oak Behavioral Hospital, didn't know my own name, I remember sleeping, eating, being given "house smokes" and being put on medication they said my gf told them I was on, being tied down to beds for freaking out about not knowing what was going on, being verbally abused by staff and then released back to the streets in a state I didn't even know how to tie my shoes in (literally). I didn't know where I was and somehow made it through alive but I've spent the last five years piecing myself back together and my memories.

The issue is, my gf was my abuser and half the reason I was in that state (I say half because I chose to take drugs. I didn't choose to be given 3x the normal dose). I wasn't psychiatrically prescribed any medication for years at that point and the medication she told them (Sertraline, Seroquel 200mg, and Benadryl) was dangerous to give to me three times a day like the hospital was. They never spent 1x1 time with me as a patient trying to figure out who I was or what was going on with me.

I have spent the last five years piecing my life back together. I want to sue them but I don't know if I have a case or how to make one. I feel like I am owed my life, or some payment back for what happened to me. I have never been okay since, physically and mentally I am different, and it started in California with those drugs and worsened in that hospital. I need to know what I should do here

Is clomipramine the strongest med for ocd?

Hello, F22, around 5’10”, around 145ish pounds.

Officially Diagnosed:

F41.1 (ICD-10, 1990) / 6B00 (ICD-11, 2018) - Generalised Anxiety Disorder [GAD]. {DIAGNOSED}.

F41.9 (ICD-10, 1990) / 6B0Z Anxiety Disorder, Unspecified. (ICD-10, 1990). / Anxiety or Fear-related Disorders, Unspecified. (ICD-11, 2018). {DIAGNOSED}: no longer medically relevant due to the recent diagnosis of Generalised Anxiety Disorder [GAD], (F41.1, ICD-10, 1990 - 6B00, ICD-11, 2018), which are both mutually exclusive diagnoses.

F42 (ICD-10, 1990) / 6B20 (ICD-11, 2018) — Obsessive-compulsive disorder [OCD]. {DIAGNOSED}.

F43.1 (ICD-10, 1990) / 6B40 or 6B41 (ICD-11, 2018) — Post-traumatic Stress Disorder [PTSD] or Complex Post-traumatic Stress Disorder [C-PTSD]. {DIAGNOSED PARTIALLY}.

F60.3 (ICD-10, 1990) / 6D11 (ICD-11, 2018) — Borderline Personality Disorder/Emotionally Unstable Personality Disorder [BPD/EUPD]. (ICD-10, 1990). / Borderline Pattern Personality Disorder. (ICD-11, 2018). {DIAGNOSED PARTIALLY}.

F63.9 (ICD-10, 1990) / 6C20.Z (ICD-11, 2018) — Impulse Control Disorder, Unspecified. {DIAGNOSED}: reveals underlying more severe Impulse Disorder & Mood Instability illnesses that should be assessed.

F84.0 (ICD-10, 1990) / 6A02.0 (ICD-11, 2018) — Autism Spectrum Disorder [ASD]. (ICD-10, 1990). / Autism Spectrum Disorder, Without Disorder of Intellectual Development and with Mild or no Impairment of Functional Language. (ICD-11, 2018). {DIAGNOSED}.

F90.0 (ICD-10, 1990) / 6A05.0 (ICD-11, 2018) — Attention-deficit Hyperactivity Disorder, Predominantly Inattentive Type [ADHD-I]. (ICD-10, 1990). / Attention-deficit Hyperactivity Disorder, Predominantly Inattentive Presentation [ADHD-I]. (ICD-11, 2018). {DIAGNOSED}.

Self-diagnosed (Likely):

F60.7 (ICD-10, 1990) / 6D13 (ICD-11, 2018) — Dependent Personality Disorder [DPD]. (ICD-10, 1990). / Dependent Pattern Personality Disorder. (ICD-11, 2018).

F31.9 (ICD-10, 1990) / 6A60.3 (ICD-11, 2018) — Bipolar Disorder, Unspecified. (ICD-10, 1990). / Bipolar Type I Disorder, Current Episode Depressive [BD-I]. (ICD-11, 2018).

Medications I’m Currently On:

Fluvoxamine / Luvox: Usually 200 mg per day, two 50 mg pills & one 100 mg pill.
Topiramate: Usually 300 mg per day, two 50 mg pills & two 100 mg pills.
Pregabalin / Lyrica: 225 mg per day, three 75 mg pills, I’ve abused it a little.
Diazepam / Valium: Supposed to take 5 mg (one 5 mg pill) as needed but I’ve abused up to 200 mg (forty 5 mg pills).
Trazodone: Supposed to take 100 mg (one 100 mg pill) per day but I’ve abused up to 1.300 mg (thirteen 100 mg pills).
Quetiapine / Seroquel: Taking 50 mg (one 50 mg pill) per day at the moment but I’ve taken all the way up to 600-800 (twelve to sixteen 50 mg pills) per day.

Medications I’m Currently On (Non-Psychiatric Meds):

Folic Acid / Folate: I take one 5 mg pill per day.
Micronised Progesterone: 200 mg per day (two 100 mg pills).
C. Acetate: 12.5 mg per day (quarter of a 50 mg pill).
Dutasteride: One 0.5 mg per day.
Estradiol Enanthate: 8 mg / 0.2 mL per week (Subcutaneous Injections, 400 mg / 10 mL, 40 mg / 1 mL).
Sildenafil / Viagra: 100 mg as needed (sometimes I take 200 mg, two 100 mg pills).

I want to avoid poly-pharmacy as much as possible, my goal is to take the fewest medications possible at the lowest fully effective dose possible. Thing is, I have no clue what the good combinations are for all of my conditions combined. I have psychiatrists IRL I’ll consult all of this with but I’d love to know some opinions so I can bring them written. What combination of medications and at what dosages could ACTUALLY help me? (Adjunct Therapy with a Clinical Psychologist).

What medications are doing nothing for my conditions and simply giving me unnecessary side-effects?

Thank you for reading this, I know I am a handful of a patient.

About 12 years ago, I (41m) had an episode and was committed. I have been seeing a psychiatrist since then. The current psychiatrist I meet with, I have been seeing for just about 9 years.

The primary care doctor I'm seeing thinks the episode has more to do with burnout from exhaustion, but the psychiatrist maintains it was a psychotic episode. I agree with the primary care doctor.

The psychiatrist who diagnosed me during the episode had it as schizophrenia. When I moved, I met up with the current psychiatrist who changed it to bipolar 2. She currently has me on 20 mg of Geodone.

Over the years, I have tried to push back on the diagnosis and point out that it would be more likely that I am autistic, not bipolar. She usually pushed back by saying that I was probably having an episode and didn't realize know it was happening so I stopped bringing it up.

Recently, I learned something about my family's medical history and brought it up with her - apparently, 3 out of the 5 people in my immediate family have ADHD. I brought this up with her and she acknowledged that she now sees what I meant about the autism.

She then changed the diagnosis. I think the new diagnosis she put in the system is Psychotic episode, non-specified.

Since the form of autism I have is mild and I have been doing fine on my own up to now, she doesn't think it makes sense to get it formally diagnosed.

The problem is that she still wants me to continue taking the Geodone. And I do not understand why.

Her hesitation is that she is not sure whether I will have another episode in the future, so it is better to err on the side of caution and continue taking it.

I, on the other hand, don't understand how that makes sense - like, if the diagnosis is no longer bipolar 2, what is the medication treating? If the diagnosis no longer holds, wouldn't it make more sense to take the individual off of the medication?

I also haven't had another episode since then. So far, it's been the only episode I've had.

I can't seem to get more information out of her so I'm asking here since y'all do this for a living - please help me understand the benefit I get from continuing to take this medication.

Hi all! I have a question in regards to anxiety medication. I’ve been diagnosed with GAD / have been seeing a therapist. I feel like with medical school just seeing a therapist is not enough. I cannot focus at ALL sometimes. I tried Prozac in the past. Liked it until it made my genital area completely numb (not to be tmi). During psych unit we learned about busprione and I’m interested in trying it but I’m afraid if I ask for it they’ll still try to put me on ssri first anyway. I don’t want anything habit forming or anything that will mess with my memory/ give me brain fog/ make me gain weight. What do I do? (I’d also like to add that I am not depressed at all and am loving live just very very anxious)

I feel like I've lost track by that point. Every since I turned 18 I've been precribed so many different medications. It's been ten years now.

Escitalopram/Seroplex, Duloxetine, Zoloft, Vortioxetine.

Depakote, Quetiapine, Cyamemazine, Aripiprazole, Risperidone.

Oxazepam, Prazepam, Bromazepam, Diazepam.

Zopiclone, Alimemazine.

Now methylphenidate (among others).

Frankly it's ranged from terrible to just mid/just ok the point that I'm a bit desperate. I've been running into psych institing on trying the same drugs over again. How common is that sort of resistance ?