I went, and showed it all to her. We had to try to figure out if what I felt was a depression or a sign of increased anxiety. It's really hard to figure out sometimes. She asked me what I felt like I meeded and I told her I don't know what I need, but what I have is not right.
What she ended up doing was decrease the Cymbalta from 60mg to 30mg and come back in one week. Another option would have been to increase the mood stableizer, but that would take at least 8 weeks to take effect. Decreasing the anxiety by decreasing the antidepressant is a standard move for me in the spring, but usually it a eauphoric hypomanic that trigers that with the increased sunlight. This dysphoric anxiety, feeling of loss and instability is diffrent. changing the Cymbalta should show results within a week. it not, she thought that an option might be to increase the moodsablizer, then increase the cymbalta. That would be a 4-5 month process.
I should now call the PM and let them know that the cymbalta will be decreased because that could affect pain tolerance and medication levels.
I wish there was a way I could just email all the offices and cc them so everyone has the same information.
I got home from the appt hurting all over. Worse than yesterday. I am fully medicated up and have topicals on and heatpads and pillows stuffed arround me and I still am uncomfortable. I am in more pain whenI have to move to get something, but if I stay still it is just a dull ache. Movie time.
I feel better just knowing that there is something to do about it. That I handed the reins over to the doc ans said"its not right, tell me why and what we are going to do to fix it."
I had not been in to my Psyc since starting the pain psychologist and the PM, so I gave her all that information, and she had good opinions on the PM. She had not heard about the psychologist. She's going to contact her.
Whenever I go to this Doc I always feel like my emotions have been put through the wringer, even though its not a real emotional visit. I'm exausted afterward, always.
Thank you for checking up on me. It's nice to belong to a community (family) like this.
(((((((((((((((((((((group hug back)))))))))))))))))