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delirium happy

Just keep on trying till you run out of cake

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More medical shenanigans
delirium
rho
In the post today, I receive three letters, all CCed to me, all from Dr Ashton (my local psychiatrist). They have a policy of sending copies of everything they send to other doctors to me as well, which is a thing of which I thoroughly approve. First there was one about arranging for me to get CBT, next was the funding request to the PCT, and finally a general sort of summary letter to my GP. Highlights of the letters include:

"...not only is she intelligent and sensible but is emotionally aware, articulate and capable of reflecting on her experiences."

 – Woohoo! I rock! Yeah!

"Diagnosis: Male to female transsexualism."

 – Shocking. I never would have guessed.

"[she] is currently doing an OU degree in physics"

 – Not quite! But given that that's the only actual factual inaccuracy across the three letters, I'll let you off. Apparently you actually did listen to some of the stuff I was saying, which is better than some health professionals I've seen.

"There are no perceptual or cognitive abnormalities"

 – I think that one means I'm sane, in psychiatrist speak.

"we had good eye contact and rapport"

 – That's a new one for me. I usually get the opposite. Will wonders never cease. Possibly I'm becoming better at that one with age.

"I think it is reasonable to keep an antidepressant in reserve. I have to say I did wonder if something like Roboxetine might be most helpful although we don't use it very often."

 – After a brief look on Google and Wikipedia, I'm presuming here that she actually means Reboxetine. Does anyone know anything much about that? Apparently it's a noradrenaline reuptake inhibitor, and while I can reasonably guess at what that would do based on knowing what adrenaline is and comparison with SSRIs, but I'd want to research it a little before deciding to take it (if I do decide to go down that route, obviously). If anyone happens to know anything about it already then that would be nice to save me the time researching.

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Reboxetine is really really nasty. At least, it was for me. It's the one that made me completely unable to move around without collapsing. I have a tag for it. Anticholinergic side effects are really unpleasant if you get them to any degree, though I believe that's a risk with most antidepressants. I was unlucky with that one. It's very similar in structure to the ADHD med Strattera, or atomoxetine, and I was actually really hopeful that it would help me. Nada.

That's a really nice policy though, sending everything to you as well. I know they have to give you the information they've got stored on you if you ask, but it's nice to not have to ask or pay for the priviledge.

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