I've been discharged from my psychiatrist! :D Yey! But can still get my GP to re-refer me if needed :)
We talked about how lamotrigine has worked :) - We're going to try increasing the dose as it's currently at a sub-therapeutic dose, so going to try going up to 250 & come back down if side effects appear.
We talked about Mitazapine & weight gain & impact on my physical health. She said to try focussing on sleep with my therapist with a view to coming off it in the future. I said I had good sleep hygiene etc but don't seem to have an Off switch. She mentioned a drug beginning with pr - forgotten it already! = anti histamine which may help & doesn't cause weight gain so a possibility, but not to take every night as you build up a tolerance.
I challenged her (in a nice way!) about what she meant by needing psychology - she said she was thinking that maybe if medications were not helpful, that would be the route to go down, but changed her mind now lamotrigine has worked! We talked about BPD diagnosis and how I present very differently now. She said given my positive reaction to lamotrigine and the mood instability, she's going to add in Bipolar 2 to my notes to try & soften BPD! ;) (as well as PTSD of course...)
Oh & we talked about mindfulness - either to focus on with you or to find a group as may ve helpful.
A very positive meeting = shocking & she even came across as human!! ;) (Although she was ridiculously restless - leg was going & I'm sure she was shaky! Haha!)
We talked about how lamotrigine has worked :) - We're going to try increasing the dose as it's currently at a sub-therapeutic dose, so going to try going up to 250 & come back down if side effects appear.
We talked about Mitazapine & weight gain & impact on my physical health. She said to try focussing on sleep with my therapist with a view to coming off it in the future. I said I had good sleep hygiene etc but don't seem to have an Off switch. She mentioned a drug beginning with pr - forgotten it already! = anti histamine which may help & doesn't cause weight gain so a possibility, but not to take every night as you build up a tolerance.
I challenged her (in a nice way!) about what she meant by needing psychology - she said she was thinking that maybe if medications were not helpful, that would be the route to go down, but changed her mind now lamotrigine has worked! We talked about BPD diagnosis and how I present very differently now. She said given my positive reaction to lamotrigine and the mood instability, she's going to add in Bipolar 2 to my notes to try & soften BPD! ;) (as well as PTSD of course...)
Oh & we talked about mindfulness - either to focus on with you or to find a group as may ve helpful.
A very positive meeting = shocking & she even came across as human!! ;) (Although she was ridiculously restless - leg was going & I'm sure she was shaky! Haha!)
