how are you doing?
realy what happened with me is very strange
very very strang
did you make the changes in your drug regime that we discussed previously.
but this time I want to ask you
before 7 years
after 3 days of trauma
I start not sleeping
after that I start couldn't concentrate
after 1 year
I couldn't feel
of people I know
I take another way for my personality
I start feel something wrong
I cant pray
I hv no feelings
many memories is blocked
and I feel it belong to another person
I tried many midctions
I did emdr
today I get some memory back
I start woundering where I was all this time!!!
where I was
why I forget such thigs
I start searching for my old friends
and went to places I used to go
these places I never been there for 6 years
I wounder where I was?!!!
why I dissapear
I feel everything happened in between not real
so please tell me what is my problem
it is not just ptsd
you are having dissociation
ok what type of dissection?
otheand fugue and derealization all of hese three clubbed together are xausing this memory loss.
ok what type of dissociation?
are you sure?
why not dissociated identity?
coupled with dissociative fugue
so dissociated fugue is part of it?
not part of dissociated idenity
your identity is never changed even when in fugue plus nor do you adopt a new identity in between which is hallmark feature of this condition.
yes I feel am taking new identits has no relation with the real one
it may be a complex concept to understand but I am confident about this
now we come to the main qestuion
am living in trauma place
is there a chance to recover here or I should change place?
I told you in the very beginning to leave the trauma place and seek treatment else where.
but I can seek treatment here
then I leave when I feel good
I cant do so
because while being in the trauma place you will get recoil of all those traumatic events which are associated with ptsd and are to be best forgotten.
but I never tried good treatment
as well as 10 guys didn't hit me
it was just the feeling after it
no one hit me that day
I explain this to you with an example you see when a needle or thorn is continuously hurting a person then best treatment is to get that thorn out as soon as possible.
ok what then?
what type of treatment you take?
what type of treatment?
but unfortunately you have a situation here where you are currently placed in the traumatic place so the treatment strategy is good so you better stick to it.
but what if I can get out the problem here?
is there a way that trauma stoped?
no flashbacks nothing
maybe by time
I can get over it
just add 1 mood stabilizer drug like lamotrigine or seroquel for 1 month and hopefully you will be remembering a lot of things and come out of dissociation
yes time will also help in recovering.
ok I want to ask somwthing
if trauma happend
yes go ahead
and this trauma was like what happend
10 guys attack
but no real damge
if I leave place
and have life
dose ptsd stay with me?
or once I get over it
it never back?
but you got to complete the present treatment there in Canada
effexor 225 mg/day,
yes am taking so
remeron 15 mg/day
no remeon 30 mg
, rivotril 0.5 mg twice a day
but you know what?
maybe if trauma proccessed
then nothing bad happening
lamotrigine or quetiapine as a an additiinal drug for 1 month.
there is something else
remeron give very good effect
can I get that from other drug?
non Effexor nor Zoloft nor any ssri give that effec
you mean. to say that can depression be caused by another drug
I mean dissction
I never get out it
or get out it deppression
take me out that
but as you know side effect of remeron
sleeping too much
eating too much
so if I get remeron effect
things will be very good
what about lamtrogin
as you said
but right now you are at low dose and secondly i ask you to add lmotrigine or quetiapine
low dose of what/
which never has been done before
no remeron am taking 30mg
low dose of remeron 15 mg
no am taking 30mg
IF I CAN MAKE IT 15 THINGS WILL BE BETTER
but we decided earlier to keep it at 15 mg
if it is 15mg it will be better
go down to 15 mg and see the results
but I can do so
no I want 30mg
until now I didn't get out dissction
maybe in futue
we hope so
thank you very much