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caz57


Member

Posted Tue Oct 9th, 2007 1:59am Post subject: Had my first appointment with CPN
Hello! Not been here for ages.
I got to see a CPN last week. Was very scared. It was at my local health clinic.
I was expecting an doctors type room, but she showed me to a room with cumfy chairs, a table and a large box of tissues!
She was very friendly and asked me to fill a questionaire, which I did.
I started crying, and said it was upsetting to fill out. And she was great!
I would never have thought it of me, but I told her all about the problems that i am having at the moment
(split up with my husband and my daughter has stopped me seeing my grandson, because HER boyfriend is being violent towards her, so how is it my fault?)
Anyway, she asked me allsorts, about my family, my past, school, and I told her everything!
She has told me that she can't diagnose me at the moment, because I am going through such a bad time, and that I am so upset about my life at present, any illness i may have is being hidden.
I feel so much better, and she told me she is not surprised I have been feeling down. She is the first person to tell me I am normal, if you like, that the things I have gone through would upset anyone!
So I may be in the wrong place and not have MD?
I will have to wait and see what happens!

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katysara


Moderator

Posted Tue Oct 9th, 2007 1:09pm Post subject: Had my first appointment with CPN
Glad your cpn is helping. Mine is great. A cpn shouldn't really diagnose you though, that is for a doctor to do. Cpns know a lot, but not enough to diagnose reliably.

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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Anonymous


Unregistered

Posted Tue Oct 9th, 2007 1:20pm Post subject: Had my first appointment with CPN
what is a cpn? is this a uk term?

that's interesting that they feel the stress would make a diagnosis confusing.
i guess that makes sense, and it's great that they make you feel comfortable.

i'm confused though (not about your post, but about a proper time to get a diganosis) and have a general question for all:

doesn't something like md or other mood disorders show up when someone has a stressful time? maybe they wait for the time to be over and see how you deal with it?

or do drs want to make a diagnosis when nothing is going on? (...whenever that is)

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katysara


Moderator

Posted Tue Oct 9th, 2007 1:41pm Post subject: Had my first appointment with CPN
CPN stands for Community Psychiatric Nurse. Basically a fully qualifed RMN (registered mental health nurse), who has chosen to work not on the wards but within the community. They have more time to spend with patients than doctors.

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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Vespertine


Member

Posted Tue Oct 9th, 2007 2:02pm Post subject: Had my first appointment with CPN
I'm glad you're getting help

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caz57


Member

Posted Wed Oct 10th, 2007 1:15pm Post subject: Had my first appointment with CPN
Thanks!

My doctor just kept giving me prescriptions for anti-depressants.
The ones just after Christmas, made me tired all the time and i put at least 2 stone on!
So now i am more depressed.
She just puts down depression, but I am 42 now and started when I was 14!

I wanted to see someone more qualified, as my GP thinks people with manic depression, buys expensive things and has wild schemes!

If I do have bi polar, I must be a very boring one, or because I am poor, I can't afford to run off to Belgium, like Steven Fry did!
So my doctor thinks I don't have it!
Mayb I am just very very depressed!

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katysara


Moderator

Posted Wed Oct 10th, 2007 2:20pm Post subject: Had my first appointment with CPN
You may have major depressive disorder, which is no less serious that MD as both can lead to suicide. Both can seriously effect quality of life.

What antidepressant did your gp put you on? Let me guess - mirtazapine (zispin). That's a current favourite and causes an increase in appetite and helps sleep. Or was it something else? You can talk to your doctor about not liking the side effects and wanting to try something different. (Unless it was really working, then you have to decide if the side effects are worth the weight gain).

Ask for a referral, it is your right.

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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caz57


Member

Posted Wed Oct 10th, 2007 4:26pm Post subject: Had my first appointment with CPN
I WAS on Zoloft, but told her i was not happy, it wasn't doing anything.
Am now on Fluoxetine hydrochloride (Prozac) just the low dose!

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katysara


Moderator

Posted Wed Oct 10th, 2007 7:45pm Post subject: Had my first appointment with CPN
Zo/loft can cause weight gain. Is that the one you meant caused weight gain or are you worried about your new med?

20mg of fluoxetine (prozac)... Mmm, that doesn't tend to cause weight gain, in fact it tends to decrease appetite, (which is why it is used at higher doses to treat bulimia), so any weight gain is probably nothing to do with the med. Maybe you are comfort eating - hey, no judgments, I do it. Or maybe because you are depressed you are less active?

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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caz57


Member

Posted Thu Oct 11th, 2007 1:13pm Post subject: Had my first appointment with CPN
Hello.
I went on the Zoloft after Christmas, and just stayed in bed for about 5/6 weeks!
I felt rotten. I had bad things in my life too, so the CPN wants to find out, if my life gets better am I still depressed! Or is it my life that is depressing me!

I am ok on the Prozac!

I am very overweight and that makes me depressed too!
God I sound like right moaner, but in real life I don't!

I lost 3 stone last year in 5 months, but slipped off the cake wagon and have put it back on!

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caz57


Member

Posted Fri Feb 8th, 2008 12:56am Post subject: Had my first appointment with CPN
Hello!
Sort of update. Not much to say really. No proper diagnosis still. I don't think I have manic depression now. I switch between normal behaviour, just plodding along like you do, and very bad days, of just wanting to lie down and do nothing. No housework, not going out, nothing. And staying up worrying and not sleeping till I drop.
I haven't seen my adorable grandson since last year(september 07) I am not allowed to see him, as my daughter hates me, because It was left to me to report her to the social services. His real dad and his family wouldn't lift a finger to take him away from his mum and violent stepdad.
So I have crippling guilt that I should have kept my mouth shut and kept in contact with him, and worrying about how he is. I can't get in bed as I just lie in bed crying about him.
How can a doctor help you with that?
My cpn has gone off sick, and have not seen her, or anybody since December 07.
Can anyone recommend a better anti-depressant that Fluoxetine? I need a happy pill, to lift my mood, as I hate my life at the moment and I need to get organised and get a life, so my cpn said to me, I need to raise my self esteem!
Thanks for any replies.

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BreakPoint


Member

Posted Mon Feb 11th, 2008 6:11pm Post subject: Had my first appointment with CPN
Hi caz, it sounds like you have been (and are still going) through a lot.

Although you may have been clinically depressed before, all these other things are going to trigger reactive depression, which comes from bad things happening in your life. People can recover from this in time (e.g. post traumatic stress disorder), but only once the root of the problem has been found.

Unfortunately, it sounds like the root of the problem is going to stick around for some time. I'm not sure what to suggest to tackle these things, but I will say that I am confident your reaction to what is going on is very normal. I expect loneliness is playing a part in making you feel worse.

I would guess your main obstacle to making progress is the sheer amount of different issues you have to contend with. I always find I am most stressed at work when I am overloaded with stuff. I then get paralysed to the point where I can't do anything, which then leads to depression. I got over it by talking to my manager and us agreeing what should be prioritised, and what could be left untackled.

If you were asking my advice, I would say to write down all the different problems you have and tackle them individually. Start with the easiest one and forget the others. When you make progress with that, you will grow in confidence and try the next one. Keep a diary of what is going on, as this helps you to put stuff in perspective. It could also be used later to diagnose you with MD if you start to become manic.

If you are just after a friendly ear, however, then just keep posting here and we will keep listening! At least this will help get over the loneliness, which will be pulling you down.

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katysara


Moderator

Posted Mon Feb 11th, 2008 7:43pm Post subject: Had my first appointment with CPN
Can anyone recommend a better anti-depressant that Fluoxetine? I need a happy pill, to lift my mood, as I hate my life at the moment and I need to get organised and get a life, so my cpn said to me, I need to raise my self esteem!
Thanks for any replies.

Your medication is something you need to talk to a doctor about, preferably a psychiatrist, but GPs do a great job (a third of the people they see are there for depression).

From what you have told me you have only been on SSRIs. If you think they don't work for you (and they don't work for me!) then maybe you need to try a different class of antidepressant - namely a tricyclic, an MAOI, or maybe a newer drug like a NaSSa although you mention weight is an issue - and you should ask your doctor to prescribe something that does not cause weight gain if at all possible. The NaSSa mirtazapine can cause significant weight gain, so maybe not that. Tricyclics... Mmm... they can cause weight gain, some more than others, BUT they are great antidepressants. Maybe lofepramine would be good, I lost weight on that. I'm on amitriptyline now which works great, but caused weight gain. (And you are unlikely to be prescribed it because it is so dangerous in OD). And as for MAOIs - with the older ones you have to follow a restrictive diet, (e.g. no cheese) or risk a hypertensive crisis that can even kill - but moclobemide is a reversible MAOI and does not need a special diet - so that's a possibility. So which ever it is you need professional help. I can make suggestions but I am just a name on a forum - see your doctor.

BTW - you may benefit greatly from therapy or counselling.

No (legal) pill will make you happy, all a pill can do is take away depression - not the same thing as making you happy.

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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caz57


Member

Posted Mon Feb 11th, 2008 10:26pm Post subject: Had my first appointment with CPN
Thanks for the help.
I will mention to my doctor about something that won't put weight on.
I am not lonely, as such, as i have 3 kids at home with me and my ex pops round every few days, to take the kids to his flat, so I get a break.
I just want to see my grandson and I know my daughter won't let me and she will give me loads of verbal abuse down the phone, and i can't take any more from her.
i am annoyed at my grandsons real dad and his family.
There were all worried about him but did nothing to get him away from the house he lived in with his mum and stepdad.
It was left to me to ring social services and they stood back and let me, knowing I would I would get the blame, which I did.
So I need to deal with this anger, regret at not keeping my mouth shut and still having contact (at the time it was agreed I would ring and report her)
And also the fact I can't see him anymore.
Plus, I can't cope with stress or normal life, like work and having freinds.

My counselor was good, but she went off sick and is not coming back . She kept going on about raising my self esteem. I feel like I have to do something stupid, to get seen by someone who will diagnose me properly.
I see my doctor, get upset and come out with a prescription.
Thanks for reading .

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BreakPoint


Member

Posted Mon Feb 11th, 2008 10:52pm Post subject: Had my first appointment with CPN
Thanks for the help.
I will mention to my doctor about something that won't put weight on.
I am not lonely, as such, as i have 3 kids at home with me and my ex pops round every few days, to take the kids to his flat, so I get a break.
I just want to see my grandson and I know my daughter won't let me and she will give me loads of verbal abuse down the phone, and i can't take any more from her.
i am annoyed at my grandsons real dad and his family.
There were all worried about him but did nothing to get him away from the house he lived in with his mum and stepdad.
It was left to me to ring social services and they stood back and let me, knowing I would I would get the blame, which I did.
So I need to deal with this anger, regret at not keeping my mouth shut and still having contact (at the time it was agreed I would ring and report her)
And also the fact I can't see him anymore.
Plus, I can't cope with stress or normal life, like work and having freinds.

My counselor was good, but she went off sick and is not coming back . She kept going on about raising my self esteem. I feel like I have to do something stupid, to get seen by someone who will diagnose me properly.
I see my doctor, get upset and come out with a prescription.
Thanks for reading .

Sounds like your best bet is aligning yourself with the real dad of your grandson and then seeing your grandson when he is staying with them. You may have to pretend you understood why he didn't do anything. Sometimes apologising when you weren't at fault is necessary to get something. Ask yourself whether it is worth forgiving the boy's dad so you can see the boy?

Of course, I am presuming you could see him if his dad sees him. That may not be the case. I don't see how your daughter can stop you seeing him when he is with his dad.

The alternative is to apologise to the daughter. It all depends on how much you want to see your grandson.

I notice you said you were under stress with work. Is that related to what is going on or separate?

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