Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Someone has to cover a doctor while he is away - it's not legal. It's tantamount to abandonment and his license may be in jeopardy if he practices like that. That won't help you now, but the answering service usually has their home and cell numbers if you persist. You can go to the ER and that's probably what you've been instructed to do, but they won't be able to help much either I'm afraid because they just treat emergencies (suicidal behavior, hallucinations, ect). If he just now went on vacation, can you consider going to another doc in the meantime? Otherwise, if you just increased the dose, perhaps you can go back to the previous dose and see what happens. I'm not sure, but I think 60mg is a lot of Prozac - you might want to read up on overdose symptoms to be sure that you know what to watch for and when to seek emergent help. Bonnie n , " Marcela Hatalova " wrote: > > Hello, > > > > I hope that somebody can help me. > > My daughter (13 years old) was diagnosed with severe OCD at end of June. She > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > Yesterday she told me that she's feeling like she's living in a dream, and > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > feel hunger, tiredness, sadness, etc., even though she knows what she is > supposed to feel. I am very concerned and I tried to speak with her > psychiatrist, but he is away for two weeks and nobody is covering for him. > They told me to go to our family doctor and I am going, but I don't think he > can help. > > > > Does anybody have any experience with this? > > > > Thanks > > Marcela > > No virus found in this incoming message. > Checked by AVG - www.avg.com > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > 16:25:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Marcela, considering what Judy said about the Clonazepam/Klonopin, was that recently added?? Or is the Prozac increase the most recent? If you think it's the Prozac increase and can't reach a doctor, might call the pharmacist and ask. Or you might go back down to the previous dose of Prozac until you can reach him, or at least a bit lower (split tabs?), see if that makes it better if she wasn't like this before on both meds. Just quick thoughts, > > How long has she been on the klonopin? > > This can definitely cause what you described. I have been on this med for over 20 years now, and it tends to make you emotionless! > I'm here if you need to talk > Hugs > judy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Marcela My daughter was 13 yrs when diagnosed with OCD. We started her on Prozac (though the generic brand). It took several months to work her from 5mg per day to 50 per day. Our doctor told us that slow was the key. How often has your daughters prozac been increased? How long between each increase? I the body isn't given substantial time to get used to the drug dose before increasing again, that is not good. It must be gradual. Also, I am agreeing with the others -- if no doctor in the practice can cover for yours while he/she is gone.... time to look for another doctor!! That's not right. Good luck LT **************Great Deals on Dell 15 " Laptops - Starting at $479 (http://pr.atwola.com/promoclk/100126575x1220433363x1201394532/aol?redir=http:%2\ F%2Fad.doub leclick.net%2Fclk%3B212935224%3B34245239%3Bb) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Hello Marcela, I am sorry you are going through this with your daughter, and that your doctor is not available. What you describe sounds like depersonalization or disociative disorder, here is a description for Depersonalization from the DSM (used for diagnosis) - A. Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one's mental processes or body (e.g., feeling like one is in a dream). B. During the depersonalization experience, reality testing remains intact. C. The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The depersonalization experience does not occur exclusively during the course of another mental disorder, such as Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy). The above paragraph seems to indicate this disorder can occur as a result of medication or another mental disorder. Our son experienced this, and dissociative disorder(more identity based issue, don't know who they are anymore). It can be very scary and confusing for them. Ours said he truly did not know who he was anymore. For ours some of it was OCD based, particularily at it's most severe, which was for a prolonged time period. The best I could deduce is because they are coping with extreme stress created by the illness a separation from themselves occurs, perhaps as a coping mechanism, or perhaps part of the illness and brain based. At other points I suspect medications either exacerbated or created this as well, we had psychosis from meds, and big reactions in general. Very hard to know for sure, ours was quite severe and we could not be sure what was going on ever really. Prozak, from what I understand, is one of the medications that for some can become toxic over a period of time, it stays in the system longer than other ssri's and there can be a cumulative effect. Also, some people lack an enzyme necessary to metabolize this drug, and when they reach the point of overload start experiencing problematic side effects. I learned of this while attending a conference given by a research based psychiatrist who told us attending that this is not common knowledge with doctors, unfortunately. If you are very concerned, and your daughter as well, I would go to the emergency. I am in Canada, and this is the protocol if your doctor is not available, a psychiatrist will see you at emerg. As others have mentioned you can reduce the prozak, best to go slowly. Not sure about other drug, not familiar with personally. I would suspect the prozak, or perhaps interaction between the two. It might reassure your daughter to know about the depersonalization disorder, even if you are not sure the cause, at least she will know it is explainable. Can create more anxiety not knowing what is going on, and these kids have enough of that!!! Hope your family doctor is helpful. Warmly, Barb > > Hello, > > > > I hope that somebody can help me. > > My daughter (13 years old) was diagnosed with severe OCD at end of June. She > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > Yesterday she told me that she's feeling like she's living in a dream, and > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > feel hunger, tiredness, sadness, etc., even though she knows what she is > supposed to feel. I am very concerned and I tried to speak with her > psychiatrist, but he is away for two weeks and nobody is covering for him. > They told me to go to our family doctor and I am going, but I don't think he > can help. > > > > Does anybody have any experience with this? > > > > Thanks > > Marcela > > No virus found in this incoming message. > Checked by AVG - www.avg.com > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > 16:25:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Thank you all for your responses. You helped me to think about possible causes of my daughter's problems. I spent hours on internet today in effort to find what is going on with her. Family doctor suggested to lower dosage of Prozac, but in fact he didn't know too much. It really seems that depersonalization and derealisation is her problem. I found out it can have psychological cause like OCD or (and this is surprising) it can be caused by physical dependency of Clonazepam. She is on it for 9 month (on the same dosage) and how I learned, she built tolerance for it and her body is craving for more and she can experience derealisation and depersonalization. I was scared of this medication from the beginning because I read that is addictive and should be used only for short time (4 weeks). But her doctor told me that she takes small dosage and therefore it is not problem (not true, how I learned today, even small dosages longer periods of time cause dependence). I tried to take her off Clonazepam before Christmas, I tried to do it slowly (maybe not enough) but she started to be more and more agitated, angry, explosive and she begged to get it back. Then I gave up, but probably it wasn't good thing. Prozac she is also taking 9 month, we increased it slowly and waiting for next 5 week if it is going to work (if no she will try another SSRI). I am new member of this group, until now I was only passive member (reading your posts and learning about OCD). Now I would like to introduce myself. We are from Vancouver, BC, we came to Canada 9 years ago from Slovakia (sorry if my English is full of mistakes). I have two older children (23 and 21) and youngest is 13. She was difficult from time she went to school and from grade four it was very hard to live with her (very controlling and abusive). In that time I started to home school her and things gradually improved (she was less explosive but for the high price). In end of June more and more things bothered her and when she was screaming on Broadway that she is dirty and I had to go to buy bottles of water and towel for her, it was clear that she is ill (before I hoped she is going to outgrow her problems). We waited two weeks to see psychiatrist and last night before appointment she showered 6 hours. She was diagnosed with OCD, started medication and stayed in bed for almost 8 month. Now she is in Day Treatment Program, it is not for OCD, but anxieties, but it helps her to be more " alive " and have something in her life. In January she was suicidal and depressed. Sorry for so long introduction, I am very glad that I have found this group. Thanks for your help Marcela P.S. Judy, after how long time of using Klonopin did you experience this? And what did you do about it? P.S. Barb, could you please let me how your son is doing now? How long he had these problems and what helped? _____ From: [mailto: ] On Behalf Of Barb Nesrallah Sent: March 18, 2009 8:15 PM To: Subject: Re: can this cause Prozac? Hello Marcela, I am sorry you are going through this with your daughter, and that your doctor is not available. What you describe sounds like depersonalization or disociative disorder, here is a description for Depersonalization from the DSM (used for diagnosis) - A. Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one's mental processes or body (e.g., feeling like one is in a dream). B. During the depersonalization experience, reality testing remains intact. C. The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The depersonalization experience does not occur exclusively during the course of another mental disorder, such as Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy). The above paragraph seems to indicate this disorder can occur as a result of medication or another mental disorder. Our son experienced this, and dissociative disorder(more identity based issue, don't know who they are anymore). It can be very scary and confusing for them. Ours said he truly did not know who he was anymore. For ours some of it was OCD based, particularily at it's most severe, which was for a prolonged time period. The best I could deduce is because they are coping with extreme stress created by the illness a separation from themselves occurs, perhaps as a coping mechanism, or perhaps part of the illness and brain based. At other points I suspect medications either exacerbated or created this as well, we had psychosis from meds, and big reactions in general. Very hard to know for sure, ours was quite severe and we could not be sure what was going on ever really. Prozak, from what I understand, is one of the medications that for some can become toxic over a period of time, it stays in the system longer than other ssri's and there can be a cumulative effect. Also, some people lack an enzyme necessary to metabolize this drug, and when they reach the point of overload start experiencing problematic side effects. I learned of this while attending a conference given by a research based psychiatrist who told us attending that this is not common knowledge with doctors, unfortunately. If you are very concerned, and your daughter as well, I would go to the emergency. I am in Canada, and this is the protocol if your doctor is not available, a psychiatrist will see you at emerg. As others have mentioned you can reduce the prozak, best to go slowly. Not sure about other drug, not familiar with personally. I would suspect the prozak, or perhaps interaction between the two. It might reassure your daughter to know about the depersonalization disorder, even if you are not sure the cause, at least she will know it is explainable. Can create more anxiety not knowing what is going on, and these kids have enough of that!!! Hope your family doctor is helpful. Warmly, Barb > > Hello, > > > > I hope that somebody can help me. > > My daughter (13 years old) was diagnosed with severe OCD at end of June. She > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > Yesterday she told me that she's feeling like she's living in a dream, and > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > feel hunger, tiredness, sadness, etc., even though she knows what she is > supposed to feel. I am very concerned and I tried to speak with her > psychiatrist, but he is away for two weeks and nobody is covering for him. > They told me to go to our family doctor and I am going, but I don't think he > can help. > > > > Does anybody have any experience with this? > > > > Thanks > > Marcela > > No virus found in this incoming message. > Checked by AVG - www.avg.com > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > 16:25:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2009 Report Share Posted March 19, 2009 Hi Marcela, I'm sorry you are going through this. I have been on the klonopin for 20 years now.I have had to discontinue it for each pregnancy, and I will tell you it was a nightmare. I also go through the withdrawal every time I get a stomach flu.The klonopin is for my panic disorder. I do have OCD as well. As soon as you posted about your daughter's symptoms I could completely relate.Everytime I have stopped taking it, I will get the most bizzare symptoms that are definitely from withdrawing from the klonopin. Head klunks, tons of noises in your head and strange sensations.I could go on and on. ..50mg is a lot for a 13 yr old.This is why she is experiencing lack of feeling. I believe the panic disorder itself is causing her to have the dissasociation AS WELL as the Klonopin.(these disorders go hand in hand) I am not a doctor, but I would suggest you start cutting down her dosage. You can cut her pill into 8th's even. I have literally taken that pill and shaved part of it off. You have to do this VERY VERY slowly!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! because you can have seizures. This is a very dangerous drug, but than you may ask why I take it. This is the only med that I have taken that actually works for my panic. It is a catch 22.My panic disorder is very severe, and in order to drive a few miles away, I have to take the klonpopin and I try to use it now only for that. I hyperventilate without it. I have two kids with OCD, and one without it, but all three of my kids have had panic attacks. I refuse to give them Klonopin, because of my addiction to it. My doctor said the next time I go off of it, he will need to hospitalize me, because I get awful symptoms without it. Please feel free to email me or you can call me if you would like to talk. Hugs judy ________________________________ To: Sent: Thursday, March 19, 2009 1:49:32 AM Subject: RE: Re: can this cause Prozac? Thank you all for your responses. You helped me to think about possible causes of my daughter's problems. I spent hours on internet today in effort to find what is going on with her. Family doctor suggested to lower dosage of Prozac, but in fact he didn't know too much. It really seems that depersonalization and derealisation is her problem. I found out it can have psychological cause like OCD or (and this is surprising) it can be caused by physical dependency of Clonazepam. She is on it for 9 month (on the same dosage) and how I learned, she built tolerance for it and her body is craving for more and she can experience derealisation and depersonalization. I was scared of this medication from the beginning because I read that is addictive and should be used only for short time (4 weeks). But her doctor told me that she takes small dosage and therefore it is not problem (not true, how I learned today, even small dosages longer periods of time cause dependence). I tried to take her off Clonazepam before Christmas, I tried to do it slowly (maybe not enough) but she started to be more and more agitated, angry, explosive and she begged to get it back. Then I gave up, but probably it wasn't good thing. Prozac she is also taking 9 month, we increased it slowly and waiting for next 5 week if it is going to work (if no she will try another SSRI). I am new member of this group, until now I was only passive member (reading your posts and learning about OCD). Now I would like to introduce myself. We are from Vancouver, BC, we came to Canada 9 years ago from Slovakia (sorry if my English is full of mistakes). I have two older children (23 and 21) and youngest is 13. She was difficult from time she went to school and from grade four it was very hard to live with her (very controlling and abusive). In that time I started to home school her and things gradually improved (she was less explosive but for the high price). In end of June more and more things bothered her and when she was screaming on Broadway that she is dirty and I had to go to buy bottles of water and towel for her, it was clear that she is ill (before I hoped she is going to outgrow her problems). We waited two weeks to see psychiatrist and last night before appointment she showered 6 hours. She was diagnosed with OCD, started medication and stayed in bed for almost 8 month. Now she is in Day Treatment Program, it is not for OCD, but anxieties, but it helps her to be more " alive " and have something in her life. In January she was suicidal and depressed. Sorry for so long introduction, I am very glad that I have found this group. Thanks for your help Marcela P.S. Judy, after how long time of using Klonopin did you experience this? And what did you do about it? P.S. Barb, could you please let me how your son is doing now? How long he had these problems and what helped? _____ From: @ yahoogroups. com [mailto:@ yahoogroups. com] On Behalf Of Barb Nesrallah Sent: March 18, 2009 8:15 PM To: @ yahoogroups. com Subject: Re: can this cause Prozac? Hello Marcela, I am sorry you are going through this with your daughter, and that your doctor is not available. What you describe sounds like depersonalization or disociative disorder, here is a description for Depersonalization from the DSM (used for diagnosis) - A. Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one's mental processes or body (e.g., feeling like one is in a dream). B. During the depersonalization experience, reality testing remains intact. C. The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The depersonalization experience does not occur exclusively during the course of another mental disorder, such as Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy). The above paragraph seems to indicate this disorder can occur as a result of medication or another mental disorder. Our son experienced this, and dissociative disorder(more identity based issue, don't know who they are anymore). It can be very scary and confusing for them. Ours said he truly did not know who he was anymore. For ours some of it was OCD based, particularily at it's most severe, which was for a prolonged time period. The best I could deduce is because they are coping with extreme stress created by the illness a separation from themselves occurs, perhaps as a coping mechanism, or perhaps part of the illness and brain based. At other points I suspect medications either exacerbated or created this as well, we had psychosis from meds, and big reactions in general. Very hard to know for sure, ours was quite severe and we could not be sure what was going on ever really. Prozak, from what I understand, is one of the medications that for some can become toxic over a period of time, it stays in the system longer than other ssri's and there can be a cumulative effect. Also, some people lack an enzyme necessary to metabolize this drug, and when they reach the point of overload start experiencing problematic side effects. I learned of this while attending a conference given by a research based psychiatrist who told us attending that this is not common knowledge with doctors, unfortunately. If you are very concerned, and your daughter as well, I would go to the emergency. I am in Canada, and this is the protocol if your doctor is not available, a psychiatrist will see you at emerg. As others have mentioned you can reduce the prozak, best to go slowly. Not sure about other drug, not familiar with personally. I would suspect the prozak, or perhaps interaction between the two. It might reassure your daughter to know about the depersonalization disorder, even if you are not sure the cause, at least she will know it is explainable. Can create more anxiety not knowing what is going on, and these kids have enough of that!!! Hope your family doctor is helpful. Warmly, Barb > > Hello, > > > > I hope that somebody can help me. > > My daughter (13 years old) was diagnosed with severe OCD at end of June. She > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > Yesterday she told me that she's feeling like she's living in a dream, and > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > feel hunger, tiredness, sadness, etc., even though she knows what she is > supposed to feel. I am very concerned and I tried to speak with her > psychiatrist, but he is away for two weeks and nobody is covering for him. > They told me to go to our family doctor and I am going, but I don't think he > can help. > > > > Does anybody have any experience with this? > > > > Thanks > > Marcela > > No virus found in this incoming message. > Checked by AVG - www.avg.com > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > 16:25:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2009 Report Share Posted March 19, 2009 I also used Klonopin and after a few months of taking it (for driving ... like Judy) I literally felt like I was going to have a seizure if I didn't take it. Arms and legs were severely tingling and felt competely out of it. It scared me really badly and so I cut my dose and literally weaned myself off of it putting my doses off by an hour and then an hour more, etc. Subject: Re: Re: can this cause Prozac? To: Date: Thursday, March 19, 2009, 8:48 AM Hi Marcela, I'm sorry you are going through this. I have been on the klonopin for 20 years now.I have had to discontinue it for each pregnancy, and I will tell you it was a nightmare. I also go through the withdrawal every time I get a stomach flu.The klonopin is for my panic disorder. I do have OCD as well. As soon as you posted about your daughter's symptoms I could completely relate.Everytime I have stopped taking it, I will get the most bizzare symptoms that are definitely from withdrawing from the klonopin. Head klunks, tons of noises in your head and strange sensations.I could go on and on. ..50mg is a lot for a 13 yr old.This is why she is experiencing lack of feeling. I believe the panic disorder itself is causing her to have the dissasociation AS WELL as the Klonopin.(these disorders go hand in hand) I am not a doctor, but I would suggest you start cutting down her dosage. You can cut her pill into 8th's even. I have literally taken that pill and shaved part of it off. You have to do this VERY VERY slowly!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!! because you can have seizures. This is a very dangerous drug, but than you may ask why I take it. This is the only med that I have taken that actually works for my panic. It is a catch 22.My panic disorder is very severe, and in order to drive a few miles away, I have to take the klonpopin and I try to use it now only for that. I hyperventilate without it. I have two kids with OCD, and one without it, but all three of my kids have had panic attacks. I refuse to give them Klonopin, because of my addiction to it. My doctor said the next time I go off of it, he will need to hospitalize me, because I get awful symptoms without it. Please feel free to email me or you can call me if you would like to talk. Hugs judy ____________ _________ _________ __ From: Marcela Hatalova <hatalovatelus (DOT) net> To: @ yahoogroups. com Sent: Thursday, March 19, 2009 1:49:32 AM Subject: RE: Re: can this cause Prozac? Thank you all for your responses. You helped me to think about possible causes of my daughter's problems. I spent hours on internet today in effort to find what is going on with her. Family doctor suggested to lower dosage of Prozac, but in fact he didn't know too much. It really seems that depersonalization and derealisation is her problem. I found out it can have psychological cause like OCD or (and this is surprising) it can be caused by physical dependency of Clonazepam. She is on it for 9 month (on the same dosage) and how I learned, she built tolerance for it and her body is craving for more and she can experience derealisation and depersonalization. I was scared of this medication from the beginning because I read that is addictive and should be used only for short time (4 weeks). But her doctor told me that she takes small dosage and therefore it is not problem (not true, how I learned today, even small dosages longer periods of time cause dependence). I tried to take her off Clonazepam before Christmas, I tried to do it slowly (maybe not enough) but she started to be more and more agitated, angry, explosive and she begged to get it back. Then I gave up, but probably it wasn't good thing. Prozac she is also taking 9 month, we increased it slowly and waiting for next 5 week if it is going to work (if no she will try another SSRI). I am new member of this group, until now I was only passive member (reading your posts and learning about OCD). Now I would like to introduce myself. We are from Vancouver, BC, we came to Canada 9 years ago from Slovakia (sorry if my English is full of mistakes). I have two older children (23 and 21) and youngest is 13. She was difficult from time she went to school and from grade four it was very hard to live with her (very controlling and abusive). In that time I started to home school her and things gradually improved (she was less explosive but for the high price). In end of June more and more things bothered her and when she was screaming on Broadway that she is dirty and I had to go to buy bottles of water and towel for her, it was clear that she is ill (before I hoped she is going to outgrow her problems). We waited two weeks to see psychiatrist and last night before appointment she showered 6 hours. She was diagnosed with OCD, started medication and stayed in bed for almost 8 month. Now she is in Day Treatment Program, it is not for OCD, but anxieties, but it helps her to be more " alive " and have something in her life. In January she was suicidal and depressed. Sorry for so long introduction, I am very glad that I have found this group. Thanks for your help Marcela P.S. Judy, after how long time of using Klonopin did you experience this? And what did you do about it? P.S. Barb, could you please let me how your son is doing now? How long he had these problems and what helped? _____ From: @ yahoogroups. com [mailto:ocdandparen ting@ yahoogroups. com] On Behalf Of Barb Nesrallah Sent: March 18, 2009 8:15 PM To: @ yahoogroups. com Subject: Re: can this cause Prozac? Hello Marcela, I am sorry you are going through this with your daughter, and that your doctor is not available. What you describe sounds like depersonalization or disociative disorder, here is a description for Depersonalization from the DSM (used for diagnosis) - A. Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one's mental processes or body (e.g., feeling like one is in a dream). B. During the depersonalization experience, reality testing remains intact. C. The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The depersonalization experience does not occur exclusively during the course of another mental disorder, such as Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy). The above paragraph seems to indicate this disorder can occur as a result of medication or another mental disorder. Our son experienced this, and dissociative disorder(more identity based issue, don't know who they are anymore). It can be very scary and confusing for them. Ours said he truly did not know who he was anymore. For ours some of it was OCD based, particularily at it's most severe, which was for a prolonged time period. The best I could deduce is because they are coping with extreme stress created by the illness a separation from themselves occurs, perhaps as a coping mechanism, or perhaps part of the illness and brain based. At other points I suspect medications either exacerbated or created this as well, we had psychosis from meds, and big reactions in general. Very hard to know for sure, ours was quite severe and we could not be sure what was going on ever really. Prozak, from what I understand, is one of the medications that for some can become toxic over a period of time, it stays in the system longer than other ssri's and there can be a cumulative effect. Also, some people lack an enzyme necessary to metabolize this drug, and when they reach the point of overload start experiencing problematic side effects. I learned of this while attending a conference given by a research based psychiatrist who told us attending that this is not common knowledge with doctors, unfortunately. If you are very concerned, and your daughter as well, I would go to the emergency. I am in Canada, and this is the protocol if your doctor is not available, a psychiatrist will see you at emerg. As others have mentioned you can reduce the prozak, best to go slowly. Not sure about other drug, not familiar with personally. I would suspect the prozak, or perhaps interaction between the two. It might reassure your daughter to know about the depersonalization disorder, even if you are not sure the cause, at least she will know it is explainable. Can create more anxiety not knowing what is going on, and these kids have enough of that!!! Hope your family doctor is helpful. Warmly, Barb > > Hello, > > > > I hope that somebody can help me. > > My daughter (13 years old) was diagnosed with severe OCD at end of June. She > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > Yesterday she told me that she's feeling like she's living in a dream, and > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > feel hunger, tiredness, sadness, etc., even though she knows what she is > supposed to feel. I am very concerned and I tried to speak with her > psychiatrist, but he is away for two weeks and nobody is covering for him. > They told me to go to our family doctor and I am going, but I don't think he > can help. > > > > Does anybody have any experience with this? > > > > Thanks > > Marcela > > No virus found in this incoming message. > Checked by AVG - www.avg.com > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > 16:25:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2009 Report Share Posted March 19, 2009 Marcela, when I was on Klonipin (for about a year for panic attacks), I had a terrible time coming off of it. The doctors tried to wean me off and I couldn't do it. I was coming out of my skin. My muscles would lock up so bad that I was physically incapable of walking. I started having horrible rebound panic attacks too. It can be horrible for some to come off of it that have been on it for a length of time. I ended up having to wean off very slowly so my body could adapt to each minor change, weekly. It took me a year to get off of it, but I did it with my sanity in tact, able to function along the way. I did it with the help of a compounding pharmacist who worked with a doctor to make tiny changes, to the dosage, once a week. You might look into seeing if you can try that with your daughter since she is having difficulty coming off of it. My thoughts and prayers are with you. BJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2009 Report Share Posted March 19, 2009 Hello Marcela, Our son had OCD diagnosed two and a half years ago, with severe onset. It was probably there before that but not noticable, more rigid behavior, outbursts, quirks, general anxiety, etc. The depersonalization and disociative stuff was for maybe a year and a half during which he really got lost to the OCD and medications and we had terrible behavioral stuff to deal with. We really felt like we had lost our child and no one could help us. Like you we did the outpatient hospital day program, the best they have to offer, but there is no treatment for the OCD in these programs unfortunately. It is something rather than nothing, and I like to think at least our child had some kind of support, but I still have bitter feelings about our experience of this. There is a serious lack of care for these kids everywhere, but I think in Canada, unless you are in Toronto, Montreal, or Vancouver city perhaps (you tell me?), the resources and level of expertise is lacking. Health care for children is not even in the budget, never mind mental health, it's criminal really. So they give you something if you are lucky, but it is generally not what is needed. Our experience anyway. The best advise I can give you is to find a private psychologist trained in ERP based CBT. If your daughter is ready and able to do this treatment this is her best chance out of this disorder. We do not have health insurance for this but were prepared to mortgage our house to pay for it, but our son would not participate, he was done with doctors by the time we decided to do this. However, he is doing well now to answer your question. One, medication helped with anxiety, and to reduce the severity of the OCD, but it took us two years of med trials and some awful experiences to figure out that he does best with a low dose of ssri, he takes 20mg of celexa. Two, he decided he wanted his life back and started flooding himself with his OCD fears, at the time contamination stuff. He did understand what he needed to do, he just had to decide to take it on. The biggest hurdle was being stuck in not willing to take it on, once we got past the medication issues. And his seeming to get completely lost in the illness and be unreachable. At that point we decided to do something rather unusual. We did something called soul recovery through a Shaman. This seemed to help our son to come back to himself, it was after that things shifted and he took on the OCD himself, no more doctors. It has been almost ten months now and he continues to do well with periodic flaring of the OCD, but he always is able to manage it, and he has his life back. I can tell you from where we were a year ago, I would never have believed it. So take hope, they can get better, it's a matter of finding the right help, and the answers for your child, and them understanding what they need to do to help themselves, this is an ongoing process really. The health care system in Canada is really lacking for this disorder. Mostly all that is offered is medication and that will not do it, they need ERP. So if you are not getting this, ask for it, insist on it, beg, do whatever you have to, it truly is the only thing that really works. I am happy to talk with you anytime about any of this. I just about lost my mind fighting to try to get our child proper care, and ended up starting a parent support group because I needed to know what others were doing, what kind of care they were getting (sadly often no better, or no care). If you have not already done so you might check out local support groups in your area, or perhaps the hospital where your daughter is has a group. Educating yourself every way you can on this disorder is your best defense! Warmly, Barb Ottawa, Canada Son 17 - OCD, LD > > > > Hello, > > > > > > > > I hope that somebody can help me. > > > > My daughter (13 years old) was diagnosed with severe OCD at end of June. > She > > is on 60mg Prozac (for three weeks now) and 0.5mg Clonazepam. > > > > > > > > Yesterday she told me that she's feeling like she's living in a dream, and > > feels " drunk " and that she can't grasp reality. Also, she said she doesn't > > feel hunger, tiredness, sadness, etc., even though she knows what she is > > supposed to feel. I am very concerned and I tried to speak with her > > psychiatrist, but he is away for two weeks and nobody is covering for him. > > They told me to go to our family doctor and I am going, but I don't think > he > > can help. > > > > > > > > Does anybody have any experience with this? > > > > > > > > Thanks > > > > Marcela > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com > > Version: 8.5.278 / Virus Database: 270.11.16/2005 - Release Date: 03/17/09 > > 16:25:00 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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