I have a fever, intermittent chills and hot spikes, and I think that was what caused the intensity of last night's breakdown to be turned to eleven. (that said, chris is still going to call employee assistance and I still need a shrink very very soon.)
(because a few people asked). My GP is not touching my psych meds because I have gone Way Further than his experience in brainmeds management. The usual top dose for Paxil is 60mg/day; the only reason I'm on 80mg/day is that it was signed off on by a psychiatric attending when I had my last psych (who has since gradulated.) That plus the celexa makes things difficult; and because methadone represses respiration and so do a lot of antianxiety drugs (see also ativan for instance) he wants to get the opinion of a specialist, especially since I have a history of bad reactions (wellbutrin, neurontin). I respect this guy very much largely because he admits his own failings when he has them rather than behaving like he's God.)
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