Back to work

[jeaniegal]

After my fall in April, I have not been able to work for a much but this week I am back to work in earnest. I am still very tired, probably that's PD not the fall. It's very hard for me to arrange my schedule properly, I tend to work too much, to try to do too much. And I am self-employed, so I have no one to blame but myself! Anyway, I'm really trying to align myself with my own reality and give myself lots of time to get places, space to nap in the afternoon, be able to say no to new business that is not part of the contracts I hold (I'm a psychotherapist). I went to my office on Tuesday to and I had a lovely session with someone new and my heart was full of appreciation for my work, I was so glad to be back to it!

[etterus]

I have great respect and appreciation for psychotherapists. Glad to hear your back.

I do have a question though. How common is it for PWP to be unsuccessful with SSRI's and SNRI's as well as other meds such as Emsam patch? I have tried them all and usually feel worse before I can get to the preferred dosage.

[jeaniegal]

I don't really know. Until I was diagnosed with Parkinson's, I had never met anybody else with the disease, so I have no experience. I did notice an improvement in my mood I began taking Azilect, so my brain liked the extra dopamine. I would take an SSRI but they are contraindicated with Azilect. I don't feel depressed really, I feel inordinately sad, some fear, very tired. But as I try to work through this diagnosis, I am feeling better. Communicating with you makes me feel better.

[tlongmire in reply to jeaniegal]

I am taking 20 mg Paxil and 1 mg Azilect. My Neuro is aware of this and is following me. I started the Paxil 2 years ago and the Azilect 1 1/2 months ago. Everything seems to be going fine so far.

[jeaniegal in reply to tlongmire]

thanks for that info--i'll ask my MD.