Question:

– Hide quoted text — Show quoted text – >As far as the original question–I didn’t have too much of a bad >experience with Lithium.  Besides a little weight gain (I gained more >from Paxil alone, than from P&L) and a little indigestion, no problems >at all.  The long-term side effects are what scared me.  Some people >have a really hard time with Lithium. >But the reason I’m writing this is to make a comment on a comment: >For starters, I  was on 450mg Wellbutrin at one time. The doctor kept >increasing the level as it was doing nothing for my depressionexcept >perhaps making it worse and had me physically bouncing off walls and >with chronic insomnia… >The reason doctors often try Wellbutrin first is that it is the least likely >to cause a person with BPD to flip to the hypomanic/manic side of the >fence. >I took Paxil a while ago, without any mood stabilizer, and it sent me >into a clear, cut-and-dried dysphoric mixed state.  *But* my psydoc >tried to insist that what I was feeling was "just another form of >depression."  And this guy was probably the best one I’ve seen.  Which >tells me that a *lot* of psydocs are misdiagnosing dysphoric mixed or >ultra-rapid cycling as "just another type of depression."  Since I’d >never had dysphoric hypomania, and so I didn’t recognize the feeling, >I almost believed him–but when Lithium cleared it up in two days, I knew >that he was wrong. >I switched to Wellbutrin about six months ago.  I was taking 300mg, but >felt that I still wasn’t quite right.  So I consulted a psydoc, who said >that I could go as high as 450mg, as I felt I needed it.  So I went to >350mg…and felt worse!  But I recognized the feeling!  And, when I >*decreased* the dosage to 250mg, I felt *better* than I had at 300mg. >In fact, I’m almost on the verge of saying I feel "normal". >So, I guess my point is, Wellbutrin is prescribed because it has a low >tendency to send people into what psydocs readily recognize as >hypo/mania.  But, looking at the statement above, "doing nothing for my >depression except perhaps making it worse," I have to wonder how many >people stop taking Wellbutrin, thinking it isn’t working, when >*actually* it is giving them dysphoric/mixed symptoms.  And maybe >*decreasing* the dose, instead of increasing, might be the ticket for a >lot of people? >Just a thought. >Donna

I find your last paragraph very interesting.  At one time, I was I taking 600 mg per day of Wellbutrin (yes, both I and my psych were aware that the maximum you’re supposed to take is 450 mg per day!) for nearly 2 years, and it was an absolute Godsend!!  But after about 2 years, my symptoms started very quickly to return.  My psych concluded that it was because I had become tolerant of Wellbutrin and decided that I had to come off of it and try something else, which I did. Based upon what you said above, though, I really have to wonder now if all I really needed was a DOWNWARD adjustment in my daily dosage of Wellbutrin.  Who knows?  I’m on Prozac and Desipramine now, which seems to be getting me back on track — though I’m still not in as good a shape as I had been when I was taking the Wellbutrin initially. (I tried Effexor, but it did virtually nothing for me, and after 7 months I had to go to the Prozac and Desipramine.)  

Response:

: : <Everything else snipped> : : >the wood is lovely, dark, and deep : >but i have promises to keep : >and miles to go before i sleep : >and miles to go before i sleep : : I once spoke to Robert Frost about this particular portion of verse. I : asked him if it were representative of a death wish. He responded that : if it were — he sure didn’t intend it to be! But in any event I think : the symbolism is quite clear — whether he knew about it or not. : Comments? I don’t see it quite as a death with, more of a consciousness of the void and a rejection of death – themes that are present elsewhere in Frost’s poetry. marco — the wood is lovely, dark, and deep              marco anglesio but i have promises to keep                           is and miles to go before i sleep     http://cspo.queensu.ca/~anglesio/alt/  

Response:

- Hide quoted text — Show quoted text – > : > : <Everything else snipped> > : > : >the wood is lovely, dark, and deep > : >but i have promises to keep > : >and miles to go before i sleep > : >and miles to go before i sleep > : > : I once spoke to Robert Frost about this particular portion of verse. I > : asked him if it were representative of a death wish. He responded that > : if it were — he sure didn’t intend it to be! But in any event I think > : the symbolism is quite clear — whether he knew about it or not. > : Comments? > I don’t see it quite as a death with, more of a consciousness of the void > and a rejection of death – themes that are present elsewhere in Frost’s > poetry. > marco > — > the wood is lovely, dark, and deep              marco anglesio > but i have promises to keep                           is > and miles to go before i sleep     http://cspo.queensu.ca/~anglesio/alt/

Dear Marco,         As a poet, confronted by a reader who asks, "Did you mean…", I usually ponder the question and answer "Yes,", if I did; and know that if he or she hangs around long enough I will answer "Yes," eventually, even if I didn’t!!  (Oh, here is an aphorism I once read,(not sure who wrote it but it might have been one of mine once), "Don’t question the poet; he’s already abandoned the answer!") Have a nice day.  Write to me, I am lonely.  (You can see why) AAT, Daniel F. Kligman acas maaa

Response:

– Hide quoted text — Show quoted text ->the wood is lovely, dark, and deep >but i have promises to keep >and miles to go before i sleep >and miles to go before i sleep > I once spoke to Robert Frost about this particular portion of verse. I > asked him if it were representative of a death wish. He responded that > if it were — he sure didn’t intend it to be! But in any event I think > the symbolism is quite clear — whether he knew about it or not. > Comments? > James

James, In my first year as an English student, I wrote an essay on this poem – my first essay… After reading your comments, I looked it up. This is what I thought about it back then: Robert Frost: A flirt with death    In his poem