Hi Phil,
Diagnosis and treatment can feel much scarier than the symptoms themselves. We are used to the symptoms. You seem much more comfy with the diagnosis than I was. It seems to be the treatment side of it that is freaking you out. As you know yourself, there is nothing forcing you to comply with any treatment whether medication or therapy. I think it is lovely that you can appreciate how you illness is impacting on your wife and your love, respect and concern for her and that seems to give you the courage to consider treatment within your budget.
My advice would be to remember that introducing new medication is merely a trial to see how the drug works for you. It is just so individual. If that particular drug doesn't suit you for any reason, you are in your rights to trial another and another until you get to the drug that gives you (and your loved ones) the best quality of life.
There is no way of predicting side effects, but if the side effects start to outweigh the benefits, instruct the doctor you want to trial another medication to see if you can find one that works better for you. Even if you end up going back to the original medication, it is with the confidence that it is the best out of a bad bunch.
Everyone's experiences are different and as such we will all have different suggestions. Personally, I'd encourage you to find the right medication, find the right dose and engage in dialectic behaviour
therapy (dbt). ie. Max all supports available to you to lead the healthiest most fulfulled life you can.
Just one word about
DBT and the fine line between psychological and psychiatric illness. I think DBT is remarkably effective for personality disorders especially Borderline Personality Disorder that it was designed for. DBT can also be fantastic in helping us manage the SYMPTOMS of biologically based psychiatric illness. In my experience, there is a point where biological psychiatric illness override even the most effective, well-applied psychological skills. More simply, DBT helps me, as a person suffering from Bipolar Disorder, manage my symptoms but it doesn't treat the illness.
I hope this helps.
Post Edited (living well) : 5/18/2011 4:18:09 PM (GMT-6)