In Person Therapy (or Changing Some Things Up)

It’s been a while since I’ve gone to see my therapist in person. I’ve had phone check-ins and video chat check-ins since my last in-person appointment and those have been great options. But some rules require that every so often I do have to go to an in-person appointment so that is what I had this week. I’m not sure if it’s a general rule or because one of my medications is a controlled substance, but either way, I was fine with going in.

I had a feeling going into the appointment that it would be a very easy one. With my new therapist, most of the appointment is about my medication and making sure that I am still doing ok with it. We have discussed my mental health from time to time, but we have agreed that my eating disorder is something much bigger than what can be figured out in talk therapy. I’m not holding onto something from my past or using it as a weapon, it’s just something that I have and my goal is to get into recovery. And hopefully, that recovery is soon.

The first part of the appointment was to discuss my dosage of Vyvanse and how I’ve been doing on it. I think I’m at the right dose right now and when I don’t take it on the rare occasion that it happens, I can feel a difference. I still wish it could do more than it does for me, but I also understand that the benefits that I wish it would have are not realistic. It’s not a miracle drug, but it is such a helpful tool for me. And I am so grateful that I am on it because I do know it’s helping.

I also brought up how I am doing the Brain Over Binge online course. My therapist is familiar with the book, but not the online course so I was telling her a little bit about it and what lessons I’ve been learning (which I’ll share on here another time). I think she was proud of me for taking a step beyond what she and I have discussed and she mentioned that she might start recommending the course to other patients of hers that cannot or don’t want to go to weekly classes that are offered through my insurance (I don’t want to do those classes as I have done a very similar thing before and it wasn’t the right thing for me).

The last thing that was discussed at my appointment was a new medication that my doctor mentioned to me when we had our last check-in. I was hesitant at the time because I like to have time to do some research about any new medication I start and make sure I am familiar with the side effects and what I can expect out of it. The medication is called Topamax and it is usually prescribed for seizures or migraine headaches. But there have been some studies that show that it can help with binge eating disorder.

The first way that Topamax can help can be with weight loss. The medication has the side effect of making people lose weight, so that can be a good thing for someone like me. It’s not a miracle cure and will make me drop weight without any effort, but it hopefully can help make any weight loss progress I am making on my own a bit easier and faster. Even though weight loss isn’t the main focus for me right now, I can’t deny that when I lose weight I gain confidence in my eating disorder battle and it helps me continue to try harder. So to know that this could help makes me hopeful.

The medication has also shown to help with controlling impulses which also can relate to eating disorders. This isn’t as common as weight loss, but any possible help I can get is a good thing and I encourage.

Because this is a new medication for me and we have no clue what the proper dosage will be to possibly help me, I will be doing a slow process over the next month or so with increasing the dose as well as changing when I take it. For now. I just take one pill at bedtime and I started on Tuesday night. I am hyperaware right now of anything I feel because I know it can be an unwanted side effect of the Topamax. I’m a bit paranoid too, but I’m just trying to stay alert and aware of how I feel and making notes when I feel anything that seems a bit off. So far, the only thing I experienced was a brief period of a bit of tingling in my hands/arms, but because that only happened once it might be a random thing and not from the medication. I’ll just have to wait and see.

My therapy appointment was so easy and simple this time. I’m sure it sounds like not much happened, but that’s kind of where I am with therapy now. It’s much more about medication management than anything else. And now I have a new medication that gives me some hope that it will help. Maybe that combined with everything else that I’ve been doing will be enough to help tip the scales (no pun intended) in my favor. All I can do is try and hope.

You Might Also Like

A Good Therapy Check In (or Focus On The Good) Moving Forward With Therapy (or Educating Myself) Another Therapy Check In (or Someone Sees Progress) A Super Easy Therapy Appointment (or Just Doing A Check-In) Some More Virtual Therapy (or Trying Another Medication) Another Quick Therapy Appointment (or Video Appointments Make Things Easy)