Posted by jimmygold70 on December 30, 2001, at 11:24:00
In reply to Sensitive to Effexor, Dysthymic, Need Meds...HELP, posted by anaya on December 28, 2001, at 23:33:09
Based on your clinical picture, I would try the multi-med approach to BPD. I am basing my opinion on the latest research for BPD, so you should give it a try.
1) SSRI - high dose, no matter whether it is Prozac, Paxil, Celexa... I perosnally like Paxil, it works better for anxiety.
2) Low dose Risperdal (i.e up to 2mg) or Zyprexa (5mg). Works great for hypersensitivity when combined with a SSRI. You'll feel a great difference, I promise.
3) Consider adding lithium to the cocktail. It will take out of the dysthymia rather quickly when combined with SSRI. Depakote is also an option, especially if you're very impulsive with rapidly changing moods.My 2 cents,
Jimmy> 1) DYSTHYMIA. Probably for 10+ years. Plus PMS/PME/PMT Definitely become more debilitating. Low energy/fogginess though I can do yoga, dance, workout sometimes.
> 2) AMOTIVATION/NO DIRECTION. Some LOW SELF-ESTEEM.
> I am very bright, educated, talented, and attractive. But I have not channeled my energies nor do I feel clear or compelled to do so. This makes me very depressed/ashamed.
> 3)POSSIBLE BORDERLINE PERSONALITY.
> I fit at least 4 of the criteria, though I recognize that it is easy to latch on to labels.
> 4) SENSITIVE
> Physically and emotionally. Worry that side effects knock me out more than most people.
>
> I realize we are all unique chemically and as to our preferences/tolerances.
> I want energy boost, but worry about too much activation and insomnia (I already sleep poorly (also contributing to depression)
> I want anti-anxiety effect but don't want to be too sedated.
> I also DO NOT want to gain weight. I'm fit, I love it.
> I feel like I have middle of the road blahs and don't want to be sent to extremes. And I don't want to be numbed out either (based on brief Prozac experience) I'd just like to switch to middle of the road bliss instead.
>
> Anyway, that's my story (today). I am interested in what I read here regarding Adrafanil perhaps mixed with SSRI. And willing but reluctant to try PROZAC again. I am hoping to start a good med next week.
> If you have any feedback, I welcome it graciously. Thank you for all your wisdom and sharing.
poster:jimmygold70
thread:88106
URL: http://www.dr-bob.org/babble/20011222/msgs/88229.html