Posted by chad_3 on September 27, 2002, at 2:39:27
In reply to Re: Refererals ..., posted by cybercafe on September 26, 2002, at 23:40:45
Hi again -
Man am I intolerant to med changes now after amisulpride! I used to tolerate anything safe in terms of change no problem.
Anyway - I feel better again after last night - geez!
So I gotta comment here can't pass up on this ...
For SP and panic both Nardil rules over Parnate in monotherapy and people can say whatever they want here but they are not talking about primary generalized SP. You can look at all research - or you can even scan this p/b board for sp and nardil, sp and parnate - personally i've been sporadic here and seen many people chime in how nardil treats their sp wonderfully - never seen 1 such claim for parnate - not here only - but at my website - from a dr. - nowhere except on tom richards 1 man show in pheonix where fast highs works in cbt ... (parnate fast highs - as well as klonopin - people go away thiking it was his cbt made them feel good that week ... ; ) ).
All you will see here about parnate for sp or anywhere is that somebody switched and their sexual problems lessened - or their sedation.
Again - somebody with major depression - meloncholia - and secondary sp - this is not primary generalized sp and that is not where to look for what works for primary general sp.
talk to any of the top guys - liebowitz, davidson, marshall - they've been around the longest - it is hands down nardil and klonopin.
Dave - "benzo's" for SP is not the issue because only Klonopin has high efficacy for SP. None of the others have proven efficacy. Xanax was barely above placebo in 1 study - probably mostly women responding to monotherapy there.
Cybercafe - sounds like you are agorophobic primary. The SP coming second would suggest it anyway as likely. My opinion you probably need to treat the agoraphobia as primary - that is one anxiety disorder i haven't looked at treatment on - not sure what is good there...
Dave - you are 100% on - benzo's do zip for SP - with one exception which is hugely succesful for primary general SP. Again talk to all the experts here liebowitz, marshall, davidson, gorman, et al.
Or - if you like talk to the "new" SP "guru" - Mr. Murray Stein at UCSD - but he is likely to say Paxil because was in on all the FDA studies promoting this weakly effective SP drug...
Ultimately - I will take the hit - for the longer I keep posting here - the more I miss out getting back to life. I remember how I did that at alt.support.socialphobia - some guy "sylvain" was a poster for years apparently - everyday writing how great paxil was for sp. then he finally explained that he lived in almost complete isolation.
I went from over "very severe" on the SP scale (off the scale) - to "mild" after treatment. And from what looked like possibly never being able to hold any permanent job to stable professional work and good work history for 7 years, overcame fear of dating (basically none) - to having girlfriends - and to being 100% dependent on nuclear family most of each week to completely independent for almost 4 years prior to amisulpride in 2002.
Personally I like to hear diagnoses - treatments - and most important stories specific to success of treatment over hyperbole and general talk with nothing personal and no evidence backing up efficacy of treatment. That is the big problem with info on the internet - including - I'm afraid my post here because how do you even know I'm telling the truth (but I assure you I am!!).
Good night... (I have been generally doing MUCH better last couple weeks - yesterday was rough though - did not handle small amount of provigil well - med sensitivity!) ...
See ya
Chad
http://www.socialfear.com/> > Most likely that is true for GAD and panic disorder, but SP seems to be a rather unique anxiety disorder.
>
> i have agoraphobia and social phobia... though the latter came before the former
poster:chad_3
thread:120640
URL: http://www.dr-bob.org/babble/20020922/msgs/121190.html