Posted by brussell on December 19, 2003, at 22:38:38
In reply to Turning my life around (social anxiety « mrgeek, posted by Dr. Bob on December 19, 2003, at 19:57:32
I found your story very interesting and fun to read. The part about the Paxil was hilarious!
Seriously, I'm sorry you've had so many rotten things happen lately. I think you definitely need to treat this depression and social anxiety aggressively. Fortunately, there are a lot of meds you haven't tried yet.
In my experience, the only AD's that have minimal to no sexual side effects are Welbutrin and Parnate. Serzone isn't bad either, but it can cause liver problems.
I'm not a neurochemistry expert, but I think you've got some good ideas for meds. A stimulant might really help you, and I agree you should move to a non-SSRI antidepressant.
Welbutrin has an energizing effect for a lot of people, but it's AD effects are kind of subtle. Some people swear by Effexor. Just keep trying stuff, and don't give up.
If you keep having trouble, remember that MAOIs are a viable option. They have a great track record for working when all other ADs have failed.
poster:brussell
thread:291739
URL: http://www.dr-bob.org/babble/20031219/msgs/291788.html