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Re: Dissociative Panic Attacks...different treatment?

Posted by Emily Elizabeth on July 20, 2005, at 22:53:19

In reply to Dissociative Panic Attacks...different treatment?, posted by _Grant Em on July 20, 2005, at 16:20:16

I don't know a lot about these issues, but I thought I'd comment on what jumped out at me.

1. It is very hard to just stop Paxil. Absolutely don't do that. It will make you feel awful physically and mentally. You need to go very slowly and do it under the supervision of a (knowledgable) doc.

2. It sounds like you have a complex problem that is going to require some creativity on the part of your physician. I say this to folks all the time, but I'll say it again b/c I believe it makes a huge difference: see a psychiatrist and not just your regular doc. What you are dealing with reaches outside of what most regular docs have experience with. A pdoc is likely to be more aggressive and have more ideas.

3. You seem to be on a low dose of Paxil. Have you tried more? For a while I took 50mg of Paxil and a tiny bit of Wellbutrin to offset the sleepiness. Have you tried other meds before?

4. Psychotherapy can be very useful for many things, if you have the option, you should do it. (Of course, I am training to be a therapist, so I'm probably a little biased..)

Best,
EE


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poster:Emily Elizabeth thread:530664
URL: http://www.dr-bob.org/babble/20050718/msgs/530886.html