Posted by NYCguy on December 22, 2006, at 18:44:38
In reply to Re: Social Anxiety in the EXTREME!!! Advice Reque » NYCguy, posted by jimmygold70 on December 22, 2006, at 16:59:59
> Hi NYCGuy!
>
> I had a similar story myself. It's really distressing. But don't lose hope! There is remedy!
>
> First, I don't have much experience with Emsem and this doesn't seem a very succesful or interesting drug.
>Hello jimmygold70,
I guess the Emsam seems worth trying again because it was so awesome to feel "connected" to the world or "real" and genuinely non-depressed/anxious for a few of the days I took it. It was so different than the SSRI/SNRI and/or Klonopin response, which is kind of a numbed out/spaced out feeling. It was also different from the "fake feeling good" response I get from Stimulants like Ritalin or Adderall.
> However, trying higher doses of Klonopin should do. I mean 3-4 MG a day, some take even higher doses. For me, 1.5 MG a day does very little.
>I find that the more Klonopin I take the more depressed I feel. I should have indicated in the original post that I was taking 6mg per day for a time. I've tapered down since then. The anxiety has increased... but I feel less "disconnected" than I did. I really don't have the right words to describe it. And a bit less depressed as well. Perhaps a different Benzo would be better.
> Also, take some propanolol and see if it helps - it sometimes does (low doses like 10 MG 3 times a day)
That's an interesting idea. I've never tried a Beta-Blocker before. Thanks!
>
> Plus, add an AD for the long term. I suggest this order:
> 1. Paxil up to 60 MG, and 3 months (!) on that dose
> 2. If it fails - Effexor XR up to 225 MG, and 3 months (!) on that dose. If you tolerate higher doses with no side effects you can go much higer. Get a good PDoc though.
> 3. If it fails - Clomipramine, usual doses
> 4. If all fails, Nardil
>
> If you follow my advice, you'll probably end up with some good dose of Klonopin + option 1 or 2. And get a GOOD Pdoc.
>
> Keep me posted.
>
> Cheers!
> JThanks, Happy Holidays!
poster:NYCguy
thread:715719
URL: http://www.dr-bob.org/babble/20061217/msgs/715766.html