Posted by Questionmark on May 13, 2009, at 20:20:38
In reply to Best meds for social anxiety (plus depression)?, posted by AdamCanada2 on May 7, 2009, at 1:08:16
Adam. (I have not read any of the other posts in the thread so forgive me if i say anything already covered.)
I cannot-- morally, philosophically, or rationally-- tell anyone not to take his or her own life. I hope you do not, and i hope you do not ever have to. But it is one of the most complex and ambiguously difficult philosophical questions. (In fact i believe someone has a quote)... Okay i looked it up...
From Albert Camus:
"There is but one truly serious philosophical problem, and that is suicide. Judging whether life is or is not worth living amounts to answering the fundamental question of philosophy. All the rest -- whether or not the world has three dimensions, whether the mind has nine or twelve categories -- comes afterward. These are games; one must first answer."Wow that's more brilliant than i remember.
Anyway... (i'm sorry)... as i was saying, i cannot tell anyone, definitively, not to take his or her own life. However, i will tell you this:
Do NOT. even seriously consider. ending your life. before you try Nardil. I may only be alive right now as a result of Nardil. And you seem like a good candidate for it. It may not help your memory difficulties at all and may possibly even somewhat exacerbate them (though i doubt any more than Paxil or benzos would), but for me it seems better to have a slightly worse memory than to be paralyzed with despair.
Also, PLEASE do not choose not to try Nardil because you had a trial with Parnate. They are VASTLY different drugs. (I actually was more depressed on Parnate than off, yet miracle is a miracle antidepressant for me). One of the many misconceptions about MAOIs that have unjustly damaged their reputation so much is that of them being more or less similar in their effects. Nothing is further from the truth. Strangely, they do not talk about tricyclics or APs this way, for example. And SSRIs *are* all similar in their effects.
Trust me. Try Nardil, give it enough time at a high enough and not-too-high (which could make the side effects worse than they need to be or even intolerable) dose, and then prepare to feel the amazing relief of having the darkness and pain being pulled away.
Also it may be difficult finding a dr who will prescribe it to you but you will be able to find one if you search around.(My suggestion for ideal trial)...
Start or work up to 45mg/day; stay on for at least one month.
If Depression or Anxiety still lingers too strongly, increase to 60mg for at least one month.
If not sufficient, increase in increments of 15mg per at least one month. (For some 45mg is ideal; others might not gain relief until as high as 90mg.)
Also, i believe it is definitely preferable to split doses to at least three times a day; and maybe 4 at the higher doses.Finally, it is important when you do find relief to remember to work "at it"-- on your life, your self, etc.-- all the while, preferably with therapy. It may be easier than you think to fall into contented stagnation with this kind of a powerful depression-blocker.
And finally, don't forget what you have learned through your depression, when it mostly evaporates.Oh, and one other thing. I sort of convinced myself that Nardil will be the answer for you, particularly in light of your two main "diagnoses". I do strongly believe it will help you. If, however, it is not enough, or not right for you, i still urge you to keep looking and fighting. New and novel drugs and other treatments will continue to be developed (albeit more slowly than we would all prefer, but still), and, unfortunately and in some ways fortunately, we will all get to die someday. And none of us may ever get to live again.
That does not solve the question/problem absolutely, but i think there is really something to that, if you know what i mean.Good luck to you.
Sincerely.
> Sometimes I feel like I am reaching the end of my rope. Today has been a day I have more seriously considered possible suicide than perhaps ever before. It's been 8 years since I been poisoned by accutane (doctor improperly gave me a dose 4 times greater than my weight would recommend) and I am stagnant.
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> Huge depression (the kind where I lack emotions, motivation, drive, enjoyment) and huge social anxiety. Oh before I forget my permanently damaged memory from ECT (they did it improperly) that curses me every waking day. And frequent insomnia issues any time when I feel a bit better than ''horrible''. Also my depression involves burning head pains, as if my skull is on fire any time when I am feeling worse. If anyone can give me an idea how to fix that issue or what on earth is actually truly wrong with me then please THROW ANY LONG SHOT idea towards me.
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> I tried Paxil, Parnate, Ativan, Clonazepam, Diazepam, Xanax, Stablon, Ritalin (loses effect), Dexedrine (same), and certain others that supposedly help for SA + Major Dep but the relief they provide is too often too minor.
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> Ritalin and Dex where wonderful in the beginning but these days those do too little. I became too tolerant. Parnate was too inconsistent. At times it seemed like a miracle and other occasions it was Ugh.
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> Any suggestions (numerous if you can, I tried over 25 meds) please because I am sick and tired of my pathetic life and sick and tired of constantly asking for help.
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> Please put up with me, and please help.
poster:Questionmark
thread:894612
URL: http://www.dr-bob.org/babble/20090505/msgs/895637.html