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Re: Help, please. Severe anxiety/agoraphobia

Posted by morgan miller on August 18, 2010, at 16:04:44

In reply to Help, please. Severe anxiety/agoraphobia, posted by lepus on August 18, 2010, at 14:24:33

>Clearly, I need more medication as exposure therapy doesn't seem to be working at all.

How long have you been in therapy? Unfortunately, sometimes you get worse before you start to get better.

Have you ever tried psychodynamic group therapy? It may be difficult to find a good one, it's hard enough to find a really good intelligent genuinely empathic/compassionate therapist.

>At this point my doctor is giving me the choice of Abilify or Seroquel XR. I'm afraid of Abilify because I've read anxiety is a side effect. I would only start on 2mg of Abilify. Seroquel XR concerns me because I'm med sensitive (have unusual reactions) and you have to start at a high dose (50mg).

Why do you have to start Seroquel at 50? Something is seriously wrong with the current state of psychiatry. You can start much much lower than that and get some relief. It may take a few weeks, but you can get some relief. I'm not crazy about Seroquel, way over prescribed IMHO. I guess you've already tried Zyprexa. If you have tried Zyprexa and don't think it can help, I would start with a very low dose of Abilify and stay there for a while, 3 or 4 weeks, if you notice improvement after 1 week before thinking about an increase. Maybe 2 mg will be enough.

Have you ever tried a low dose of lithium?

Have you tried a good brand of St. John's Wort? Perika, Kira, New Chapter's Serofin

Are you taking fish oil as an adjunct to medication therapy?

Sorry you are not doing well. I understand, believe me, it's horrible to not be able to leave the house and live life.

Morgan


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poster:morgan miller thread:959055
URL: http://www.dr-bob.org/babble/20100811/msgs/959063.html