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Re: Do these symptoms/reactions sound familiar? » SLS

Posted by g_g_g_unit on January 28, 2012, at 6:38:26

In reply to Re: Do these symptoms/reactions sound familiar? » g_g_g_unit, posted by SLS on January 28, 2012, at 6:18:44


>
> What do you experience that indicates to doctors that you have OCD?

I would prefer not to go into too much detail, but the presence of OCD is an indisputable aspect of my condition and has been diagnosed by multiple OCD specialists. Typically, I experience intrusive thoughts (e.g. being accountable for my parents' death) or sensations (such as fixating on my breath), which will provoke avoidance/reassurance-seeking strategies.

>
> If you have not done so already, you might want to compare and contrast OCD to ruminating in depressive disorder. Ruminating can even occur in the absence of depression.
>
> Is there any chance that your medication is producing cognitive impairments? Lamictal at dosages above 200 mg kicked my butt.

It was easier to determine what was doing what prior to depression. When I just had OCD+ADD symptoms, SSRIs would reliably diminish my concentration, alertness and reading comprehension. Discontinuing them would always allow me to return to a baseline where I was highly anxious but more functional than on medication. Stress has played a huge factor in my illness - I find it improves alertness and motivation, which my psychiatrist said would be consistent with catecholamine release.

Now, since my attention etc. is so bad, I find SSRIs neither improve it nor diminish it.

>
> Speaking only for myself, my cognitive impairments are so profound that they can be considered a form of dementia (non-Alzheimers). These impairments dissipate when my depression improves. As one ages with major depressive disorder, cognitive effects can become more prominent than depressed mood such that the term "pseudodementia" was coined to describe the common mistake made of misdiagnosing MDD as being Alzheimers Dementia.
>
I'm really sorry to hear that. I don't think I'm quite at that stage .. I'm typically struck by mental and physical anergia, which, like I say, will improve with stimulating agents, but I just can't seem to reap any kind of consistent or stable effect.

Anyway, I wonder if I'm just highly sensitive to noradrenaline-effecting drugs.

 

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