Posted by jono_in_adelaide on September 11, 2012, at 22:13:39
In reply to Bipolar/OCD long-term med issues, posted by greywolf on September 11, 2012, at 21:30:10
Have you tried a high dose SSRI (say Zoloft 200mg) along with an NARI (say nortriptyline - dose determined by blood levels) along with an atypical antipsychotic (say risperidone or olanzapine or quietipine sr at night)
Both atypicals and NARI's have been shown to boost the action of the SSRI's in OCD, attacking the OCD with three drugs with different modes of action might get you over the line, or atleast somewhat closer to it.
I believe that in certain extreme cases, psychosurgery still has a small role to play - and you seem to be at the end of the line, so it might be worth looking into.
Also it might be worth considering treatment at a highly specialised institution, for example the Menninger Clinic
poster:jono_in_adelaide
thread:1025444
URL: http://www.dr-bob.org/babble/20120830/msgs/1025459.html