Posted by phidippus on October 20, 2012, at 16:56:05
In reply to Risperdal side-effects, posted by chris2011 on October 16, 2012, at 12:05:39
>I'm also taking 2.5mg Lexapro and 1gm Clonazepam
According to the APA's treatment algorithm for OCD, the first line of defense is ERP. If there isn't enough response to exposurre therapy, an SSRI is recommended for treatment.
Here's the deal. People with OCD have lower levels of serotonin in the brain. To treat this defecit of serotonin, antidepressants are prescribed to increase those levels. Antidepressants recommended by the APA are: SSRIs, Effexor, Mirtazapine and Clomipramine.
Once an AD regimen is established and there are still symptoms, augmentation is recommended with atypical antipsychotics and glutamate antagonists.
Typically, those with OCD have an over active nucleus accumbems and an atypical antipsychotic can help lower dopamine levels in this part of the brain, lessening OCD symptoms.
One problem I see already is your less than therapeutic level of Lexapro. 40 mg is the recommended treatment dose for OCD.
Risperdal isn't going to help you much if you aren't taking an adequate dose of AD.
>I've been diagnosed with major depression (although could be dysthymia), OCD, and generalized social anxiety disorder. The OCD and SAD are the most problematic for me.
First off, you need to be on an adequate dose of AD to tackle all these issues. 2.5 mg of Lexapro is sub therapeutic.
>My social anxiety is pretty severe and I've heard Parnate can help with OCD as well as the SA.
Parnate and most other MAOIs are not recommended for the treatment of OCD. Studies show MAOIs are inadequate in treating the condition.
Eric
poster:phidippus
thread:1028855
URL: http://www.dr-bob.org/babble/20121018/msgs/1029247.html