Posted by quasimotor on March 2, 2013, at 17:33:53
In reply to Re: treatment resistant » quasimotor, posted by phidippus on March 2, 2013, at 14:27:31
> >diagnosis is atypical/agitated depression and panic disorder/GAD
>
> An AD is the best treatment for both your depression and anxiety. Have you tried Luvox or Viibryd? Of all the ADs you were on, how long were you on them?Tried luvox for about two weeks once. Same reaction as to most SSRIs. Don't know much about Viibryd, but I'll research it. I spent years on Paxil, same with Effexor. Did a 6 month trial with Celexa, also Cymbalta. Most other ones were fairly brief. I have paradoxical reactions to serotonergic drugs. They dramatically increase my general physical restlessness to an intolerable level, even if they diminish the anxiety/depression. I know this is common in initial treatment, but it my case the side effects do not diminish over time.
>
> >currently on phenelzine 45mg. not working too well anymore.
>
> Not the best medication for your diagnosis.
Why not? Just curious. From what I've read, MAOIs can be helpful for people that cannot tolerate/are unsuccessful with newer ADs. Like I said, it actually worked for a little while. Quit pretty quic, though.
>
> >akathisia/whatever you want to call it. tried propanalol to counteract. useless.
>
> Cogentin or Artane are better treatments for akathisia.
Tried those. No luck. I refer to it as Akathisia only because it's the most clinical way to describe it. But I sometimes don't know what it is. Akathisia? Anxiety? Whatever I'm dealing with, it's nearly impossible for me to sit still. Almost like ADHD. But that's unlikely. It's present without medication. But medications generally make it worse.
>
> >EMDR/ECT
>
> EMDR is more for PTSD. ECT will do nothing for your anxiety.
Yeah. I know. But we are grasping at straws I guess. I'm already on psych disability. Every year I function worse than the last, though it is amazing i've managed to recover from heroin addiction and bulimia. Hard to pat yourself on the back when you feel miserable though.
>
> Eric
Thanks for your input, Eric. I appreciate it.
poster:quasimotor
thread:1039065
URL: http://www.dr-bob.org/babble/20130222/msgs/1039363.html