Posted by SLS on September 23, 2013, at 21:16:42
In reply to Are anxiety and panic always linked to serotonin?, posted by Guy on September 23, 2013, at 19:53:58
I think that you ask the right questions, but your suppositions may be wrong.
> If anxiety and panic are caused by a deficiency in serotonin,
*If*
I don't think that this has been proven.
> why do anti-depressants not help me?
I don't know. Neither do I know why an antidepressant is anxiolytic for anyone else. I have to believe that someone could help you more than I can, though.
> I was on a high dose of doxepin for several months and the increased anxiety just about killed me.
Too much NE?
> Also bad experiences with Zoloft and Buspar. I can tolerate Remeron but it does not stop panic or do much for anxiety. I don't get it! I'm trying to decide if I should try another SSRI such as Celexa, or an MAOI such as Nardil.
> However, what's the point if low serotonin is not my problem?
*if*
I don't now how "low serotonin" can be measured and made relevant to clinical presentation.
Have you tried:
Luvox?
Paxil?
Effexor?What about antipsychotics?
What about anticonvulsant mood stablizers or lithium.
Nardil is a good choice for some people. However, I wouldn't know how to predict outcome based upon your treatment history.
I think that the most important thing to come away with from this post is the recognition that "they" know a lot less than we think they do. However, they do know far more than I do. This understanding is not so much important in attempting to choose the drugs to treat mental illness with as it is to choose drugs to reject from consideration.
I don't see a benzodiazepine listed here.
I know that I haven't added anything very productive here. I have not answered any of your questions in a way that would help you make treatment decisions. I'm not feeling terribly smart right now, but perhaps this is a better way to be than feeling very smart.
Good luck.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1051212
URL: http://www.dr-bob.org/babble/20130828/msgs/1051224.html