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Re: Sudden sensitivity to SSRIs/side effects? » Dispossessed

Posted by phidippus on March 2, 2014, at 19:46:55

In reply to Re: Sudden sensitivity to SSRIs/side effects?, posted by Dispossessed on March 2, 2014, at 19:11:42

> What would you recommend?

I would recommend getting back on an SSRI and aggressively treating the akathisia. Beta-blockers are front line medication for akathisia, but a bunch of other medications have been shown effective:

Benzodiazapines
Opiates
Amantadine
Requip
Mirapex
Clonidine
Guanfacine

and remember, OCD requires high doses of SSRIs to be treated adequately - Zoloft up to 400 mg, Prozac up to 60 mg, Lexapro 50 mg, etc.

>If CBT is the most successful way to treat OCD, does this mean that it is possible to rectify the serotonin imbalance without medication?

CBT is not the most succesful way to treat to treat OCD, though it can be helpful, along with DBT. The most successful teatment for OCD is ERP (exposure and ritual prevention). Its best to find a therapist who speciacalizes in OCD and ERP along with CBT therapies. ACT is very helpful as well.

Therapy will not rectify serotonin imbalances, but will provide you the tools to cope with OCD. ERP will affect brain circuits directly, lessening the brains response to perceived danger.

Eric


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