Posted by phidippus on July 21, 2014, at 9:52:53
In reply to Re: Best dopamine enhancing selective med, posted by Sugardog on July 20, 2014, at 21:42:35
>If you're not a pdoc, you should be!
I'm studying neuroscience.
> THE NEGATIVE SELF-THOUGHTS ARE PRETTY CONSTANT AND PERSIST THROUGH ANYTHING I'M DOING.
Do they cause you anxiety or depression or both? Have you ever tried to 'agree' with the thoughts? For instance, you have a negative thought and you respond, "That's right, I'm the worst person this side of the Mississippi!". Another thing to try is writing all the negative thoughts down as you have them then later reading what you wrote.
>JUST A CONSTANT NEGATIVE VOICE IN MY HEAD.
This seems a bit obsessive. Beating yourself up repeatedly. On the medication side of things I'd recommend a higher dose of Lexapro(40 mg) and augmentation with an atypical antipsychotic that agonizes 5ht1a receptors (these receptors improve mood and lessen anxiety when agonized)-Latuda, Geodon(it is also an SNRI) and Abilify all agonize 5ht1a receptors.
You could also try Brintellix. On top of being an SSRI,it agonizes 5ht1a receptors and 5ht1b receptors which both effect mood. It also antagonizes 5ht1d receptors which helps lessen anxiety and it antagonizes 5ht7 receptors which helps with mood.
> MAYBE IT MADE ME FEEL GUILTY BECAUSE I HAD A SECRET FEAR HE NEVER REALLY WANTED TO BE A FATHER.Even when you were young you had a lot of fear.
>I PROBABLY FELT VERY ANXIOUS ABOUT THE ABANDONMENT.How did you cope with your anxiety?
>IF HE HADN'T BEEN MY FATHER, MAYBE HE WOULDN'T HAVE GOTTEN PARALYZED.
There's no logic in that.
> WHEN HE WAS DEPRESSED.
How often was this?
> LEXAPRO (WHICH I'M ON NOW 20MGS)This negative self talk may be recurrent and intrusive, which would indicate you have OCD. OCD is often treated with higher doses of SSRI. Usually the highest recommended dose is doubled-in your case you would take 40 mg of Lexapro.
> HOW HIGH A DOSE? I WAS ON A THERAPEUTIC DOSE OF ZOLOFT WHEN I TOOK THE ABILIFY
A normal therapeutic dose of Zoloft is about 100 mg, whereas a dose for OCD would be 200 mg. Then add Abilify at a low dose and adjust upward until you feel results.
>AND I HAD SUCH A STRANGE REACTION TO THE DRUG. I WAS TOTALLY ZONED OUT, THEN VERY TEARY, THEN FOCUSED, CALM, AND HAPPY FOR A FEW HOURS, THEN TEARY AND DEPRESSED AGAIN.Abilify can cause mood shifts which usually pass after a few doses.
> DX'ED WITH MIGRAINE-INDUCED VERTIGO BY A NUERO TWO YEARS AGO.
Yuck. I have chronic daily headache.
> YES!! UNFORTUNATELY, I CAN ONLY TAKE IT IN THE EVENING BECAUSE IT MAKES ME TOO MELLOW AND UNMOTIVATED DURING THE DAY.Have you tried Gabitril for the anxiety?
> NEW PDOC THOUGHT A LOT OF MY ANXIETY MIGHT BE FROM UNDIAGNOSED ADHD.
I doubt it.
> Clomipramine.
>
> I'LL TAKE TO MY PDOC ABOUT THAT.Gold standard for depression and ocd.
> > Let's figure out if you have OCD.
>
> YOU ROCK!!!!you're intrusive thoughts seem to center around negative self-talk and these thoughts are recurrent causing you anxiety. How does your depression figure in? I think it comes after the negative thoughts. I don't think medication is going to help you all the way with the negative thoughts. I think you need to see a therapist who specializes in anxiety disorders, like OCD, to help you train your brain to more effectively deal with the thoughts. Go to psychologytoday.com and you can find a therapist by specialty.
How does your anxiety affect your mood?
Eric
poster:phidippus
thread:1067983
URL: http://www.dr-bob.org/babble/20140717/msgs/1068628.html