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Re: Why antipsychotics for Depression, Panic, OCD...? Skeletor

Posted by Jadde on April 2, 2020, at 10:49:35

In reply to Why antipsychotics for Depression, Panic, OCD...?, posted by Skeletor on March 30, 2020, at 16:54:08

> What is the rationale behind prescribing antipsychotics for Depression, Panic, Anxiety and OCD?
>
> There is a growing trend for antidepressant + antipsychotic combos. One does regularly read that patients get prescribed an SSRI and in addition they get some atypical antipsychotic. What is the goal of prescribing an antipsychotic to a person with Depression, Panic, Anxiety or OCD? Shouldn't it be last resort
> It's just that I am unsure about the anti-dopamine effects. It seems to me that one does not want that when having run-of-the-mill-depression.
>
> https://psychotropical.com/psychotic-depression-and-tranylcypromine/


> What is the rationale behind prescribing antipsychotics for Depression, Panic, Anxiety and OCD?
>
> There is a growing trend for antidepressant + antipsychotic combos. One does regularly read that patients get prescribed an SSRI and in addition they get some atypical antipsychotic. What is the goal of prescribing an antipsychotic to a person with Depression, Panic, Anxiety or OCD? Shouldn't it be last resort?
>

I, too, am unsure about how/why APs work on mood. Years ago I was prescribed Olanzapine and it knocked out a painful depression. So they do work for some people. I stopped taking it because of weight gain. I now take it again, 5mg for sleep (sometimes works, sometimes not).

Jade


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