Psycho-Babble Medication Thread 1107422

Shown: posts 1 to 16 of 16. This is the beginning of the thread.

 

What are current regimens for extreme rumination?

Posted by TriedEveryMedication on December 24, 2019, at 17:58:13

Extreme, relentless rumination that distracts you just about every minute?

 

Re: What are current regimens for extreme rumination?

Posted by rjlockhart37 on December 24, 2019, at 23:32:11

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

what im gonna do, later on in life, i'm not boasting at all, so please don't think, but have alot of social media accounts, and i don't know through those if i could make money. I work on them all the time, just for enjoyment for viewers, but i'm studying for info security degree, i feel or think all the time about doing a jump, political, getting into attention online, but i'm just afraid to do it. I also think about 2005, that, that memory feels like it's still waiting, i just got out of high school, and prepared to go to college, back then i was planning investor, investment banking, and it's, it's still in my dreams, like i frequently go back to graduation day, going off to college, when that was 14 years ago. Like go back and, redo what i originally started to get that memory fulfilled

 

Re: What are current regimens for extreme rumination?

Posted by linkadge on December 25, 2019, at 8:12:41

In reply to Re: What are current regimens for extreme rumination?, posted by rjlockhart37 on December 24, 2019, at 23:32:11

SSRIs, buspirone, benzos and perhaps anticonvulsants come to mind.

I have extreme rumination and one 'alternative' has helped quite a bit. You likely won't believe it, but its cheap enough to try. Get a mini super magnet and tape it to your left prefrontal cortex.

I know it sounds hokey, but it actually does work. Mind you, not too practical for outside.

https://www.amazon.com/DIYMAG-Powerful-Neodymium-Permanent-Scientific/dp/B06XD2X45M/ref=sxin_3_ac_d_rm?ac_md=0-0-bWFnbmV0-ac_d_rm&keywords=magnet&pd_rd_i=B06XD2X45M&pd_rd_r=8a89af52-65cf-4a03-9e55-4f7fdd135dd3&pd_rd_w=EAqcY&pd_rd_wg=6fUiz&pf_rd_p=6d29ef56-fc35-411a-8a8e-7114f01518f7&pf_rd_r=65K216YC0SDTJ0JBQH4H&psc=1&qid=1577283085

Linkadge


 

Re: What are current regimens for extreme rumination?

Posted by undopaminergic on December 25, 2019, at 8:57:04

In reply to Re: What are current regimens for extreme rumination?, posted by linkadge on December 25, 2019, at 8:12:41

> SSRIs, buspirone, benzos and perhaps anticonvulsants come to mind.
>

I don't know about anticonvulsants, but antipsychotics may also be worth trying. An opioid could get you out of your rumination probably within less than an hour.

-undopaminergic

 

Re: What are current regimens for extreme rumination?

Posted by Christ_empowered on December 25, 2019, at 9:05:03

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

if the ssri drugs don't cause major problems for you, that's one common treatment. buspar never did much for me, solo, but it did boost antidepressants that hit serotonin.

maybe...try gabapentin or lyrica, even as needed, just to give your mind a break now and then? benzodiazepines are a valid option, but now docs are supposed to be more careful about Rx'ing, blah blah blah, plus the very real risks involved with long term use, blah blah blah...

i don't know if you have other "issues" coming into play, but the wellbutrin+ssri combination is a golden oldie that can cover a lot of bases. personally, wellbutrin was less apathy-making than ssri drugs, but after I dropped it, I suddenly realized it had taken the edge off some of my 'obsessive traits' or whatever.

in bona fide ocd, low(ish) doses of neuroleptics can sometimes be helpful. id avoid unless its needed, but...yeah. an option. more 'atypical' than typical, i seem to recall reading that the current data (such as it is...) supports a low dose of risperidone above other options. i could be mistaken.

can you take tricyclics? they tend to be rather harsh and all, but there's one...amoxapine...recommended to me by a psych for severe depression with intense ruminations...


partially metabolized into loxapine, an older antipsychotic that is OK, in low(ish) doses. when it works, it often lifts mood, calms agitation, etc. within 1-2 weeks, which kind of lines up with more recent data on 'atypical'+antidepressant combinations...even when there's no improvement in overall remission rates, the rate of response is often accelerated.

the dual-acting (SE+NE) drugs, old and new, are sometimes a valid option. helpful, I know (LOL). the oldest option out there would be Tofranil or the newer Tofranil-PM (pamoate), which apparently has a relatively balanced action on serotonin and NE, but...

its -rough-. trust me on that one. oh, and overdoses can result in an agonizing death. there's that, too.

ok. hope this helps a bit. :-)

 

Re: What are current regimens for extreme rumination? » TriedEveryMedication

Posted by beckett2 on December 26, 2019, at 22:51:53

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

> Extreme, relentless rumination that distracts you just about every minute?

For rumination w/o compulsion I find pregabalin very helpful. (But I've mentioned this before.)

 

Re: What are current regimens for extreme rumination?

Posted by Hugh on December 27, 2019, at 10:24:13

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

None of the antidepressants I've tried (about a dozen) have reduced my ruminations. What helped them the most was neurofeedback. For over a year before I tried neurofeedback, I'd been ruminating many times a day about a former girlfriend. After about ten neurofeedback sessions, I realized that I was rarely thinking about my former girlfriend anymore.

 

Re: What are current regimens for extreme rumination? » TriedEveryMedication

Posted by phidippus on December 29, 2019, at 21:38:00

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

What is the nature of your ruminations?

 

Re: What are current regimens for extreme rumination?

Posted by TriedEveryMedication on December 30, 2019, at 8:35:18

In reply to Re: What are current regimens for extreme rumination? » TriedEveryMedication, posted by phidippus on December 29, 2019, at 21:38:00

> What is the nature of your ruminations?

I'll be trying to do something, some work or something and events from the past will just pop into my mind and play out over and over and over, causing distraction.

Recently, these ruminations have turned into regrets that play out over and over and over.

one shrink thought it was OCDish, but my psychiatrist ruled that out.

 

Re: What are current regimens for extreme rumination?

Posted by Hugh on December 30, 2019, at 12:20:09

In reply to Re: What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 30, 2019, at 8:35:18

You might try doing Bilateral Stimulation (BLS) a few times a day, when the ruminations are especially strong. Laurel Parnell demonstrates how to do it in this short video:

https://www.youtube.com/watch?v=sxB7mWtf3Vg

 

Re: What are current regimens for extreme rumination? » TriedEveryMedication

Posted by phidippus on December 30, 2019, at 20:02:20

In reply to Re: What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 30, 2019, at 8:35:18

Your psychiatrist should not have ruled out OCD. In my opinion your ruminations are instigated by an intrusive thought that then becomes recurrent. Common themes amongst those who suffer OCD are regrets or guilt about something.

The thought is intrusive and recurrent. What you should be prescribed is high doses of antidepressants.

 

Re: What are current regimens for extreme rumination?

Posted by TriedEveryMedication on December 31, 2019, at 16:46:01

In reply to Re: What are current regimens for extreme rumination? » TriedEveryMedication, posted by phidippus on December 30, 2019, at 20:02:20

> Your psychiatrist should not have ruled out OCD. In my opinion your ruminations are instigated by an intrusive thought that then becomes recurrent. Common themes amongst those who suffer OCD are regrets or guilt about something.
>
> The thought is intrusive and recurrent. What you should be prescribed is high doses of antidepressants.

I see things that claim a differential diagnosis as depressive rumination with guilt.

my psychiatrist did give me a battery of tests and ruled out OCD

https://i.imgur.com/xs7Dbwy.png

 

Re: What are current regimens for extreme rumination? » TriedEveryMedication

Posted by beckett2 on December 31, 2019, at 17:59:20

In reply to Re: What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 31, 2019, at 16:46:01

> > Your psychiatrist should not have ruled out OCD. In my opinion your ruminations are instigated by an intrusive thought that then becomes recurrent. Common themes amongst those who suffer OCD are regrets or guilt about something.
> >
> > The thought is intrusive and recurrent. What you should be prescribed is high doses of antidepressants.
>
> I see things that claim a differential diagnosis as depressive rumination with guilt.
>
> my psychiatrist did give me a battery of tests and ruled out OCD
>
> https://i.imgur.com/xs7Dbwy.png


What I have too :(

 

Re: What are current regimens for extreme rumination?

Posted by creepy on January 13, 2020, at 21:42:46

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

Antipsychotics and not necessarily the atypical ones. Also therapies for trauma like inter family systems and even EMDR.

 

Re: What are current regimens for extreme rumination?

Posted by undopaminergic on January 14, 2020, at 7:10:48

In reply to Re: What are current regimens for extreme rumination?, posted by creepy on January 13, 2020, at 21:42:46

> Antipsychotics and not necessarily the atypical ones. Also therapies for trauma like inter family systems and even EMDR.
>

I've tried EMDR on my own, to make embarrassing memories less emotional. It seems to me I've had at least a little success.

I don't ruminate much, at least not so much that I regard it as a problem.

-undopaminergic

 

Re: What are current regimens for extreme rumination? » TriedEveryMedication

Posted by phidippus on January 14, 2020, at 11:54:54

In reply to What are current regimens for extreme rumination?, posted by TriedEveryMedication on December 24, 2019, at 17:58:13

I used to ruminate incessantly. It caused a lot of depression and was very distracting. I found two medications that worked very well to quell the ruminations and they were Mirtazapine and Trintellix. I am still on Trintellix and I hardly ruminate. Also, counseling can help control these thoughts.


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.