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Re: Multiple years on MAOIs and my conclusions SLS

Posted by g_g_g_unit on April 17, 2012, at 8:35:57

In reply to Re: Multiple years on MAOIs and my conclusions g_g_g_unit, posted by SLS on April 17, 2012, at 7:49:09

> I think you are right in saying that it is important to ascertain the type of impulsiveness and its sources before choosing to treat it pharmacologically. For instance, Trileptal (oxcarbazepine) is a drug that is used for some types of impulsive anger issues. However, increased impulsivity can be a side effect. Abilify is a drug that can help with cocaine addiction by mitigating cravings. I don't know if it would be helpful in behavioral impulsiveness, though. If you were self-injuring, I would recommend researching naltrexone or naloxone.
>
> At this point, I would be reluctant to suggest a course of action without knowing more. If your impulsivity included anger, Trileptal would be the most attractive choice, especially since it can help as a mood-stabilizer as well.
>
> Perhaps a psychotherapeutic intervention would be sufficient.
>
> Is there any BPD stuff going on?
>
> Do you gamble?
>

For me, it's hard to draw a line between dysthymia/ADD issues and addiction. I know that, since childhood, I've been drawn to instantly gratifying, highly stimulating activities like video games. I was otherwise able to maintain a relatively normal though unfulfilling life where everything I did was underlined by a subtle sense of boredom and dissatisfaction. Whether this was related to not being able to sufficiently concentrate on said activities, I don't know.

But when my OCD began, at 19, I developed a taste for alcohol and remember finding substance (ab)use far more pleasurable than anything else I'd known up until that point.

So I believe I have some kind of predisposition towards addiction that might be partially mediated by ADD and dysthymia, and which is exacerbated by OCD and social anxiety.

I don't really have any problems with anger and impulsivity. I tried gambling a couple of times and probably would have been hooked if I had the cashflow, but everything I make goes towards seeing my psychiatrist and psychologist, so that isn't really an option.

I have noticed that, when under the influence of Parnate's stimulant effect, I'm far less likely to crave things (chocolate, internet, webchat), but that, during withdrawal,the opposite is true.

 

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poster:g_g_g_unit thread:1015647
URL: http://www.dr-bob.org/babble/20120411/msgs/1015786.html