Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Bipolar/OCD long-term med issues

Posted by greywolf on September 11, 2012, at 23:18:37

In reply to Re: Bipolar/OCD long-term med issues, posted by jono_in_adelaide on September 11, 2012, at 22:13:39

> Have you tried a high dose SSRI (say Zoloft 200mg) along with an NARI (say nortriptyline - dose determined by blood levels) along with an atypical antipsychotic (say risperidone or olanzapine or quietipine sr at night)
> Both atypicals and NARI's have been shown to boost the action of the SSRI's in OCD, attacking the OCD with three drugs with different modes of action might get you over the line, or atleast somewhat closer to it.
> I believe that in certain extreme cases, psychosurgery still has a small role to play - and you seem to be at the end of the line, so it might be worth looking into.
> Also it might be worth considering treatment at a highly specialised institution, for example the Menninger Clinic

Thanks for your thoughts. I have been the way of SSRIs combined with SNRIs/anti-psychs many times. I've been fortunate to also have several pyschiatrists review my lengthy med history, but they have nothing to add in terms of new strategies. None of the combos have had any significant beneficial effect on the OCD. The only combo that has had even a small effect has been Anafranil and Tegretol, but it was inconsequential in the face of my OCD symptoms.

Therapy twice a week has been the only thing allowing me to keep pace with the OCD. I was fortunate enough to treat for several years with a noted US specialist in CBT for OCD, and I spent a month at the University of Pennsylvania Center for the Study and Treatment of Anxiety, which is one of, if not the, best OCD treatment centers in the country. While the treatment was helpful with some of my low-order behaviors, the big ticket items were left untouched.

I'm trying hard to keep a positive mindset and to move forward with the current regimen, but I feel like all this effort the past few years has been going merely to treading water. It's kind of worn me out.




Post a new follow-up

Your message only Include above post

Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.


Start a new thread

Google www
Search options and examples
[amazon] for

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:greywolf thread:1025444