Posted by JohnX2 on March 4, 2002, at 18:16:52
Hi Jill,Sorry if this is long.
Ok, for starters I think we may want to do a little
bit of interrogation on your history. I hope you
don't mind. Its easier for people to give suggestions/
experiences if they can see the trends in your
treatment and maybe say "hey, I went down that
path, here's what happened with me".Please remember. EVERYOBODY is different. It is
ABSOLUTELY IMPOSSIBLE for anybody to tell you with
certainty how you will respond to a medication.
One person's failure on a medication does not
imply your failure, one persons success does not
imply your success. What we do have are statistical
trends on what medicines TEND/LEAN towards working
the best in a given situation. And to save yourself
the most pain and suffering it is best to start
with these routes. No guarantee of success, but
we want to skew the odds in your favor. An accurate
diagnosis is the most crucial piece of information.Probably you already know this, but maybe other
people making a lot of posts using up bandwidth
don't. Anyways, this is why we have such a large
array of medicines on the counter.So back to summarizing your history (sorry
if I haven't really stayed on top of your
earlier posts):I have:
1) social phobia/generalized anxiety
2) depression (apathy)
3) pain ??
4) you mentioned ADHD, anything here?Now were missing some pieces of the Jill K
puzzle in these areas:1) maybe a little more insight into your depression/anxiety
Would you categorize it as Major Depression (feeling
really empty inside, can't experience pleasure at all,
think about dying)? Or are you primarily anxious and
maybe lacking motivation, interest in life, fearful
of social settings etc?2) What were all the medicines you tried in the past
and what were the outcomes?Have you tried any of the default SSRIs (Zoloft,Celexa,etc).
Failures?Tried MAOIs (Nardil is often prescribed for social phobiam
Parnate, Deprynyl are other options)?Ever tried an atypical antipsychotic like
Zyprexa/Geodon?What are your main concerns regarding starting a new
medication? That it will have bad side effects, it won't
effectively address your depression, etc?What kind of pain symptoms are you having?
Of all your problems, were are you hurting most?
Sorry for all the questions. But I think they
really would help us to give you better support.I'm not an expert in Social Phobia, I have a
gold card in pain and depression though.Best wishes.
John
poster:JohnX2
thread:96373
URL: http://www.dr-bob.org/babble/20020301/msgs/96373.html