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Complicated OCD, MAOI?

Posted by Temoigneur on August 13, 2002, at 17:52:13

Hi I have a ten year history of severe OCD with a severe level of free floating anxiety, and occassional panic attacks. I was convinced I was going to die after a panic attack, having gone through an intensive behavioral program, battling the severe OCD, and I was hospitalised for 6 weeks. During that time I was put on so many meds, 12.5mg zyprexa, 225mg Effexor 80mg prozac, 4mg clonazepam, and 15mg Remeron it's an effort to get out of bed, I have little motivation or interest in anything. Without getting into details, my prospects, for happiness in a relationship are not looking up. I've told my doctor how I'm doing, and he knows, he just tells me it's tough, but I just need to exercise, maintain healthy patterns etc. He says the zyprexa can improve over a six month period - I have noticed some improvement on it, but I'm assuming it, (something I'm taking) is making me extremely tired.

My question is weather it might be worth a trial of an MAOI, as I have never tried any of them before. When I first underwent treatment for OCD, my symptoms improved dramatically for four months with prozac, I was in college, get straight A's, with a full load, (one B), then the effects just seemed to wear off, and the anxiety came back, that was about five years ago, and I've never been really well since.


Does anyone know of a similar situation where a given med such as an MAOI worked, or if it might be worth a try. My neuropsychiatrist says that at best the MAOI would have me feeling the same way I do now, in six months time, (he's a strong proponent of anti depressants taking their full 6-8 weeks to work). When my symptoms were dramatically improved on the prozac years ago, I want so much to feel that way again, but my neuropsychiatrist insists that I shouldn't be looking to feel that way again, and I should move on with this so called "good enough" combination i've been put on. Any imput would be so much appreciated.

Thank you


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Psycho-Babble Medication | Framed

poster:Temoigneur thread:116312
URL: http://www.dr-bob.org/babble/20020807/msgs/116312.html