Posted by Ron Hill on May 13, 2003, at 10:44:46
In reply to Re: SSRI for Anger and ARD (Anal Retentive Disorder)? » Ron Hill, posted by colin wallace on May 10, 2003, at 10:31:48
Hi Colin,
Thank you for you detailed response! I’m happy that you are doing well and I hope that the Depakote add-on works (if that’s what you end up trying). Allow me to follow-up with a couple more questions and comments.
> I also intend to bring in reinforcements in noradrenergic form - desipramine or imipramine etc(low dose of course).This could well help counter any SSRI anerga, although wellbutrin would also be worth a shot here(different mechanisms at play of course).
Wellbutrin made me very irritable (GRRRRRRRRRR!) when I tried it several years ago. Based on what I know about you, I wonder if it might do the same to you.
> It also seems clear that you'll need an additional safety net too-you mentioned a *low* dose of valproate, and perhaps that's not such a bad idea as a starting point??My wife thinks that I should try this option, but I think I'll try Neurontin first.
> If Prozac has helped your temper spells in the past, then I wouldn't dismiss it out of hand. May even be worth a tentative shot.
Yeah, but the question remains whether my low dosage of Enada NADH can overcome Prozac's adverse dopaminergic effects. If not, the SSRI will turn me back into "do-nothing-boy".
> I'm sure you'll like Neurontin (very relaxing, even uplifting), but it's only got *mild* antidepressant properties, and it can't masquerade as a mood stabilizer either.
Unless it poops out, I already have the depressive phase of my disorder covered with Enada NADH, TMG, and other supplements. And Lithobid provides the mood stabilizing power to control my mildly euphoric hypomania. Therefore, at this point, all I need is something to treat my anger outbursts. Having said this, however, the anger outbursts may in fact be symptomatic of the need for more of an antidepressant and/or more mood stabilization.
Here’s my question for you Colin regarding Neurontin. Will the “very relaxing” quality help control my irritability (flash rage), or is it just an anti-anxiety effect?
> A benzo??why on earth not, at least untill the anger issue is nailed.A mere 2 to 4mg(child's dose)works well for me.I can take it or leave it as necessary too.
Colin, please tell me what a benzo feels like when one takes it. For example, suppose (for the millionth time) my wife leaves her used breakfast dish sitting dirty on the counter instead of rinsing it out so that I can put it directly into the dishwasher without first having to use a hammer and chisel to remove the crusted remains. Further, let’s say this causes me to blow-up (for the millionth time). If I were to take a short-acting benzo PRN when I first start to get angry, would it help me to control my temper? Also, will I experience any type of rebound-effect after the short-acting benzo starts to wear off, whereby, I become irritable from the mini-withdrawal effects?
Thank you for your input, Colin.
-- Ron
poster:Ron Hill
thread:223158
URL: http://www.dr-bob.org/babble/20030505/msgs/226316.html