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Re: REALLY NEED ADVICE, PLEASE!

Posted by Peter on October 9, 2003, at 4:39:25

In reply to Re: REALLY NEED ADVICE, PLEASE! » Peter , posted by wsj on October 8, 2003, at 23:42:17

Hi guys:
Thanks a lot for your feedback. Although I am probably going to end up on an MAOI, I've decided to just give the lex the full 6-8 weeks (It's been 34 days). If I don't respond well by then, I'll start the voyage to MAOI-land.
I'm beginning to realize, though, that all of this has as much to do with my attitude as it does with the efficacy of the meds themselves. The lexapro is doing SOMETHING; I can see that by the fact that I am waking up earlier, etc. But I have not really been 'allowing' it to work positively because I'm letting my pre-conceived notion that all SSRI's suck get in the way. So this is where the psychosomatic element of the med not working comes in. I'm also not cooperating, so to speak, as much as I could with the med. For instance, when I'm jolted awake early in the morning, I've been taking ambien and going right back to sleep again, only to sleep through my alarm, wake up extra late, feel crappy, and waste the whole day. What I could try is 'going with the lexapro flow' and getting out of bed when I wake up, taking advantage of some free time in the early morning, do some exercise, etc..I think that, this far into treatment, I can do things that could increase my chances of responding well to the lexapro - things that are conducive to my health. I've realized that psychology plays a big role in my reaction to meds; if I go into it thinking it ain't gonna work, chances are that attitude will affect it. So I'm going to give the lex a couple more weeks, since I've come this far, but for these weeks I will concentrate on doing what I can to 'cooperate' with the med and have a positive attitude about it working. My pdoc agrees that if I can get past the stress and just find a way to deal with the ambiguity of whether the med will work, day by day, there's more of a chance that it will have some sort of efficacious effect. I think it's worth the last stretch. Meanwhile I've heard nothing but terrific things STILL about MAOI's, but instead of jumping impulsively to one, I'm just gonna ride the lexapro thru a bit more and put the MAOI on the backburner for now.
Good luck to you both. Keep in touch, please.
thanks a lot,
Peter


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Psycho-Babble Medication | Framed

poster:Peter thread:266889
URL: http://www.dr-bob.org/babble/20031004/msgs/267179.html