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Opinion on Neuroleptics for Anxiety » ed_uk

Posted by jboud24 on November 2, 2004, at 16:53:37

In reply to Neuroleptics Ahhh!, posted by ed_uk on November 2, 2004, at 8:50:56

This is Justin's opinion post, just to be clear.

I truly believe that these neuroleptics being handed out for anxiety control are a little mis-cued. I believe, generally, that people with primary anxiety disorders need to stick to the following routine for pharmacologic intervention:

1. A tolerable but effective SSRI dose of Zoloft
or Paxil

2. A long-acting benzo like Klonopin or Xanax

3. A PRO-dopaminergic drug like sub-ADHD doses
of adderall, dexedrine, desoxyn, or low-dose
amisulpiride

4. A 5-HT2a/c blocking drug, ie trazodone or low- dose Remeron.

5. Experiment with a beta-blocker for specific
phobic problems given prn

If that fails, then try


1. Nardil or Isocarboxazid, the hydrazine MAOIs

2. Klonopin or Valium

If all that fails, get a second opinion from another psychologist or psychiatrist and ask to be tested for bipolarity.

If bipolar, then take mood-stabilizers, SSRI, and benzodiazepine, and/or lithium

If not bi-polar, then get a psychometric test done to determine if you display any of the signs of any type of psychotic and/or schizoaffective personality disorder. If this comes back positive AFTER TESTING, then consider an atypical neuroleptic, 1st choice probably Zyprexa, 2nd choice probably LOW dose risperdal (as in like start out at .25mg and work up slowly), 3rd choice probably abilify.

Let me particualarly stress the need to be evaluated with psychological test to help in the global diagnostic process. Physicians can guess about you until their heart is content, but proper testing will help 'seal the deal'. Oh yeah, and I've found that good psychologists/psychpharmacologists always test you various ways before coming to a final conclusion/course of action.

I hope this helps you out and good luck.
Justin


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poster:jboud24 thread:410528
URL: http://www.dr-bob.org/babble/20041029/msgs/410736.html