Posted by theo on November 4, 2004, at 23:12:57
In reply to Saw new pdoc today! Med update, new meds, posted by jboud24 on November 2, 2004, at 20:44:07
> Hey all,
>
> I saw my new private pay pdoc today, and I really think he's going to turn out good. For those who don't know me well, I have been dx with social anxiety, generalized anxiety, panic disorder (Yes, both SAD and PD), and depression. My anxiety issues far outweigh my depression issues. Anyway, we decided to hold off on the MAO Inhibitor as a last resort option if all else fails. I'm okay with that, he better come through though if/when all else fails or I'll be very irritated! Its like, wow, I've finally found a pdoc who I can talk to like a regular person, who has no ego issues, and who was completely willing to try some of the things that I suggested to him! It's great, it's like I finally have some say in my treatment, and just knowing that makes me feel a ton better.
>
> Since I'm a biochemistry student at LSU, he conversed very casually with me about neurotransmitter systems, theorys of depression and their implications in biochemistry, and in my language how my illness affects me. It was really great in this dorky chemistry/biology type way.
>
> Anyway, I told him about the meds I'm already on: Zoloft 300mgs and Remeron 30mg.
>
> Next I told him about my previous run-in at one of our local substance abuse rehab places for overly excessive alcohol use. I told him about my lack of drive, motivation, interest, and anhedonia. He suggested Wellbutrin, but I subtley declind having read all of the horrid anxiety inducing side-effects of the WB. He said what about Ritalin, but I said I thought that might be a little too edgey for my anxiety too, so then I asked about amphetamines, told him about the anti-anxiety effects they have on me and that my psychologist and I suspect I may have some form of ADHD, and he said, 'Sure, how about we try adderall.' I said great! So I'm now to take 20mg Adderall XR once daily for now.
>
> Then we moved on to anti-anxiety medications, and I told him of my past use of Ativan and Xanax, and that I would like to try Klonopin due to its longer half-life. So he said, that would've been my suggestion too. Great! He told me my dosage should be about 4mgs spread throughout the day in 3-4 doses depending on what I feel suits me best. Yes!
>
> Anyways, I'm so happy. I feel as though I've struck gold in the psychiatric vein, and believe you me, when ya find a good shrink, really good things can happen. Please, no one give up because you don't think there's a pdoc out there who is willing to both help and work with you to find out how to really FIX your problems.
>
> New and Improved Med. List
> Zoloft 300mgs
> Remeron 30mgs
> Klonopin 4mgs
> Adderall 20mgs
>
> Thanks everyone for listening to me ramble on. I'll surely let everyone know how this combo works for my anxiety.
>
> JustinTell me how the Adderall XR effects you, any anxiety? I see my pdoc this month and that is going to be our next add on, something for ADD symptoms. I do have anxiety issues and Wellbutrin didn't cause to much anxiety, but didn't do much of anything. She mentioned Concerta and Adderall XR, so I'm sure it will between those two. I took Ritalin one day and was paranoid to leave the house, totally antisocial, but she insists Concerta is smooth. I think I want to push for the Adderall XR first.
Anyway, let me know how Adderall XR is working for you.
poster:theo
thread:410848
URL: http://www.dr-bob.org/babble/20041103/msgs/411950.html