Psycho-Babble Medication | about biological treatments | Framed
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Do MAOIs make normal people high?

Posted by don_bristol on December 31, 2004, at 13:59:57

In reply to Re: Best SSRI for OCD? Need help for relative...., posted by yxibow on December 29, 2004, at 15:19:19

Personally, I reckon Luvox has rather too many side effects (relative to the other SSRIs) in the sort of dose needed to deal with OCD.

Maybe be best to start with a very "clean"SSRI like escitalopram in order to get good compliance despite side effects. Maybe prozac if escitalopram doesn't work. Next trial might something very different like anafranil before coming back to the ssris. My last choice would be Paxil.

> And as a postscript, as a lifetime OCD sufferer (as most are), it follows you
> wherever you go, you just learn to turn it off and move on. So, its not
> just drugs, but behaviour therapy has to follow along with medication --
> medication is a tool to take the "ahh" out of the agony so one can focus
> on fading away the compulsions that come with the obsessions.

Yes, as you advise, meds are not the whole answer. I agree that therapy is the real trick. The meds can give you a bit of respite and make you strong enough to do the therapy.

This is always a good article for OCD meds (even if it is a bit dated now)

Guidelines 3 and 4A in Treatment of Obsessive-Compulsive Disorder in the Expert Consensus Guideline Series is to do with meds.





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