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Re: Conversion disorders

Posted by yxibow on January 27, 2005, at 1:51:21

In reply to Re: Conversion disorders » yxibow, posted by ed_uk on January 26, 2005, at 14:05:35

> Hello!
>
> >Male, 29.
>
> I'm 20 :-)

I remember 20.... :)

> Do you find the Seroquel very helpful for your conversion disorders?
>
> Ed.

(as usual there's a short and a long answer :)

Well, its hard to say whether a drug is targeting the conversion disorder (if it is conclusively one, there isnt a 100% sureness of anything about this blasted mess), or merely acting as a palleative (if you remove it, things come back).

But I can say that the ramp up of Seroquel and the reduction of symptoms for me show that Seroquel (among the other medications I take) has some effectiveness, and maybe the D2 theory is a probability (Seroquel being primarily a antipsychotic, dopamine antagonist, etc.).

So yes.. in a short sense, its helpful.. but I also had been taking Remeron in the past, which was helpful, Luvox, which was initially helpful, and a Klonopin / Neurontin mix which also is helpful. Polypharmacy can get confusing because its hard to tease out the drugs and their effects except to watch when you've started a new one or stopped an old one.

Symptom reduction has slowed down over time, probably if any reason that the leaps and bounds may be less dramatically noticeable.

But I wouldnt suggest to anyone a massive dose of Seroquel unless a) they're schizophrenic/schizoaffective or bipolar or b) their p-doc has some reason to believe that a dopamine antagonist may have some help (which for some off label purposes it does, such as SSRI augmentation in OCD). Seroquel certainly is the mildest of current neuroleptics but even at that I can say that there is a general feeling of "blunting" that is typical of them, for me. Only Clozaril is milder (yet unique in some ways.)

 

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URL: http://www.dr-bob.org/babble/20050124/msgs/448494.html