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Re: i need help » jessers11581

Posted by Emily Elizabeth on April 10, 2005, at 22:20:12

In reply to i need help, posted by jessers11581 on April 10, 2005, at 20:07:29

Some thoughts:

Do you see a psychiatrist or just your regular doc? If you don't see an actual psychiatrist, you should. It seems like the right med combo for you might be a little trickier than for most folks and so you need someone w/ more experience rx-ing these things. I work in mental health and have seen folks treated by both and typically an experienced pdoc is much better than a reg doc for tricky cases.

You mentioned counseling...do you like your therapist? Feel like you are getting anything out of it? if not, maybe it is time to look for a new one. If the fit isn't right, sometimes it just can't be helpful. Sometimes just talking to your therapist about the fact that you feel worse after sessions can be helpful. Maybe s/he will have some insight about why that is happening and what can be done abt it.

How often do you go to therapy? At least 1x/week? If not, look into upping your frequency.

Also maybe your therapist and psychiatist can touch base over the phone. Sometimes sharing observations can be helpful in treatment.

You mentioned below that you had been on SSRI's and WB, right? How about Effexor? I've never tried it, but some find it helpful and it works on more than just serotonin. Or, how about a tricyclic antidepressant? Although they are notorious for worse side effects, you won't know if that is true for you w/o trying it. Desipramine was good for my anxiety and depression.

Good luck. Hope something here helps.

Best,
EE

> I can't stand it anymore. I really don't think I can go on like this. My motivation is gone; I have no desire to do anything at all except eat and sleep. Nothing in my life brings me any pleasure--I feel completely devoid of all emotion except anxiety and worry. I haven't been able to have an orgasm in forever. I am gradually gaining weight and have developed terrible digestive problems over the past year. I don't have any creativity any more. I can't think straight half the time--I feel like a cognitively-impaired vegetable. My memory is terrible, my ability to concentrate even worse. And to top it all off, I feel miserable and guilty to be this self-absorbed and lacking in willpower. The worst is the food addiction. Once I start eating anything sweet or carby, I can't stop. I'm gradually gaining weight and it makes me sick. Yet, I feel like there's absolutely nothing I can do. I don't even want to go on living sometimes, to be quite honest. I just quit my job because I felt like I couldn't handle it any more. I take 20 mg. daily of Lexapro and have tried to supplement with Wellbutrin. However, the WB made me even crazier and more out of control than I am now, so I had to stop. What do I do? Are the meds causing this, or is it depression? WHY CAN'T I JUST MAKE IT STOP?? I'm seeing a counselor, but after our sessions, I feel even WORSE than before, and I usually go on a binge. Why is this? I've never in my life experienced anything quite like this. I've always had problems with OCD and anxiety, but never this sort of apathy and dysfunctionality (is that a word). I'm getting absolutely nothing accomplished in my life. Most days I don't even feel like showering. It's terrible. I'm afraid the next thing to go will be my relationship with my boyfriend (we live together, so he's seeing all of this happen). I know that I ought to be able to take control over this situation, and yet I feel totally incapable. Please, someone give me some confidence!! Tell me how to get out of this pit of despair. Is there a different med that I should be on? What can I do???


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poster:Emily Elizabeth thread:482540
URL: http://www.dr-bob.org/babble/20050408/msgs/482603.html