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Re: What's my next step? » TommyIsland

Posted by yxibow on January 14, 2006, at 13:12:55

In reply to Re: What's my next step?, posted by TommyIsland on January 13, 2006, at 6:03:50

> > What medications have you tried?
> >
> > Linkadge
>
> I've tried the entire gammot of meds. The only success on meds I ever had was taking Effexor XR and Depakote over a five year period of time. My mood seemed to brighten and my anxiety went away. The thoughts of coarse were still there with me but life had meaning and purpose. Suddenly the meds stopped working and my mental debilitating thoughts increased to a point where they got unmanageable. I stopped taking the Effexor XR and Depakote, crashed to a low point of depressioin and then began taking Effexor XR again. It got me out of the despair of deep dark depression and from there I've been trying lots of differnt meds with no luck on any giving any sort of noticeable improvement that one would consider it beneficial to keep taking it. As of the last year or so I've tried: Geodon, Abilify, Risperal,

Well, that still leaves Zyprexa and Seroquel -- Zyprexa is more associated with greater mood brightening from what I can gather.

>Lithium, and most recently Luvox which seems to do nothing. I increased the dose to 200MG and I felt literally numb.

Luvox is quite frequently prescribed to 400mg, it has a wide range of margin. Medications unfortunately do have a numbing effect, especially antipsychotics. Perhaps an addition of something like Cymbalta to stimulate NE would be of help.

And if you can manage the tiredness and possible weight gain of Remeron, it is a tetracyclic antidepressant which works completely differently from SSRIs and at a high dose of 45, 52.5 or 60 (i dont think I've heard of that but its possible) mg may be a smidgen stimulating as well.

>Meds only seem to keep me out of the pits of actually wanting to commit suicide. They do nothing to bring balance and peace to my mind. Any ideas would be appreciated.

>You've hit the nail with the hammer -- at least in part. Medication alone may not be a solution for you. I don't know your financial or insurance situation but psychotherapy, psychodynamic "inside" therapy, may be an adjunctive to a medication regime. Its a way of discovering what will bring balance and peace to your mind. Because only you can have hope. And its out there.

To better feelings

-- Jay

 

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poster:yxibow thread:598254
URL: http://www.dr-bob.org/babble/20060108/msgs/599048.html