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Metadate for OCD ed_uk

Posted by pseudoname on January 18, 2006, at 17:13:25

In reply to Re: anxiety / breathing problem update pseudoname, posted by ed_uk on January 18, 2006, at 15:45:48

Hi, Ed!

> Methylphenidate seems like a very unusual choice given the circumstances. Why did she choose to prescribe it?

Even when the buprenorphine was effective against the depression and I was feeling good & hopeful, I still could not bring myself to do many necessary tasks, like fix my leaky plumbing or fill out legal paperwork or get a haircut.

The tasks in question are mostly non-challenging stuff I've done before and I want them done. But I'm confronted with a bizarre inability to do them. I thought that would go away when the depression went away, but it didn't. My pdoc said such symptoms were related to OCD (super-perfectionism & irrational fears of humiliation & so on).

We talked about various OCD and anti-anxiety drugs, but nothing she said really seemed to narrow it down for me, until she said that the methylphenidate might help with getting over the bizarre inhibitions and DOING the tasks.

I was concerned that a stimulant could make the anxiety-related breathing problems worse, but she said her anxious OCD patients who were given Ritalin/Metadate did not have worse anxiety on it.

With that reassurance, I went along with it because I had had some good (but brief) results long ago with Ritalin.

> Methylphenidate seems like a very unusual choice given the circumstances.

Do you mean because it's so soon after the anxiety/breathing problem?


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URL: http://www.dr-bob.org/babble/20060115/msgs/600393.html