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Re: Time for Maoi -- Other stuff too. » Phillipa

Posted by SLS on September 24, 2006, at 13:00:28

In reply to Re: Time for Maoi-- Listen to SLS, jaclin, exq, posted by Jost on September 24, 2006, at 11:38:35

> You've just got to close your eyes and jump (or dive) into the water. You'll be able to swim--

"even if you get some water into your nose, or the noise underwater is scary at first."

This is a great statement. Some of the drugs that work the best can feel the weirdest when you first start taking them. Be prepared for this. Just take things one step at a time with these drugs. Side effects that appear early in treatment often disapper later or lessen in intensity. For me, Nardil was sedating at first and left me feeling foggy, but became energizing and produced clarity of thought later on.

If you feel more comfortable with Emsam right now, that's ok. It has demonstrated both energizing and anxiolytic effects. These are the things you need. If after giving Emsam a full trial of at least 3 weeks at a dosage of at least 9mg/24hr, you do not feel any better, you can move on to one of the other MAOIs. Because of your GAD, I would suggest making Nardil your next stop. There are people who respond to one MAOI and not to another, just like all the other antidepressants. No one knows why. That's just the way it is. In a way, that will always offer hope whenever you come across a drug that you haven't tried yet. I'm sorry to have to spoil your depressed mood. :-) There is hope for you in MAOIs. No guarantees, but hope.

Don't neglect your emotional and psychological health. Medication doesn't deal with issues, people do. Medication corrects the affective environment within which issues exist and makes them much easier to process and deal with. A biological depression creates psychological and social issues as it destroys one's life. Unfortunately, when this depression disappears, these issues don't disappear with it. It takes work to clean up the mess. Psychotherapy and counselling can be a big help in accomplishing this. Things are much harder while the depression is still present, but progress is not impossible. Sometimes, accomplishment is simply to learn ways to cope with depression and anxiety, and to live in the moment. Since you're not doing anything anyway, why don't you start cleaning up the mess while you're waiting for these drugs to work and get a head-start on things?


- Scott

 

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