Posted by Fivefires on July 14, 2008, at 14:42:18
In reply to Re: California Rocket Fuel + » Fivefires, posted by SLS on July 14, 2008, at 4:47:30
> Hi 5F.
>
> I feel honored that you should think so much of me to have shared so much.>Well .. you're welcome.
> When I hear of agoraphobia, my first thought is of a tricyclic.
Hmmm.
>Imipramine has shown efficacy in treating it. However, nortriptyline is closely related enough that I think it is worth a try before Wellbutrin.
>I was on a tricyclic by itself a couple years(?) back maybe. Cannot remember why d.c. I was also on Wellbutrin by itself in the past and recall more discomfort w/ it and d.c.'d. But, these were all mono (one - correct?) monotherapy. I've never been on a combination. (Think I keep repeating this.)
> Which SSRIs have you tried? Which of them felt best?>
All cause more anxiety than already have, and 'black holes', these were times I did what wasn't cognitively well enough to know what I was doing. Funny w/ Zoloft; for about 3-4hrs, I felt very good, nearly elated, and then, the feeling was gone, vanished, never returned. I became very depressed.
> It is imperative that you reduce your anxiety load. This can happen automatically when a treatment for the depression works. You might, on the other hand, need an anxiolytic indefinitely. Most people use Klonopin for this.>
My pdoc has me on X-XR in a.m. and Xanax 2mg 3-4x a day. He WON'T put me on two DIFFERENT BENZOS. I would prefer Klonopin as the underlying support and Xanax as necessary, but he won't budge here.
>Ativan would make a good alternative.>
Have tried and instead of lessening anxiety so am functional, makes me 'sleepy' and unable to function.
>A third way to reduce your stress is to investigate any psychological issues that might be promoting it.>
I definitely would like to find a therapist who still believes in psycho-dynamic therapy. All this DBT, CBT, ways of ignoring it, pushing it away, don't seem to work for me. I was hurt by another person who was supposed to love me in sickness and in health. I rec'd no justice. So, yes, I need to talk, and I would relish some empathy, not 50ways to forget what your mind is thinking about! Is anyone else like me I wonder. I wonder if others are dissatisfied with this form of handling their emotions.
> If Effexor + antidepressant#2 does not work, you can simply add antidepressant#3. >
You mean three(3) meds?
>It would not hurt to add Wellbutrin to Effexor + nortriptyline.>
Oh my goodness.
>I would also consider adding Lamictal to these three if you sustain any positive effect at all.>
Wow...
> Still thinking...>
Did I ask you why you ruled our Remeron or what you fould dissatifactory with it?
> Any panic attacks? How often?>
Yes ... about one every two days. Fear I've taken extra Xanax and fear if call pdoc to tell, he'll tell me to stop med. Pdoc and therapist both, I think, think I cannot be helped by meds.
>
> - ScottTks, 5f
poster:Fivefires
thread:265743
URL: http://www.dr-bob.org/babble/20080706/msgs/839691.html