Psycho-Babble Medication | about biological treatments | Framed
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Re: obssessive/compulsive/perfectionistic--suggest

Posted by hyperfocus on October 13, 2009, at 0:44:47

In reply to obssessive/compulsive/perfectionistic--suggestions, posted by CareBear04 on October 13, 2009, at 0:22:43

My first bit of advice is that if your doctor refuses to prescribe something which helps you, find another one. You need to be upfront with your pdoc and say "This helped me before, I want to go on it again, what are your reasons for not prescribing it to me?" If he or she doesn't have reasons you consider valid, find another doc. You absolutely need a good pdoc who cares about YOU, on your side. If Zoloft worked for you then you need to be on it.

It's not uncommon to have multiple problems that share a common root - I'm the same way. I show symptoms of SP, dissociation, GAD, MDD, OCD. In psychotherapy you will have a chance to explore the root of your symptoms. But you still need meds to manage them.

For the obsessional problems you probably need a drug that is highly serotonergic, but it's a problem if the SSRIs make you manic. Anafranil is a TCA that's indicated for OCD. It's an older drug and has potentially more side-effects than the SSRIs but it's at least as effective as the SSRIs and possibly more. It's one of the most serotonergic drugs around. But it can also make you manic.

You could take Anafranil or also Prozac or another SSRI and try to manage the mania with Lamictal. You might wanna take Lamictal anyway if you're predisposed to mania.

P.S You are yet another person that had the treatment that was working for them stopped and replaced with something else, for no good reason. I wish one day somebody sues their doctor for doing this - it's so heartbreaking to hear.

I hope you get well.


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poster:hyperfocus thread:920753
URL: http://www.dr-bob.org/babble/20091012/msgs/920755.html