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Re: ADD/OCD+perfectionism+med choices-plz help(lon

Posted by mtdewcmu on January 10, 2010, at 19:30:15

In reply to Re: ADD/OCD+perfectionism+med choices-plz help(lon, posted by g_g_g_unit on January 10, 2010, at 16:30:43

> > I have had this problem at my jobs. I have come to see it as a combination of an inability to concentrate fully on a task due to anxiety and depression, and the lack of energy and enthusiasm for the task due to depression. I used to be employed as a computer programmer, but it required too much concentration. I ended up having to quit, because it was clear that the issues weren't going away.
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> these problems existed prior to the onset of any anxiety/depression issues; they were occurring in high school, so i consider them innate problems.

Is it possible that you were depressed in high school and didn't know it?

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> > > unfortunately, i've become so reliant on that perfectionistic 'inner voice', that i often feel lost acting without it.
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> > I think I know what you mean. In myself, I see this as being preoccupied with my inner state due to depression. When I am less depressed, I can focus on something outside myself.
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> i've always felt that way, though - the feeling that i'm constantly monitoring myself in everything i do. certain medications erase that critical voice (for the first time in my life), and disinhibit me to an extent, which can be really disorientating
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> > > my therapist and i have tried to work out more logical goals for me to attempt to undertake. my family is moving to a new country soon, which means that i need to prioritize. at this point, my former line of work as a freelance writer is causing too much grief (due to too much freedom afforded) for me to really pursue it as a realistic career. so in that sense, i think it might be better to return to university in order to undertake an honor's/masters in an area that might allow me to get a normal job. i also suffer from pretty crippling social anxiety, so feel like that side of things needs to be taken care of.
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> > You may want to look for something that requires less decision-making and personal initiative, unless you are hopeful that you can conquer your anxiety and depression.
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> i suffer from dysthymia with bouts of atypical depression, though i feel like the depression etc. takes a backseat to OCD overall. i don't think getting the depression under control should be too difficult overall; it's a matter of whether i can stick with a treatment. and i'm still relatively young, so i'd like to capitalize on what i have now.
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> > I think you are trying to slice up your problem into excessively small pieces and trying to treat each one individually. I think that you could re-envision all of your symptoms as manifestations of depression and anxiety, and treat them all with antidepressants. From what you have written on this board, I don't think you have given SSRIs a fair chance to work.
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> social anxiety is a concrete problem for me, and something that i feel requires attention. i did give Luvox a full 8-week trial, and found myself more depressed than i began with. it made social interaction incredibly difficult for me. Prozac seemed better, and i don't really understand why i was taken off it - doesn't the initial insomnia pass?

If you have anxiety and OCD, those are treated basically the same way as depression.

The insomnia may or may not pass. There are no guarantees.


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poster:mtdewcmu thread:933106
URL: http://www.dr-bob.org/babble/20100103/msgs/933187.html