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Re: What steps should I take?

Posted by europerep on August 1, 2010, at 10:09:08

In reply to Re: What steps should I take?, posted by Dima on August 1, 2010, at 6:49:07

> It seems like the abilify might be working. I took 20 mg Wednesday night, and 5 mg the next morning. The half life is 75 hours so it would probably still be in my system. I woke up at 7 and left the house to run errands immediately. I thought it might have been the Remeron, because I tried 5 mg Abilify last Tuesday as well, along with 15 mg Remeron. I got hiccups from the Abilify so I stopped it and decided to wait till I'm used to Remeron. I had little energy bursts and better focus over the next few days but they went away. And now it seems it's returning. My mood is still crappy, but I have energy to walk and do things. Maybe I should ask my doctor to try 2.5 mg/day? The only thing is that the akathisia is scary as hell.

so, wait a minute, do I understand it right that you are basically changing your med strategy by the day? seriously, I know it sounds condescending, but I do not think that you can conclude anything from such kind of experimentation.. and you might only confuse your brain even further. as I stated, you must FIRST of all get a diagnosis that explains at least the major symptoms you are feeling and THEN you can consider med strategies.. I understand that you are feeling bad, no question about that, but I do not think that the way you are trying to solve it is efficient, or actually effective at all.. and some drugs do indeed need more than eight weeks to kick in. and I do not entirely agree with ed when he said there is little evidence to try venlafaxine at doses above 150mg (that is less than half of what the manufacturer indicates as the maximum dose). really, in my opinion, you must get more coherence into your treatment, I still have not understood how exactly you feel.. is it depression mixed with social anxiety?
>
> In terms of benzo's, it seems that they should have some sort of effect when I'm anxious, which is always. They don't do a thing when I try to face my social phobia, for instance. That's what makes me think it's not normal anxiety.
>
how long have you been doing talk therapy so far? have you described to the therapist the whole image of symptoms? not that I suspect you of being dishonest, it's just that I know myself that it can be difficult to give the therapist the "whole picture" of the problems.. for example, are there experiences that have caused (or aggravated) your social phobia? if so, you have to mention them.

and again, what's with your parents and relatives? does anyone of them suffer from mental illnesses, and if yes, which one?

 

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poster:europerep thread:956554
URL: http://www.dr-bob.org/babble/20100731/msgs/956696.html