Posted by floatingbridge on July 3, 2011, at 18:23:33
In reply to Re: Atypical depression - medication no longer helping » Terry8, posted by Bob on July 3, 2011, at 16:50:01
I would never advise anyone to do an unsupported wash ever! (My big opinion.) I hear you. It can be very big for some. Others expecting to knuckle through might make it--or find themselves in an unexpected crisis.
I don't know how some folks manage,
but I would need a doctor onboard with me. Do you have one? (Not that you are going to do this, but I think you are realistic in laying this all out.)
This is just me writing here having had the daylights kicked out of me for going
off meds w/o supervision :-/
I think online, it's easy to sound more casual about the process than any poster intended. I don't think anyone here would really (or should ever!) reccommend that anyone 'just do it'.
You have a good doc working with you? I hear there are doctors who will work very closely to sped up the transition process and monitor patients closely.
I am no expert on these matters!
> > > I think MAOIs would work for me but I'm so scared of the Prozac washout.
> > >
> > >
> > Five weeks of hell with an end point in sight, or the possibility of the rest of your life with depression and no end in sight? It's tough, but think the washout is worth it.
> The problem for me personally is that, not only would the washout be indescribably tough but also life threatening. To taper down and have nothing helping would put my life in peril. If the MAOI didn't work then the whole thing would be an exercise in trying to withstand suicidality. Then I'd have to try to get back off of the MAOI. If this hypothetical scenario did play out I could be looking at 2-3 months of severe instability: 2 weeks minimum washout, up to twelve weeks of waiting for Nardil or Parnate to work, and then possibly 2+ weeks of tapering down the MAOI.