Posted by Phidippus on December 13, 2011, at 18:13:01
In reply to Re: question for phidippus » Phidippus, posted by g_g_g_unit on December 12, 2011, at 5:07:38
>In that case, would you suggest augmenting >Clomipramine - and if so, with what?
Augmenting any SSRI with Clomipramine is recommended by the APA treatment guideline for OCD. You could easily add it to your Lexapro regimen.
>Unfortunately, I've yet to find a combination >that keeps me in a sufficiently hedonic and >cognitively intact state to keep creating .. let >alone functioning, really.
Keep pushing with the lexapro. Get it up to 40 mg. Fight the akathisia. Once you're on a an AD for a while, a lot of augmentation strategies become open to you.
>What's the longest you've been on any AD?
>Have you ever been on an SNRI?
>No, I haven't.
Keep it in mind for the future. An SNRI may actually augment your ADHD treatment and you won't suffer the attentional difficulties you experience on SSRIs.
>I was under the impression Pro/Nuvigil made OCD >worse?
It had no effect on my OCD.
>Well I am sick BECAUSE of the OCD. The amount of >phobic avoidance I engage in leaves me with 10% >of a life.
Ouch, you really do need some exposure therapy.
>I really feel like I need a qualified therapist >to untangle the utter mess that is my OCD.
I think you do to.
Eric
poster:Phidippus
thread:1004285
URL: http://www.dr-bob.org/babble/20111208/msgs/1004916.html