Posted by g_g_g_unit on July 29, 2012, at 18:53:23
In reply to Re: Parnate decision » g_g_g_unit, posted by phidippus on July 29, 2012, at 11:02:15
> My worry is your not addressing the source of the problem: low seratonin.
It's nice to hear you worry. To be honest, sometimes I (mis)read your posts as a little bullying or didactic, more than an attempt to genuinely look out for me.
I'm almost certain I would have to take at least a low dose of an SSRI, because otherwise I suffer from leaden paralysis. 5mg of Lexapro solved that, but I really just don't find SSRIs very useful for anxiety or lifting mood, and higher doses put me in a dissociative state.
Are you under the conviction that symptoms should be totally controlled (to the extent possible) with medication?
I think that social withdrawal, anhedonia and poor cognition have as great an impact on my psyche as OCD. Remember, my primary, or nascent issue was inattentive ADD. From my research, it seems like those with inattentive ADD accompanied by the kind of dysthymia I experience have done well on a combination of amphetamine and Memantine. My worry is preventing downregulation of D2/D3 receptors in the nucleus accumbens could enhance compulsivity, but I don't know how efficient Memantine would be in offsetting that. I just remember finding it tremendously effective (>benzo) for anxiety.
Since I'm sensitive to meds, as I say, maybe I could get away with an average SSRI dose (which would address your low serotonin worry), and make a more concerted effort in therapy (which I've never really done before).
I've tried so much already that I think it's worth a shot. I'm trying to reclaim the life I had prior to depression (even when OCD was around). Maybe that's my mistake, but I guess I'll find out.