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ssri treatment that allows complex mental work?

Posted by CaffeinePoet on August 1, 2012, at 8:02:13

Hey guys,

I'm a 30something woman programmer. This summer, I've been working part-time at a nondemanding job while on the search for something more.

I am having a bout of severe anxiety this summer. The anxiety is like this mental static that impairs my ability to concentrate and my ability to feel okay about myself. The insecurity and high level of threat detection is making me feel very jealous around my live-in boyfriend, and is also making me sound negative to my mother and sister (who I see daily).

In good news, it is starting to look like shortly, I will be starting a complex short-term project as a programmer at a local hospital.

I am seeing the doctor this week. In the past, we would have reached for an SSRI or Effexor for this. In particular, Citalopram (SSRI) has been shown to work great for eliminating the <a href="http://www.ncbi.nlm.nih.gov/pubmed/15549278">threat bias</a> that I am currently experiencing.

But. . . there is a price for everything. As you guys know, anti-cholinergic drugs can effect <a href="http://www.huffingtonpost.com/leo-galland-md/memory-loss-drugs-_b_822245.html">memory</a>, especially short-term working memory. Effexor, Zoloft, and Prozac have all given me motivational and memory problems in the past. I need to be on top of my game for this project.

A short bout of benzos recently brought on depressive feelings, but I think the benzos could be brought on more slowly. But they don't reduce threat bias.

Any suggestions?


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poster:CaffeinePoet thread:1022547
URL: http://www.dr-bob.org/babble/20120718/msgs/1022547.html