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Re: Advice on which medication is best for my case

Posted by kavinsky99 on February 20, 2014, at 4:13:46

In reply to Re: Advice on which medication is best for my case » kavinsky99, posted by Chris O on February 19, 2014, at 9:33:12

> Hey, Kavinsky:
>
> Wow, that was a wonderfully comprehensive description of your situation. I am impressed by your powers of self reflection and analysis. I wish that I had the magic bullet for all of your symptoms, but I am still struggling so much myself that all I can offer is my empathy. I just want to say, with respect to your final summary at the bottom (I copied it below), I can totally relate (or, at least on some level, I can relate)! Mine is more on the anxiety side (with fear of homelessness; inability to care for myself being chief among them), but I struggle with endlessly intrusive worries that prevent me from living in the present. I really hope you find something (or some combination of things) that work. Have you tried rTMS (Transcranial Magnetic Stimulation)? Is that available where you live? In the US, a new form of TMS, Deep TMS (I think developed in Israel), apparently is showing some promise, as well. I am going to see my psychiatrist in a couple of weeks to try a combination of the TCA nortriptylene and the beta blocker propranolol in the coming weeks. I have low hopes, but still struggle so much that I have to keep trying. I just took a bottle of curcumin supplements for a month (inspired by a recent story that said curcumin had comparable antidepressant power to Prozac), but to no avail. Whatever you decide to do, I hope it provides you with some relief! God knows we all deserve it.
>
> Sincerely,
> Chris
>
> "Depression;
>
> anxiety;
>
> negative critical thoughts that "talk to me" in my mind;
>
> intrusive flashbacks that pop up constantly;
>
> overall agitation;
>
> insomnia;
>
> I wish to see improved:
>
> Overall cognition (bad memory, poor concentration, difficulty to (re)learn even the simplest things, poor criativity, difficulty forming sentences sometimes);
>
> focus: both on the big picture in life projects, and on the ability to actually read a line on a text book and be able to absorb it. I have an impulsive and frenzied attitude towards life, I rarely finish anything I start and keep trying new things all the time.;
>
> ability to "be in the moment", with no judgement coming from my own mind. to just relax and enjoy myself, letting life happen."


Sadly, TMS isn't available here. And if it is, I doubt my insurance will ever cover it! haha

I can totally relate to the fear of going homeless or not be able to care for yourself. Although, I have to say I don't actually fear it or care much about it. I have a very "blah" attitude towards the future, being overly-rational about most things. My anxiety is usually towards the past, not future. I'm sure you won't be homeless, though, as I can see you're an intelligent person. I don't know you, but if the cause of your fear are the impairments psychiatrical conditions cause, then I wouldn't worry. Medication nowadays can improve almost anything.
Find the right medication that works, has the least side effects and hope it keeps going for you as long it can. Psychiatrical medication requires constant tweaking on doses, combinations and switching similar types, because the previous one stopped working or started to cause bad side effects. It's sad we have to go through this hassle.

I hope that combination of meds works for you. I haven't tried Nortryptiline yet, although I always had a hunch it would be great for me. I got it prescribed for herniated disc pain once, but didn't took it to avoid interactions. TCAs, with Nortryptline specially, seem to be the best antidepressants/anxiolytics. Although their side effect profile can be quite scary.

Haven't tried propranolol, but I'm also interested. As Hugh posted here, it seems great for PTSD symptoms.


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poster:kavinsky99 thread:1060760
URL: http://www.dr-bob.org/babble/20140214/msgs/1060904.html