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Re: Hello + request for assistance with ADD, anx., dep. meds etc. Slugbrain

Posted by SLS on July 26, 2015, at 21:33:51

In reply to Re: Hello + request for assistance with ADD, anx., dep. meds etc., posted by Slugbrain on July 26, 2015, at 17:58:49

> Hi - I think there's PTSD as a result of longterm identity subjugation by a narcissistic parent. So, yes...

There is some suggestion that a "developmental PTSD" results from repeated childhood abuse (physical or emotional) and neglect. Neglect might be particularly disabling. Bullying can also take a toll. I experienced all of these. I know this sounds a bit nutty, but a drug known as prazosin (Minipress) helps me quite a bit. It was discovered that prazosin given at night can help prevent nightmares and enhance sleep in people with acute event PTSD. It was later discovered that when taken at higher dosages during the day, daytime depression and anxiety is reduced. My doctor thought it was worth a try. I felt significantly better once I began taking it. I currently take 30 mg/day. For me, it acts like an antidepressant. The only major drawback is that it can reduce sex-drive significantly. I experience very little, if any, dizziness. If you decide to try prazosin, you must take your first dose of 1 mg at bedtime to prevent the syncope that can occur. You can then move up to 2 - 3 mg/day. My guess is that 6 - 12 mg/day will help. Some doctors researching prazosin are going up to 40 mg/day.

Developmental PTSD:

High-dose prazosin in PTSD:

I really cannot comment on nefazodone (Serzone). I have never taken it. Have you tried fluvoxamine (Luvox)? If so, how did it affect you? It is different from other SSRIs in that it is a potent agonist of sigma-1 receptors - something that seems to make it effective for psychotic depression. Perhaps it would help with intrusive thoughts along with any obsessions you may have. I really don't know.

The content of your thoughts might be addressed in psychotherapy, but they don't necessarily have to plague you so intrusively. I believe the intrusiveness is probably the product of abnormal brain function. I hope you find a biological treatment that helps.

I think CBT would help when the intrusive thoughts appear. It might be the quickest way to extinguish them.

These are just a few things to think about. I am not a health care professional, so you should research these things yourself and work with your doctors.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw




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