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Re: Do NRIs and Stimulants make OCD worse?

Posted by Christ_empowered on December 4, 2020, at 15:33:28

In reply to Re: Do NRIs and Stimulants make OCD worse?, posted by undopaminergic on December 4, 2020, at 3:00:29

benzodiazepines and stimulants seem to be fairly commonly used in ocd. as with many (all?) other psychiatric diagnoses, there seems to be something of a 'spectrum' of people, problems that end up with the same overall label.

not to go all marxist on this, but i think social class plays a role in treatment, too. any medical treatment, but...whoa...definitely mental health treatment. if you have to go to a community clinic, it'll probably involve an antipsychotic. they give everyone antipsychotics, its in their job description.

with insurance and a private practice shrink, maybe a benzodiazepine. maybe not. even with insurance, some people/patients are "good enough" for mother's little helpers, others...get high dose ssri drugs, maybe some buspar.

and then the cash only, no insurance doctors. never gone to one myself, but the impression i get is...well, within reason, ask and ye shall receive. i mean, nothing that would put the prescriber's license in jeopardy (unless you're an attractive female...local case on this recently, soap opera material), but in general...

the private practice insurance shrink will at least think about a controlled substance, maybe prescribe if you're 'good enough,' then the no insurance private pay doctor will probably provide, as long as you're not obviously drug seeking and/or putting them in a position of potential liability and/or push it too far.

so...which drugs/meds 'help' ? considering that the long term adverse effects of the neuroleptics can be horrendous, id say...not those, not really. ssri? yes, largely by reducing frontal lobe activity and inducing a degree of apathy and indifference, but not with as much risk as the tranquilizers. the uppers? possibly. brighter mood, better ability to stay on task, a quick fix to lethargy and anhedonia from other treatments and/or...life...


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poster:Christ_empowered thread:1112710
URL: http://www.dr-bob.org/babble/20201025/msgs/1112780.html