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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Michael Bell on October 5, 2009, at 7:27:13
Just wondering what people's experiences are regarding medication for interpersonal sensitivity and hypersensitivity to perceived rejection?
Posted by jasmineneroli on October 5, 2009, at 8:56:34
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
> Just wondering what people's experiences are regarding medication for interpersonal sensitivity and hypersensitivity to perceived rejection?
My daughter took Clonazepam, 1mg daily, a.m. It made her feel almost the opposite - insensitive. "Just don't care anymore, nothing bothers me", and a little disinhibited, instead of always worrying what people think of her.
Not sure it would be the med of choice, and it takes a while to adjust to any sedation feeling. But thought I'd put it out there for consideration.Good luck.
J
Posted by Alexanderfromdenmark on October 5, 2009, at 9:24:16
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
Honestly, I don't think anyone should take meds for that. The most meds that will work will tend to make you apathetic and insensitive anyway. There always nardil I suppose.
Posted by delna on October 5, 2009, at 9:31:49
In reply to Re: What is the best med for interpersonal sensitivity, posted by Alexanderfromdenmark on October 5, 2009, at 9:24:16
I would say Paxil but it has so many side effects that I don't think its worth taking unless this sensitivity is part of full fledged anxiety disorder.
TC
Posted by Phillipa on October 5, 2009, at 9:39:31
In reply to Re: What is the best med for interpersonal sensitivity, posted by delna on October 5, 2009, at 9:31:49
Isn't that psychological? I wouldn't think a med would help. But I'd talk to her doctor. Phillipa
Posted by atypical on October 5, 2009, at 10:27:14
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
It is said that the MAOIs are good for that (Nardil, Parnate), but I agree in that before taking these really strong, side effecty drugs, see what therapy can do for you. Unless your interpersonal sensitivity is absolutely paralyzing or something.
Posted by sowhysosad on October 5, 2009, at 10:41:43
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
> Just wondering what people's experiences are regarding medication for interpersonal sensitivity and hypersensitivity to perceived rejection?
If it's a feature of atypical depression (which apparently is pretty common) then Nardil, Parnate or Prozac are said to be pretty effective.
Posted by Iansf on October 5, 2009, at 11:50:47
In reply to Re: What is the best med for interpersonal sensitivity, posted by sowhysosad on October 5, 2009, at 10:41:43
I agree that MAOIs and some SSRIs effectively reduce interpersonal sensitivity, but, as others have mentioned, you llikely will have to deal with side effects. In my case, Prozac turned out to have the fewest side effects and the greatest effectiveness.
In addition, contrary to standard advice, where you live can make a difference. Even though Prozac helped me with this issue, until I moved from San Francisco to Puerto Vallarta, I was still lonely a lot. I had friends but spent most of my time alone and rarely interacted with strangers. But after just a few months in PV, I have more friends than I've ever had in my life, see people daily and constantly interact with strangers. The difference in my social life is astonishing.
People always told me no matter where I went, I'd just take my problems with me. Now I find that's only partly true. Environment matters a lot. It can make a huge difference.
Posted by bleauberry on October 5, 2009, at 21:26:13
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
I have had numerous bouts of the kind of interpersonal hypersensitivity you describe, usually lasting several days to a couple months. Horrible. The thing is, I know my mind is twisted, but I can't do anything to untwist it. I recognize and identify that my thinking is extreme and unrealistic, but no amount of self-talk or counseling will make it go away.
What always works is some kind of medication intervention. In some cases, that meant stopping the med I was on...it was the med itself causing it. That needs to be considered seriously.
In other cases it meant switching meds. For example, I had a bout of that horrible sensitivity lasting weeks while on Cymbalta. I switched directly to Zoloft and within 24 hours my mind settled back to safe ground.
But that was then. Things are always in motion. I know now that I cannot touch anything serotonergic. Lexapro, Prozac, Cymbalta, St Johns Wort, 5htp, anything like that...I am in that horrible place within three days.
Parnate was very good even in the very short tiny dose sample I did. It ended that sensitivity stuff within 36 hours.
I don't have any suggestions for you. Only to say that it is probably a combination of psychological issues in combination with biological issues. And that the right medicine, herb, or supplement should end it quickly. That might be a benzo, might be Zyprexa, might be magnesium, St Johns Wort, Gaba, B vitamins real heavy on Niacinimide, and don't forget it could very well mean getting off whatever med you are on. For quick relief, try tinctures of Passionflower and/or Lemon Balm. Smooth herbs.
Posted by jasmineneroli on October 6, 2009, at 9:35:12
In reply to Re: What is the best med for interpersonal sensitivity, posted by bleauberry on October 5, 2009, at 21:26:13
> In other cases it meant switching meds. For example, I had a bout of that horrible sensitivity lasting weeks while on Cymbalta. I switched directly to Zoloft and within 24 hours my mind settled back to safe ground.* That's interesting BB. My daughter (with the interpersonal sensitivity mentioned above in thread) felt more sensitivity on Effexor (similar drug to Cymb.) even though her depression was helped. She's thinking of going to Zoloft also.
> I don't have any suggestions for you. Only to say that it is probably a combination of psychological issues in combination with biological issues. And that the right medicine, herb, or supplement should end it quickly. That might be a benzo, might be Zyprexa, might be magnesium, St Johns Wort, Gaba, B vitamins real heavy on Niacinimide, and don't forget it could very well mean getting off whatever med you are on.* All very good advice. I keep saying in threads lately, that we're just guinea pigs, experimenting on our own bodies/minds. Just do so carefully.
J
Posted by bleauberry on October 6, 2009, at 20:19:49
In reply to Re: What is the best med for interpersonal sensitivity » bleauberry, posted by jasmineneroli on October 6, 2009, at 9:35:12
> * All very good advice. I keep saying in threads lately, that we're just guinea pigs, experimenting on our own bodies/minds. Just do so carefully.
> JThe entire medical profession is all experimental, with the exception of straight forward mechanical things such as broken bones or specific surgeries. A worldwide experiment with antibiotics has led to antibiotic resistant breeding grounds across the planet. Just one example. Too many others. We are all involved.
I find it somewhat safer, though I'm not well educated on it, to incorporate a greater emphasis on Eastern medicine that has been practiced for thousands of years, either replacing Western medicine or enhancing it. That's because their entire medical knowledge has been experimentally tested for many centuries, even thousands of years. They know what does what, though they don't know how or why, and that is where Western medicine shows benefit in explaining what particular herbal ingredients might be doing scientifically. In any case, Chinese medicine is based on experience and results, while Western medicine is based on analytical science. I find experience often trumps analysis. During the long periods of analysis, long before solid experience can be gained, we are all experiments.
Posted by jasmineneroli on October 6, 2009, at 22:57:11
In reply to Re: What is the best med for interpersonal sensitivity » jasmineneroli, posted by bleauberry on October 6, 2009, at 20:19:49
Posted by floatingbridge on October 9, 2009, at 14:30:20
In reply to What is the best med for interpersonal sensitivity, posted by Michael Bell on October 5, 2009, at 7:27:13
> Just wondering what people's experiences are regarding medication for interpersonal sensitivity and hypersensitivity to perceived rejection?
Michael, me too. I've been using dexadrine, but do not see that as long term solution. Does remove my social anxiety (or whatever it is). Some above in other posts have written about Lyrica. I'm going to check that out. So far, though, no AD has helped, nor an AP. Haven't tried the MOAI's. Klonopin took the edge off, but didn't really help and was depressing. Xanax helps, but how long can I keep gulping it before an event? Tolerance, etc. Xanax xr is very helpful, but only in adjunct with dex.
Please let us know what you find in your search.
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