Psycho-Babble Medication Thread 1093501

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Posted by Hiver on December 12, 2016, at 15:16:50

Hey all, first time poster, long time lurker.

Looking to see if anyone has any experience with/dealing with ruminations? For me, the content is almost solely romantic rejections, where I'll replay the interactions between me and whoever my last love interest was, over and over, like little mental movies. It's been happening for years now, they never leave, only transferred. It's incredibly distressing and I've lost pretty much everything I had worked so hard to achieve as a result.

With regards to treatment, therapy of various forms has had little impact, as well as a long list of medications. To date, I've been on sertraline, citalopram, mirtazapine, duloxetine, venlafaxine, nardil, all of the ADD meds apart from Adderall which isn't available to me, and lamotrigine as a mood stabiliser. I've just began a trial of Abilify 5mg and Prozac 20mg basically by my own choice; any input on this combination for this specific problem? Or would something else perhaps be more suitable?

Many thanks



Re: Ruminations

Posted by rjlockhart37 on December 13, 2016, at 19:53:26

In reply to Ruminations, posted by Hiver on December 12, 2016, at 15:16:50

i've had many ruminitions of events that could take place in the future, like my loved ones passing away, having a very sentimental yet accurate reason to feel that way, feeling like at the end of my life everyone will leave. So what you think and put in your mind, even thoughts, like a new view point, not really like that over positive pop psychology books and speakers that talk about positive thinking, but what you think sometimes it can come true, so ..think of meeting another lover i guess and have a different agenda and view point.....

(i'm not romantic savy, but that's a just a quick thought)

as medication wise, if you've taken alot of ADHD stimulants, benzo's .... there good for relieving mental tension, but then a patient would start depending on it all the time. It's up to a doctor, a benzo could help with some of your ruminations, but maybe look towards trying bupropion, and also moving around to Trycyclic antidepressants, or MAOI's like Nardil that would help anxiety and mood. You could other mood stabilizers like - Tegretrol or Topamax, but those 2 cloud thinking more than lamictal. Maybe adding Saphris? that may help some with unpleasant thoughts


Re: Ruminations

Posted by Hugh on December 14, 2016, at 11:53:41

In reply to Re: Ruminations, posted by rjlockhart37 on December 13, 2016, at 19:53:26

Although it didn't help me, cognitive behavioral therapy helps many people to reduce their ruminations. None of the antidepressants I tried had any significant impact on my ruminating. The treatment that helped me the most with this condition is neurofeedback. Before I began treatment, I'd been ruminating about a former girlfriend many times a day for over a year. After about ten neurofeedback sessions, I was surprised to realize that I was rarely thinking about my former girlfriend anymore. I recommend reading A Symphony in the Brain by Jim Robbins.


Re: Ruminations rjlockhart37

Posted by Hiver on December 16, 2016, at 9:46:08

In reply to Re: Ruminations, posted by rjlockhart37 on December 13, 2016, at 19:53:26

That makes a hell of a lot of sense. Ive been resisting the urge to find someone new as I dont want the cycle to repeat itself again, but I certainly think the notion of just instilling the agenda without necessarily acting upon it, would help.

As for medication, dexamfetamine was probably the only med that brought some relief (albeit temporary), but I didnt like the dependence on and shaping my days around it, which is why Ive avoided the benzo route. I am keen to try bupropion, it hasnt seem to have come up with any of my Pdocs. I was on Nardil for a year, not much a response in all honesty, yet to try Parnate or any of the TCAs. Is there a particular reason why Saphris over something like Olanzapine as an antipsychotic?


Re: Ruminations Hugh

Posted by Hiver on December 16, 2016, at 10:42:39

In reply to Re: Ruminations, posted by Hugh on December 14, 2016, at 11:53:41

Thanks for your response Hugh. I must say I've never come across neurofeedback but I'll certainly look into it, although I know the UK is rather limited with these sorts of things. I'll definitely pick up a copy of A Symphony in the Brain :)


Re: Ruminations

Posted by rjlockhart37 on December 17, 2016, at 0:41:04

In reply to Re: Ruminations rjlockhart37, posted by Hiver on December 16, 2016, at 9:46:08

olanzipine is sedating, i take it 20mg, but i've taken so long that it's adjusted to my functions, i don't feel sedated much anymore but i do notice it's significant improvement with fluoxetine, those 2 work well together for depression, but it's just....olanzipine causes signifiant weight gain, don't know how it does, maybe its a metabolic syndrome that causes the body to get mass.....

saphris is fairly new, i don't much research on it's effects on depression and reducing unpleasant thoughts, i know olanzpine does but your sedated and calm on it, just the weight gain you have to watch out for


Re: Ruminations

Posted by Hugh on December 17, 2016, at 15:38:26

In reply to Re: Ruminations Hugh, posted by Hiver on December 16, 2016, at 10:42:39

Neurofeedback is starting to catch on in the UK. There might be a few dozen neurofeedback clinicians there now. If you can afford it, and if you're proficient with computers (I'm not), you could purchase your own neurofeedback equipment. Peter Van Deusen is a neurofeedback clinician I have a high regard for. He sells equipment and training at this site:

The site lists several clinicians in the UK who have been trained by him. A couple years ago, Van Deusen developed what he calls "circuit training," a protocol that he says works considerably better than any of the other ones he's tried since entering the neurofeedback field 25 years ago.

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