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Re: not sure what to do .. » floatingbridge

Posted by g_g_g_unit on September 21, 2011, at 9:30:38

In reply to Re: not sure what to do .. » g_g_g_unit, posted by floatingbridge on September 19, 2011, at 9:27:06

> > sorry to keep posting for advice, but i'm going through an extended rough patch at the moment ..
> >
>
> ggg, keep posting. You are very welcome here.
>

thanks :-/ i feel guilty because i don't really contribute much outside of asking for advice ..

> Your case is complicated ggg, as you know. Anxiety is so difficult to treat (I know this personally). I can't advise. If you think Nardil has merit, well, it could be worth trying. The anxiety you felt may be part of start up on it. But then, on Nardil, your stimulant use would be very limited. There is also parnate, which may or may not cause you anxiety, but it might give you enough mental focus. I have tried neither of these medications.

i've tried parnate before. it improved my cognition and anhedonia initially, but then sleep just became a disaster and i started to feel really bizarre and detached on it.

i felt more emotionally expansive on nardil, but i guess it won't do my attention any favors and my doc won't prescribe stimulants with it. i guess i'm trying to find a combo where i'm calm, motivated, creative, focused, etc. - the holy grail in other words - and wonder if i should just accept like a 50, 60% improvement.
>
> I still don't understand why you are being given depakote. Have you asked your doc? It's for your anxiety?

anxiety, yeah, but it seemed to control the RLS i get from SSRIs, so my doc kept me on it
>

> I know you have relocated in the past year. Could it be time for a second opinion? Maybe you are on the BP spectrum. Maybe you are ultra sensitive and have an ADD condition. I hate to say this, because it's hypocritical of me at the moment, me being on benzos, but anxiety can be lessened with the right type of therapy. So maybe you could takeva more stimulating med and work with a anxiety specialist in therapy.
>
> I just don't see the depakote serving you. I don't know.

this is actually the third pdoc i've seen since relocating. he's really great, and i'm seeing him for psychotherapy as well - i'd be a little hesitant about seeking out another opinion just yet, though i admit i'm still really shy and meek around him.

i guess i'll press him more about my dx. i'm really bad at asserting myself.

the thing that has me puzzled is that i took zolpidem to sleep last night, for example. then today i have a coffee. at first i'm a little euphoric and more motivated; then by 2pm, i'm agitated, feeling like i utterly despise everyone on the planet, wanting to strangle our dogs, confused, planning suicide, etc. i thought it could be benzo withdrawal, but don't plenty of people take ambien, etc. could it be that acutely disruptive? or is it the coffee? i thought if it was just unipolar depression, 15mg lexapro would've covered those kinds of reactions. dexedrine has been doing the same thing - i go from an SSRI zombie to 'king of the world' to murderous rage .. but again, these are always reactions to drugs, i've never really experienced that kind of 'mania' otherwise

 

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