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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by whitmore on May 24, 2009, at 19:59:37
http://www.mcmanweb.com/fear_anger.html
Forgive me if this has been discussed on this website before. I am definitely on the fear/anger side of things, and this has never been addressed by pdocs. We've always focussed on the anxious depression. But the more stress I'm under the more irritable and difficult to be around I get, though even when times are good, it's always there. Does anyone know a good med. for anger? I'm fortunate enough to be relatively high-functioning in terms of a career, but this untreated anger has taken a terrible toll on my personal life. And even once on a job. Any of the AC's make me stupid, however low the dose. SSRi's help with the anxiety but not the anger. Any ideas?
Posted by Frustratedmama on May 24, 2009, at 20:08:46
In reply to Interesting article re fear and anger, posted by whitmore on May 24, 2009, at 19:59:37
Ok, so we are in the same boat apparently! I will keep you posted! Currently trying verapamil- for anger, irritability, etc. I also am able to "function" at work but personally lose it on a daily basis! Lost a few jobs but work for myself now so able to choose own hours, etc.... I'll follow this post!
Posted by Frustratedmama on May 24, 2009, at 20:08:57
In reply to Interesting article re fear and anger, posted by whitmore on May 24, 2009, at 19:59:37
Ok, so we are in the same boat apparently! I will keep you posted! Currently trying verapamil- for anger, irritability, etc. I also am able to "function" at work but personally lose it on a daily basis! Lost a few jobs but work for myself now so able to choose own hours, etc.... I'll follow this post!
Posted by Neal on May 25, 2009, at 1:26:12
In reply to Interesting article re fear and anger, posted by whitmore on May 24, 2009, at 19:59:37
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> Forgive me if this has been discussed on this website before.
It probably has, there's a search feature at the top of the page if your interested in past posts with those words.
I am definitely on the fear/anger side of things, and this has never been addressed by pdocs. We've always focussed on the anxious depression. But the more stress I'm under the more irritable and difficult to be around I get, though even when times are good, it's always there.
So you have anger, but you don't get depressed? You say you're high-functioning, so I would assume that you haven't had a severe depression?
Does anyone know a good med. for anger? I'm fortunate enough to be relatively high-functioning in terms of a career, but this untreated anger has taken a terrible toll on my personal life. And even once on a job. Any of the AC's make me stupid, however low the dose. SSRi's help with the anxiety but not the anger. Any ideas?
I knew somebody once who had real anger problems. And one time I was reading about borderline personality disorder and I had a flash of recognition, because anger is one of the main components to the diagnosis.
As to a med for specifically for anger, I haven't heard of one, but that's an interesting question, and I'm sure the most knowledgeable meds people on this board will weigh in on this later. If you rule out ADs, my thoughts might be the so-called APs (anti-psychotics, but anyone takes them. They include Zyprexa, Seroquel and Risperdal), or possibly lamictal, or perhaps something like Klonopin, or Xanax. The last two are anti-anxiety meds.
Have you ever tried any of those? Or read-up on borderline personality?
_
Posted by Frustratedmama on May 25, 2009, at 10:28:50
In reply to Re: Interesting article re fear and anger, posted by Neal on May 25, 2009, at 1:26:12
> So you have anger, but you don't get depressed? You say you're high-functioning, so I would assume that you haven't had a severe depression?What would you consider "severe depression"? Does wanting to kill yourself and everyone around you count? If so, then yes I would say it's severe. If not, then no.
> I knew somebody once who had real anger problems. And one time I was reading about borderline personality disorder and I had a flash of recognition, because anger is one of the main components to the diagnosis.I asked my pdoc if I had borderline personality once and his reply was "If you had borderline personality you wouldn't be asking". Kind of funny but true if you read up on it.....
Posted by ricker on May 25, 2009, at 15:05:35
In reply to Re: Interesting article re fear and anger, posted by Neal on May 25, 2009, at 1:26:12
>
They include Zyprexa, Seroquel and Risperdal), or possibly lamictal, or perhaps something like Klonopin, or Xanax. The last two are anti-anxiety meds.
>Zyprexa Zydis works best for me in that regard.
Rick
Posted by desolationrower on May 25, 2009, at 18:26:42
In reply to Re: Interesting article re fear and anger, posted by ricker on May 25, 2009, at 15:05:35
it really depends on the why, but valproate or clonidine woudl be good starting point...
-d/r
Posted by whitmore on May 25, 2009, at 18:40:33
In reply to Interesting article re fear and anger, posted by whitmore on May 24, 2009, at 19:59:37
I do have depression but it's a very angry depression. the anger seems to be an expression of fear and also self-pity.
my pdoc once wanted me to try abilify, but I was too frightened of diabetes and tardive dyskinesia. I have BDD and anything appearance related is very difficult. Like medicating an anorexic with something that's going to make them put on weight. Even as I'm typing this<i'm thinking it's all hopeless. The cost of taking these meds. in my case seems so high. On any of the AS meds, my hair falls out and I'm stupid. NO orgasm on the sSRi's. Anticipated massive weight gain on the Ap's. What to do? I feel my only option is to go back to an sSRi. I was on them for about 12 years, with some success, but inability to enjoy sex. I was enjoying that aspect of my life coming back, which is why I've tried to find other options. I'm 58 now, so if I go back on teh SSRI's that's the absolute end of my sex life. rem serz nardil tca's all make anger worse. Any idea whther agomelatine(sp?) or namenda could help? Having problems with caps on keyboard, hence mistakes in typing...
Posted by Neal on May 26, 2009, at 2:28:59
In reply to Re: Interesting article re fear and anger, posted by whitmore on May 25, 2009, at 18:40:33
_
whitmore,btw - sorry for "diagnosing" you. That's not my job description. just sharing an idea, but in the wrong way. sometimes a diagnosis of some kind can lead to a med, that's the reason i mentioned it. sorry.
i feel like i'm familiar with a little of what you might be going through, because i was very close to someone for two years who had somewhat similar problems, someone i cared about very much.
I can say it's not hopeless, as you mentioned, but it often takes some time to find the right option.
there are more people on this board who will be coming back from the holiday - and some of them are really good at psycho-chemistry. i'm not one of them, unfortunately.
I took the liberty of doing a little search on my own and found these posts from June 21 of last year. It's some people sharing ideas about a med for anger, and i pasted them here:
Posted by Bob on June 21, 2008, at 17:03:45
Currently I am taking 450mg of Eskalith CR (Lithium) along with 10mg of Citalopram. A little over a week ago I began adding miniscule amounts of Abilify to the mix. By miniscule I do mean very small, as it little crumbs of a 2mg pill. I have slowly developed bouts of anger and irritation which are now become worrisome, even on these unbelievable small amounts (yes I do have a history of ridiculous sensitivity to psych drugs).
Anyway, I'm wondering whether I should risk continuing with this addition of Abilify, and try to counteract the anger with something else, or just give up and move on to something else. The Abilify has brough some much needed benefits like energy, drive, and some odd paradoxical mitigation of physical anxiety. I'm a little scared of what seems to be going on with the anger and irritability though and do NOT want to get in over my head as I've done so many times before.
Posted by Bob on June 21, 2008, at 20:02:08
In reply to Re: Med choices for AP anger..., posted by Phillipa on June 21, 2008, at 19:37:48
> Isn't there another med you can try? Phillipa
Well, if I add up all the possible combinations of psych meds I could try, I'd probably end up needing exponential notation, but I the experiments on myself are extremely dangerous and trying these days. I kind of liked certain aspects of Abilify, like the drive it was giving me, and the easing of muscle tension among others. Obviously I may have to give it up though.
If an AP is in your future and abilify doesn't work out, Zyprexa stands a good chance of being more friendly. SLS mentioned in another post about adding Zyprexa while starting abilify, and then dropping zyprexa once stabilized on abilify. That was an interesting idea that makes sense to me. Or just take zyprexa by itself. Me and zyprexa were friends for a long time and if you want an irritation/agitation killer, it did a pretty good job of that. But again, I do understand the feeling of being in over your head and I definintely understand being abnormally sensitive to meds. Describes me pretty well.
In reply to Med choices for AP anger..., posted by Bob on June 21, 2008, at 17:03:45
For anger:
Tegretol or Trileptal.
It makes sense to try Trileptal first since it is less sedating and without the risk of developing agranulocytosis that Tegretol has.
- Scott
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Posted by Neal on May 26, 2009, at 3:40:24
In reply to Re: Interesting article re fear and anger, posted by whitmore on May 25, 2009, at 18:40:33
"my pdoc once wanted me to try abilify, but I was too frightened of diabetes and tardive dyskinesia."
your probably over-reacting. It might be worth a try. At least you might learn something.
This is the end of the thread.
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