Posted by g_g_g_unit on November 15, 2009, at 4:58:32
In reply to Re: calling all armchair psychs » g_g_g_unit, posted by Phidippus on November 15, 2009, at 1:50:54
> ADHD can present with an awful lot of anxiety-lord knows I'm an anxious mess when I'm off my Dexedrine. Antipsychotics would make you feel yucky.they did. Seroquel made me feel like a chicken with it's head cut off; my inattentive symptoms were amplified x1000. it wasn't akathisia (because there was no physical anxiety/restlessness), but i simply couldn't keep my attention trained on so much as tying my shoes.
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> > the only two stims available where i live are ritalin/concerta and d-amphetamine.
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> Ritalin can make OCD worse. d-Amphetamine is what you want.unfortunately, i think Ritalin is usually prescribed as a frontline med, and i don't really want to go ahead and request dex for fear of being denied treatment altogether. do you think Memantine might be able to curb Ritalin/Concerta's effect on OCD? otherwise, i guess i could always just say Ritalin isn't working for me i guess.
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> Effexor is recommended by the APA if treatment with SSRIs is ineffective.
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> >i feel so braindead and 'out of it' that i >really experience very little physical anxiety >or intense ruminations at the moment.
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> This would be the dissociative state OCD can impart on the victim. Give Anafranil a shot and you may find yourself out of that state.i hate to sound picky, but right now a stim (or d-amphetamine, at least) is my first choice as far as treatment goes - and wouldn't they possibly be just as effective in a dissociative state? i've dealt with the worst of the dissociation (mainly the thoughts it conjures) through psychotherapy, but confronting the pain doesn't really bring back my functioning. i imagine that if i could go back to performing the tasks i enjoy regularly (reading, writing, etc.), the dissociation might evaporate. right now it just feels like a blanket that's helping me cope.
it seems like Anafranil might help get me out of this funk, but i really want to get back my pre-med state of functioning (or as close to as possible). i was working as a writer prior to all this, and anticholinergic drugs just seem to wreak havoc on my word-recall, idea generation, etc. but i guess if i'm refused a stim, then i might have no choice. i hope i don't sound bratty, or like i'm investing all my hope in a drug; but it breaks my heart when i see how readily stims are made available in the US. i've had friends fake ADD so they could get them for partying, but when i asked my last psych if i could try Ritalin (not knowing at that point that it might make OCD worse) so i could go back to school, he accused me of drug-seeking and nearly through me out his office. that's why i'm approaching the matter with incredible trepidation this time.
poster:g_g_g_unit
thread:924919
URL: http://www.dr-bob.org/babble/neuro/20091104/msgs/925795.html