Posted by Nadezda on December 15, 2008, at 16:43:23
In reply to Re: Sick newbie w/ bad OCDcan't tolerate an SSRI. HELP, posted by crittercuddler on December 13, 2008, at 14:45:05
Hi, crittercuddler.
Have you talked to your pdoc about trying other ADs? There's wellbutrin, remeron, cymbalta and effexor, and the Maois, among others. These work for different people and sometimes it takes several trials before you find the right one. It sounds like SSRIs aren't the way to go any more.
But I do have to wonder if your reaction to meds isn't to worry a lot more about your mental abilities, etc, and to be prone to judge them more, out of anxiety and perhaps depression, and pessimism over whether the drugs will help. It's sometimes (not always) hard to separate a nocibo effect from a genuine side effect when you're very worried about something bad happening. It may not be possible to overcome this, but it could explain some of the reaction. You could need to wait it out on a drug for at least a period before deciding that you can't think straight. But of course only you know if the effects seem sufficiently grave to justify quitting without a full trial.
I would encourage you, though, to try some other classes of meds, in the hope that these will be more effective for you. And to be ready to tolerate a period of uncertainty. Usually one or another of these drugs does help people-- especially if properly augmented. So I hope you keep on trying.
It's really the only thing you can do-- frustrating as that may be. Psychopharmacology is not yet an exact science, unfortunately. If you trust your pdoc-- and I think a pdoc whom you trust is a very important part of the process-- and give the meds an adequate trial, I think you have a very good chance of finding something that works.
You might check out the medication boards to find other drugs and other people's reactions to them-- and to report side effects when you do try something else.
Hope you find something that works,
Nadezda
poster:Nadezda
thread:868435
URL: http://www.dr-bob.org/babble/newbs/20080507/msgs/868960.html