Posted by crittercuddler on December 15, 2008, at 22:23:37
In reply to Re: Sick newbie w/ bad OCDcan't tolerate an SSRI. HELP » crittercuddler, posted by Nadezda on December 15, 2008, at 16:43:23
Nadezda,
It is interesting that you mention a "nocebo" effect. Back when I was first diagnosed I had a hard time getting on medication and in my progress notes, which I have copies of, the doctor mentioned that he felt I was having a nocebo effect. Back then, it took me about seven months to finally take an anti-depressant and stay on it. That of course is a drop in the bucket compared to the 3 years that I have been going on this way now.
I definitely feel like something has changed, and I definitely feel like I don't tolerate SSRIs alone... but I do admit that a "nocebo" effect is likely keeping me off of everything else I have tried. I am very deep in my obsessions and I just can't seem to get out from under them. It is a very catch 22 situation where I need the anti-obsessional properties of a med in order to GET ON a med. Which of course, can't happen.
I always tell myself I am going to stick it out, I try to talk positive to myself, but I always end up compulsively stopping the medication.
ERP guidelines would say that I need to indulge the thoughts of the medicine hurting me and accept that it very well might be and not engage in any compulsion. Do you know about ERP?
Maybe if I go back to my OCD therapist and work on doing ERP for my medication issues. Before, I was doing ERP, hoping that doing the ERP for other obsessions would spill over into helping me with getting on a medicine. It obviously didn't work so maybe I need to just focus on that.
I am leery though... I have a lot of obsessions about failure that play into all of this. I am just sure I won't be able to do it.
=o(
poster:crittercuddler
thread:868435
URL: http://www.dr-bob.org/babble/newbs/20080507/msgs/869023.html