Posted by ace on December 22, 2009, at 20:02:03
In reply to Rejection sensitivity and I want to die again, posted by uncouth on December 22, 2009, at 18:23:11
> Things are getting bad again. I don't know if it's the holidays, the major and minor rejections i've been getting the last few weeks ,or the quitting smoking.
I would say a combination of all three, however, do not underestimate the smoking cessation to be playing a major role in undermining your sense of well-being. However, I wouldn't think these would last much beyond 14 days or so.
What rejections have you recieved?
Romantic, business, general social?Probably a combination of the three. But my complex drug regimin that kept me out of suicidal-land for the last 2 months isn't doing the trick anymore. I am resisting an urge to smoke but damn do I want one now.
How did you stop? Did you use 'substitutes' or 'cold turkey'?
Have you got other people around you supporting your efforts?
I would advise reading a fellow named Allen Carr, who did a great deal in helping people stop smoking.
>
> My regimen I feel did a good job of taking away the constant, throbbing negativity and depressive pain. But it did nothing for the lack of positive affect or hope or optimism. That has been gone from me for so long, so very long.Well your regime, in my opinion, is simply not good enough.
>
> I guess the point of this post is two fold. Are there any medications that help with rejection sensitivity? Are SSRIs good for that? Right now I'm not on one. I know it's part of the atypical depression constellation, but after getting stabilizied for a few months, I am exquisitely sensitive -- any small rejection or disappointment sets off a big mood reaction.Firstly, and I emphasis this is only my opinion, I would stay clear of the SSRI's. I would much rather use MAOI's, TCA's, or benzo's. Is this rejection sensitivity part of a social phobic problem? If so, go straight to Nardil or Xanax, Clonazepam etc
However, I would try and work on the fundamental beliefs behind this rejection problem. I am not a big fan of psychotherapy, but I think CBT does help this disorder. And I don't think it is necessary to see a psychotherapist.
As a youngster, through whatever way, you probably got some idea in your head that you were somehow inherently flawed or 'different' to others...that you were not as good as others. The same people you fear rejection from, may actually fear it from you! Think about that deeply, and meditate on it.
The problem is, is that you may be running around with these beliefs you acquired so many years ago, which simply have no validity. They only have validity by virtue of the fact that you are giving them validity!
Who are these people to have such power over you?
Be honest, do your best, and they can take it or leave it!
Do NOT ASSOCIATE THE REJECTION WITH WHO YOU ARE!
> Secondly, what to do about the lack of positive affect. Anything? I'm already on a high dose of wellbutrin. Optimism, fun, excitement...nothing...i feel none of it and haven't for so long.I don't have much faith in these new drugs at all. I have never seen any evidence that they are more efficacious than the TCA's, MAOI's. Actually most evidence I have seen, shows them to be LESS effective, have MORE withdrawal problems. But the poor psychiatrist is fed the data that the drug companies want him/her to read!
>
> God saved me this summer from taking my life. I was close, very very very close. ECT didn't do it, drugs didn't do it, the pain I was in was so intense and so refractory to treatment that the only way I can understand how I got through it was through God. And note my faith was weak during that time too.Turn to this faith again.
> But now I feel unmoored, dangling, with no, zero, zilch hope for the future, no ideas of how to get some, and feeling trapped, drowning, pummeled by life's barbs. Not being able to handle even the most simplest and benign disappointments and failures. It just never ends, and the worst part is I know the more time I spend in this state, the more pains I take, probalby the more difficult it is to rise above and out.I am sure a lot can empathise here with you, and I don't say that to undermine the pain you are experiencing. It seems you feel you are trapped, and feel helpless to circumstances around you....What you describe here sounds like a pathological state. Certainly not a 'normal' sadness.
In your situation I would first get the medication situation sorted.
If you have any suicidal ideation, you must tell others and get to a point, via medication, where you can feel that you have some free 'space' from your depression to apply your own efforts.
> God please help me again get through this. I don't know what's on the other side, but you saved me once please save me again.Keep writing here too mate, we are all on your side.
> -uncouth
>
> I'm on zyprexa, abilify, tianeptine, high dose wellbutrin, memantine, sam-e, deplin, and tapering off of lithiumThis is a lot of medications!
What is the official diagnosis?Whatever the case, your current mental state does not warrent the continuation of such a regime.
You are having interactions all over the place, and they could be actually contributing to your depression.
I have seen this again and again. One drug isn't working - stick him on another....and another...and another!
I'm not against polypharmacy, but I am against the psychiatric neglicence.
You don't know what is doing what when your own so many.....
I think maybe just taking one or two may do just as good....
Hang in there mate, and get back to me....
Ace
poster:ace
thread:930381
URL: http://www.dr-bob.org/babble/20091217/msgs/930402.html