Posted by SLS on December 23, 2009, at 5:31:16
In reply to Rejection sensitivity and I want to die again, posted by uncouth on December 22, 2009, at 18:23:11
> I'm on zyprexa, abilify, tianeptine, high dose wellbutrin, memantine, sam-e, deplin, and tapering off of lithium
Basically, I agree with the other posters.
Abilify might be antagonizing some of the anti-suicide properties of Zyprexa. S-AMe produced an anxious dysphoria for me. Memantine made me feel better during the first week, but worse thereafter. Deplin produced an improvement initially, but ended up being inert. This might not be the best time for you to discontinue lithium, unless it is somehow affecting you negatively. If you are taking more Wellbutrin than what you really need, perhaps it is contributing to causing an anxious state.
Psychiatry has considered SSRI drugs to be effective for treating atypical depression. The same is true of MAOIs, particularly Nardil. Tricyclics and Wellbutrin seem to be of little value. I don't know about Remeron or nefazodone, however, I have never seen anything indicating that they are particularly helpful. I would guess that Effexor and Cymbalta have some efficacy in treating atypical depression.
It looks like you need to make some major changes in your treatment regime before you begin to feel better. In the meantime, psychotherapeutic approaches can help to place your thoughts and feelings into perspective, and give you coping tools to use while you are searching for effective somatic therapies.
I really hope you feel better soon. I know what it is like to fall into the abyss. It seems as though there will never be an escape from the blackness. At times like this, I find it helpful to recall the times when I felt better and know that I can feel like that again. Doing so can bring hope and avoid thoughts of suicide.
You are not doomed.
Ok, now it's your turn. You need to say these things back to me because I am in a bad place, too. Sometime, things gang up on me - bad biology, bad situations, bad thinking.
- Scott
poster:SLS
thread:930381
URL: http://www.dr-bob.org/babble/20091217/msgs/930484.html