Posted by Vincent_Qc on March 2, 2012, at 16:23:53
In reply to Re: Need some help please (long thread sorry). » Vincent_QC, posted by SLS on March 2, 2012, at 12:45:33
> What is your history of psychotherapy?
>
> CBT?
>
> Which antipsychotics have you tried?
>
> Which anticonvulsants have you tried?
>
> Have you tried Cymbalta?
>
>
> - ScottHi Scott, I do a lot of therapy...first I done back in 1994 until 1996 was a behavior therapy and was by far the more effective therapy I had in my life. I done group therapy with CBT approach who fail to produce improvement. No improve for CBT therapy with exposure time... just between may 2010 and may 2011 I had 3 CBT therapy with exposition time to events who trigger anxiety and try to learn to cope with the symptoms and things like that and I didnt improve. The last Psychologist I had told my PDoc that I had somatoform disorder and that I was a hard case to treat with only CBT therapy...
I try almost all the newer AP and 2 typical AP...haloperidol who was not effective at all and give extra pyramidal effects...try also zyprexa at normal dose without any improve, risperdal who give to me panic attacks when I was free of them for almost 10 years...try also geodon who was an awful experience, try seroquel at first for insomnia and start at 25mg and ending 6 months later at 150 mg and at the same time the panic disorder return for good in my life so I dont know if the seroquel is to blame...I try also the Abilify and had a very bad reaction to it at a low 2 mg dose, its seem that everything who increase or decrease the dopamine increase my anxiety...I remember when I try the Mirapex drug, I had the worse panic attack of my life, even after 2 weeks on it I had panic attacks all the time.
Same thing for meds who play with the NE like the effexor-xr, Pristiq or Cymbalta or the older TCA's like the Imipramine, Clomipramine, Nortryptiline <that one increase a lot my heart rate> or desipramine who also affect a lot my heart rate being extremely irregular on it...
Strangely, back in 2007-2008 before the panic disorder return in my life I was on 60 mg day of Remeron + 20 mg of Prozac + 50 mg of Elavil for the headache and never had fast heart beat or heart problems...
I try the Gabapentin at high dose for my social phobia, 3600mg for 3 months with no improve on my anxiety. I try the Lyrica but wasnt able to take more than 150mg cause of the extreme dizziness and facial flushing. I was on Topomax at 100mg for 6 months for the prevention of migraine but it never really work. Try also Lamictal but was too much activating for me...Never try the other anticonvulsants like Epival...
For the other meds, all the SSRI's are very effective against panic disorder but the Paxil is by far superior for me and need only a low dose to work around 15_20 mg...the prozac is by far the more stimulating and above 30 mg lead to more panic, the celexa and lexapro are the worse for anxiety they dont work as well and need higher dose and the zoloft work but is the harder for me to start increasing the number of panic at first and at 200mg stoping it cause is was doing nothing for the social anxiety making it worse in fact. Only the Paxil seem to work on the panic and social phobia.
The Maoi's dont help me at all, the nardil is only good to help me to reduce my benzo intake but have too much orthostatic hypotension at dose above 60mg even with florinef help to stabilize the blood pressure...and the Parnate almost kill me 3 times with hypertensive crisis even if I was following the diet and even if I had nifepidine pills to reduce the blood pressure in case of hypertensive crisis...
Also try others meds for the energy level, wellbutrin and Ritalin and Concerta at low dose with SSRI because the SSRI's tend to make me feel very tired...
Well thats my complete meds use history so far...it will be too easy for me to be able to take the paxil again but I cant, my body react strongly to it...
poster:Vincent_Qc
thread:1012210
URL: http://www.dr-bob.org/babble/20120302/msgs/1012228.html