Posted by phidippus on November 11, 2014, at 15:51:21
In reply to Re: Had my first rTMS treatment today » phidippus, posted by Chris O on November 11, 2014, at 14:43:38
My struggles with anxiety began in 2006 and proceed to this day. But I got it under control and am mostly symptom free these days. I don't have GAD, I have OCD with panic disorder. But I remember being drenched in so much anxiety I couldn't complete school, having panic attacks in the middle of class. A lot of what helped was therapy, specifically ERP, ACT and DBT? Are you familiar with any of these? If you aren't you should go right away and find a good therapist who practices them.
Medicine wise it took a lot of trial and error to get the anxiety under control, but I found some that worked: Luvox, Clomipramine, Cymbalta, Viibryd and Brintellix-I took one of these as my base medication then augmented with other medication: Abilify, Invega, Geodon, Riluzole, Tramadol and Keppra.
And that's what I'd recommend to you, is start with a base, say Brintellix-something that gets you to 50-60% then augment with other medications. For GAD I'd recommend augmentation with Lyrica, Gabitril, Keppra or Riluzole. Any of the combination above will do. I might even recommend sprinkling a little risperdal on the top. I think with the severity of your anxiety multiple medications are warranted.
>It is so all encompassing and so "lifetime" and I am so inside of it that it is hard to say anymore.
do you know how to identify distorted thoughts?
>when I am in the world, everything is moving so fast that I cannot keep up.
does everything cause you anxiety?
>I am filled with guilt and rage because it is all so humiliating.
just something else you need to worry about. why does it have to be humiliating?
>I use my anxiety; I fight against my anxiety to carve out an identity.
If you're fighting your anxiety, it has already won. You need to let it wash over you and see if you're still standing when the waves have past. That's when you find yourself.
>If my relationship with my wife crumbles
another worry
Eric
poster:phidippus
thread:1072998
URL: http://www.dr-bob.org/babble/20141017/msgs/1073371.html