Posted by Robert_Burton_1621 on March 1, 2015, at 18:21:35
In reply to Re: SSRI withdrawal symptoms really scare me!, posted by fido on March 1, 2015, at 17:57:26
> hello,
> the problem is i have already tried wellbutrin for depression and adhd. it didnt work.Wellbutrin is not necessarily the most effective noradrenaline reputake inhibitor.
> ritalin also doesnt work for adhd.
> this means for adhd only amphetamines are left. strattera is very unlikely to work either.Why do you conclude that straterra is unlikely to work?
> and amphetamines again are risky when combined with ssri or snri because this can cause serotonin syndrome!
But what is the degree of risk when the combination is taken under supervision. Amphetamines have been adminstered, with care, with MAOIs for 40 years.
> i really have NO clue what to do.
Some have given you some suggestions. Perhaps consider these. GIve yourself some time to think about them.
> but i already looked for other pdocs online and it's basically impossible to find out if there is a good one. i mean what shall i do? go to 10 different doctors and then see who's best?I feel your frustration. Sometimes, that is the position we are all in with psychiatrists. It does take trial and error to find a pharmacologically competent, decent, and attentive one. If you do see another person, try to become clear after each session whether he or she is really helping you. If they are not, and if you've been reasonable in giving enough time for strategies to work, do not be afraid to stop with them and seek alternative care.
> also, among all pdocs in my area my current doc has the best reviews online. other doctors have worse reviews. i am not even going to a doctor who has bad reviews. :(Online reviews are hardly definitive. Can you not seek the advice of a primary care physician (GP?)
> i feel really hopeless now. i am also scared of therapy. i tried therapy a few times and it always hurt me. i made very bad experiences. i cannot go to somebody who doesnt care and who only talks to me cause i pay him. this doesnt help me at all.
Try as best as you can to place this fear in perspective. It does seem that getting your medication right first is what you should prioritise. Perhaps therapy may be beneficial for you when you and your doctor hit on a medication, or medication combination, that works for you.
Incidentally, what is the book you read on treatment resistance? I am interested in consulting it.
Best wishes.
poster:Robert_Burton_1621
thread:1077156
URL: http://www.dr-bob.org/babble/20150223/msgs/1077229.html