Posted by bleauberry on June 29, 2009, at 19:55:06
In reply to Intrusive OCD thoughts?, posted by BRC on June 28, 2009, at 11:53:08
I've had the best response to OCD intrusive thoughts with a serotonin-norepinephrine mix, for example milnacipran, or lexapro+nortriptyline, or parnate. It would seem logical to expect a ssri med or benzo would do the trick, but I found that a multispectrum approach works tons better. The only hard part is that during the first days the symptoms are worse, so it is extremely important to start with very small doses and know that there will be a period of a few days of worsening and to expect it, but that following that is serene.
I found antipsychotics either did not help, only blunted it somewhat but didn't really get to the heart of it, or worsened it.
Serotonin alone, bad. Norepinephrine alone, bad. Gaba alone, bad. An equal mix works awesome.
That does NOT include Cymbalta or Effexor. Those are almost purely serotonin, despite their nearly disingenuise claim of being SNRIs.
poster:bleauberry
thread:903596
URL: http://www.dr-bob.org/babble/20090620/msgs/903831.html