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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by tepiaca on June 6, 2006, at 23:38:18
No please , Today I suffered one of those days
in wich I dont wanna be alive, In the beggining
of the treatming of xanax i started to feel some
kind of relief . I was more talkative , more calm
around people , I was a very differente person.
and I only started with 1mg. No I have reach the 4 mg and nothing good happened today . Im so frustrated , I dont know what to do . This is worst than depression . Suicide thougths are always here when all this happen.
What do you think???Tepi
Posted by jedi on June 7, 2006, at 4:00:09
In reply to Terrible fear has return even with xanax!, posted by tepiaca on June 6, 2006, at 23:38:18
>
> No please , Today I suffered one of those days
> in wich I dont wanna be alive, In the beggining
> of the treatming of xanax i started to feel some
> kind of relief . I was more talkative , more calm
> around people , I was a very differente person.
> and I only started with 1mg. No I have reach the 4 mg and nothing good happened today . Im so frustrated , I dont know what to do . This is worst than depression . Suicide thougths are always here when all this happen.
> What do you think???
>
> TepiHi Tepi,
Are you taking the Nardil on a daily basis? I don't think the benzo is going to be much help for atypical depression. It can help get you through the tough times until the other medication starts to work. I have started Nardil again and titrated up to 90mg pretty fast. I believe that my worst depression is starting to lift after about three weeks at this dosage. I really hope to get more relief until about six weeks. If at that point, my major depression is not gone, I will look into augmentation; maybe with Lamictal.Is your depression diagnosed as atypical? Do you oversleep and overeat when depressed? If not, maybe you should look into a tricyclic, such as nortriptyline. They are generic and cheap. If your depression is bipolar, its a different ballgame; with completely different medication choices.
Good Luck,
Jedi
Posted by Crazy Horse on June 7, 2006, at 11:35:03
In reply to Terrible fear has return even with xanax!, posted by tepiaca on June 6, 2006, at 23:38:18
>
> No please , Today I suffered one of those days
> in wich I dont wanna be alive, In the beggining
> of the treatming of xanax i started to feel some
> kind of relief . I was more talkative , more calm
> around people , I was a very differente person.
> and I only started with 1mg. No I have reach the 4 mg and nothing good happened today . Im so frustrated , I dont know what to do . This is worst than depression . Suicide thougths are always here when all this happen.
> What do you think???
>
> TepiTepi, I'm sorry you are suffering so much, I'm not doing well myself and so i will not be much help to you. Just wanted to let you know i haven't forgotten about you and you are always in my prayers.
Your friend, Monte/Tyler
Posted by Phillipa on June 7, 2006, at 21:32:12
In reply to Re: Terrible fear has return even with xanax! » tepiaca, posted by Crazy Horse on June 7, 2006, at 11:35:03
Tepi I'm here to support you. Love Phillipa
Posted by tepiaca on June 11, 2006, at 16:00:35
In reply to Re: Terrible fear has return even with xanax! » tepiaca, posted by jedi on June 7, 2006, at 4:00:09
> >
> > No please , Today I suffered one of those days
> > in wich I dont wanna be alive, In the beggining
> > of the treatming of xanax i started to feel some
> > kind of relief . I was more talkative , more calm
> > around people , I was a very differente person.
> > and I only started with 1mg. No I have reach the 4 mg and nothing good happened today . Im so frustrated , I dont know what to do . This is worst than depression . Suicide thougths are always here when all this happen.
> > What do you think???
> >
> > Tepi
>
> Hi Tepi,
> Are you taking the Nardil on a daily basis? I don't think the benzo is going to be much help for atypical depression. It can help get you through the tough times until the other medication starts to work.
Until Nardil start to work jedi? .I have started Nardil again and titrated up to 90mg pretty fast. I believe that my worst depression is starting to lift after about three weeks at this dosage. I really hope to get more relief until about six weeks. If at that point, my major depression is not gone, I will look into augmentation; maybe with Lamictal.
>But do you have social fear????
> Is your depression diagnosed as atypical? Do you oversleep and overeat when depressed?Nothing of that
If not, maybe you should look into a tricyclic, such as nortriptyline. They are generic and cheap. If your depression is bipolar, its a different ballgame; with completely different medication choices.
> Good Luck,
> Jedi
>
>
>With or without Nardil? . I wont leave nardil again , I almost killed myself last time I did . I just need this Fear togo away, I dotn care if i have to take marijuana or cocaine
tepi
Posted by tepiaca on June 11, 2006, at 16:12:41
In reply to Re: Terrible fear has return even with xanax! » tepiaca, posted by Crazy Horse on June 7, 2006, at 11:35:03
> >
> > No please , Today I suffered one of those days
> > in wich I dont wanna be alive, In the beggining
> > of the treatming of xanax i started to feel some
> > kind of relief . I was more talkative , more calm
> > around people , I was a very differente person.
> > and I only started with 1mg. No I have reach the 4 mg and nothing good happened today . Im so frustrated , I dont know what to do . This is worst than depression . Suicide thougths are always here when all this happen.
> > What do you think???
> >
> > Tepi
>
> Tepi, I'm sorry you are suffering so much, I'm not doing well myself and so i will not be much help to you. Just wanted to let you know i haven't forgotten about you and you are always in my prayers.
>
> Your friend, Monte/TylerThank u ty I read ur problems with parnate , That is sad too. Ty seroquel can put u sleep with only 25mg. I have tried many and its by much the best. Again the bad thing its that is an AP.
Good luck with the ESAM , I want the Ty I use to heard in the pasttepi
Posted by tepiaca on June 11, 2006, at 16:25:12
In reply to Re: Terrible fear has return even with xanax!, posted by Phillipa on June 7, 2006, at 21:32:12
> Tepi I'm here to support you. Love Phillipa
thank u Dear jane . I wish I could ne normal . I need it . I need my life back
Posted by jedi on June 11, 2006, at 17:44:21
In reply to Re: Terrible fear has return even with xanax! » jedi, posted by tepiaca on June 11, 2006, at 16:00:35
> Until Nardil start to work jedi?
Hi Tepi,
If your worst problem is the severe social anxiety, then I have found nothing better than Nardil combined with Klonopin. Maybe some of the other MAOIs and benzos will work also but I believe that Nardil and Klonopin are the most researched.
> But do you have social fear????
Yes, I have had severe social anxiety since my teenage years. I didn't even date in high school because of the social anxiety and the fear of rejection. Until I started using Nardil with Klonopin my palms used to sweat terribly. I would have to wipe my palms before I could even shake hands with someone.
> > Is your depression diagnosed as atypical? Do you oversleep and overeat when depressed?
> Nothing of that
I asked that because the MAOIs are so much more effective than the tricyclics for atypical depression. I'm not saying that Nardil won't work for other kinds of depression, but it is proven more effective for the atypical variety. Again, for social anxiety, nothing beats Nardil with Klonopin; IMHO.
>
> With or without Nardil? . I wont leave nardil again , I almost killed myself last time I did . I just need this Fear togo away, I dotn care if i have to take marijuana or cocaine
>
I sure would not recommend the use of cocaine. It may help you feel better in the short term, but long term it will probably prevent you from feeling any pleasure in life. Some people swear that pot makes them feel less anxious. But with the high THC content of marijuana today, it can worsen anxiety and even lead to paranoia.I have combined nortiptyline(a tricyclic) with Nardil in the past. For me, it didn't work any better than Nardil by itself, but again my depression is atypical. I am not sure what combination of medications would work best for somone with severe anxious depression. The use of MAOIs and tricyclics together is officially contraindicated. Combining the two without the services of a qualified MD could be dangerous.
Wishing you better days ahead,
JediAnxious depression, from Psychology Today:
Anxious depression covers the large gray area where symptoms of depression and anxiety co-exist or overlap. Patients typically have feelings of worthlessness and pessimism, excessive worrying and guilt, and are unable to enjoy things. The disorder is expressed physically in diminished appetite, poor sleep with frequent awakenings, and restlessness and psychomotor agitation.In one study of 255 depressed outpatients that he conducted, psychiatrist Maurizio Fava, M.D., of Harvard reported at the symposium, 51% were found to have anxiety along with their depression. It's not clear whether the anxiety follows on the heels of feelings of worthlessness. But in 40% of the anxiously depressed, the anxiety disorder started first.
Among those whose anxiety takes the form of social phobia and generalized anxiety disorder, the anxiety tends to precede major depressive disorder. But in the case of panic disorder it usually follows the onset of the depressive disorder.
Patients are young -- average age 20.6 versus 28.4 among those with major depression alone -- significantly functionally impaired, and take more time to recover. They are less likely to respond to treatment and more likely to relapse, and experience less change in their depressive symptoms with treatment.
The disorder may have its origins early in life among children of a distinct temperament type who are frightened by novelty. Both the anxiety and depression may be the outcome of abnormaly high levels of hormones driving the body's stress response system.
Anxious depression typically poses a treatment dilemma for doctors. Many seek to use antidepressants that have sedating properties, although it's not clear that they need to, said Dr. Fava. Studies show that all of the antidepressants work equally well against this type of depression, although high doses may be needed. Still, in practice physicians tend to prescribe a combination of drugs for such patients, usually a tranquilizer along with an antidepressant.
Given their anxiety quotient, depressives of this type are unusually sensitive to bodily sensations. As a result, common drug side effects -- such as gastrointestinal distress -- are often cause for discontinuing treatment. Even when treatment continues, remission can be a long time coming. Cognitive therapy can be very helpful.
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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