Posted by yxibow on January 15, 2006, at 4:16:13
In reply to Re: Ready to die cause of ocd, posted by krybrahaha78 on January 15, 2006, at 2:42:40
> have you tried Luvox? This med seems more superior for OCD than the other SSRI's---well to me anyways...
I would second the Luvox as being more superior than other SSRIs for OCD from my experience, but you may have to dial as high as 400mg/dy split in two.
As for the eyebrow twitch, that may or may not be curable by medication, but more by psychotherapy and relaxation. As for other medical options for it, Klonopin would probably be the most reductive of spasms for it. If it is really so severe that it genuinely interferes with daily life, alternating Botox A and B injections could stop it but you might suffer from some slight eyebrow droop.
For the GAD, there are other benzodiazepines you havent tried, like Valium or Serax. Effexor has been approved for SAD but it may complicate your GAD more than something like Cymbalta, which you have indicated you've tried, although I dont know at what dosage.
If you are truly suicidal I would seriously consider an inpatient voluntary visit. There is nothing that can't be mitigated at least partially and there are nearly no phobias that someone else hasn't experienced.
You haven't indicated that you have tried any of the antipsychotics, especially some of the atypical antipsychotics that affect mood to a varying degree, such as Zyprexa.
If none of the above works, the final treatment options are MAOIs, which will require a strict diet. If you are not in the US, you are luckier because some countries have approved RIMAs which are MAOIs that have few diet restrictions. I don't know if they can be imported into the US or not.
To better health.
Cheers
-- Jay
poster:yxibow
thread:599225
URL: http://www.dr-bob.org/babble/20060115/msgs/599259.html