Posted by g_g_g_unit on May 30, 2009, at 0:49:20
In reply to Re: Starting Namenda for OCD » greywolf, posted by Sigismund on May 29, 2009, at 21:43:39
> If you are worried about making a mistake, is that OCD?
>
> As in you can't work out what you want or which >milk to buy because you have no criteria against >which to measure a decision....is that OCD?No, though I did experience that while on Nardil (simple, day-to-day conversation became a tortorous experience because i'd agonize over the minutae of what i was saying; it's like i was incapable of making a spontaneous decision).
the stimulating phase of Memantine eradicated that (i felt completely prepared for any social moment), while simultaneously pushing my perfectionist/OCD tendencies into code-red. now on 15mg that's calmed down, though given the grand boost in idea formulation + conversation making i felt before, i'm thinking it might be a good idea to play around with a low dose of something dopaminergic if i can stabilize on memantine.
prior to ssri's i would often get those surges of ideas, etc. at the same time as i experienced crippling OCD. when i wrote i would compose most of the sentence in my head, and then once it was committed to paper (or 'perfected'), refuse to change a letter. it's like i was forced to obey that compulsive 'spark' for better or worse; i would rush through the ideas that appeared to me without really thinking them through, etc.. whenever i tried an SSRI, i would mistake the loss of that spark with thinking that i was being completely dumbed down, where as in reality i guess i was being forced to fend for myself finally, rather than rely on that inner prompting.
so i guess once i had been stuck cycling through SSRI's for too long, it was like i was experiencing the extreme opposite of that impulsive behaviour, i.e. what you describe Sigismund, where minute decisions become impossible to execute.
sorry, just thinking out loud .. but being through all of this has been a good object lesson for me. i guess balance is the key to everything huh.
on a final note: does anyone see any benefit/downside to taking NAC *with* Memantine?
also, i am meant to meet with my pdoc in a week or so, and am busy thinking of potential augmentation ideas to bring up.
i was thinking of maybe SAM-e, moclobemide, or a small dose of liquid deprenyl (a bottle of which i have on hand, but have never used).
poster:g_g_g_unit
thread:898067
URL: http://www.dr-bob.org/babble/20090524/msgs/898416.html