Posted by yxibow on November 23, 2008, at 22:25:59
In reply to HELP PLEASE *little trigger*, posted by Fivefires on November 23, 2008, at 15:36:17
> Effexor-XR 450 mania so titrated down and off. There may have been a window, but it also may have just been that good feeling you have a bit after getting off of something.
>
> I'm having ideation. Only Xanax and Provigil.Suicidal thoughts? Because those of us with depression will tell you we have them. Its acting on it that I think you are scared about, and thinking about it is really trying to get away from your problems anyhow.
> I'm sorry I never have anything positive to say anymore. No one IRL will speak to me for this very reason.You do sound depressed though here. But have you ever turned the "nobody" all or nothing concept around and tried to think of something, just anything you used to like, even though you may not enjoy it.
> Why I posted here? I believe after all the meds I've been on there is very likely a chemical imbalance. Visit after visit w/ pdoc he would not augment w/ the Effexor-XR.
Are you sure its a chemical imbalance... I mean your system may be getting used to this but I bet there are some psychological reasons remaining why "nobody" in your perception will speak to you.If you really think its a chemical imbalance, and your doctor didn't like the Effexor-XR, there must have been a reason, I don't think someone would take someone off a SNRI out of the blue. Have you discussed Cymbalta ?
I don't recall your complete discussion, but Lithium is one of the fastest ways to stop ideation -- it also requires monitoring and has side effects.
Another antidepressant, yes, it is considered one by some, is Lamictal -- unfortunately it has a long titration length.
Otherwise, for anything serious that is more than an ideation, I would have to suggest a small dose of Seroquel.
Discuss this all with your doctor though -- it shouldn't be a one way street.
-- best wishes
Jay
poster:yxibow
thread:864887
URL: http://www.dr-bob.org/babble/neuro/20080706/msgs/864953.html