Posted by g_g_g_unit on November 14, 2009, at 22:31:36
In reply to Re: calling all armchair psychs » g_g_g_unit, posted by Phidippus on November 14, 2009, at 18:49:42
> If you've got ADHD and OCD, you're best friend might be dextroamphetamine - it is recommended by the APA as monotherapy for OCD. In other words, you'lll kill two birds with one stone.
the hoops you have to jump through to be prescriped a stim in my country are insane. at my psychologist's behest (i speak to a US psychologist via Skype), i went and saw an ADHD specialist last week. his secretary accidentally booked me in for a 25 minute evaluation (as opposed to the initial 90 minutes usually mandated), during which time he declared unequivocally that i had GAD (because most of my anxiety comes from not being able to concentrate, which i had assumed was more of an ADHD feature), and wanted to place me on antipsychotic therapy. uh .. no thanks.
i am going to see a different ADHD GP next week who uses TOVA testing. even if i didn't have fullblown ADHD to begin with, there's no doubt in my mind i would qualify at this point, given how perpetually cloudy, catatonic and amotivational i feel after AD therapy (and i honestly don't buy the "it's depression" label, because i was working and functioning prior to going on AD's. now i'm not).
the only two stims available where i live are ritalin/concerta and d-amphetamine. i am honestly considering omitting the OCD side of things in an attempt to get dex prescribed (my guess is that he'll otherwise push Effexor or something). i am done with ethical niceties at this point. i really just want to go back to school and/or my job. at this point, most AD's make the situation worse, and what's more, psychiatrists aren't really into the cocktail thing.
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> If you want an antidepressant that has a lot of dopamine action, you might want to try Wellbutrin, but only as an adjunct to an SSRI.
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> Wellbutrin + Prozac might be a good combo for the OCD and ADHDi'll consider Prozac + WB, at least if nothing else works out.
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> > i was thinking Stablon might be a good compromise.
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> Stablon will not be as effective Anafranil in your case. Have you ever tried Anafranil?
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> P
>no, i haven't. it sounds too cognitively dirty. the OCD is really not much of an issue at this point - psychs don't really believe me, but i feel so braindead and 'out of it' that i really experience very little physical anxiety or intense ruminations at the moment. the volume on them feels completely dialled down. unfortunately, so does the rest of my brainpower.
so, my aim isn't to eliminate the OCD. i would rather get back to a point where i have enough executive function to work and exist. right now i'm kind of in an exasperating no-man's land.
poster:g_g_g_unit
thread:924919
URL: http://www.dr-bob.org/babble/neuro/20091104/msgs/925772.html