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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by mike1970 on March 20, 2004, at 0:58:42
I have experienced generalized anxiety disorder for a number of years and have benefited from cognitive behavioral therapy. My main symptoms have always been negative predictions ("X is going to screw me over") and then rumination about the predictions. These symptoms worsened a year ago and I went on medication for the first time. Paxil at 25 mg reduced each symptom considerably. More paxil did not improve upon the 25 mg. Adding 300 mg of wellbutrin has further decreased the rumination, but some negative prediction continues. My pdoc has concluded that medications cant take care of the negative predictions completely. My ideal is to have none of the negatoive precitions, but perhaps that is not possible.I welcome any feedback about this situation.
Posted by socialdeviantjeff on March 20, 2004, at 2:52:37
In reply to generalized anxiety disorder, posted by mike1970 on March 20, 2004, at 0:58:42
I have the same prob. I would say that the predictions may never go away, but your reaction to them could be controlled by the meds. Probably not the most ideal thing, but the meds should help you handle the ideation when it comes up.
Aside from that, what happening sounds like "paranoid ideation" and my uneducated opinion is to try an atypical antipsychotic like Risperdal or Zyprexa. These are just two examples of names. I really am not sure which AP would work best for your situation. An AP could suppress these thoughts but an AD may not.
SDJ
Posted by Sad Panda on March 20, 2004, at 3:07:33
In reply to Re: generalized anxiety disorder, posted by socialdeviantjeff on March 20, 2004, at 2:52:37
> I have the same prob. I would say that the predictions may never go away, but your reaction to them could be controlled by the meds. Probably not the most ideal thing, but the meds should help you handle the ideation when it comes up.
>
> Aside from that, what happening sounds like "paranoid ideation" and my uneducated opinion is to try an atypical antipsychotic like Risperdal or Zyprexa. These are just two examples of names. I really am not sure which AP would work best for your situation. An AP could suppress these thoughts but an AD may not.
>
> SDJ
>I agree with SDJ. "X is going to screw me over" sounds paranoid. Zyperxa or Seroquel would be my choices added on to your Paxil.
Cheers,
Panda.
This is the end of the thread.
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