![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by beaches09 on February 1, 2009, at 6:53:43
Ive been sitting in my room at my parents house for about 7 years. A little after high school a bunch of bad stuff started happening in my life one after another after another and just sent me in a deep hole of misery and I've never been able to pull myself out since. Actually I've been pretty screwed up most of my life expect for a few periods were good things were happening then of course I was doing good in life and things were good. Shortly after I tried doing the meds thing and different cocktails and did many SSRI's, SNRI, NRI, DRI, Antipsycotics, benzos, stimulents, etc, and nothing worked, each thing helped a little in certain ways but just creating another imbalance as nothing targeted everything like an MAOI. Then I got so withdrawn and cracked out between switches I finally gave up and said screw it.
Ive tried numerous times to go out in the world since and live a life and I always fall completely on my face. I know the things I want and I even have a pretty good idea of what I want to do with my life, but as far as being able to do a single thing to make them happen, well I get 10 feet past the starting line and then wipeout like hell.
Then I get 20 times more depressed and it just keeps getting worse and worse. I started to think that Ive always been depressed because of my situation of where I am in my life which is nowhere. And I actually have been thinking this whole time that I am not depressed and It was just my shi**y situation. I have been distracting myself with feel good events to fool me into thinking Im not depressed. Then I started to think I was ADHD and which I do have all the symptoms but thats still not it and even when I took Adderall it did help me focus, but I was still miserable.
Then I learned about Atypical depression surfing the web while listening to my music the other day in a trance. And took a bunch of tests and it fits me 100%. I scored off the chart. Every single thing about it except the heavy limbs. Even the sub disorders that go with it. Panic disorder, social phobia, avoidant personality disorder, and body dismorphic disorder.
I dont talk to any of my friends, I have many good friends from back in the day and I ignore them all when they try to contact me because of fear. I ignore family. Im completely utterly terrified of rejection by new people so I dont attempt to meet any new people. When Im in public my mind is like an overclocked quad core computer chip processing and analyzing information about peoples perceptions, thoughts, and facial expressions of me and how to control those perceptions. I notice every single person in a room no matter how large and I notice every single person that notices me. Im so freakin aware I could hear a pindrop across the freakin store if there was one.
I can see how this awareness could be converted into a useful tool in a military setting which Ive thought of joining many times before as a way out but never did as I always end up back to realizing those arent the right reasons and not what I really wanted to do and so on. Creating so much anxiety that the only time I leave the house is at 11:00 pm at night to get my food at the store when nobody is out.
My main thing is the depression though as Im learning. The anxiety stems from the depression and my current state and thats what creates that fear. Because right now I am completely out of wack and not normal and I dont want people sizing me up which everyone in this freakin world just seems to love to do is size everyone up.
Ive managed to get myself out of the house during the summer each year BTW I hate winter with a passion and it makes me want to d*e, and try and work but its like I am a walking dead person. Ive come across AWESOME PEOPLE and AWESOME OPPORTUNITIES of a lifetime and I completely fu**ed them up because I was braindead, unsocial, not all there, and socially terrified because of it. I missed my best friend's wedding in Hawaii, awesome job opportunities, chances to move out of state to paradise with good friends, screwed up so many good jobs, lost girlfriends and opportunities. Believe it or not even in my current state of misery I've attempted to fake it, fake being happy and normal just so I could get a girlfriend again to maybe help boost me back to being normal and I've failed and been rejected miserably.
And because of all this and happening over and over and worse and worse again and again I got to the point were I was completely ready to have it all end.
I read the rules about what we can't talk about on here so I won't get into it. But last year I was in that horrible black state of mind, I wanted to, I fantasized about it. I couldnt wait to get to the other side. But no matter how much pain I was in I couldnt do it to my family. Even when I was in complete hate fight with them. So nobody needs to go calling people Im not in that state of mind and thats not going to happen.
But Im still completely miserable, lethargic, apathetic, absolute negative 100 motivation, no energy, sleep 12 hours a day, can't focus for crap, can't be creative anymore like I used to be, feel completely hopeless, totally lost, worthless, brain-dead, short-circuited, irritable, anixious, moody, self esteem zero, basically everything zero. I feel like an ornament on a black christmas tree. At the same time I have all these dreams and wishes and desires and loves and passions, but no matter how much I feel for all those things I am unable to do anything about any of it to make any kind of a life out of it. The smallest tasks in the world are so overwhelming I just do nothing and go nowhere.
I was once not like any of this and used to be on top of my game, and those days have been gone for many years and I've just been in this cloud doing random little things to keep my occupied.
In saying this stuff, which med do you guys think I should give a try first or might better suit me? Nardil or Parnate? I would ask the doc that but we all know he isnt going to know jack. So it would mean the world to me to get your guys opinions. I take full responsibility of the decision that I will make no matter what happens, but I would greatly appreciate some advice.
I took the antiaging.com edge effect test which I will post here. It says I am major lacking in all the neurotransmitters (to no surprise and finally makes good sense!) with a moderate lack in serotonin, but lacking GABA most of all which makes me think I should go with Nardil. But at the same time I DO in fact have MANY ADHD symptoms and that makes me think I should go with Parnate. I also have the social phobias, and avoidance personality, and Nardil is better for those I take it? But at the same time I feel those things stem from my depression problem and once that is under control I feel I wont have the social phobias so much and Ill be my old self again.
Does one med vs the other make you more talkative and social? Would it be dumb to take parnate when I clearly am lacking the most in a major GABA deficiency? But what about the ADHD symptoms? I cant read a book and all that stuff unless it completely interests me, In which case then I can go full speed ahead like a laser.
I thought about maybe augmenting either med with something. I like my caffeine so maybe that would be a good mix with Nardil. I like to drink on the weekends so then that would maybe be a better mix with Parnate? Or maybe if I just took Parnate and then took a GABA supplement? Im having a really hard time deciding. Another one of my symptoms is making decisions I cant make them for the life of me no matter how simple or how hard, I analyze every single detail and outcome down to the freakin microfiber. And then I just end up not making a decision at all and doing nothing. Im sure either of these meds will make me better off than I am now, but would still like to go the better route.
My goal is to rid this depression completely, move to my paradise in a diff state, and build a new friendship circle and life and be very social, but also clear headed and able to get tasks done. Then start chasing my life interests. Can you guys post your experiences on the meds and your dose? And what you think I should try? I am very grateful to have found this board for once I feel like I am finally going to be normal and live a life. Ive been at the point now where Im afraid to be normal and happy because to me that is NOT normal. I know many of you here relate to much of this, and even more so than I. And I tell you I have NO IDEA what normal is but I can imagine. Also I am not meaning to sound as if my symptoms are any better or worse than anyone else as we all got our stuff. Im just lookin for help. So I thank all you guys.
I know thats long, I'm very greatful to whoever can help.
Cheers.
Posted by bulldog2 on February 1, 2009, at 10:56:49
In reply to Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 1, 2009, at 6:53:43
> Ive been sitting in my room at my parents house for about 7 years. A little after high school a bunch of bad stuff started happening in my life one after another after another and just sent me in a deep hole of misery and I've never been able to pull myself out since. Actually I've been pretty screwed up most of my life expect for a few periods were good things were happening then of course I was doing good in life and things were good. Shortly after I tried doing the meds thing and different cocktails and did many SSRI's, SNRI, NRI, DRI, Antipsycotics, benzos, stimulents, etc, and nothing worked, each thing helped a little in certain ways but just creating another imbalance as nothing targeted everything like an MAOI. Then I got so withdrawn and cracked out between switches I finally gave up and said screw it.
>
> Ive tried numerous times to go out in the world since and live a life and I always fall completely on my face. I know the things I want and I even have a pretty good idea of what I want to do with my life, but as far as being able to do a single thing to make them happen, well I get 10 feet past the starting line and then wipeout like hell.
>
> Then I get 20 times more depressed and it just keeps getting worse and worse. I started to think that Ive always been depressed because of my situation of where I am in my life which is nowhere. And I actually have been thinking this whole time that I am not depressed and It was just my shi**y situation. I have been distracting myself with feel good events to fool me into thinking Im not depressed. Then I started to think I was ADHD and which I do have all the symptoms but thats still not it and even when I took Adderall it did help me focus, but I was still miserable.
>
> Then I learned about Atypical depression surfing the web while listening to my music the other day in a trance. And took a bunch of tests and it fits me 100%. I scored off the chart. Every single thing about it except the heavy limbs. Even the sub disorders that go with it. Panic disorder, social phobia, avoidant personality disorder, and body dismorphic disorder.
>
> I dont talk to any of my friends, I have many good friends from back in the day and I ignore them all when they try to contact me because of fear. I ignore family. Im completely utterly terrified of rejection by new people so I dont attempt to meet any new people. When Im in public my mind is like an overclocked quad core computer chip processing and analyzing information about peoples perceptions, thoughts, and facial expressions of me and how to control those perceptions. I notice every single person in a room no matter how large and I notice every single person that notices me. Im so freakin aware I could hear a pindrop across the freakin store if there was one.
>
> I can see how this awareness could be converted into a useful tool in a military setting which Ive thought of joining many times before as a way out but never did as I always end up back to realizing those arent the right reasons and not what I really wanted to do and so on. Creating so much anxiety that the only time I leave the house is at 11:00 pm at night to get my food at the store when nobody is out.
>
> My main thing is the depression though as Im learning. The anxiety stems from the depression and my current state and thats what creates that fear. Because right now I am completely out of wack and not normal and I dont want people sizing me up which everyone in this freakin world just seems to love to do is size everyone up.
>
> Ive managed to get myself out of the house during the summer each year BTW I hate winter with a passion and it makes me want to d*e, and try and work but its like I am a walking dead person. Ive come across AWESOME PEOPLE and AWESOME OPPORTUNITIES of a lifetime and I completely fu**ed them up because I was braindead, unsocial, not all there, and socially terrified because of it. I missed my best friend's wedding in Hawaii, awesome job opportunities, chances to move out of state to paradise with good friends, screwed up so many good jobs, lost girlfriends and opportunities. Believe it or not even in my current state of misery I've attempted to fake it, fake being happy and normal just so I could get a girlfriend again to maybe help boost me back to being normal and I've failed and been rejected miserably.
>
> And because of all this and happening over and over and worse and worse again and again I got to the point were I was completely ready to have it all end.
>
> I read the rules about what we can't talk about on here so I won't get into it. But last year I was in that horrible black state of mind, I wanted to, I fantasized about it. I couldnt wait to get to the other side. But no matter how much pain I was in I couldnt do it to my family. Even when I was in complete hate fight with them. So nobody needs to go calling people Im not in that state of mind and thats not going to happen.
>
> But Im still completely miserable, lethargic, apathetic, absolute negative 100 motivation, no energy, sleep 12 hours a day, can't focus for crap, can't be creative anymore like I used to be, feel completely hopeless, totally lost, worthless, brain-dead, short-circuited, irritable, anixious, moody, self esteem zero, basically everything zero. I feel like an ornament on a black christmas tree. At the same time I have all these dreams and wishes and desires and loves and passions, but no matter how much I feel for all those things I am unable to do anything about any of it to make any kind of a life out of it. The smallest tasks in the world are so overwhelming I just do nothing and go nowhere.
>
> I was once not like any of this and used to be on top of my game, and those days have been gone for many years and I've just been in this cloud doing random little things to keep my occupied.
>
> In saying this stuff, which med do you guys think I should give a try first or might better suit me? Nardil or Parnate? I would ask the doc that but we all know he isnt going to know jack. So it would mean the world to me to get your guys opinions. I take full responsibility of the decision that I will make no matter what happens, but I would greatly appreciate some advice.
>
> I took the antiaging.com edge effect test which I will post here. It says I am major lacking in all the neurotransmitters (to no surprise and finally makes good sense!) with a moderate lack in serotonin, but lacking GABA most of all which makes me think I should go with Nardil. But at the same time I DO in fact have MANY ADHD symptoms and that makes me think I should go with Parnate. I also have the social phobias, and avoidance personality, and Nardil is better for those I take it? But at the same time I feel those things stem from my depression problem and once that is under control I feel I wont have the social phobias so much and Ill be my old self again.
>
> Does one med vs the other make you more talkative and social? Would it be dumb to take parnate when I clearly am lacking the most in a major GABA deficiency? But what about the ADHD symptoms? I cant read a book and all that stuff unless it completely interests me, In which case then I can go full speed ahead like a laser.
>
> I thought about maybe augmenting either med with something. I like my caffeine so maybe that would be a good mix with Nardil. I like to drink on the weekends so then that would maybe be a better mix with Parnate? Or maybe if I just took Parnate and then took a GABA supplement? Im having a really hard time deciding. Another one of my symptoms is making decisions I cant make them for the life of me no matter how simple or how hard, I analyze every single detail and outcome down to the freakin microfiber. And then I just end up not making a decision at all and doing nothing. Im sure either of these meds will make me better off than I am now, but would still like to go the better route.
>
> My goal is to rid this depression completely, move to my paradise in a diff state, and build a new friendship circle and life and be very social, but also clear headed and able to get tasks done. Then start chasing my life interests. Can you guys post your experiences on the meds and your dose? And what you think I should try? I am very grateful to have found this board for once I feel like I am finally going to be normal and live a life. Ive been at the point now where Im afraid to be normal and happy because to me that is NOT normal. I know many of you here relate to much of this, and even more so than I. And I tell you I have NO IDEA what normal is but I can imagine. Also I am not meaning to sound as if my symptoms are any better or worse than anyone else as we all got our stuff. Im just lookin for help. So I thank all you guys.
>
> I know thats long, I'm very greatful to whoever can help.
>
> Cheers.Parnate is supposed to have less sides especially in regards to weight gain and sexual dysfunction. You could augment parnate if needed with low dose klonopin or neurontin. But see how parnate works alone. You may not need anything.
Posted by Phillipa on February 1, 2009, at 12:23:32
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by bulldog2 on February 1, 2009, at 10:56:49
Great to see you're at the point of making a decision. You say you've tried most meds so assuming you have a pdoc is he/she willing to prescribe an Maoi? Just curious. And welcome to babble see your're a first time poster. If fear anxiety is worst symptom nardil is supposed to be better for that. But is notorious for weight gain from what I've read. Sorry no personal experience. Have you considered the EMSAM patch as a start? To See how you respond to MAOI's. Lesser dose in patch form? Phillipa
Posted by myco on February 1, 2009, at 12:38:26
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by bulldog2 on February 1, 2009, at 10:56:49
Hey,
I don't have experience with parnate but I know that some people who have primarily anxiety as the root problem (like myself) experience heightened anxiety symptoms (irritation, anger, etc) on parnate. I have atypical dep, gad, and social anxiety...anxiety is my root issue with depression a side. Nardil has been great for anxiety although I still get down days in terms of depression. It calmed my head from the racing thoughts that took over the ability to read thus increasing my focus, it prevents me from overreacting to silly/stupid sh*t that "normal" people wouldn't even think twice about. I dont get frustrated as easily (yesterday I spent painting the living room and made a mess and had fun instead of obsessing and overreacting about every little drop of paint on the floor, which is easily scraped off). The largest most noticable benefit for me is the muscle tension release. Having my body under so much constant stress and tension for years and years had made my back/shoulder/neck muscles tight as a rock but OMG dude, when the med kicked in I spent two days on the couch literally writhing around like a worm in a state of total relaxation, sighing over and over again in relief, it was amazing. That intense feeling, which is of couse is not functional, went away though but my body is still in a nice state of relaxation throughout the day...the muscles are actually softer. So in all, Nardil has been a godsend for me in terms of anxiety. I was a little sceptical about the "side effects" and "dangers" and almost complete lack of knowledge from various doctors I spoke to about it but I said hey, its my life and I got over the "risks" and pushed ahead, found a gp willing and off I went. Now its exactly two months since ive started (2 weeks 45mg, 5 weeks 60mg, 1 week 75mg) and I can still feel the muscle relaxation, the head calming (no racing thoughts) but can still get pretty down on myself (sadness etc). As long as you are relatively healthy (ie no bp or heart issues) and anxiety is to the point where you are tired of dealing with it then ya try nardil, you wont die or hurt yourself...the risks are very small actually (just avoid med interactions and the simple diet is really that, very simple to grasp and stick to). I wish you the best.
keep smilin,
mycoatypical depress, GAD, social anxiety
Posted by bulldog2 on February 1, 2009, at 14:55:32
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by myco on February 1, 2009, at 12:38:26
Have you gained weight on the nardil? Sounds like you found the perfect drug for you.
Posted by myco on February 1, 2009, at 18:20:12
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by bulldog2 on February 1, 2009, at 14:55:32
> Have you gained weight on the nardil? Sounds like you found the perfect drug for you.
Hey,
It's not perfect but it's as close as I think I am going to come with medication alone...although I'm still considering adding something to tweak the AD response since I still find myself getting down. But perhaps thats where CBT would come in nicely. Ive always hated taking pills but for the effect nardil has on me I dont mind the 5 pills a day plus the sleep med I do take. It's a strange med dude...it kind of feels like a mild, sustained klonipin (benzo) plus it has this, what I interpret as, NE effect/stimulation I can feel in my muscles. The med seems to cycle in response. Everyday is different, sometimes I think its not working for days then wham out it comes again. Like today I was heavily sedated in feeling and not into much (but this is probably do to my increase to 75mg last week that perhaps is now kicking in) then just about 15min ago this stimulation starts to appear in my legs and neck (strange to explain) and im now wide awake and feeling alot better. But the cycling of responce is very interesting. I was reading a paper posted on here (I think by you bulldog) on the mechanics of maios was it? It showed a set of graphs with parnate on neurotranmitter response one day then the next I think it was. Showed the response/measure was different on the different days while still maintaining the same dose and time etc. This might explain why nardil seems to work better somedays and not others. I have whole weeks of crap sometimes, in terms of how I feel, then wham again, out comes the med once more. As if my neurotrasmitters fluctuate levels or cycle often day to day or week to week (also situational life crap will weaken nardils response at times to it seems). I think I will try to record this scientifically, my moods, the responses of the med etc...day to day and look for my own personal patterns which might be a good tool for my own treatment. I encourage those that are starting nardil, and perhaps those who feel that its not working anymore or not as well, to give it time (i'm talking weeks here), mabye even move the dose up and down and notice the differences, be sensitive (observation wise) to what the med is doing and your moods. I think perhaps nardil doesnt actually "poop out" but our neurotransmitters fluctuate all the time and at a certain dose, combined with life bullsh*t, nardil can mask/cover for alot of it but sometimes wont provide that whole nice response that we saw in the beginning (which I believe is simply an overstimulation that our bodies will equilibrate over time). The real effect of the med is more subtle like this and flucuates constantly. Anyway...man what a ramble...but I think something is correct here, along these lines of thinking but i'm a chef not a shrink or pharmacologist lol. oh as for weight, ya i've gained 10-15 pounds in my 2 months on nardil but im not exactly sure its directly related to the med as it's made me a lazy consuming bastard with an inclination to carbs and sweets whose head says sit and chill like lord jaba the hut lol. what else?....oh, sexually...im not completely anorgasmic but it takes more work for sure. Although ive noticed that vitamins/herbs (ive yet to narrow down the culprits here as they are in combo capsules and tablets) actually increase my ability to cum so mabye with some tweeking I can 'overcum' this aswell (ugh lame I know...me needs new material laddie).
anyway cheers
myco
atypical depression, gad, social anxiety
75mg nardil
Posted by paddo on February 1, 2009, at 19:31:32
In reply to Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 1, 2009, at 6:53:43
Hey Beaches, I can almost feel your present exasperated misery. Beaches i relate in many ways to your frustration/s due to nothing else then a complicated illness.Whenever i speak to my TEAM the usual psychdoctor therapist as well my g.p. This team ..who by the way personally know of each either through friendship and or uni schooling have established what i call a circle of love and care if i am really cracking up one two or all will catch me. Beaches i am of the believe if you do your practise as a doctor therapist out of love one feels it and in my case i can open up more..social anxiety rules i feel there love. Your illness seems so complicated just as mine . Beaches i have dep/anx ,gad , social anxiety , ocd , epilepsy..today a sore knee i thought i would lighten up my misery mail to you humour at times does help. Beaches more often than not with my therapist i will break down and weep deep very to the core deep weeping..the weeping of loss. On of many triggers i find like many on this site is the aloness within..despair is just that in that state of aloness,its so good to have a therapist who listens out of love the love of humanity dont ever disregard any of the above if you find somehow any good medical practitioner/s. One of my current themes with said therapist never light tears do you know those thick tears ? anyway i just throw it out..saying : this really is happening to ME: not out poor me its sorta like you have read or heard of an individual in simular situation never thinking it would happen to oneself incredulous. Beaches everyday is another day of loss..no job no relationhip/s friends who i am not able to have the mental strength to keep up with..friends wedding funerals ..a quick meeting for coffee will mentally drain me for a week. Hope and a stubborn resiliance ..more HOPE i think keeps me going. I never underestimate this site..fellow travellers in much like yourself in a world of pain. Let me finish by saying i always thought i was on top of my game more athletic then academic. Beaches i have to go i no longer have pter at home..in local library my time is up...hope to mail more to you take care mate...paddo
Posted by psychobot5000 on February 1, 2009, at 22:08:17
In reply to Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 1, 2009, at 6:53:43
Hi Beaches,
I also identify with your frustration. I have serious problems with depression, anxiety and ADHD-type symptoms also.
It sounds like your main question is: should I try Nardil or Parnate, and if so, which one? It also sounds like you're worrying a lot about the choice. My advice would be this. We know a fair amount about these treatments (i.e. Nardil or Parnate), but there's even more that we don't know. Beyond that, individual patients' reactions vary a lot for each drug. The only way to find out what's going to happen, is to try a medication personally. In my opinion, both Parnate AND Nardil are excellent choices--though I'm guessing you've read enough to know they have certain risks. From your symptoms, it sounds to me like you could make a good case for either one. I would suggest you and your doctor pick one (out of a hat, if necessary), and see how it works for you--you just can't tell until you try.
Between the two, Nardil might be considered slightly safer, so I suppose you could give that one a shot, first. Certainly it would be a little more likely to be helpful with anxiety, though, as you note, probably less likely to help ADHD symptoms. Still, when depression improves, so (often) do ADD symptoms, so maybe it could help that, too.
Best of luck, and feel better,
Psychbot
Posted by beaches09 on February 2, 2009, at 12:03:56
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP » beaches09, posted by psychobot5000 on February 1, 2009, at 22:08:17
Thanks for the replies guys awesome :)
After much consideration I think I am going give the try to Parnate. The GABA effects from the Nardil sound very very appealing, but I'm just thinking from what I've read Parnate might better suit me because what I need most is to be yanked out of this depression and also that stimulating motivating effect would be good for my ADHD symptoms. So I think that's what I'm going to do. Now I just have to find a doctor that will prescribe it. I only have money to see one doc and get some meds so I can't play hit and miss.
Does anyone have any advice on how to find a doc that isn't against writing scripts for MAOI's?
As long as I know I have a doc that would be willing the rest will be the bag because I've done much research and have good knowledge of the contraindications, I have all the symptoms, did the whole meds thing in the past none worked, and I am a good sales person.
Please help any info.
Thank you
Posted by myco on February 2, 2009, at 13:28:10
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 2, 2009, at 12:03:56
> Does anyone have any advice on how to find a doc that isn't against writing scripts for MAOI's?
>
Hey,Unfortunately this is hit and miss unless you can find someone (ie on here) who knows of one in your city. I went through a small handfull of gps before I found one. Most gave me varying degrees of no but im sure that was due to their ignorance in light of the rise and "safety" of ssri's. My gp had used them in the distant past so I was lucky. You can also try gp's associated with universities who have access to advice from psychiatrists and psycopharmacologists whom they often consult as I know from experience...ie doctors who can distinguish/recognize the varying degrees/categories of anxiety and depressions and the meds associated with each.
keep smilin,
Posted by HyperFocus on February 2, 2009, at 19:27:34
In reply to Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 1, 2009, at 6:53:43
beaches09 I meant to post this this morning but I see others have given you the same advice. Anyway here's the original post:
Hey man
I also have social anxiety and concomittant depression and it has also
taken a lot of things away from life. It's a terrible illness and I
also have developed AvPD and BDD because of my extremely low
self-esteem. The worst part is when the illness becomes so acute that
you can't function as you used to, even by yourself. Social anxiety
compresses your life bit by bit until very little is leftBut there are drugs that can get you better. MAOIs are considered the
top choice for treating SA and depression. From what I've read and
researched the MAOIs are the best class of drugs
for treating this illness - the SSRI's don't seem to do much good.
MAOIs are an older class of drugs and some doctors may not consider
them because they have no experience with them, but a lot of people on
this board havee found success with Nardil or Parnate. Nardil in
particular is the first option for the type of depression you have and
I'd recommend you try that first. A large number of people have posted
their experiences with Nardil on this bosrd - this should be one of
your primary research sources. One person in particular - ace - has
had tremendous success using Nardil for SA and has been in remission
for a number of years. If your doc doesn't want to prescribe Nardil
find another one that does.Another drug - clonazepam, a benzo - is also favoured for social
anxiety Clonazeoam is very good for short-term relief of acute anxiety
and can get you functioning reasonably well again. But personally I
don't think benzos are a good long-term solution and they don't really
treat the root causes of the anxiety. If you're not already on them
I'd recommend you just try Nardil first if you can stick it out a
little while longer. But other people's opinions will differ.It may take a few weeks before you see any response from Nardil and
you have to monitor your BP and avoid certain foods. But the majority
of people who can tolerate the side-effects of MAOIs find success with
them. And if you only get partial relief there are a number of drugs
you can augment them with. IHang in there man, it will take some time but you will get better.
You're not the only one in the world who has this illness. And
PsychoBabble is a really good place to be. So search through the
archives and keep posting your questions.
Posted by psychobot5000 on February 3, 2009, at 21:46:21
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 2, 2009, at 12:03:56
Hi again, Beaches,
If you're comfortable with it, perhaps you might post the general area where you live (?)--just in case someone here happens to know a physician in your area who works with MAOis? ...or perhaps there are other forums online you could search as well? I'm not sure how to look for that sort of thing--it's always been trial and error, for me. I certainly wish you luck, though--god knows we each only have so much time or money to waste in this life, especially when depressed!
Posted by Chihuahua on February 11, 2009, at 3:08:31
In reply to Re: Nardil / Parnate Atypical Extrem Despres ADHD HELP, posted by beaches09 on February 2, 2009, at 12:03:56
Hi Beaches,
You sound very similar to my son who has had to live a very sad secluded life with his father and me for the last 2 years. He is in his 30's.
The reason I write to you is to remind you that conditions other than just our nervous system can also have a huge impact upon whether chosen medication fully corrects our suffering.My son has been treated for his ADHD by an imminent Psychiatrist for the last 10 years. Our son was taking slow release Ritalan ( concerta 54mg ). He was only just coping with life. He graduated from University and worked for 3 years in a " dog eat dog " Corporate environment. He continued to deteriorate with his work and his personal life. He behaved erratically at times, and became more and more irritable. In the end his life fell down around his ears. My Son ended up losing everything that was dear to him.
Because he was sleeping 23 hours per day, His girlfriend left him. HIS Psychiatrist was irritated with him.
He had to resign his job. He was too exhausted even to organise
welfare for himself. He slept for a year. His father and I noticed how loudly our son snored.IT TURNED OUT THAT OUR SON HAD SEVERE SLEEP APNOEA.
His nose has been unblocked by an ENT Specialist, and he is starting a trial of a CPAP sleep machine.
Our son is working in a factory, entering data into computor for Quality Assurance. However for the first time , Our son can see light at the end of the tunnel. He can see a reason for his " failure"--- Severe sleep Apnoea.SO, remember Beaches, Keep a check on your physical health too.
This is the end of the thread.
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