Posted by svevo1922 on December 6, 2001, at 12:51:05
In reply to Re: Ruminating -what is this?Ihave seen people mention, posted by JackD on December 5, 2001, at 12:06:19
I've read that the very best med for OCD is clomipramine (anafranil). Unfortunately, many people find the side effects too unpleasant to continue the medication for long. Think I read on one of the medical info web sites that in one of the trials of clomipramine something like 20% of the study participants dropped out because of the side effects.
You might also want to take a look at a web site called "OCD Online." Among other kinds of OCD, it discusses a kind called "pure obsessional," the category into which rumination would fall.
Needless to say, this is not an attempt at lay diagnosis. I'm responding to your description of your symptoms. But it's good to be aware of disorders in addition to garden variety depression in case your pdoc gets stuck. The more I read about the range and variety of these illnesses, the more I think the DSM IV is a somewhat ridiculous book.
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> Here in my opinion are the best meds for ruminating thoughts/obsessive thinking:
>
>
> Remeron
> Klonopin
> Paxil
> Zyprexa
>
> They are in order of lightest to heaviest in terms of side-effects, danger, or withdrawal symptoms. And yes, Paxil has pretty nasty withdrawal. Remeron works good for blocking "bad" thoughts and is a potent antidepressant, Klonopin kinda makes you less introverted so to speak and narrows your thoughts (keeps you from thinking a million thoughts at once), Paxil numbs well and blocks some negative thoughts, and Zyprexa REALLY blocks thoughts (but always has that risk of extra-pyramidal symptoms).
poster:svevo1922
thread:86022
URL: http://www.dr-bob.org/babble/20011202/msgs/86162.html