Posted by Racer on May 28, 2006, at 15:59:12
In reply to Re: Information please, anorexic OCD 13yr old » Racer, posted by ed_uk on May 28, 2006, at 14:28:44
> Hi Racie :)
>
> >In AN, using SSRIs before nutritional rehabilitation is pretty well useless. They do have a use in helping control the OCD issues involved. And they work pretty well for that purpose in most cases.
>
> What do you think about starting an SSRI before nutritional rehabilitation and continuing it during and after rehab?
>
> Love
>
> Ed xHonestly? Not much... Maxime mentioned one of the big problems here not too long ago: not enough dietary tryptophan to make it worthwhile. But in general, they haven't been shown to help at all in any of the studies I've seen, until weight restoration is pretty well complete. At that point, they help prevent relapse in a lot of people.
On the other hand, I have known a lot of people from my ED group and so on who take Zoloft for the OCD components of their disorders, despite not having restored their weight. So, go figure...
OH! On the other hand, while it didn't do anything like "curing" or even "treating" my AN, Paxil did pack enough pounds on me that I stopped restricting. I was down to one salad per day, working out at the gym for more than two hours daily -- and gained about 25 pounds! By then, I figured my life was over, nothing mattered, may as well shovel food into my fat face, since I was a completely worthless failure anyway.
So, SSRIs can be helpful, or harmful, or just useless, depending on the person. But if I were making a decision about anything, I'd say -- nutritional counseling, psychotherapy, and then SSRIs
poster:Racer
thread:649289
URL: http://www.dr-bob.org/babble/20060525/msgs/649806.html