Posted by creepy on January 25, 2011, at 11:47:25
In reply to ptsd meds, posted by greenwillow on January 25, 2011, at 10:19:11
I think this depends on what your primary symptoms are. Mine is the depression, since Ive worked through many of my triggers in therapy.
If you have physical anxiety symptoms like fast heart rate, butterflies in stomach, etc. maybe an alpha/beta blocker would be useful. Prazosin is the only one Ive taken its supposed to be good for nightmares as well.
If you have bad hyperarousal symptoms maybe a mood stabilizer would be used. Topamax is the only one Ive tried and I couldnt tolerate it.
supposedly it slows the amygdala, which is involved in the stuck fight or flight response.
If your primary symptoms are depression and anhedonia, maybe an SSRI, SNRI would be used. TCAs as a class can be fairly sedating and anxiolytic they may be helpful. The only TCA Ive tried was desipramine and it was good for fibro pain, not so much on depression or anxiety.
Lexapro might be a good one if you have rage issues. It turned mine off like a switch at higher dosages. But for me the apathy was awful.
I hope you give therapy a shot, I have found standard therapy useful, but there are several other types which can help such as CBT, EMDR and IFS.
poster:creepy
thread:977914
URL: http://www.dr-bob.org/babble/20110115/msgs/977922.html