Posted by SLS on May 26, 2012, at 8:12:31
In reply to if I have PTSD...., posted by Christ_empowered on May 24, 2012, at 23:49:25
That's a pretty big "if".
> I kind of think alot of my "psychosis" is PTSD of some flavor.
Be sure to get an accurate diagnosis before acting on this. Use the Internet if necessary for diagnostic guidelines.
> So, what works?
For true PTSD, prazosin has shown some utility in reducing nightmares, sleep disturbances, daytime anxiety and depression. I have seen Zoloft mentioned, but I don't know if this can be generalized to all SSRIs. I think Paxil and Effexor would be worth looking into, as they are probably the best SRI drugs for treating anxiety disorders. I could be wrong.
> I was thinking that Celexa or Remeron might be helpful,
What is your rationale for choosing these particular drugs? I don't see them as being bad choices, but I am curious how you came to select them.
What about trimipramine (Surmontil)?
> then I could reduce the Abilify...maybe even get it down to 10mgs/day or so, with a tranquilizing AD on board to smooth things over.
>
> Ideas?Just an observation. You decompensate whenever you reduce your dosage of Abilify. I doubt adding any of the drugs you mentioned will change this, at least, not in the short-term. I think that you will still need some minimum percentage of D2 occupancy with Abilify in order to prevent bleed-through psychotic symptoms. Do you have someone close to you who can help you observe and evaluate your symptomatology? If you want to follow your hunch, you want to make sure that you don't end up in a bad place.
If you make a project of reducing your psychosocial stress for an extended period of time using psychotherapy as well as pharmacotherapy, perhaps you can accomplish your goal.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1018632
URL: http://www.dr-bob.org/babble/20120522/msgs/1018702.html