Posted by Slugbrain on July 17, 2015, at 17:42:12
In reply to Re: Hello + request for assistance with ADD, anx., dep. meds etc., posted by Christ_empowered on July 12, 2015, at 2:22:25
C_E: thanks, will look into Remeron. Whatever can accomplish the most with the fewest side effects....I'm sure that's what we are all after!
Phippidus: sorry, I wasn't at all clear - by "ramp up" I meant that IR Dex tabs ramp up my anxiety, not my physical state. I generally do much better with immediate release formulations, though some (like Dex IR), make me awfully anxious, even while highly productive. Dex spansules, on the other hand, sometimes lead to hyper-focus and almost always disturb my sleep in subtle but pervasive ways. Vyvanse, too, unfortunately.
Catatonia - also too hyperbolic for the meaning I was actually trying to convey. I meant that when the stimulant wears off, what goes first for me is initiative and motivation. When the effect wears off, I can still be mentally alert and organized but the power to act, to accomplish anything slips away. Then I'm stuck to the couch again (not really catatonic! Just mentally stopped and stuck) with great ideas for productivity but little power to get 'er done. Hard to explain, really feels like excuse-making and I often doubt myself...until I hit it right with med and dose, and then plan and execute exceedingly well. I'm more impressed than anybody at the difference in my activity level. And Then I believe the power of the med for me all over again.
I've been fascinated by the research into inattentive ADD vs h- and c- types, how they differ in symptom display, how they respond differently to methylphenidate vs amphetamine treatment.
You're right, 20 mg Prozac has done nothing for the intrusive thoughts I'm plagued with, usually at 3:30am! (And Prozac sexual side effects are a beast.) I'm still searching for an answer, for the right combo. And have been working with therapist(s) for years to try to get control over the intrusive thoughts. I hate that I can't control them but I often truly cannot, and they (my negative introject) make me absolutely and utterly miserable.
I'm an optimist, but I carry an umbrella. Or 2. Sometimes 3.
poster:Slugbrain
thread:1080416
URL: http://www.dr-bob.org/babble/20150629/msgs/1080580.html