Posted by SLS on September 9, 2015, at 18:13:31
In reply to Re: GAD treatments that don't suck, posted by Christ_empowered on September 9, 2015, at 12:45:35
Nardil and Paxil are the bombs as far as efficacy is concerned when treating GAD. Effexor is pretty good, too. You already know the negative aspects of each of these drugs. I will say this, though. Nardil and Paxil can work well for a long time unless they are discontinued and restarted. If you find either drug effective, try to persuade yourself to stay on it indefinitely. I would say that Paxil tends to poop-out more often than Nardil, but you might get 5 - 10 years of remission out of it. By that time, there might be more options available. Hopefully, your previous drug exposures to SRIs have not reduced your chances of responding to Paxil. If so, I think Nardil would make sense as a second-line treatment.
Perhaps some self-directed CBT psychotherapy would help moderate your anxiety and depression, even though by itself, it would not produce remission. Anxiety can promote depression. Depression can promote anxiety. They often reinforce one another and the cycle can be hard to break. It sounds like this is what is happening with you. Any GAD present might be serving to exacerbate a melancholic depression.
I don't know what else to say except, good luck. You deserve it.
- 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:1082180
URL: http://www.dr-bob.org/babble/20150901/msgs/1082302.html