Posted by SLS on February 16, 2016, at 2:04:13
In reply to Re: pdoc...my list, posted by B2chica on February 15, 2016, at 19:57:27
I see that you have already tried propranolol - presumably for PTSD and anxiety. I'm sorry the prazosin didn't work out for you. You might want to revisit prazosin at some point. It works for PTSD, developmental PTSD (chronic trauma disorder), along with anxiety and depression. I took 30 mg/day (10 mg t.i.d.). I don't know what your crying was all about. Did you feel worse in any other way? Maybe the crying was a startup side effect that would have disappeared quickly. How strongly did your doctor feel about prazosin?
Just curious: Did Latuda and Remeron make your depression worse in the same way that Buspar did?
A few people have had luck with Keppra (levetiracetam) when other mood stabilizers failed.
Horse's ideas are better than mine. If you haven't tried lithium or Depakote (valproate), these drugs can help work on the manic component of your mixed state. Lithium can also help with the depressive aspect.
For what it's worth, if you do have schizoaffective disorder, it has been my observation that if you can prevent the mania, you can prevent the psychosis. What I have seen in a friend of mine is: normal -> mania -> schizoid psychosis -> depression. Her psychosis was almost exactly like yours, although she was not agitated. She did not suffer from mixed states.
You have been severely ill for a long time. It may take months of continuous treatment with the same drugs at the same dosages to break through the wall and get the healing process started. Arriving at a homeostasis is usually the goal. You can't do this by making changes in treatment every few weeks. It would be interesting to make a list of those drugs that you find tolerable, and begin to consider building a core treatment around which to try new things. For instance, it might make sense to bring lithium on board and keep taking it if you tolerate it, even if you don't feel an immediate therapeutic effect.
You'll get there. One step at a time.
- 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:1086203
URL: http://www.dr-bob.org/babble/20160131/msgs/1086219.html