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  1. I am now on Risperidone for the 3rd time, for OCD w/tics, along with Sertraline. 0.5mg is not enough. 1mg is great, but destroys sex drive. There is no “middle” option. Remaining possibilities: Olanzapine and Quetiapine. Anyone has experience with more than one of these and can tell the differences? Thanks!
  2. I've been reading a lot on psych meds, neurotransmitters, binding affinity and whatnot. It was interesting to know what X is supposed to do and what it actually does for my condition. I noticed that I tend to dive deeper and deeper into the subject when my OCD is out of balance. So that's part of it. My pdoc does provide “technical” info about the treatment, but he explained to me once that there are so many factors to take into account (metabolism, enzyme interactions, drug-drug interaction, adjustments, receptor up/downregulation and whatnot...) that trying to put things together by reading through the internet is impossible and doesn't improve anything, if not the opposite.
  3. I've been on Remeron 15-45. 15 didn't do much of anything. Then, I would take 30mg in the morning and by 2 PM I was in deep sleep, on my chair, in my office at work. For around 30-40 minutes. I literally couldn't stay awake. This med didn't agree with me from the beginning for many reasons, but it was by far the most sedating stuff I ever came across. Edit: For the sleep part, 45 was the same for me as 30.
  4. I had Lamotrigine blood level checked after long time on 300mg. The result was close to the lower end, so it was safe to increase the dose to 400mg. Didn't check again, but I probably should...
  5. I tried to understand where this feeling is coming from and it seems to me that when I am depressed I get sort of “disconnected” in social situations... which later makes me view that disconnection as me not interpreting social cues correctly... so later it all runs in my head again, picking up “missed” parts where “I must have been really awkward/mean/stupid when I said... this and that” I have the exact same diagnosis btw
  6. Everyone has a different reaction to different meds, but say whatever you want about all SSRIs being the same - I'll never agree with this claim. Twice on Sertraline, all dose range (50mg-300mg) worked great for mood, has some kind of energizing/calming effect. Something like a weak Ritalin-ish feel. Escitalopram, once, low dose. Did nothing for my depression, if not making it worse... and killed my sex drive.
  7. Risperidone+SSRI was great for my OCD. Considering asking for it again...
  8. I've been on and off Duloxetine 3 times and on Venlafaxine once. Duloxetine is more energizing and feels different from all SSRIs. Venlafaxine felt like an SSRI for the most part (up to 225mg). No side effects from either, but Duloxetine gave me no withdrawal symptoms... Venlafaxine is a whole different story.
  9. Hmmm... I can totally relate. For a long time I couldn't make any decision, let alone be satisfied with the end result. I thought it was because of depression, because it causes indifference. My pdoc said that it is the OCD... well... idk
  10. Was on Sertraline (300mg max), then Fluoxetine (80mg). Then Sertraline 50mg+Wellbutrin 300mg. Then Fluoxetine 20mg+Wellbutrin 300mg. Liked them both. Fluoxetine was a little bit more “stable” but they both are great, Escitalopram was bad, sort of worsened my depression. No experience with the others.
  11. First time Wellbutrin alone. 150mg gave a mild energy boost that worn off quickly. 300mg was better, until it was too energizing (increased anxiety). Second time around, Wellbutrin 300mg+Prozac 20mg. Really good so far (6 months give or take). For the record, this combination worked better than 80mg Prozac I used to take some time ago. Side note: I am the depressed/no energy/no motivation type, so an energizing NDRI is really what I needed. Only side effect: I feel hot most of the time, even when the environment is not so.
  12. 200mg Lamictal was good for my depression. When I dropped Abilify I had to up Lamictal to 400mg to get the same effect. Great again. I do still take it along with Wellbutrin 300mg and Prozac 20mg. I'm with @mikl_pls about Remeron except that it didn't increase my appetite... it gave me depersonalization instead, which is really scary. I am generally open to (re)trying meds but I'm *never* touching this one again.
  13. Recently my pdoc increased my Lamictal from 200 to 300. He said that it does matter if I split the dose or not, or if I take in at AM or PM, as long as the doses are far apart as they should be, i.e a day. Don't worry :)
  14. Sounds really difficult. Some of my intrusive thoughts are about hurting people I love. Remember that these are “intrusive thoughts” which are unwanted images, things you wouldn't even consider acting upon. The thoughts make you feel uncomfortable because they are about things you would't want to imagine yourself doing, rather than a secret urge to do whatever. I can't talk about the actual violent part because I took it to the other extreme end - I can't feel angry, no matter what. Possibly it is a result of the fear of being violent, because of these thoughts.
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