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OCD/Depression....What medication helped you?


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So ive got an appointment with a Pdoc...Its for the end of the month

I'm going private and tbh his price is quite fair...Hes charging 250 english pounds were most are between 300-350..i've looked him up...He has plenty of credentials..

I explained on the phone i already have diagnosis and my reason for visit is more around medication/treatment...I said i would bring in previous notes from various Pysches over the years which outlines my main issues/diagnosis etc

I'm also gunna write down various medications i've been on in the past ..Which ones i found helped which ones i found didnt help and also show him medication and various med combos i've been perscribed over the years...

I'm currently taking Mirtazapine 30mg which i've been on for about 8/9 years..I dont find it works anymore so i'm gunna right down various meds/med combos i've found online that address my problems and show him them and see what he thinks in regards perscribing..My main issue at the moment is depression which i believe is caused by OCD...I dont believe its a primary depression and my notes seem to back that up...

Anyways an example of what i'm gunna do is right down say Mirt plus abilify as its indicated for OCD is abilify and explain my fears of it etc My expectations and what his view is..I'm gunna do this with as many combos i can find online that address OCD/Depression and go there ready prepared so that the session isnt wasted on drawing up medications...I'm also up for completely ditching Mirt and finding a new combo altogether...

In the past SSRIs have tended not to agree with me...Clomipramine worked up untill it didnt...I got some hypomania from it and also Abnormal ECG and other side effects which ment i had to come off it....Its the only med i'd say that seemed to work quite well for me..It was suggested quite a while back to retry it but i had it in my head the previous side effects so declined it....

Anyways i'd like some suggestions from folks in here on what medications/Combos worked and helped you...I think i'm gunna look down the road of AD+ Anti psychotic which to be honest i'm shit scared of (Long Story) But that fear has grown weaker...I'd just like some real life experiences of what meds helped that i can look into it and possibly right down and take to the psyche....I know that we all react different to certain meds and what works for one might not work for another i just want to get myself stocked up with as much info as i can...

I'm not looking into therapy..Ive had so much of it over the years and its just not for me...I am however looking into getting another counsellor to see once a month...

So in closing i'd like some feedback from anyone on what meds preferably Med combos AD+ AP helped you the most for OCD/Depression...

 

Many Thanks Jamie

Edited by GrannyG81
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Just to add...My reason for wanting Antipsychotics alongside and not just Purely Andtidepressants is because a lot of my anxieties have a paranoid/bizzare element to them..I can only describe them as delusional "Content" But not delusional in nature as i dont 100% believe them..However when i get really depressed they become more convincing and terrifying...

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6 hours ago, GrannyG81 said:

So ive got an appointment with a Pdoc...Its for the end of the month

I'm going private and tbh his price is quite fair...Hes charging 250 english pounds were most are between 300-350..i've looked him up...He has plenty of credentials..

I explained on the phone i already have diagnosis and my reason for visit is more around medication/treatment...I said i would bring in previous notes from various Pysches over the years which outlines my main issues/diagnosis etc

I'm also gunna write down various medications i've been on in the past ..Which ones i found helped which ones i found didnt help and also show him medication and various med combos i've been perscribed over the years...

I'm currently taking Mirtazapine 30mg which i've been on for about 8/9 years..I dont find it works anymore so i'm gunna right down various meds/med combos i've found online that address my problems and show him them and see what he thinks in regards perscribing..My main issue at the moment is depression which i believe is caused by OCD...I dont believe its a primary depression and my notes seem to back that up...

Anyways an example of what i'm gunna do is right down say Mirt plus abilify as its indicated for OCD is abilify and explain my fears of it etc My expectations and what his view is..I'm gunna do this with as many combos i can find online that address OCD/Depression and go there ready prepared so that the session isnt wasted on drawing up medications...I'm also up for completely ditching Mirt and finding a new combo altogether...

In the past SSRIs have tended not to agree with me...Clomipramine worked up untill it didnt...I got some hypomania from it and also Abnormal ECG and other side effects which ment i had to come off it....Its the only med i'd say that seemed to work quite well for me..It was suggested quite a while back to retry it but i had it in my head the previous side effects so declined it....

Anyways i'd like some suggestions from folks in here on what medications/Combos worked and helped you...I think i'm gunna look down the road of AD+ Anti psychotic which to be honest i'm shit scared of (Long Story) But that fear has grown weaker...I'd just like some real life experiences of what meds helped that i can look into it and possibly right down and take to the psyche....I know that we all react different to certain meds and what works for one might not work for another i just want to get myself stocked up with as much info as i can...

I'm not looking into therapy..Ive had so much of it over the years and its just not for me...I am however looking into getting another counsellor to see once a month...

So in closing i'd like some feedback from anyone on what meds preferably Med combos AD+ AP helped you the most for OCD/Depression...

 

Many Thanks Jamie

Risperdal is popular for ocd combos 

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6 minutes ago, Iceberg said:

Risperdal is popular for ocd combos 

I did Try risperidone many years ago mixed with paroxetine and i didnt take well to it...Felt very edgy/Nervous..Possibly akasthesia but just didnt know what it was back then...

I have thought about abilify or even serequel maybe?? I'm just getting as much info together so that i'm going to the appointment prepared

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On a side note i'm still fairly depressed..I get the odd breakthrough in emotion yet i just cant be fukin arsed doing anything...Its a strong apathy feeling..I do get slight feelings of hope that come through only to be over shadowed by this apathy..

Edited by GrannyG81
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7 minutes ago, Iceberg said:

I have a close family member doing well on high-ish dose of SSRI with low dose abilify

I dont tend to fair well with SSRIs...Escitalopram helped my thoughts become a bit clearer/sharper if that makes any sense?? Other than That SSRIs tend to make me agitated/Anxious...Which is weird as i remember taking fluoxetine (Prozac) when i was about 20 ish and it made me sedated and tired yet when i've tried it later in life it did the opposite and made me feel uneasy...It also makes me sweat badly and gives me a bad stomach

Edited by GrannyG81
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19 minutes ago, GrannyG81 said:

I dont tend to fair well with SSRIs...Escitalopram helped my thoughts become a bit clearer/sharper if that makes any sense?? Other than That SSRIs tend to make me agitated/Anxious...Which is weird as i remember taking fluoxetine (Prozac) when i was about 20 ish and it made me sedated and tired yet when i've tried it later in life it did the opposite and made me feel uneasy...It also makes me sweat badly and gives me a bad stomach

I wasn’t meaning you should retry and SSRI specifically just that the AD+Abilify combo is probably a solid option 

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15 hours ago, Iceberg said:

AD+Abilify combo is probably a solid option

I am leaning towards this...The only thing that concerns me is abilify been activating...I personally need something that is more sedating/calming...I have read though that at higher doses 10mg abilify goes from activating to calming so that could be an option

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2 hours ago, GrannyG81 said:

I am leaning towards this...The only thing that concerns me is abilify been activating...I personally need something that is more sedating/calming...I have read though that at higher doses 10mg abilify goes from activating to calming so that could be an option

It can at 10-15 but I think the dose is usually kept  low for OCD, although o may be wrong and there are always exceptions 

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1 hour ago, Iceberg said:

It can at 10-15 but I think the dose is usually kept  low for OCD, although o may be wrong and there are always exceptions 

I got prescribed it some years ago and the shrink at the time wanted me to start straight on 10mg but back then i had this horrific fear of meds and refused to take it..I know that shrink said i had treatment resistant depression in his words "Thats why you have struggled for so long" 

So maybe he wanted to go straight to 10mg because its mechanism of action is different at higher doses??...Anyways i'm just guessing now...This is the reason i want to be prescribed by a shrink..I know General Drs are ok but they are not mental health specialists and Psychiatric meds expecially when its combos and complex mental health Imo needs to be prescribed by an expert ..

i know if i went to my general dr my fear of meds would kick in as in my mind i'd see it that they are not experts hence why i've gone down the private road....Saying that i'm hoping if i get on with this shrink i might make it a more long term thing...Even if its to touch base every couple of month...I just get fed up of having to repeat the same story over n over to different pdocs

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