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Help me with An antidepressant

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I need help! 

I've been on Prozac (questionable as some circumstances arose), Zoloft (definitely have tried this), Lexapro, Effexor XR, Cymbalta, Brintellix, Wellbutrin SR (300mg total)

I'm suffering from intrusive thoughts that can cause panic attacks, make me nervous, depressed. I have bad social anxiety linked to my body image and eating disorder. I've developed agoraphobia because of my latest binge eating episode which caused me to gain a lot of weight. I have severe depression - the kind where you don't leave your bed for months, you don't go outside, you don't socialise, you draw your curtains and are in the dark all day. 

I need an antidepressant that can help energise me without making me incredibly jittery and anxious. I'm going to pair this with an amphetamine for my binge eating disorder, but if the antidepressant has properties which helps binge eating disorder then that's good too I guess? Please help me!

My last cocktail was Concerta, Wellbutrin 300mg, Brintellix 10mg and 100mg Naltrexone and I've got to say the Brintellix was RUBBISH. I have not been on meds for months now. :(

 

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22 minutes ago, cryinginmoscow said:

I need an antidepressant that can help energise me without making me incredibly jittery and anxious. I'm going to pair this with an amphetamine for my binge eating disorder, but if the antidepressant has properties which helps binge eating disorder then that's good too I guess? Please help me!

 

Amphetamines can make you jittery and anxious, especially if you’re prone to anxiety.  

Abilify could be a good option that would be stimulating without the jitters.

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5 minutes ago, Riggs1 said:

Amphetamines can make you jittery and anxious, especially if you’re prone to anxiety.  

Abilify could be a good option that would be stimulating without the jitters.

I really need the amphetamine my binge eating is out of control. I was on Abilify 2.5mg I was too scared to go up to 5mg because I've heard of weight gain stories. What is Abilify good for?

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Abilify is great for depression and can help with intrusive thoughts and OCD. 

Didn't you once say that you had anorexia? Amphetamine is the worst thing you can take if you suffer from food restrictions. 

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Just now, jt07 said:

Abilify is great for depression and can help with intrusive thoughts and OCD. 

Didn't you once say that you had anorexia? Amphetamine is the worst thing you can take if you suffer from food restrictions. 

 

Just now, jt07 said:

Abilify is great for depression and can help with intrusive thoughts and OCD. 

Didn't you once say that you had anorexia? Amphetamine is the worst thing you can take if you suffer from food restrictions. 

I can't explain my eating disorder. At one point yes I was diagnosed with anorexia + bulimic tendencies but now it's very binge eating disorder + bulimia. I still have anorexic mindset if that makes sense?????????

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Yeah, it makes sense. But it also makes sense why a doctor would be reluctant to prescribe amphetamine.

By the way, why did you give up the Concerta?

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15 minutes ago, jt07 said:

Yeah, it makes sense. But it also makes sense why a doctor would be reluctant to prescribe amphetamine.

By the way, why did you give up the Concerta?

It's very like it makes me sick and warm headed

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3 hours ago, cryinginmoscow said:

I really need the amphetamine my binge eating is out of control. I was on Abilify 2.5mg I was too scared to go up to 5mg because I've heard of weight gain stories. What is Abilify good for?

I think therapy for binge eating would be more appropriate than amphetamine use. 

 

Amphetamine use would be very dangerous for someone with an eating disorder imo. Abuse potential would be high.

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1 minute ago, Riggs1 said:

I think therapy for binge eating would be more appropriate than amphetamine use. 

 

Amphetamine use would be very dangerous for someone with an eating disorder imo. Abuse potential would be high.

I have severe agoraphobia right now

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3 minutes ago, cryinginmoscow said:

I have severe agoraphobia right now

Amphetamines are only going to heighten the anxiety. I would give abilify another try but maybe someone else can offer better advice. Sorry you’re struggling.

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25 minutes ago, Riggs1 said:

Amphetamines are only going to heighten the anxiety. I would give abilify another try but maybe someone else can offer better advice. Sorry you’re struggling.

No, my agoraphobia is linked to my weight gain. I'm scared to go outside because people will see the weight I've gained so maybe it's more of a social anxiety thing? Also, I've been on amphetamines for close to a year and some months... never have I abused them. I wouldn't enjoy the "alertness" and "anxiety" I've always liked the low calm feeling of Clonazepam. I have an extreme binge eating disorder which I've had since my earliest memory of being a child. I do need therapy for it but right now we are just discussing medication

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6 hours ago, jt07 said:

Abilify is great for depression and can help with intrusive thoughts and OCD. 

Didn't you once say that you had anorexia? Amphetamine is the worst thing you can take if you suffer from food restrictions. 

I was also going to suggest Abilify, as it can definitely help with intrusive thoughts better than traditional antidepressants and is FDA-approved for adjunctive use in unipolar depression (for whatever that's worth to you). Anecdotally, I've also heard from multiple patients (I work in inpatient psych) that they find it energizing at lower doses (up to 15 mg) and has some type of use, at least initially, kind of like Wellbutrin, as an appetite suppressant. That being said, Abilify, as with other second generation antipsychotics, has the ability to cause things like metabolic issues (weight gain, diabetes mellitus, hyperlipidemia, etc.) , tardive dyskinesia, akathisia, tremor, etc., which is something to consider given your concurrent issues with binge eating disorder. Ultimately, you have to weigh the pros and cons because it's a crap shoot, but it might be worth it. 

I've definitely considered trying it for my intrusive thoughts, social anxiety and depression. Just haven't pulled the trigger yet for worry about weight gain and such (already a big boy — 280lbs).

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If you've only tried Abilify at 2.5 mg, then you really haven't given it a chance. I think a fair trial of Abilify would be to titrate up to doses of 10 mg or more. I love Abilify. It is one of the few psych meds that work for me just as the commercials said. But it really only began to work once I got to 10 mg.

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How much Effexor were you on when you took it?  I've found that to be most helpful for all of the above...Higher dosages for the intrusive thoughts.  Effexor also cleans up anxiety pretty nicely.

I'd recommend Seroquel as well.

Edited by BrianOCD

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17 hours ago, BrianOCD said:

How much Effexor were you on when you took it?  I've found that to be most helpful for all of the above...Higher dosages for the intrusive thoughts.  Effexor also cleans up anxiety pretty nicely.

I'd recommend Seroquel as well.

Perhaps anxiolytic efficacy depends on the type of anxiety because I've been on Effexor for more than a year and been up to 300mg at various points, but experienced minimal relief at best for my social anxiety. YMMV though obviously.

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On 12/3/2017 at 5:02 PM, zisforzyprexa said:

Perhaps anxiolytic efficacy depends on the type of anxiety because I've been on Effexor for more than a year and been up to 300mg at various points, but experienced minimal relief at best for my social anxiety. YMMV though obviously.

Honestly surprised to hear that, Effexor seems to give me confidence.

Are you taking other drugs along side it?

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