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Which antidepressant?


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I know all antidepressants are more or less the same and for this reason I can't tell if any have actually been of use to me but it seems I can function more when I am taking them, compared to these last few months when I thought it would be a good idea not to be.

All in all I am just really trying to get better and need some advice on a new therapy for me to try as I've tried Prozac, Zoloft, Effexor, Cymbalta, Lexapro and Brintellix and Wellbutrin

1. Prozac - I only got up to 40mg and had to stop because I attempted suicide and they took all my meds away from me and then I was put on Effexor by a different psychiatrist. I don't know if Prozac is good, I hear it takes a very long time to start. I didn't really notice a change to make a comment about. 

2. Effexor XR - I noticed some changes but I can't remember it being groundbreaking - I started getting headaches when I was somewhere around 225mg and then stopped because I was having a mental breakdown and thought I needed to change meds

3. Cymbalta - Felt like Effexor, had no headache, I went all the way up to 90mg on this because I was on 60mg for months and I just didn't feel much

4. Lexapro - REALLY HELPED MY ANXIETY AND DARE I SAY depression? But MADE ME CRAVE CARBS SO BAD - I have a severe issue with binge eating since I was a child. I even was scheduled to have brain scans when I was a child because I genuinely would not stop binging and I still have this issue - it's now an eating disorder because if I'm not binging I am controlling my food intake very harshly. Also, my sister reacted the same way, it made her gain weight. 

5. Brintellix - dumb...

6. Wellbutrin served as an add-on - didn't really feel much of a change?

 

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4 hours ago, CeremonyNewOrder said:

This is a question you need to ask your pdoc about. You might also consider supplementing an antidepressant with something like risperidone, lithium or ability.

I can't afford a psychiatrist right now, my GP is prescribing my meds and getting to see a psychiatrist on the NHS can take months. Im dead af

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Since Lexapro helped you, I'd start there. Then add in methylphenidate or amphetamine or even Wellbutrin as an adjunct to cut down on the binge eating. This is what I would do. I'm not telling you to do this; just giving you something to discuss with your doctor.

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5 hours ago, jt07 said:

Since Lexapro helped you, I'd start there. Then add in methylphenidate or amphetamine or even Wellbutrin as an adjunct to cut down on the binge eating. This is what I would do. I'm not telling you to do this; just giving you something to discuss with your doctor.

ITS RISKY!!!

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1 hour ago, cryinginmoscow said:

I'm scared it will make me want to binge

Well, then, I can only advise you to go see a psychiatrist who also specializes in eating disorders because anything we might suggest carries a risk of worsening your binge eating.

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2 minutes ago, jt07 said:

Well, then, I can only advise you to go see a psychiatrist who also specializes in eating disorders because anything we might suggest carries a risk of worsening your binge eating.

I CAN'T LEAVE MY HOUSE I spent months in my room in the dark with curtain drawn paranoid that people will see my weight gain and body. I didn't shower for two months... I barricaded myself in my room and I was peeing in bottles. when i say i cant leave my house I cant i physically will breakdown and cry hysterically if i was to go in public. i know this sounds crazy 

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that sounds so difficult I'm sorry. I used to have panic attacks whenever I got in a car...on I not as severe as u but I'm just sympathetic about how much it sucks. Unfortunately, u gotta break the cycle somehow. To get some help...maybe you could dos something over the phone. Personally I think the first step (please no lecture here) may be to get on a good dose of benzos so you can be treated long term...klonipin is long acting and can cover the whole day until a new AD kicks in 

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Ok. Then you have to be willing to take a temporary risk in order to work on your mental health. There are no perfect pills that treat mental illness without the risk of weight gain and that are effective. Wellbutrin is the closest but even it is far from perfect. Also, if you do gain a few pounds, it is not the end of the world.

I still suggest that you talk to your doctor about mixing Lexapro with a stimulant (the stimulant should cut down on binge eating).

I have a lot of empathy for you and your agoraphobia. At my worst, I'm very similar. Even now I stay home mostly with the curtains closed, but I can go out to the store and to do errands, 

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1 hour ago, jt07 said:

Ok. Then you have to be willing to take a temporary risk in order to work on your mental health. There are no perfect pills that treat mental illness without the risk of weight gain and that are effective. Wellbutrin is the closest but even it is far from perfect. Also, if you do gain a few pounds, it is not the end of the world.

I still suggest that you talk to your doctor about mixing Lexapro with a stimulant (the stimulant should cut down on binge eating).

I have a lot of empathy for you and your agoraphobia. At my worst, I'm very similar. Even now I stay home mostly with the curtains closed, but I can go out to the store and to do errands, 

What can you tell me about Abilify? Would it help with intrusive obsessive thoughts being negative?

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Well, Abilify is a great med for me. I mean, it's one of the best psych meds I've ever taken. The thing is though unless you have psychosis, you really need to take Abilify with an antidepressant to get the full benefit from it. That's why it's sold as an adjunct to an antidepressant. Yes, if you take Abilify with an antidepressant, it will help intrusive thoughts. For me, it's an amazing med. 

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1 minute ago, Iceberg said:

And the gp can't bridge the gap? 

tried to do it today psychiatrist said to call him in session didn't pick up his phone GP wouldn't give personal number or email to give to the psychiatrist so that they can get in contact... tired of sending emails to my psychiatrist i know they find that annoying so officially I give up  I'll just stay in my dark room and wait for my brain to waste itself and snap from reality so ill go crazy and kill myself bye

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13 hours ago, cryinginmoscow said:

nothing because the NHS is rubbish 

That's not helpful. It may be true but not helpful. It seems your only way to get more intensive psychiatric care is via the NHS so I would get my name on whatever waiting list there is and waight it out. 3 month waits are not uncommon in the USA, too.

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