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Old 12-10-2003, 04:19 PM   #1
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Rsspro18 HB User
Are antidepressants the answer for Anxiety?

First of all, I'd like to say hi to everyone here on the forum, I'm new here and have been reading some posts and even responded to a few for the past couple of days. It seems like a nice place to come and speak to others, and to ask questions, or to get some support. I'll do my best to answer any questions I see posted that I have knowledge about, and also to encourage others that they can feel great and overcome anxiety no matter how bad they feel now. I know because I've felt very bad and had strong anxiety at times for years, only to feel great after treatment for a few years also. To my main question, I know this is probably an age old debate, but I am currently undergoing treatment for Panic Disorder, and also have some symptoms or features of a few of the other Anxiety Disorders, like GAD, Social Anxiety Disorder, and OCD. I have successfully treated my Anxiety with Cognitive Behavioral Therapy and Exposure Therapy to be basically symptom free for 2 years. About a year ago a seem to have started to have problems again, and now I have relapsed with Panic like symptoms being the main problem right now. I've also become very agoraphobic. It's been recommended to me to try an SSRI like Fluvoxamine (Luvox) or Paroxetine controlled release (Paxil CR) to ease my symptoms and help the therapy along. I've been reluctant to take any medication. I know the National Institute of Mental Health and most experts say that SSRI's are the first line of treatment for Panic disorder, but the results from most of the things I've read online seem to not confirm this, and in some cases it seems that the response rates are not much higher than placebo, except in very large doses. I also know it's an individual thing and no one can tell you the answer for yourself, so I'm not looking for MY answer, I'm just looking for opinions or stories from people who have been successfully or unsuccessfully treated with either medications or with CBT and Exposure therapy. Does anyone have any advice, stories, or opinions they wouldn't mind sharing about whether or not Antidepressants are the answer?

 
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Old 12-10-2003, 08:26 PM   #2
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Re: Are antidepressants the answer for Anxiety?

I have taken three srri's and I will probably get a lot of negative feed back for this, but I can not tell a lie. My opinion is that srri's lean toward depression and OCD. I take Celexa now, not sure if it does anything along with my other stronger meds but I am stable and I am not going to go off to find out. My own personal opinion based on taking what I have and reading a few thousand posts and I have said this before is:

If you have depression for no specific reason and this is the cause of anxiety problems, then the answer is probably an srri.

If you have panic attacks and depression from the attacks, the depression is justifiable and the answer is a benzo.

I am not saying that srri's do not help a little for anxiety problems, but when it becomes panic attacks, then I don't think they have the strength or chemical makeup to over come the disorder. They are primarily the class in which they are in "anti-depressants.

I do believe that having phobias, depression and panic attacks, that an srri and benzo combination might be used and is probably a good idea but not the srri alone.

Therapy is always an important factor. It gives you goals of treating and overcoming your problems as well as having neutral help to guide you in accepting that you have a problem. Denial is the hardest thing to beat and is the first step toward getting your life back on track. The first thing everyone, including me, feels better, they want to be drug free. On the other hand, as soon as they get their first side effects from a new drug they want to go off of it, thinking that it is making them worse, not helping them. The drug has not had time to work and the side effects have not passed yet. I have done all of the above, so I am no different, but these are the main issues that cause further problems.
After many years of this and now not being not able to work at all, I still think when I am having a good day that I can go back to work and do everything that I used to. Sooner or later that same day, I come to my senses and realize I am in denial again. All of these disorders are a vicious cycle and the more you learn for yourself, the better to cope with them.

The answer to all of your questions is to ask those who take the medications, research them yourselves and don't let a Doctor have complete control of your disorder if you don't trust their judgement. Ask questions about the medications that they are giving you and don't leave without a proper answer. To many Doctors think, "well if this works for one disorder, then it will work for all". Unfortunately, that is what they are told when they are given samples by the drug reps.

This really doesn't sound right, but it is what I mean:
Don't become a beta tester, be a professional user.

Best wishes,
Sickman

 
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Old 12-11-2003, 02:06 PM   #3
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hry33 HB User
Re: Are antidepressants the answer for Anxiety?

I suggest you try several antidepressants, because if you find 1 that works for you, it will help more than benzos can

 
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Old 12-11-2003, 09:43 PM   #4
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skummy HB User
Re: Are antidepressants the answer for Anxiety?

I have had incredibly anxiety since I was a teen. I'm 26 now. A couple years ago i was having crying attacks constantly and i couldn't stop, a doctor prescribed me effexor... I love and hate it....

the good: it was incredible to not feel anxious. I'd get worked up if my friends were not at my house if they were 10 minutes late i never knew what it felt like to not be anxious and it was amazing.. so yes, the effexor helped tremendously reduce my anxiety. although i still felt stress at times, i no longer became irrationally panicky...

the bad: after a while the prescribed dose doesn't work anymore and withdrawal (i've only experienced two days when i forgot to take a dose) is horrible... just from skipping two days of this medicine (that no longer works for me but i am bound to take) i get really really dizzy and light headed and unable to concentrate. It bothers me on two counts, that the withdrawal is that hard, and that I am so scared to deal with it, I just keep taking the medicine and its become a nagging thing to me like my need to quit smoking.

so there you go... i think that it just depends. i don't regret taking them though for one thing, i've always been anxious, and i feel that in a way the meds trained me to not overreact, because i can remember i have a choice in reacting, or taking a deep breath. This doesn't always work but i feel i have a better handle on things than I used to, but then again, I might have just gotten older...

 
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Old 12-12-2003, 06:08 AM   #5
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Re: Are antidepressants the answer for Anxiety?

I was in therapy (including cognitive) for many many years. This helped me to a certain point. I finally decided to go on meds a few months ago and I am so happy I did! It has helped me tremendously! Each person is different, but for me, a combo of meds and therapy works best.

 
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