Chat Now!   Member Gallery    Member Articles    Games   Member Groups   Member Blogs   Health News    Bored?

Author Topic: Perfectionist Mind - Medicinal Relief?  (Read 247 times)

0 Members and 1 Guest are viewing this topic.

Offline alanmike

  • Newbie
  • *
  • Posts: 7
  • Rec's: 0
  • Gender: Male
  • Personal text
    • Poke This Member
Perfectionist Mind - Medicinal Relief?
« on: August 24, 2014, 07:21:08 PM »
I'm looking for answers and advice that I can't seem to find anywhere else.  My default state of mind these days seems to be feelings of disappointment, restlessness, lack of self-fulfillment, no hope of future satisfaction, etc.  I am also extremely moody...at two points in the same day I can go from feeling happy about life to complete despair about my plight in this world.  I am an extreme perfectionist...my mind is constantly working to find the "greener grass" on the other side of the fence.  When my mind is churning and thinking about what "should be," or "what might've been," or "what if," or "why does this seem to happen to me." and "what can I do to make it better," I pretty much stay unhappy, disgruntled, and dissatisfied with life.  My wife seems to think the perfectionist in me is what keeps me unhappy.  Her theory is that because I have this idealistic view of life, that any thing less than perfect is always going to make me unhappy.  And as we all know, life is anything but perfect.  As an example, I wanted for years to get out of my past job situation for several reasons...after working towards that end for several years, I was finally able to secure what I envisioned as my dream job.  However, after a few short months, I soon realized that I was just as unhappy as before and have now convinced myself that another job in a different field would be more rewarding, self-fulfilling, etc.  I have in the past tried drugs such as Paxil and Cymbalta...and they actually worked wonders in the area of slowing my perfectionist brain down which allowed me in turn to enjoy my current circumstances and relish the here and now rather than focusing on what was wrong and what was missing in life.  HOWEVER, and a big However, the other side effects of those types of medicines were too severe for me to handle.  For all the good that those drugs did for me, the side effects created a different level of unhappiness that almost outweighed the positive effect I was looking for and actually got!  I would really like to take something that could have the same effect on my brain that a Cymbalta or Paxil had but I don't want to face the side effects of those types of meds.  The frustrating thing for me is that I don't feel like my situation is (lucky for me) serious enough to warrant full-time SSRI-type meds, but I do fell like I need SOMETHING to help with the chemical imbalance in my brain.  Is there any type of all-natural regimen that has worked for people in a situation similar to mine?  Are there other prescription drugs that might have the effect I'm looking for (slow down my brain and ease the never-ending churning in my brain that strives for minute by minute perfectionism)?  I constantly read and listen to material that is supposed to help this kind of thinking, but any positive effect those activities create for me doesn't seem to STICK! After a few days of feeling pumped or encouraged by something I've either read or listened to, I'm back to my same old worrying and complaining self.  I strongly feel that there is a chemical imbalance, but I'm not really sure how to improve my situation.  I do all the recommended things that I've heard through the years...exercise, eat right, etc.  Any advice or suggestions for RX's, natural supplements, etc.?
Bookmark and Share

Online insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #1 on: August 26, 2014, 08:44:01 PM »
HOWEVER, and a big However, the other side effects of those types of medicines were too severe for me to handle.  For all the good that those drugs did for me, the side effects created a different level of unhappiness that almost outweighed the positive effect I was looking for and actually got!  I would really like to take something that could have the same effect on my brain that a Cymbalta or Paxil had but I don't want to face the side effects of those types of meds.

How long did you take Cymbalta and Paxil, at what doses and what were the side-effects?

Quote
Any advice or suggestions for RX's, natural supplements, etc.?

I think you need to discuss this with a psychiatrist or psychologist. What you've written hints at depression, ADHD and possibly bipolar. This will probably need to be discussed at some length to pin down the elements and how they relate to each other. It could be that therapy would be a better option than meds.

Ian
Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline AncientMelody

  • Hero Member
  • *****
  • Posts: 724
  • Rec's: 15
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #2 on: August 26, 2014, 09:33:14 PM »
I agree that seeing a mental health specialist would be beneficial....I have a similar all or nothing view. Or rather "had" as therapy has been beneficial for me in that regard. I suspect it could be beneficial for you too. One thing that really helped me with my therapy activities (journaling and cognitive behavioral therapy techniques) was fish oil supplements. Generally a higher dose is required for cognitive health than cardiac. I personally take 5 triple strength capsules per day, but I would suggest clearing it with your doctor first, in particular if you intend to take more than 2 capsules. And increase gradually to let your body adjust.

The fish oil improves my mental clarity, speeds up my deductive reasoning. It's been particularly beneficial at work for me, but again also with my reasoning in therapy.

Acceptance and Comittment therapy is another thing you may want to look into. It can help you clarify your personal values and listening to what your symptoms are trying to tell you about your life.

Good luck!
Bookmark and Share

Offline alanmike

  • Newbie
  • *
  • Posts: 7
  • Rec's: 0
  • Gender: Male
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #3 on: August 31, 2014, 09:29:49 AM »
I appreciate all the responses and the suggestions for therapy. At one time I took Cymbalta 60mg but couldn't tolerate the sexual side effects (no orgasm). That was so frustrating that it outweighed the positive effects of the medicine. As crazy as it sounds, I seem to feel the best after I've had a couple of alcoholic beverages. An alcohol buzz seems to take the edge off and prevents my brain from constantly overthinking and analyzing every situation. I can just sit back and smile and enjoy what I have and what's around me. I don't take life and all its imperfections so seriously. I actually enjoy my blessings rather than brooding over my deficiencies and how I'm missing something that would make me a happier person, better father, etc. Hopefully you all get the picture. I just keep thinking that there's got to be a mad that works similarly to an alcohol buzz...but is obviously better for me!! And I can't seem to tolerate any of the meds that even hint they might cause sexual dysfunction.

Any other med ideas? Thanks again!
Bookmark and Share

Online insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #4 on: August 31, 2014, 05:11:22 PM »
And I can't seem to tolerate any of the meds that even hint they might cause sexual dysfunction.

Any other med ideas?

Then your best shot would be trazodone in the slow-release Oleptro brand. It is one of only 3 antidepressants which don't usually cause sexual dysfunction, and is unique in that it will often boost the libido. The downside is that it is highly sedating at low doses, indeed is these days mostly prescribed for insomnia. However, this diminishes at the higher therapeutic doses (it only becomes an antidepressant at 200+mg/day) and the relatively new slow-release formulation reduces it further by better maintaining plasma levels above the sedation threshold. It is often relatively free of other serotonergic side-effects too. See Stephen M. Stahl's, Mechanism of Action of Trazodone: a Multifunctional Drug for a comprehensive review of this med.

The other two antidepressants with low libido impact are Remeron (mirtazapine) and Wellbutrin (bupropion). Remeron is the antidepressant most likely to quit working and it tends to do so within a few months. It's one of the two best for pulling folk out of very deep, dark depressions, but risky for other indications, IMHO. Wellbutrin is the most stimulating antidepressant which is probably not what you want, although it may just work as stimulants can calm overactive brains/minds. It could be worth trying if trazodone doesn't pan out.

Ian
Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline alanmike

  • Newbie
  • *
  • Posts: 7
  • Rec's: 0
  • Gender: Male
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #5 on: August 31, 2014, 05:58:22 PM »
Thanks for the response. Do you start at 200+mg at the initial dose? Also, should I get the same therapeutic effect that I got from Cymbalta? Finally, does it typically  take 4-6 weeks to kick in similar to other anti-depressants? Thanks again!
Bookmark and Share

Online insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #6 on: August 31, 2014, 07:27:29 PM »
Thanks for the response. Do you start at 200+mg at the initial dose?

The recommended initial dose is 150mg, but I'd start on 75mg for the first 3-4 days. This will increase the sedation but will limit other potential initial side-effects. Increase the dose by 75mg every 3-4 days until you reach the target dose recommended by your doctor, probably either 225mg or 300mg.

Quote
Also, should I get the same therapeutic effect that I got from Cymbalta?

Trazodone is a serotonin receptor antagonists and reuptake inhibitors (SARI). It is closer to the SSRI than the SNRIs like Cymbalta, but does have some secondary effects on norepinephrine pathways.

Quote
Finally, does it typically  take 4-6 weeks to kick in similar to other anti-depressants? Thanks again!

Yes, though 3-12 weeks is more accurate for most antidepressants.

Ian
Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline alanmike

  • Newbie
  • *
  • Posts: 7
  • Rec's: 0
  • Gender: Male
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #7 on: September 16, 2014, 09:14:41 AM »
My PCP agreed to prescribe Oleptro.  However, both he and my pharmacist indicated that Oleptro 75mg was not available.  With that being the case, he prescribed me 150mg.  I took my first pill last night at bedtime, and I feel absolutely MISERABLE today!  I can barely keep my eyes open and I'm actually pretty nauseated.  I know it's very early in the process, but I have a couple of questions.  Even at the 150mg dose (before I step up to the 300mg dose), should I expect these side effects to go away eventually?  Second, should I consider breaking the 150mg in half and taking 75mg for a few days.  I know that's recommended but I'm not sure about breaking the 150mg in half.  I do know that I don't think I can take another 150mg tonight......

Thanks for the help!
Bookmark and Share

Offline AncientMelody

  • Hero Member
  • *****
  • Posts: 724
  • Rec's: 15
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #8 on: September 16, 2014, 10:12:51 AM »
Yes, you can cut the pill in half for a few days. I'm sorry to hear you had such a bad time of it with that first dose. Stomach upset is probably one of the most common side effects overall with new medications, psychotropic or otherwise. The good news is a lot of people do adjust and nausea improves or resolves. That said, it's not the case for everyone, I'm currently in med limbo myself right now because I can't tolerate side effects on prozac above 20 mg, and am without insurance for another month so can't really switch at the moment either. But I think starting out at the half pill is a good idea for you. Good luck!
Bookmark and Share

Online insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #9 on: September 16, 2014, 05:39:39 PM »
Even at the 150mg dose (before I step up to the 300mg dose), should I expect these side effects to go away eventually?

In most cases the nausea will go away after a few days or weeks, however, it will probably return for a while when the dose is increased. Ginger may help. BTW-as per the Medication Guide which should have been packed with the med, it is important that you take Oleptro on an empty stomach at least 2 hours after eating, or an hour before eating, and preferably at bedtime.

The sedation may hang around at 150mg, though it should diminish a little as the amount of med in your bloodstream reaches a steady state after 3-4 days,and it should be much less an issue at 300mg. The higher the dose the less sedation as a rule.

Quote
Second, should I consider breaking the 150mg in half and taking 75mg for a few days.

Yes, unlike most slow-release antidepressants, Oleptro tablets can be broken or cut along the score line, just make sure you don't crush the pill. Most pharmacies sell pill cutters for a few dollars and I recommend you use one rather than a knife if you have difficulty getting a clean break. Pill cutters generally don't cause blood loss!

Please let us know how Oleptro works out for you.

Ian



Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline alanmike

  • Newbie
  • *
  • Posts: 7
  • Rec's: 0
  • Gender: Male
  • Personal text
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #10 on: September 16, 2014, 05:44:43 PM »
Ian,
If I scale back to 75mg for a few days, will I feel as I do today (miserable and whipped) when I take the first dose of 150mg?
Bookmark and Share

Online insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Perfectionist Mind - Medicinal Relief?
« Reply #11 on: September 16, 2014, 09:07:04 PM »
If I scale back to 75mg for a few days, will I feel as I do today (miserable and whipped) when I take the first dose of 150mg?

It is hard to say. Generally stating on a low dose for a week will lessen the impact when going to a higher dose, but it isn't always the case.

Ian
Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Tags:
 

Related Topics

  Subject / Started by Replies Last post
1 Replies
832 Views
Last post April 15, 2007, 10:32:08 PM
by aussiegirllost
2 Replies
491 Views
Last post April 20, 2010, 01:04:28 AM
by Love2Sk8
0 Replies
431 Views
Last post March 25, 2011, 12:47:52 AM
by whynow
2 Replies
234 Views
Last post March 10, 2013, 01:40:07 PM
by JJP
4 Replies
1652 Views
Last post August 30, 2013, 01:02:19 PM
by Dannycat1988

anything