Re: Psychiatrist rejected me
Originally Posted by
darlene85
After he heard that I still had panic attacks and anxiety on 150 mg of Zoloft and that Paxil also didn't help me much he said that he can't help me and even if it was some medicine that he doesn't know about it.
I am shocked. My previous psychiatrist said something similar.
<many expletives deleted> The ignorance of psychiatrists these days is unbelievable.
So if Zoloft and Paxil don't work for me, I am doomed?
...Am I really such a bad case that can't be helped?
No, you're not doomed. For several decades until the arrival of SSRIs/SNRIs the 'gold standard' panic disorder antidepressant was the TCA imipramine (Tofranil). Psychiatrists didn't switch to SSRIs because they are more effective meds, they arguably aren't, but because they were perceived to be safer in overdose which turns out not to be true for all of them.
I've had PD for 37 years and imipramine was my first AD. Worked like a charm. I later tried SSRIs, all of which made me manic, SNRIs which didn't work, or in the case of venlafaxine also induced mania, and the even older MAOI class ADs. The MAOIs were even more effective than imipramine, but dietary restrictions caused problems for me at the time. Modern food processing has pretty much solved that issue, but not many people are still taking MAOIs so continuity of supply could become a problem in the future.
Therefore, imo, imipramine is likely to be your best bet. Also, is therapy an option?
I also take Sulpiride but it stopped working.
Antipsychotics are not good meds for PD.
__________________
The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.