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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Questionmark on October 23, 2003, at 0:02:21
Nardil has helped tremendously with my SP/anxiety and major depression. However, i don't think it has done anything for my OCPersonalityD (which no drug ever has). i assume this is just such an integral part of my f***ed up personality that there is nothing i can do to change it, med-wise. But does anyone have any ideas on anything i might be able to use as an add-on that could help with this curse? (Paxil @ 50mg also failed to help). Any thoughts much appreciated.
Posted by Elle2021 on October 23, 2003, at 2:07:38
In reply to OCP, posted by Questionmark on October 23, 2003, at 0:02:21
Hi, I don't have OCP, but I do have OCD. I heard that Cognitive Behavioral Therapy can really help personality disorders. Supposedly I'm Borderline Personality Disorder and was supposed to start therapy a few months ago...I didn't but I wish I had! Elle
Posted by galkeepinon on October 23, 2003, at 4:11:07
In reply to OCP, posted by Questionmark on October 23, 2003, at 0:02:21
Hey there, first of all, you are NOT f***ed up, you deserve to feel good! We are all just trying to survive:-)
How are your cognitive skills? Do you suffer from any 'psychosomatic disorders' ie. intestinal, heaadaches, etc.?
I ask this because difficulties for people with OCPD are related to their failure to grasp the impact of their own behavior. They are sometimes inept at reading other people's emotions and at experiencing and understanding their own.
But they are polite, rational, and detail oriented. They can be serious, conscientious, honest, motivated, and hard-working.
**But some OCPD symptoms are not responsive to medication, such as medication for obsessive-compulsive disorder.
It's hard not to develop unrealistic expectations of medication!
Maybe Anafranil and/or Luvox would help you.
(Althought these are top of the line meds for OCD.
IMO, I think that overall, therapy is the treatment of choice for OCPD, maybe some CBT also, but surely antidepressants may help, especially if you're feeling a struggle with tension, interpersonal difficulties, and chronic dread of the future, and that has caused depression, and help you to not feel physically and/or psychologically thus, allowing yourself to be able to focus with greater clarity on treatment issues.Good luck!
Posted by ace on October 24, 2003, at 0:36:26
In reply to OCP, posted by Questionmark on October 23, 2003, at 0:02:21
> Nardil has helped tremendously with my SP/anxiety and major depression.
Great to hear!
However, i don't think it has done anything for my OCPersonalityD (which no drug ever has). i assume this is just such an integral part of my f***ed up personality that there is nothing i can do to change it, med-wise.
Why do you speak so down about your personality?
And OCPD behaviours do you display? Are you sure it's OCPD, cause as far as I knew OCPD was not ego-dystonic.
But does anyone have any ideas on anything i might be able to use as an add-on that could help with this curse?But it might be a blessing too- I have it too- I obsess over study so I study harder. But it can be a pain, I know!
(Paxil @ 50mg also failed to help). Any thoughts much appreciated.I think there would be a med out there, but maybe if you try changing it yourself very slowly? Easier said than done, I guess! I know for personality d/o meds are not usually first line.
Sorry I couldn't help more,
Ace.
Posted by Questionmark on October 30, 2003, at 6:36:03
In reply to Re: OCP » Questionmark, posted by galkeepinon on October 23, 2003, at 4:11:07
Thanks you three for your replies. Some comments & questions to yous...
> "How are your cognitive skills? Do you suffer from any 'psychosomatic disorders' ie. intestinal, heaadaches, etc.?"
Cognitive skills are okay-- slow, but efficient, if that makes sense, especially with things such as word recall and learning novel tasks. Do not have any psychosomatic disorders.
> "I ask this because difficulties for people with OCPD are related to their failure to grasp the impact of their own behavior. They are sometimes inept at reading other people's emotions and at experiencing and understanding their own."
Hm. Interesting. That first sentence seems very true.
> "But they are polite, rational, and detail oriented. They can be serious, conscientious, honest, motivated, and hard-working."That's me to a T (or is it "tee"?), with the exception of motivated and hard-working. Have so little motivation.
> "**But some OCPD symptoms are not responsive to medication, such as medication for obsessive-compulsive disorder."
Yeah. i'm thinking that this is completely a psychological problem-- one deeply intertwined into the very fabric of my being. Cursed disease. Cursed mind.
> "Maybe Anafranil and/or Luvox would help you.
> (Althought these are top of the line meds for OCD."That's a good idea. But the Nardil is too wonderful to give up. Severe depression and anxiety are still far worse than OCP stuff.
> "IMO, I think that overall, therapy is the treatment of choice for OCPD, maybe some CBT also..."That is also what Elle said, and i have definitely heard that before. It's true though. But i don't have the TIME to spend on CBT and long-term therapy, and i've wasted enough time as it is. No, i know it's still worth it. Man, why can't i always just have a quick fix for things? :?)
i said: "However, i don't think it has done anything for my OCPersonalityD (which no drug ever has). i assume this is just such an integral part of my f***ed up personality that there is nothing i can do to change it, med-wise."
Ace said: "Why do you speak so down about your personality? And OCPD behaviours do you display? Are you sure it's OCPD, cause as far as I knew OCPD was not ego-dystonic."What does ego-dystonic mean? OCPD behaviors i display are a ridiculous, unexplainable internal nEEd for perfection and rightness and the way i want or expect things to be. (Sounds incredibly spoiled and childish but it's really not, SO much). Hard to explain. The littlest and often strangest things can bother me so profoundly, so deeply, that i can be sent into deep depression just by overhearing a simple statement about something or by thinking about something that to most others would appear simple and menial. i am late for everything. Chronic and utterly ridiculous procrastination is a constant though unintentional occurance in my life. Inexplicably obsessed with the "should"s of life-- with what is right, morally and otherwise (the way things SHOULD be). Unconsciously obsessed with perfection in so many ways. okay thats enough.
i'm sorry i just realized this entire post was just me talking about myself. How pathetic. Please forgive me, i'm exhausted out of mymind.
Anyway, any (more) comments and/or insight on OCPD would be appreciated.
(Oh my gosh! How'd this get so freaking long?!)
Posted by Elle2021 on October 30, 2003, at 19:30:33
In reply to Re: OCP, posted by Questionmark on October 30, 2003, at 6:36:03
I don't have any psychosomatic disorders. I do OCD, Borderline Personality Disorder, GAD, Panic Disorder, Bipolar III.
I think your right about people with OCPD not being able to read others emotions, actually people with personality disorders period. I don't have the Obsessive Compulsive Personality Disorder, but I do have OCD and if it is any likeness to what I go through everyday, I conmiserate with you.
Are you currently taking any meds or going through any therapy? I'm in therapy and on several different meds... The only one mildly helping is Paxil. Hope you feel well today. :)
Elle
Posted by Questionmark on November 1, 2003, at 14:04:10
In reply to Re: OCP » Questionmark, posted by Elle2021 on October 30, 2003, at 19:30:33
Thanks.
i don't know if i'm generally that bad at reading people's emotions. i don't think i am. i have a difficult time liking people though. hah.
i'm currently on Nardil, 60mg, ~2 months. It has helped my anxiety a great deal and my depression a good deal, but it hasn't done anything noticeable for the OCP sh*t. i've been doing inconsistent therapy for the past couple years, but i'm so often late or miss my appointment ("because of" this OCP SH*T!) that , well, i dont get very much. And that is my life: planning all sorts of things and always falling short... as my years deteriorate and more opportunities are wasted.
i hope you feel well today, too-- and the next day and the next and the next. Take care.> I don't have any psychosomatic disorders. I do OCD, Borderline Personality Disorder, GAD, Panic Disorder, Bipolar III.
>
> I think your right about people with OCPD not being able to read others emotions, actually people with personality disorders period. I don't have the Obsessive Compulsive Personality Disorder, but I do have OCD and if it is any likeness to what I go through everyday, I conmiserate with you.
>
> Are you currently taking any meds or going through any therapy? I'm in therapy and on several different meds... The only one mildly helping is Paxil. Hope you feel well today. :)
> Elle
Posted by Elle2021 on November 3, 2003, at 2:06:43
In reply to Re: OCP » Elle2021, posted by Questionmark on November 1, 2003, at 14:04:10
Hey Questionmark,
I'm consistantly late for apps. with my psych too. I think it makes him upset, but he only said something about it once. I missed an app. without calling. The next time I went and saw him he charged me for the one I had missed and kinda told me he was a bit irritated. I told him that I had overslept...to which he replied well I wouldn't care if you came in your pajamas. Hehe! I'm glad to hear the Nardil is working out for you. Bless you!
Elle
> Thanks.
> i don't know if i'm generally that bad at reading people's emotions. i don't think i am. i have a difficult time liking people though. hah.
> i'm currently on Nardil, 60mg, ~2 months. It has helped my anxiety a great deal and my depression a good deal, but it hasn't done anything noticeable for the OCP sh*t. i've been doing inconsistent therapy for the past couple years, but i'm so often late or miss my appointment ("because of" this OCP SH*T!) that , well, i dont get very much. And that is my life: planning all sorts of things and always falling short... as my years deteriorate and more opportunities are wasted.
> i hope you feel well today, too-- and the next day and the next and the next. Take care.
>
> > I don't have any psychosomatic disorders. I do OCD, Borderline Personality Disorder, GAD, Panic Disorder, Bipolar III.
> >
> > I think your right about people with OCPD not being able to read others emotions, actually people with personality disorders period. I don't have the Obsessive Compulsive Personality Disorder, but I do have OCD and if it is any likeness to what I go through everyday, I conmiserate with you.
> >
> > Are you currently taking any meds or going through any therapy? I'm in therapy and on several different meds... The only one mildly helping is Paxil. Hope you feel well today. :)
> > Elle
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