All Entries in the "OCD" Category

My Declaration of Dependence

I started taking Paxil just before I turned 19 years old.  The main reasons I started taking it was to help with my social anxiety, OCD, and also in hopes that it would help my trichotillomania (which it didn’t).  The doctor explained to me that since I was still young, the Paxil could help train my brain to think and process in a new way.  The hope was that after a few years I would be able to stop taking Paxil and my brain would have re-wired itself in such a way that I would no longer need it.  I tried a couple times to lower my dosage and wean off of Paxil, but each time I recognized the need my brain had for the drug.  It helped, and still helps control my obsessive thoughts.  I am now able to find the “Pause” button on my brain and allow myself to just stop obsessing about things.  Pre-Paxil, this wasn’t possible.  It also helps me think more rationally when I get anxious.  I accept that I may never be able to stop using Paxil and that is okay with me.

I have now been taking Wellbutrin for 2 months.  I am officially addicted to this drug and I love it!  A day hasn’t passed that I didn’t accomplish something that I could have never accomplished pre-Wellbutrin.  Earlier this week I slept late and was in a bit of a “blah” mood.  It took me back to the feeling that I experienced on a daily basis for the past few years.  I NEVER want to experience that feeling regularly EVER again.  I found myself in complete  amazement that I put up with that feeling for so long and never did anything about it.  Such is the trouble with depression- you know what needs to be done, but you just can’t do it no matter how much you want to change.

Tareak has finally learned how to keep up with me and my new found motivation and energy.   We are both more productive than we have ever been throughout our marriage.  It has been great for both of us to get to know this new side of each other.  I officially declare my dependence on both Paxil and Wellbutrin- and I am not ashamed.

N-acetylcysteine

A few weeks ago Tareak came across an article describing a treatment for Trichotillomania.  Currently there is no cure for Trichotillomania, but there are some different ways it can be managed.

This article described a small study done with 50 people.  They used an over-the-counter antioxidant called N-acetylcysteine to assist in the treatment of trichotillomania symptoms.  There was an over 50% success rate in comparison to the 16% success rate in the group receiving the placebo. N-acetylcysteine (abbreviated NAC), is a pharmaceutical drug used mainly as a Mucolytic agent and in the management of paracetamol (acetaminophen) overdose, but it has shown to be somewhat effective in treating OCD and is undergoing clinical trials.

The article “theorizes that trichotillomania may be a kind of grooming irregularity that falls into the obsessive-compulsive family of disorders. “Some parrots pull out all their feathers,” he says. “Some mice pull out all their fur.”"

“That may explain why the antioxidant N-acetylcysteine can help prevent it. The compound is thought to work by reducing the synaptic release of a neurotransmitter called glutamate. As Grant told me, glutamate is the communication chemical that “tells the brain, ‘Do it! Do it! Do it! Do it!’ And the rest of the brain can be overwhelmed by this drive state.” Reduce glutamate and you may reduce the drive state. Previous studies have suggested the supplement may also reduce urges to use cocaine and to gamble.”

My trichotillomania symptoms had been getting worse since getting a puppy.  My stress levels have been considerably higher and I’ve been functioning on less sleep.  About 2 weeks ago Tareak and I picked up some NAC and I’ve been taking it daily.  I probably won’t notice any difference for another couple months, but hopefully it will help!

Baby vs. Paxil

Leslie and I talked about starting our family last week and it went well.  We were able to talk about it with out all the tears (OK there were a few).  I guess that additional 5 mg of Paxil is helping.  We also talked to her doctor about the effects of her medication on a baby if she were to get pregnant.  she said that Paxil is potentially dangerous and to look into other types of drugs that might not be as harmful.  As Much as I would like Leslie not to be on any drugs I accept that it will take a lot longer then previously thought before that can happen. So a possible compromise will be a low dose of medication thorough the pregnancy.  The question is what is the right drug and how much.  Paxil helps Leslie with OCD, Trichotillomania , anxiety as well as depression.  By switching to something like  Zoloft or Prozac we are going to have to come up with a plan to tackle those other conditions.  For right now I’m doing a little research on the various drugs out their so I can get a better idea what type of direction we want to go in once Leslie is ready mentally for the challenge.