My thoughts exactly, patients like this are bread and butter to psychiatrists, no more so than in the US. Michael Jackson was the end result of pandering to a patient's obsessions.
johnep
Yeah after 5mg didn't work for a presentation I did we decided to switch to alprazolam and low and behold it actually works! A short while after taking it I actually feel relaxed and strangely more confident and upbeat, social anxiety completely gone, it seems to have a paradoxical almost stimulatory effect which may be explained by some studies I read showing increased striatal dopamine concentrations after administration. The only problem is the drug doesn't last very long giving me a noticeable on-off effect reminiscent I suppose of levodopa therapy, extended release versions seem like a good option considering this, though they are no doubt more expensive. Once I get the dose perfected we can agree a prescription limit to prevent the chance of dependence occurring, I can see why this drug has such a notorious reputation compared to the other benzos and I wouldn't like to risk willpower alone. As for the agomelatine, I want to try tianeptine or bupropion first, bupropion seems especially suited to my situation because of the lethargy I feel a lot of the time, something to boost my energy like that would be ideal I feel despite the possible anxiogenicity. Cost is something that bothers me, but considering that the NHS doctors obstinately refused to consider these medications I have little choice. I wonder though if my uni would be able to help with treatment costs? The therapy on the NHS should go better now though considering that I will not have that anxiety, however I feel that the disinhibiting effects of Xyrem were much more suited to therapy, it seems a shame that doctors will not prescribe in such a fashion. Shockingly though my GP offered me quetiapine of all things, I'd rather risk pentobarbital than tardive dyskinesia and diabetes.
Last edited by Ashley; 23rd, May 2010 at 04:48 AM.