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Mental Health (Expert Forum)
Too much nervous energy--what to do?
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.
Too much nervous energy--what to do?
by y, Mar 13, 2000 12:00AM
Recently I have been suffering from panic attacks. I went to a very good psychiatrist, and he put me on Celexa. The Celexa is slowly working, but I can't seem to get rid of the jitters (I had them before and after the Celexa). I've actually had a 20 minute period one night where I felt like I couldn't stop pacing (before Celexa). Now the jitterness interferes with everyday life. For example, I feel like I can't go to class with clicking a pen or something. The more anxious I am, the more jittery I seem to get. I don't think I have a problem with my thyroid, having no other symptoms of thyroid problems. Is there anyway to get rid of this extra energy? It seems to be slowly calming down with time, but it does interfere with everyday activities. I used to not even want to go out (but I can now without a problem). Thanks for taking the time to read.
Doctor's Answer
by HFHS-M.D-HG, Mar 15, 2000 12:00AM
Dear Y
SSRI's ( Serotonin specific reuptake inhibitors) such as zoloft, paxil, celexa have been shown to be effective in the treatment of panic disorder. Celexa at a dose of 20-30mg is found to be most effective in te treatment of panic disorder.The most common adverse effects associated with celexa are headaches, nausea, increased sweating, dizziness, tremors,insomnia, anorgasmia etc.Jitteriness can occur with the use of SSRI's but usually gets better after taking the medication regularly for a few days to a week.Since it is interfering with your regular activities, I would recommend that you talk to your Doctor about your concern. Good Luck to you.
Sincerely
HFHS-M.D.
SSRI's ( Serotonin specific reuptake inhibitors) such as zoloft, paxil, celexa have been shown to be effective in the treatment of panic disorder. Celexa at a dose of 20-30mg is found to be most effective in te treatment of panic disorder.The most common adverse effects associated with celexa are headaches, nausea, increased sweating, dizziness, tremors,insomnia, anorgasmia etc.Jitteriness can occur with the use of SSRI's but usually gets better after taking the medication regularly for a few days to a week.Since it is interfering with your regular activities, I would recommend that you talk to your Doctor about your concern. Good Luck to you.
Sincerely
HFHS-M.D.
Another more natural solution is to do some fairly strenuous exercising daily--if your health permits. I had to get OFF Celexa because it literally robbed me of my physical strength and motivation to do any of my sports--but everyone is different.