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Mental Health (Expert Forum)
Are Dysthimia and neurasthenia the same?
Answered by
Roger Gould, M.D. - Mental Health, Wellness
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.
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Are Dysthimia and neurasthenia the same?
by FARIO, Jan 23, 2003 12:00AM
After years of severe anxiety and depression,I have been exhausted for the last 18 years.Iam now 54.I havent felt deprssed nor anxious nor panicky for many years.Just very tired ,dizzy and with headaches.Only have enough energy to do what i really like,fly fish,and alot less than I would want to have.I took Paxil 3 years ago and helped me for 3 weeks,incresd the dose and helped 3 more weeks.It has never helped again mu Dr. and I decide to stay on the Paxil,for I had too many withdrawal symptoms and could not funnction,etc.I read in the web site of NY school of medicine that in many cases of treatment resistance,they have had very good success adding buspirone 30mg, or pindolol 2.5mg tid,or both to the antidepressant.So,do i have dysthimia or neurasthenia? What are my best Tx options? A new drug like effexor,or adding the buspirone,etc?Sincerely Fario.
Doctor's Answer
by Roger Gould, M.D., Jan 24, 2003 12:00AM
, Jan 24, 2003 12:00AM
YOu can do either...add the Buspirone or switch to another antidepressant like Celexa or Effexor. If you switch to another you can avoid the withdrawal symptoms. Talk to your doctor about these options...both are equally likely to help.
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