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I believe that I can help.
What are you suffering from besides GAD?
You are being given a moderate dose of a strong SNRI class of antidepressant.
And a powerful anticonvulsant as a mood stabilizer (Epilim or sodium valproate).
These drugs both cause somnolence (sleepiness or tiredness), and they are more appropriate for someone with mania or acute stress reaction.
It seems that the Zoloft and Xanax were much more appropriate to your condition, unless you have bipolar disorder or perhaps PTSD.
You cannot quit these drugs abruptly without risking strong side effects.
I strongly recommend that you see another psychiatrist for a second opinion, or have this one set you up on a weaning schedule so that you an withdraw very slowly from these meds.
Why did the doctor switch meds?
Are you writing anything? I could not see any response.
I switched to another computer.
I switched because I saw nothing coming through. I do not believe that you are responding.
Instead of Zoloft, you might ask your doctor for Wellbutrin (bupropion), which is a different class of antidepressant that is also helpful for anxiety as well.
Unlike Zoloft or Pristiq, Wellbutrin will not have sexual side effects (slow down or stop your sex drive) and will not encourage weight gain. It also does not seem to make users as tired and sometimes even promotes more energy.
The Xanax should be used as needed only, so as to not encourage drug dependence. Using occasionally for stress or panic (the heartbeats you spoke of) will act as a circuit breaker for your anxiety attacks.
Once again I urge you to get another medical opinion about your current medications. In my estimation they are not appropriate and are doing you more harm than good.
I wish you great success in getting your meds straightened out so that you can regain control of your life and be better able to play your key role as father.
To that end I shall keep you and your family in my prayers.
Elliott, MAE, LPCC, NCC, CCMHC
Elliott, my previous doctor had me on Zoloft and Xanax for some 15 years and I was still having episodes, so I changed Doctors and he placed me on Pristiq. The previous doctor had me on epilim and my new doctor has continued it.
Elliott, my previous doctor had me on Zoloft,Xanax and Epilim for some 15 years but I continued to have episodes of GAD.
I felt that he wasn't giving me the help i needed so I changed Doctors. My new Doctor weaned me off the Zoloft & Xanax and replaced them with Pristiq but continued the Epilim. I have been diagnosed only with GAD.
My previous doctor had me on Zoloft, Xanax & Epilim for some 15 years. I felt that he wasn't really helping me so I changed Doctors. My new Doctor claimed that the Zoloft & Xanax was probably now not as effective so he weaned me off them and placed me on Pristiq and continued the Epilim.
I don't know what to do and I feel really lost.