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Ask Dr. Ed Wilfong Your Own Question
Dr. Ed Wilfong
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1528
Experience:  Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.
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I was just wondering in general. A person fails to respond

Resolved Question:

I was just wondering in general. A person fails to respond well to Zoloft. 300 mg qd turns out to be too much and causes jitters, daytime drowsiness, and other stuff. 200 mg qd also. Yet 100 or 50 don't seem to help. The person is going through a divorce and some legal and employment issues, but feels these feelings of hoplessness and lack of get-up-and-go have been around for a while maybe a couple of decades. Person mainly has anxiety, social anxiety, and lack of inititative. Work issues are common too.
Are there combinations of drugs that have been effective? Or, maybe a different treatment approach?
Thank you.
Submitted: 6 years ago.
Category: Mental Health
Expert:  Dr. Ed Wilfong replied 6 years ago.
Dr. Ed Wilfong :

A couple thoughts. Different medicine may be more tolerable. Perhaps Lexapro or Pristiq. You also note a lot of situational factors - life stress stuff. Often medicine is not very helpful in these case. Counseling is very helpful. The combination of counseling and medication has consistantly shown superior results to either alone.

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