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Question regarding meds and my CBT

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Question regarding meds and my CBT

Postby Lime » Mon Jun 16, 2008 3:23 pm

I've been undergoing CBT for 3 months and it has helped certain aspects of my AvPD, but nowhere near enough for me to lead a normal life.
I'm currently not working (claiming benefits) and have a very limited social life.
I will be starting something soon, which is supposed to increase exposure to interacting with people, I think I'll just be working half a day a week or something.

I am currently taking propranolol for anxiety and I just went for a medication review, I had one two months ago and I asked for something like Xanex after reading about its popularity on AvPD boards but they told me to wait a few months to see how the CBT goes.

After going today I was under the impression they would prescribe me something but they still refuse. I didn't bother to put up much of a fight but I'm still pretty annoyed.
I think combining medication with my CBT would create a synergy and make both more effective.
But the doctor I spoke to today seem really against the idea and won't let me try anything other than the propranolol I'm taking as he says it might end up making things worse.

What are people's thoughts?
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Postby Parador » Mon Jun 16, 2008 5:32 pm

I never take meds so it's hard for me to answer. I have found that there are so many idiot doctors that I don't want to have to deal with it. Have you gotten a second opinion? You definitely should.
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Postby Psychology 76 » Mon Jun 16, 2008 5:34 pm

Your doctor probably wants to see how things go before you try a stronger medication. CBT is a relatively quick therapy so at 3 months you should see some significant progress. If you don't feel that your improving all that much I would try switching doctors, especially if you feel you can get along better with someone else. I think that you really need a doctor who you can relate to so they can help you the best. But at this point I think you are making good progress. Therapy is often the first choice to helping someone and if it does not work then the doctor may try medication. Strong medication is not the best way to go in my opinion unless it is the absolute last resort. So my advice is to stick with your doctor another month or so. If you still feel like you are not getting anywhere then switch psychotherapists. Although, I would think that you working soon will definitely accelerate the process. You can do this though :)
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Postby Lime » Mon Jun 16, 2008 8:17 pm

Thanks for the reply.
Forgive me for asking though, what makes you think I'm making 'good progress'? That is what my doctor told me today at the medication review. Even though I told him I'm not really feeling a huge amount better.

I don't think switching psychologists will help much, the one I have although on the NHS (Free health service) is very good in my opinion.
I understand everything she is saying and we seem to understand each other pretty well.

And as you said after 3 months I should see significant progress, but I don't think I am.
It has helped me a lot with handling negative thoughts and not jumping to conclusions about what other people think about me.
But the feeling of discomfort I get around others has probably only reduced about 5 to 10 percent and its not getting any lower.

I'm getting close to wanting to give up the CBT, you lose motivation when you don't see a big improvement.
I get the impression my psychologist thinks I am feeling better than I really am.
If ever I tell her these issues she will often put it down to 'negative thinking' etc.

Thanks to anyone reading and thanks even more to replying.. feels good to get this out.
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Postby Psychology 76 » Mon Jun 16, 2008 9:35 pm

Taking action to try to make yourself better is always good progress.
You may not feel completely better but you are on the right track and that is great.

If you like your psychologist then I would stay with him. You guys are working as a team to help you so that is important. If he helped you with negative thoughts and not jumping to conclusions then that is really good progress. Why do you feel you were able to reduce your negative thoughts but not feel any less discomfort around others? I think you and your psychologist should try to work on the progress you've made and try to integrate it to other areas.

You have to ask yourself if you feel happier now then you did before therapy. That is most important. From that you should be able to see if with this therapy you should be able to continue to get better. It is a long and difficult process but millions of people go through it and get better so you can as well :)
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