Our expert says:
I presume you have, of course, discussed this dilemma with your own doctors, who know your situation in detail ? Sounds like you may be unuually sensitive ro parkinsonian side-effects of antipsychotics, as major symptoms of that type are not so common with the newer drugs. You don't mention which ones they have tried, but presumably they considered all alternatives likely to be helpful. Have they tried Lithium ? Its the oldest drug useful in Bipolar Disorder, anf usually has different side-effects. You need to have some blood rtests when starting the treatment, as it is one of the rare meds where blood levels can be fairly easily measured, and one knows that below certain levels it will not be useful, and above a certain higher level, it is likely to have side-effects, so one can adjust the dose to find what does would keep you at the optinum level.
Some people may find Effexor helpful in phobias, I don 't, and SSRI antidepressants may be more useful, as can CBT counselling / therapy. Of course it becomes complex when one is combining so many very different meds, as their potential for interactions becomes harder to predict.
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