Posted by: Gloria | 2007/08/07

Two questions: Lamictin; psychotherapy

Dear doc. Hope you don't mind me asking two questions at once: 1) I wrote earlier about changing meds at the moment (Effexor to Cymbalta). I'm also on 200 mg Lamictin. I am extremely irritated most of the time, which is not really part of my character. Can it be that the Lamictin causes it? I have not experienced it on Cymbalta or Effexor before but it only started when I started taking Lamictin.
2) What is your opinion about psychotherapy: My psychotherapist suggests long-term therapy, seeing that I've had extreme anxiety issues since childhood. It's also genetic.


Not what you were looking for? Try searching again, or ask your own question
Our expert says:
Expert ImageCyberShrink

1. I wouldn't expect the Lamictin to cause irritability, generally, because it is also valuable as an anti-epileptic drug, as well as a mood stabilizer, which is ratehr the opposite effect to irritability. Now, when one combines it with Cymbalta AND Efexor, who knows what might hap[pen to the complex chemistry, as I'm pretty sure nobody has ever researched such a combination, because it would rarely arise.
2. I think the issue is clear. IF one is talking about very specifically Cognitive-Behaviour Therapy ( CBT ) then I enthusiastically recommend it for Depression, anxiety, and a host of other problems, for which there is good hard scientific evidence that it is valuable, produces lasting benefits, and doesn't take forever.
For ANY other varety of psychotherapy, I'd hesitate to recommend it, because there is NOT such good evidence that most forms, especially long-term, have benefits. If what is being contemplated is Psycho-Analytical style psychotherapy, I invariably VERY strongly recommend against it --- it costs a fortune, takes forever, and is really a form of endowment policy for the analyst. There is extraordinarily little good evidence that it is ever of any benefit to the actual patient, though it has been around for well over 100 years. I consider Analysis more a bad habit than an actual therapy.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

Have your say

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.