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Re: Kathy SSRI

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Kathy, How slow did your dd respond to the SSRI's? Were the first three

not at all helpful? How long was it before she responded to Zoloft?

My dd (12) has been on Prozac generic and Klonopin generic for five

weeks. If it weren't for Klonopin, she would be only marginally better.

I'm just concerned that this Prozac dog isn't going to hunt. The anxiety

is greatly reduced, but the depression and 'bad thoughts' are not

perceptibly improved.

Also, on another OCD loop..think it was OCD Support...someone mentioned

that some folks respond (or don't respond) differently to generics. Do

you (or anyone else) have any experience or knowledge regarding this?

Thanks! cristey

On Thu, 10 Jun 2004 23:06:24 -0500 " Kathy "

writes:

In my daughter's case, SSRI helped (slowly, gradually) and also using

ERP

> worked to reduce and very nearly eliminate these. It has been quite

awhile

> since my child has been significantly bothered by sensory problems.

> Take care, Kathy R. in Indiana

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Hi Cristey!

I'm not Kathy, but I hope you don't mind if I chime in on one of

your questions. My daughter, Anne (now 13) was diagnosed with OCD

when she was 11 (October 2002). She went through three SSRI's

(Paxil, Paxil sustained release, and Celexa) before we found

the 'fit' for her (Lexapro). She experienced negative behavioral

side effects on the other meds. If memory serves me right, it

usually takes about three to four weeks to see an effect, but it

could take up to 8-10 weeks to see a full benefit. I just

remember " low and slow " was the slogan we went by for medication

adjustment. It seemed excruciating at the time, but eventually we

found the right match. I echo Kathy's belief that exposure:response-

prevention did as much if not more for Anne's symptoms, but the

medication sure helped take the edge off and probably enabled Anne

to face ERP a bit better (ERP was...and probably never will

be...Anne's favorite weapon, but she realizes it's important).

Sorry, I'm not able to address your questions about generics-

Hope this helps somewhat.

Blessings to you-

(Ohio) Anne (13)

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Hi Cristey, the first SSRI my daughter tried caused bad side effects and

made OCD *worse.* The next two just did not do much to reduce the OCD.

She was on each of these meds three months or more which means that first

year following her abrupt onset was very difficult to say the least. With

Zoloft, although there was no dramatic, early-on reduction of symptoms, over

three months or so her symptoms reduced significantly, perhaps by 30% or so.

This made the difference between constant, severe OCD and being able to

function, spend some time *not* doing compulsions, not have constant

anxiety, etc. Later when I was able to find a suitable therapist, CBT/ERP

reduced the remaining symptoms by at least that much again, and for some

time now my dd's OCD has been low-level and stable--no more " roller-coaster "

where we nor she ever knew when there would be a big flare. This makes all

the difference in the world in being able to plan activities, and live life

comfortably day-by-day.

All SSRIs take a long while to take effect, and the five-week mark is early

days yet. Though there is that occasional person who has significant relief

early on, in most cases it is not until the person has been on a therapeutic

dose for a couple of months or more that you can accurately assess the med's

effectiveness. (Therapeutic dose=effective treatment dose, which depending

on the titering schedule, might not be reached for a few weeks.) That your

daughter is experiencing significantly reduced anxiety already must be

encouraging! The Klonopin your daughter takes is probably to help her

through this period before Prozac takes its full effect?

I'm sorry I don't have any personal experience with any of the generics...I

don't think any of the SSRIs had gone off patent yet back when my child was

trialing the different ones, and I don't think Zoloft is yet. I have also

heard of people not doing as well on the generic versions as they were on

the name-brand, and also the opposite. When Zoloft goes off patent I will

probably pay the extra to keep my daughter on the brand drug since she has

done this well with it this long--don't want to rock the boat!

Take care,

Kathy R. in Indiana

----- Original Message -----

> Kathy, How slow did your dd respond to the SSRI's? Were the first three

> not at all helpful? How long was it before she responded to Zoloft?

> My dd (12) has been on Prozac generic and Klonopin generic for five

> weeks. If it weren't for Klonopin, she would be only marginally better.

> I'm just concerned that this Prozac dog isn't going to hunt. The anxiety

> is greatly reduced, but the depression and 'bad thoughts' are not

> perceptibly improved.

> Also, on another OCD loop..think it was OCD Support...someone mentioned

> that some folks respond (or don't respond) differently to generics. Do

> you (or anyone else) have any experience or knowledge regarding this?

> Thanks! cristey

>

> On Thu, 10 Jun 2004 23:06:24 -0500 " Kathy "

> writes:

> In my daughter's case, SSRI helped (slowly, gradually) and also using

> ERP

> > worked to reduce and very nearly eliminate these. It has been quite

> awhile

> > since my child has been significantly bothered by sensory problems.

> > Take care, Kathy R. in Indiana

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