Hey Phil:
Man...I am in the same boat..and still really haven't found the answer. IMHO, though, I am not quite convinced the SSRI meds are always optimal for anger control. If you tend to have MAJOR "mood swings", you honestly may be looking at something like bipolar disorder. That is an answer with NO clue though..I have no qualifications to "diagnose" that. If you are not getting the treatment you want from your one doc, hit another one. SSRI's do have a reputation for causing that irritability in some. Beyond that, I can't answer for you bud. Temperment is...well..(this is certainly no answer) something that takes a lot of work to change..BUT...often the spark for change comes through relieving symptoms with meds.
It may be a bit of a road and a battle...but somehow, it's seems when we hit "rock bottom", we surprise ourselves and get back up. MOST importantly...you do need help from a doc/medication, and a very detailed look at your life. I don't know what else to say...there are plenty of options though...
Best wishes
James
I go to a self help group..its for people with nervous symptoms.
The reading and meetings deal with "temper"..someone has wronged me or
I am wrong....
http://www.recovery-inc.com
the book is "Mental Health Through Will Training" by Dr. Abraham Low.
at the library.
take care
In article <39b8ac99...@news.optonline.net>,
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Before you buy.
-- Any antidepressant ought to help your anger problem. Having a bad
temper is oftentimes related to depression...being unhappy. Being
unhappy can lead to frustration, anger, etc. I would suggest another
antidepressant. All antidepressants have side effects, but that is just
something you have to live with. Having a bad temper is oftentimes
related to impulse control problems and impulse control problems are
often related to low serotonin levels in the brain. Low serotonin
levels and aggression are well documented in psychiatry.
Another possibility is that chronic anger comes from bipolar problems.
Chronic anger could point to possible bipolar depression problems, even
though I would go with the other theory I mentioned above first.
Its for your Pdoc to decide, Im just offering generalized ideas. I do
know something about anger, aggression and depression as this was part
of my disease and I had to learn about it so that I could talk to my
doctors about it. A warning for you. If anger is a big part of your
problem, avoid using female mental health workers and female doctors
for this problem. They get scared easily and will be in a rush to slam
you on anti-psychotic drugs for this problem...usually not a good
thing. That is oftentimes an emotional response to a problem that can
usually be handled just by going on antidepressants.
So dude, like I said, avoid using female docs if anger and even
aggression is part of it. Find a male Psychopharmacology guy who will
stay cool when you tell them stuff like "Ive got a bad temper." I can
related to your problem and make sure you handle it correctly for your
own sake.
Eric
Eric's Depression advice webpage
http://hometown.aol.com/speedstrength/myhomepage/profile.html
Steroids caused my depression...prednisone should be used conservatively
Really, it did help alot.
You might try a different SSRI, or try starting the Paxil at a very low dose
(like, 5mg) and increasing it very slowly as tolerated. This is a strategy
commonly employed when people with panic disorder are getting started on
SSRIs; it minimizes the severe anxiety and jitters these people tend to
experience upon first starting an SSRI.
MAOIs can help too, and tend to cause less initial anxiety. (The insomnia
from MAOIs is quite a bit worse, IME, though.)
Some people with bipolar disorder or cyclothymia tend to be easily angered
when hypomanic or manic. An anticonvulsant like Depakote, Tegretol,
Lamictal, Neurontin, or Topamax is probably the best choice here; lithium
tends not to work as well for this sort of "dysphoric" or "mixed" mania.
(I've seen Depakote work quite well, and Tegretol has a good reputation
also.) A sign that this might be your problem is if you tend to go through
periods of at *least* a week when you have a bad temper, need less sleep,
find your thoughts racing, etc.
Stimulants can help people who have anger problems associated with ADHD (or
subclinical ADHD/ADHD-like symptoms). I think these are usually people who
have had a very hard time tolerating frustration ever since they can
remember. As children they were prone to temper tantrums, that kind of
thing. There may be a family history of the same sort of difficulties.
If stimulants fail, low-dose antipsychotics may work, and a number of people
with cluster A (schizophrenia-like) and B (emotionally unstable) personality
disorders benefit from them. The newer ones -- Zyprexa, Seroquel, Risperdal
-- tend to be least likely to cause extrapyramidal symptoms (movement
disorders such as pseudoparkinsonism, dyskinesias and dystonias, and
akathisia). They can cause quite a bit of sedation and weight gain. One of
the older antipsychotics, a novel one called Moban (molindone), apparently
does not cause weight gain much and is less sedating. Most of the other old
ones cause the same problems as the newer ones, with the added increased
risk of movement disorders.
Anyway, as you can see there are a lot of options. I think it's great that
you want to get this under control. Chronic anger can be really damaging to
a person's relationships with their family and others, but a lot of people
seem to sort of want to cling to their anger (even though it can't be
comfortable for them to experience it), insisting that the problem lies with
other people. Others (my uncle comes to mind) end up self-medicating with
alcohol because they fear the stigma that might come with seeking out
psychiatric help. So, best of luck to you.
-elizabeth
Any sufficiently advanced stupidity is indistinguishable from malice.
-- LOL That was really funny. Linda says she lives in San Diego right?
Maybe she has been working down in Tijuana a few miles south in one of
those donkey shows?