|Your thoughts on antidepressants
Mar 24, 2006
Hi Dr. Horwath, I'm a healthy 41 year old male, on successful treatment with sustiva/truvada for almost 2 years. (undetectable, 790, 32%) I have a good network of well-informed friends here in NYC and a therapist that I can speak to when I need to. I find, however, that talking simply isn't enough to alleviate the anger/shame I have with myself for the situation I put myself in, the rather limited options for a long-term partner and the ever-present, albeit underlying anxiety that sometime in the future, my drugs could begin to fail and I could face any of the dreaded physical issues one reads about on sites such as this one. Would an antidepressant help to take the the edge off some of these negative feelings? Which drug do you find seems to have the least troublesome side-effect profile? (sexual, sedating, jitteriness) Thanks.
| Response from Dr. Horwath
Feelings of anger and shame are not typically responsive to antidepressant medication. I certainly wouldn't rule out that they might be helpful, but feelings such as this are very closely linked to your experience of HIV infection and may be better approcached through another therapy. Cognitive therapy, in my own experience, is often quite helpful in working with recurrent self-critical thoughts. Similarly, shame is often accompanied by thoughts of falling short of some internal ego ideal, and cognitive therapy can sometimes help to temper critical demands of a puinitive superego.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Ache In Testicles After Getting A Tattoo Worried I Have HIV
- Enlarged Lymph Nodes After Blowjob Worried I Have HIV
- Penis Discharge After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
- Sore Throat After Giving A Bj Worried I Have HIV
- Sore Throat After Vaginal Sex With Condom Does It Mean I Have HIV
- Swollen Glands After Oral Sex Worried I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.