Okay, so I'm on 200 mg of sertraline and 150 mg (twice daily) of
wellbutrin. meaning im on an SSRI and NDRI (<- only put on this to ease my anxiety problems since
zoloft completely took care of my depression), my doctor wants to switch me to an SNRI (effexor is likely) if wellbutrin doesn't work out. How would this be different from what im currently on besides the dopamine aspect and the actual drug thats inside the med?
Also how is giving anything that increases the amount of Norepinephrine in the nervous system going to help with anxiety? With it being so related to adrenaline it seems like it would only increase anxiety through its excititory processes (cant find understandable info on the little inhibitory functions it has). I would assume that since the SSRI took care of the depression so well that the anxiety must be a comorbid disorder that isnt effected on the seritonin, norepinephrine (on the NDRI), and dopamine systems... which only leaves gaba related drug options and antipsychotics which would lower dopamine which is bad for an unmotivated person (yes im going to therapy on a weekly basis and practicing it but less dopamine would be a horrible idea), and noripinephrine (less anxiety but BAD side effects possible, i think i might rather be addicted than have tartive dysconisia [spelt wrong im pretty sure])
I dont want to have to go through 50 meds before finding the right thing (if i find it), i lived with anxiety for too long already. (frequent panic attacks (associated with agoraphobia) which interfere with creating any relationships romantic and platonic (just want to stress the ANY part of that sentence))
it would be awesome If anyone can answer my above questions, you would and more help than a Neuroscience teacher (bio psychology) and an arrogent Psychiatrist.
Iv been looking online, asking people (such as the above + others), and attempting to rationalize in my own head and cannot come up with some of these answers.