Mark and ED, thanks for the replies and info. I have to admit this forum has been more helpful and comforting than I thought it would : )

Mark, I’ve tried cipralex (SSRI) and was switched to Cymbalta (60 mg; SNRI). Later, amitryptiline (50 mg) was added, then removed and replaced with nortryptiline. I have to admit both TCA class A/Ds (am and nor) have side effects that I’m not keen on: dehydration, fogginess, urination issues, flat mood (at best) and I suspect they exacerbate my anger issues. Just yesterday the Psychiatrist upped my Cymbalta to 90 mg with the intent of going to 120 mg if I can tolerate it. If this works the plan is to get me off of the nortryptiline.

Also, thanks for mentioning disability payments. I’m in Canada and am fortunate to have good benefits for now, though the benefits provider has been a negative influence on me (i.e. they meddle).

ED, thanks so much for listing the various therapies. I plan on reviewing a couple things. On the nerve blocking, you reminded me of one intervention I didn’t list but might be useful: BotoxA injections. I’ve done three rounds of injections, and surprisingly I’m still ugly : ) Each round consists of 20-30 injections (painful as hell! Not sure why anyone would do this for cosmetics!), and lasts for 3 months. The first 2 months there is a significant reduction, and the effect wanes in the third month. However, I’m currently in the first month and still needing Tylenol 3s. How long does your treatment provide relief for?

I’m also sorry to hear you have kids. I feel like I’ve missed soooo much of their development, and have had a detrimental impact on both of them in different ways. Seeking counselling out for them this week. Hopefully things are going/getting better with your family.

This might be silly to ask, but my symptoms flare up I get seriously stupid… can’t figure things out, memory is useless, and I misinterpret stuff. Happen to you guys too??