Home › discussions › Sex Addiction › SA and meds
- This topic has 30 replies, 12 voices, and was last updated 13 years, 4 months ago by nap.
-
AuthorPosts
-
August 29, 2011 at 12:59 am #3594kattMember
my partner went to a new shrink who changed his meds. he was on Wellbutrin and she changed it to Concerta. he is being treated for anxiety and depression. he is early in recovery as you all know. still struggles. though he does seem to be trying, but who knows. when he told me about the change i looked the new med up and found allot about its addictive qualities, and warning about any abuse of drugs and alcohol. he has told me hes used alcohol in excess while not acting out, in the past. this drug also seems to do something with the dopamine, and is a stimulant in the brain. i really have no clue about all this medical stuff i was just wondering if the dr. has a clue about treating someone with sa. any info would be of great help to me……..thanks ladies
much love kattAugust 29, 2011 at 2:02 am #17599lexieParticipantOkay… Concerta is the long acting version of ritalin or the generic— methylphenidate. These are ALL the same drug, but in different forms.
They are stimulant meds, AKA amphetamines. They are used for the treatment of ADD or AD/HD, but primarily in children as it CAN become addictive in adults if they do not HAVE ADD.
I myself, take a very tiny dose of aderall which is also a stim med of mixed salts, which is slightly more commonly given to adults, but again, there is a lot of controversy about this.
What happened to me, is that when my kids were little, I was so crippled with exhaustion, that one day, I took half of one of my son’s pills and I was a brand new woman. I had no desire to take any more than that, and several years ago, got my own prescription. For me, its not addictive, but since I don’t have a problem with substance abuse– no drugs, rarely drink, and am a sexual anorexic (little joke). I don’t have a problem with my once a day small dose.
However, a person who’s had a problem with alcohol, sex, anxiety and depression is not going to be a good candidate for this drug and I’m very surprised that this dr. would prescribe this. Some P-docs are great and some are shit. I agree, it appears that this one had no idea about the dangers of giving this drug to him.
In any case, if anything concerta could increase his interest in acting out. I’m not saying that it will, but if its being prescribed for anything other than AD/HD (attention, impulsivity) and he’s an addict, I think that this is a very risky drug.
Of course, I am not a physician, but the information I have given is accurate and I would question this dr. further, to understand WHY Concerta was prescribed.
best ~ Lexie
August 29, 2011 at 2:35 am #17600kattMemberthanks lexie i felt the same way, i had him read the online stuff i found and he has not started it yet. as far as him having add or ad/hd is still in question. as a child he did well in school at least the subjects he liked, never got into trouble, was more of the kind of kid/guy who stayed in the back ground. from all the stories from him family ive heard he was the perfect child. i to think he needs to find out what the dr thoughts are as to this med. thanks again ill post more
much love kattAugust 29, 2011 at 2:40 am #17601napParticipantHi Katt,
Here’s my take on it-just my opinion. Concerta is for ADHD. The Dr. thinks he maybe/or is ADHD and by treating it maybe he will have less of a need to ‘self medicate’ with ‘other things’. Makes sense because unrteated ADHD people do have a tendency to self medicate.True, ADHD meds are stimulants but for a true ADHD brain it actually has the opposite affect-it allows the person to focus. If I were to take the ADHD med (i do not have adhd) it would be like speed for me-it doesnt do that for someone who is truely adhd.
Hope this helps, Love Nap
August 29, 2011 at 3:08 am #17602lexieParticipantHe does NOT have ADD or AD/HD. ADHD kids are LOUD, DISRUPTIVE, INTENSE, IN YOUR FACE, GET THEM OUT OF HERE OR I’M GONNA BLOW MY BRAINS OUT.
They struggle mightily in school, although its not because they are not smart. In fact, most are actually of superior intellectual level. My son took tests in the 8th grade and scored in the 99th percentile in all of his academic areas and in the 15th% in executive functioning. in clinical terms, that’s called “scatter” and anything more than a 20% deviation one way or the other is significant. ’nuff said.
August 29, 2011 at 3:11 am #17603napParticipantLexie some people have the ADD without the hyperactivity. My oldest daughter does. She has an IQ of 150.
August 29, 2011 at 3:26 am #17604lexieParticipantyes, that’s true and I believe that I fall on that spectrum, but not an IQ of 150… However, most boys do have the H component, and also have difficulty in school in some fashion or other and would never be deemed to be “the perfect child.” (what we call a pretend child) My difficulty was in speed and accuracy. I’d get the answers right, but didn’t finish the test or would get one off on my numbering, if I skipped a question.
However, there are often co-morbid disorders, such as depression, anxiety, or OCD. But, my worry with Katt’s h is that an addictive personality mixed with amphetamines is risky. The good news is that it works fast, and he would know right away if it was helping or not. Just concerned about him getting hooked on that stuff and also about the possibility of it worsening his SA. not sure, about the latter… but it’s possible that it could have that effect.
August 29, 2011 at 3:37 am #17605cbslifeMemberMy husband has been diagnosed with ADD and was originally put on Wellbutrin. The doctor told him that adults with ADD do not react the same as people who don’t have ADD in regard to stimulants. For instance, anything with caffiene in it will actually calm him. When he was diagnosed SA the doctor changed his prescription to Zoloft and he’s been on it ever since and is doing well on it.
August 29, 2011 at 5:22 am #17606kmfMemberHi Katt,
My son had AD/HD BUT my neighbor’s son was only ADD and was a dreamy, quiet child who just could not focus until he went in Ritalin. He was not hyperactive though. It can present with the H component or not. KarenAugust 29, 2011 at 5:47 pm #17607hadj608ParticipantSo how do you know what the best meds are? My h is going in next week for anxiety. I think he has ocd, he spends $ out of control and is a sa, he also has an unusual desire to stay/prove he is still young, stronger and better than everyone else. I don’t need him to be any wackier! He has never taken any meds.
I think its funny how he loads up on vitamins and exercise to stay healthy but never used a condom!Heidi
August 29, 2011 at 6:16 pm #17608ellaParticipantI have found that many sex addicts also suffer from a mental illness. ADD and Bipolar are the most common. It get’s tough though because the wrong medication can make things worse. Further, ADD and Bipolar have some symptoms that mimic each other. But meds for ADD are terrible for Bipolar Disorder and can make it much worse. Stimulants are discouraged for sex addicts, as they can be a trigger for acting out. To make things more complicated, some people have both ADD and Bipolar diagnoses. Obviously, for these reasons, it is important to find a good psychiatrist. Easier said than done. I have a client who has always blamed her husband’s acting out on his Bipolar, until I pointed out that while promiscuity and not thinking about consequences are often symptoms of the manic side of bipolar, possibly she is letting him off too easy. Maybe his acting out is simply his sex addiction, expecially since after twenty years of treatment for bipolar, the sex addiction hasn’t gotten better. When my husband went to see a psychiatrist for the first time in his life, after his disclosure to me that he is a sex addict, his shrink told him that he is bipolar and that sex addiction isn’t real. GRRRRR!!! Interestingly, however, the Lithium they put him on has helped him a lot with his anger issues. I did some research and found that Lithium has been found to be successful in treating people who deal with rage outbursts (my husband) who are not bipolar. I have seen Lithium help another client, who is also a sex addict, in this way. The most important things to remember for a sex addict, when it comes to meds, are that stimulants and also antidepressants (if he is bipolar) can make acting out worse or make him more prone to act out. It would be great if we could just trust the doctors, but unfortunately it is important to do your own research and get a second, or third, opinion if possible. Another important thing to remember is that often people who are bipolar are misdiagnosed or only go to the doctor for the depressive symptoms. They neglect to report the manic symptoms and are treated for depression. Antidepressants alone, not combined with a mood stabilizer, will make bipolar worse. And for a sex addict, this is NOT good.
August 29, 2011 at 6:22 pm #17609marieParticipantHi Katt,
It isn’t unusual for Concerta to be used “off – label” for treatment of depression. That means that the drug is not FDA approved for that reason, and therefore the company who makes concerta can’t advertise it as such, although they certainly don’t discourage it. When it’s effective in treatment of depression, it can be dramatic and start rapidly, BUT….it can also cause depression. And it is a drug with addictive potential. And it is contraindicated( not to be used at all) in the presence of severe anxiety. I personally choose not to use it for treatment of depression in addicts.
MarieAugust 29, 2011 at 6:40 pm #17610ellaParticipanthadj608, it sounds like your husband is a typical sex addict. The “unusual desire to stay/prove he is still young, stronger and better than everyone else” is not at all unusual for a sex addict. In fact it is the norm. I don’t know about the OCD you mentioned, but compulsive spending can be a symptoms of bipolar disorder (I should clarify I am not a doctor and you can’t substitue anything I say for advice from an MD, but I have studied this stuff extensively and see it all the time in my counseling practice). Of course, another thing to consider is that addictions tend to run in pairs, so he could just have a shopping addiction. I am curious how many or your addict husbands play video games? I see that all the time as well as drinking, constant TV watching, playing golf, or any other behavior that distracts him from reality. Another theme I see with addicts…escaping reality. That’s really what it’s all about. ANYTHING to not have to deal with life, responsibilities etc. They never learned healthy coping skills. And if they don’t distract themselves they might have to think about their hell of a childhood or the guilt about their acting out.
August 29, 2011 at 7:41 pm #17611hadj608ParticipantWow Ella ~ you are a great addition to our sisters! Welcome! My h was just going to get a rx from his reg. Dr. I think I am going to see if I can find a psychiatrist instead. His csat is the one who though ocd. I don’t really know. As far as bipolar, my h is always up (no pun intended), I have never seen a depressed side of him, until now. He does the work of 3 employees, plays basketball like he’s psyco (diving for the ball at 52 yrs~ getting black eyes, cuts, sprains and stitches on a weekly basis. (but believes he’s better than the young guys). He gives everything his all, and is over the top in almost a weird way. Has to be perfect at everything.
In the last 10 months of s-l-o-w-l-y trickled disclosure, he has admitted that he never felt any guilt for his actions over the last 28 years because he always believed if he worked hard enough he was entitled to these indiscretions. He earned them. Everything from porn to random sex w/strangers to love affairs with my friends. When I asked him if the husbands of these women he had sex would feel it was fair (cause my h “earned it”)?
my h was dazed and confused and said he never thought about their husbands……I knew he obsessed over work and sports. Never knew that sex was an obsession also.
I was at our cabin with 2 of my daughters last week, When I got home last night, the lawn wasn’t mowed, the bills weren’t paid, the dishes weren’t done. But he did buy himself a new 40 inch flat screen and picked up a cable box and a $350 remote for our bedroom ~which we do not share anymore! now I have to figure out how to put controls on a tv I cant turn on. 🙁
I will never be able to control him.time to search for a good Dr.
Hugs
August 29, 2011 at 10:03 pm #17613ellaParticipantOne down side to meds when it comes to sex addicts is that there is no medication for personality disorders. That includes narcissistic personality disorder (that I think well over half of SA have) and antisocial personality disorder (or sociopath/psychopath). A lack of empathy (not feeling guilty for example) is a big part of both of these. Not only that, but therapy is not that effective for personality disorders either and when it is it is generally very long term therapy. Here is an excellent powerpoint presentation by CSAT, Rob Weiss. He actually “gets it”, although he admits it took him ten years of practicing as a CSAT before he got it and in the meantime he did a lot of damage to partners. http://www.sexualrecovery.com/wp-content/uploads/2011/06/Understanding_Narcisssm.pdf
August 29, 2011 at 10:42 pm #17614lexieParticipantyep.
the old axiom “it ALWAYS takes two”
was written by a narc, no doubt.
August 29, 2011 at 11:59 pm #17615napParticipantHi all,
Not that I’m opposed to medication, but what about the old, “keep your dick in your pants because you’re married!” remedy. And if you can’t do that pick another woman to fu*k around on besides me as* hole. I think thats good therapy.Love, Nap
August 30, 2011 at 12:56 am #17616cbslifeMemberI like what NAP said. That sounds like common sense to me! Some folks got it some folks don’t.
August 30, 2011 at 2:30 am #17617kmfMemberPlease Do NOT read if you are still with your SA because it is NOT hopeful ,but, it is my real opinion…. 🙁
I feel SUCH FRUSTRATION with these men, with us, the partners who keep TRYING and TRYING, and with these therapists and their BS, blah, blah,blah..try this, try that, check him in here for thousands and thousands of dollars, trust your HIGHER POWER, pray, look the other way, have compassion, set boundaries, focus on yourself….. meanwhile, your husband fu*ks your sister, lusts after his daughter, stores videos of himself fu*king hookers on your computer, tells you a marriage can be anything 2 people want it to be and then doesn’t give you any choice in what that marriage will be, has sex with men when he is straight, has sex with whores when he is married, has sex with webcams but not his wife, doesn’t have sex with you for a lifetime, but says he will NOT be labelled and doesn’t need help, then he CHEATS, LIES, BLAMES, EXHIBITS NO REMORSE,MINIMIZES,RATIONALIZES,DENIES and then when you object…TELLS YOU HE LOVES YOU? GOD HELP US ALL! I cannot stand it. They say there is no life without hope? BUT with these as*holes…I say there is NO LIFE with hope! These creeps are NEVER getting better and neither are we until we see that??? I read the story about Marie, that Ella recommended and it made my blood boil. I would have killed that f**ker and considered it a favor to society . My husband duped me and stole years of my life, but you know what? I will NEVER give him the chance to do that again. I prefer to live with no hope rather than false hope and I don’t give 2 shits what his “condition” is. SORRY for the outburst but I DON’T CARE about their medications, what new theory the Addiction Society has for their choices, what the DSM says about what diagnostic criteria they fit in or don’t fit in, what their therapists say about them, what our therapists say about them, what “they” say about themselves. They hurt people and are SICK,SICK,SICK and those of us that stay within 10 feet of them are sick too. PERIOD. Fool me once, shame on me ,but fool me twice……Well….ok. NEEDED TO GET THAT OUT…… My apologies in advance 🙁 Karen
August 30, 2011 at 2:39 am #17618sharronParticipantkmf-Felt like your’e post was written directly to me. Exactly how I am feeling right now. They just ain’t gonna change.
I can relate especially to how my SA projects everything onto me, and then the next minute is telling me how much he loves me. Pure Insanity.August 30, 2011 at 2:39 am #17619sharronParticipantOh, also kmf-no apologies needed. You are right on!!!
August 30, 2011 at 5:35 am #17620napParticipantKaren,
I share your frustration, its like being married to the invisible man. Who, what, where, and when? Unless they are totally dedicated to recovery, its a very unfulfilling life.
love, napAugust 30, 2011 at 12:27 pm #17621deboraParticipantRight on, Karen,
I am also so sick of all the rhetoric around their behaviors. Like NAP said, Keep your dick in your pants unless you’re making love to your wife. No apologies needed.
Love, debora
August 30, 2011 at 1:25 pm #17622marieParticipantLove your post, Karen…very reality based. I can only speak for myself, but there would never be a need to post the “please do NOT read if you are still with your SA” for my sake. I’m pretty reality based and I think the rest of us on the site still with our SA’s are, too. We’re not looking for half truths, glossed over reality, and promises of a wonderful life…..we already lived those lies with our SA’s. When you or anyone else speaks their truth….I’m listening!
MarieAugust 30, 2011 at 2:49 pm #17623kattMemberkaren you have said what i think. who could dispute a word of it. the truth hurts but it also sets us free. i have to keep reminding myself FACTS are where the truth lies. often i know if it were not for the addiction word i would have high tailed it out of here. yet here i am……..
thank you katt -
AuthorPosts
- You must be logged in to reply to this topic.