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Any experience or advice on medication for negative rumination?

NAS90609

I would like to hear people's experiences of using prescription medications to deal with negative rumination either directly or as a symptom of depression and/or anxiety so that I can start thinking about whether medication is an option for me.

I know these things are not autism - but it seems like they're often travelling partners and I'm not yet at a point in my own post-diagnosis journey where I can tell where one set of symptoms starts and others end.

I was diagnosed as autistic just over a year ago after a few years of noticeable decline in my mental health - particularly in my ability to deal with people - and as part of trying to unpick all that - it turns out I rate pretty highly on the depression scale.

I don't necessarily feel depressed in a literal sense - I feel like I have a reasonable grasp of what is and isn't working in my life - but I'm definitely showing many of the standard symptoms and constant negative rumination is by far the worst of them.

The things that trigger my rumination are basic everyday life things that I can't get away from or stop - so removing the source or removing myself from the source are not options.

I'm working hard to do all the right things - I've done some CBT counselling, I'm practicing cognitive diffusion, I'm meditating, I'm getting out of the house for walks, I'm drinking less and I'm trying to be easier on myself and more proactive about autistic things that feed into the problem like my sensitivity to noise and my general distrust and dislike of people.

Despite all this I'm now at a point where it's having a more severe impact on my daily life and I'm feeling like it's getting worse and maybe I'm at a point where I need to consider medication - which I assume will be some sort of SSRI or SNRI.

I'd appreciate any insights from your own experience.

Thanks.

Parents

  • You have only one life and if medication can help improve the quality of your life, give it a go. Antidepressants and antipsychotics have changed a lot, so my advise would be to speak to a psychiatrist who ideally has experience working with autistic patients and try medication. But if that is not possible, do your research, make a decision as to what you want to try and speak to your GP about it. Explain why you want to try A, B or C, take of course their advise into account too and see if this will make you feel better. Keep in mind that you have to try different dosages, different types or even combinations, but if it makes you feel better in the end it's worth wile it. I never wanted to be medicated and also have bad experiences, such as being prescribed the same drug under different brand names, but all in all it really helped me a lot. Personally, I have been taking quetiapine now for a few years, after being on SSRIs and it helped me tremendously.  

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  • You have only one life and if medication can help improve the quality of your life, give it a go. Antidepressants and antipsychotics have changed a lot, so my advise would be to speak to a psychiatrist who ideally has experience working with autistic patients and try medication. But if that is not possible, do your research, make a decision as to what you want to try and speak to your GP about it. Explain why you want to try A, B or C, take of course their advise into account too and see if this will make you feel better. Keep in mind that you have to try different dosages, different types or even combinations, but if it makes you feel better in the end it's worth wile it. I never wanted to be medicated and also have bad experiences, such as being prescribed the same drug under different brand names, but all in all it really helped me a lot. Personally, I have been taking quetiapine now for a few years, after being on SSRIs and it helped me tremendously.  

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