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Hallo Jeff

I brought 3.copies of "Felling Unreal" when it came out. I had one copy for myself, one for therapist and I knew someone else with DP. I have dual copies of other DP books. I have not read your last one but after what you have written you have awaken my interest. I am in Denmark so and I can see amazon uk has it -so I will get it from there.

Have you come across Steven Porges "The Polyvagel theory" that DP/dissociation is a parasymptic stress response from the "old" unmaylated vagus?
 

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No, He dosn´t have DP anymore. He came to a psychiatrist called Jäger that gave him an antidepressant called Marplan- an MAO-inhibitor. The Marplan thing is odd. I have tried a very high dose of Marplan 60.mg for 12.weeks with no effect. Marplan is usually give to vegetive depression states without anxiety. When depression and anxiety co-exist Marplan isn´t effective. So his story is unusual when is comes to the response to Marplan. Your have to be on a diet to take Marplan because it blocks for the normal metobolism of some foods and can give a life threading high blood pressure.
 

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It is the only story i have heard that a MOA-inhibitor like Marplan works in DP -very atypical. MOA-inhibitors are very ineffective in anxiety states-unlike antidepressant like SSRI. DP is likely to be an anxiety related disorder. However, there are many stories out there where one has responded on a drug -and many others don´t so in DP you can´t say that there is a drug for the disorder. Most of those who benefit from drugs is the combination of antidressent and a benzodiazepine -and sometimes lamotrigine
 
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