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Anxiety Disorders, OCD & PTSD A forum to discuss Anxiety, Generalized Anxiety Disorder, Obsessive Compulsive Disorder, Panic Disorder, Post-Traumatic Stress Disorder, Simple Phobias, and Social Anxiety Disorder

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Old 07-11-09, 02:55 AM
Koblin3426 Koblin3426 is offline
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Anxiety, Medication, and Frustration

Hi everyone! I've stayed up until 2 this morning because I'm trying to figure out which anxiety med would best suit my needs. Well, it turns out I learned a LOT after reading forums for hours, unfortunately though, it seems everyone has VERY conflicting experiences and opinions concerning every medication. The main confusion i'm having is SNRI vs. Benzo. Also, would an SSRI be advisable over an SNRI? I read several posts/threads stating how effective and great they are and others completely trashing them and saying they cause rebounds. Alright I'll try and organize this in some fashion now.

History: I've generalized and social anxiety since I was about 12 at least (maybe 10 though) and I discovered I had ADD (no hyperactivity) for sure during high school. I'm 19 by the way. I took generic prozac for a while for depression and that didn't help a huge amount. I kept upping the dose and got jitters so my psych put me on wellbutrin. That worked fine after some dosage increases and such (actually, it just about cured my depression and I haven't had any incidents since!) but I started to get really bad memory problems and I looked online, found some articles/threads explaining how it causes memory loss so I stopped taking it.

Current Medication: I'm on 25mg of adderall xr in the morning and I take 10mg of adderall (short acting) in the evening. I also take Levothyroxine sodium for hypothyroidism (I forget the dosage...50mg I think) if that matters.

Situation: After being on adderall my memory is MUCH better and I can actually focus and live my life without so much confusion. However, I have very bad anxiety now. I feel the adderall is to blame actually but I need it to focus and think! I don't do the things I used to (haha sounds like a typical prozac commercial), I don't do the things I SHOULD be doing (like school work, exercise, guitar, arrange appointments/actually go them, etc.), and situation social anxiety (although working at retail store seems to help a lot with meeting new people).

My social anxiety is weird because I can hang out with friends or my girlfriend and socialize with others just fine. It's only when I have to go to appointments or have a conversation with a teacher, doctor, dentist, guitar teacher, etc. that I really start freaking out. Anyway, I kept putting off getting help for this because of the anxiety associated with it and I'm also very afraid to ask my psychologist for a different/new medication. She knows I have a history of drug abuse so I feel like she judges me when I ask her about medication.

I don't like the dependency of benzos that I'm hearing about (what if I forget a pill? yikes!) but I don't like a lot of the side effects of the SNRIs either. I'm pretty skinny (six foot and 155ish pounds) and it's hard enough to have an appetite what with my adderall and all. I also seem to sweat a lot/easily while on adderall (happened when I was on a lot of prozac too) which seems like a -1 for SNRI. I have trouble sleeping sometimes with the meds and I have a weird bladder thing where I'll have to urinate a lot during the night if I don't get to be right away (VERY annoying).

Anyway, I have a lot of ideas and plans on how to fix my anxiety but it's pretty ingrained so I want to get cognitive therapy to ensure I can battle it throughout my life considering i'm only 19 (is this like a therapy session with a special cognitive specialist?). I've tried self help books and deep breathing/meditation but anxiety keeps winning and it's really ruining my life. I feel like I'm doing so little with it right now because I'm afraid of EVERYTHING. My main problem is that I'm always concerned I don't have enough time for things even though I know that I do.

So, i'm not sure whether I'll be able to blow through my anxiety issues and get off the meds asap which seems like the ideal use of the drug. I don't want to feel the way I do on benadryl either although I'm not sure if it's the same type of effect. Also, I'm not sure what Wellbutrin does (is it SNRI and DRI?) but I'm fearful of having the same memory problem with an SNRI as I did with the Wellbutrin. I DEFINITELY do not need that horrible fogginess right now lol. What about an SSRI? I can't remember if the prozac helped anxiety by the way because I was too busy having major depression lol.

In conclusion, I'd reallly appreciate any suggestions on what I should do! I was thinking xanax xr, xanax, or Vicodin for benzos. Or effexor xr or pristiq (heard the latter doesn't mess with other meds as much) for SNRIs? Has anyone heard of Buspirone (BuSpar)? THANK YOU FOR READING THIS HUGE POST!!!!
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Old 07-12-09, 10:54 AM
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Re: Anxiety, Medication, and Frustration

I take klonopin - a fairly small dose - .5 mg/3x day. It's the first thing that's ever reduced my anxiety. A miracle! My anxiety's pretty severe. I was told that I would probably be on medication for life.

Before the Klonopin, I tried Buspar, Effexor, and about all of the SSRI's. Although they're all supposed to help with anxiety, I never noticed them to do anything for it. The anti-depressants actually increase my agitation.

I've heard the the side-effects of xanax make it a problem for many.

As for me - personally - I have no side-effects from the Klonopin. I just feel normal, but with much less anxiety.

Keep in mind that everyone is different, though. My psychiatrists always tried the anti-depressants first, then moved on to other things when they didn't work.
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Old 07-12-09, 11:24 AM
Koblin3426 Koblin3426 is offline
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Re: Anxiety, Medication, and Frustration

Hmm... So you don't feel tired or mentally fuzzy on them? I remember being quite irritable on prozac as well. If it didn't mess with my ADD or make me groggy, then it SOUNDS like some form of benzo would be best (it works immediately too which is nice). However, I heard they're only prescribed for a short term basis, or at least that's how they're intended to be prescribed. I'm already having anxiety over having a time limit on medication but I've heard others have been on benzos for years so it's very confusing to me.
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Old 07-13-09, 12:38 PM
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Re: Anxiety, Medication, and Frustration

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Originally Posted by Koblin3426 View Post
Hmm... So you don't feel tired or mentally fuzzy on them? I remember being quite irritable on prozac as well. If it didn't mess with my ADD or make me groggy, then it SOUNDS like some form of benzo would be best (it works immediately too which is nice). However, I heard they're only prescribed for a short term basis, or at least that's how they're intended to be prescribed. I'm already having anxiety over having a time limit on medication but I've heard others have been on benzos for years so it's very confusing to me.
In the beginning, it seems I felt too tired sometimes, but now I just feel normal. Not fuzzy or groggy. I think you're right that they are often prescribed for only short term (but you'll hear the same thing about anti-depressants).

In my case, though, my history plus the observations of the psychiatrists and my therapist led to the conclusion that I may need to stay on them for long-term. LONG....term . I think that's what they go by - your history and how you do on them (and what happens if you go OFF them).

The negatives about Klonopin is that it has potential to be abused. There was some concern about me taking it because I am addictive by nature. However, it is a miracle solution for me - and I'm scared to death of losing that. Therefore, I take it only as prescribed.

The other thing is that I guess it can lose it's power over time as your body adjusts to it or something. I've been taking it for over a year and haven't experienced that problem yet. I can only wait and see what happens, but my understanding is that my dose is quite low as it is. A little does a lot.
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Old 07-13-09, 04:39 PM
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Re: Anxiety, Medication, and Frustration

it seem like this is a standard question. The stimulants helps you focus but many times you focus on the wrong things and worry thoughts take over. Wish there was a more concrete answer for this .
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Old 07-13-09, 04:54 PM
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Re: Anxiety, Medication, and Frustration

Quote:
Originally Posted by busyhermit View Post
In the beginning, it seems I felt too tired sometimes, but now I just feel normal. Not fuzzy or groggy. I think you're right that they are often prescribed for only short term (but you'll hear the same thing about anti-depressants).

In my case, though, my history plus the observations of the psychiatrists and my therapist led to the conclusion that I may need to stay on them for long-term. LONG....term . I think that's what they go by - your history and how you do on them (and what happens if you go OFF them).

The negatives about Klonopin is that it has potential to be abused. There was some concern about me taking it because I am addictive by nature. However, it is a miracle solution for me - and I'm scared to death of losing that. Therefore, I take it only as prescribed.

The other thing is that I guess it can lose it's power over time as your body adjusts to it or something. I've been taking it for over a year and haven't experienced that problem yet. I can only wait and see what happens, but my understanding is that my dose is quite low as it is. A little does a lot.
Hmm. Although the withdrawal and abuse potential are imminent, I've known adderall to have a similar reputation, and I got over problems I had with that. Actually, I'd gotten into abusing adderall because of the anxiety it unkowningly caused me which is quite ironic now that I think about it. The correct dosage makes me anxious, but a lot more made my anxiety go away entirely for a period of time. Weird how that works, eh?

Anyway I haven't done that in a while and now that i've isolated and identifyied my anxiety problem I'll be fine taking whatever I need to. The long term effects and withdrawal scare me to an extent, but I've read numerous posts online that effexor (probably what I'd take if I don't end up taking a benzo) causes VERY hellish withdrawal symptoms as well.

It seems like I can't win either way. However, as far as side effects go I'd rather gain weight (again, I'm 6 foot and 155 pounds give or take) and sleep more than get on something thats going amplify the side effects of adderall (I want to be able to have sex still and sleep ). I don't have much of an appetite and sleeping is something I simply have no interest in doing at night it seems.

So, you haven't had problems with memory or confusion? I had that with wellbutrin and it made me lose my job so I'd reallly like to avoid any of that haha. Also, I was on .5 of lorazapam at one point and stopped taking it because I was on three other meds and wasn't sure which meds were helping and which weren't. I know that on that dosage I couldn't tell if I had taken it or not as it didn't affect me in the slightest. That will probably help my case in getting klonopin but what's a normal starting dosage for it?
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Old 07-13-09, 05:06 PM
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Re: Anxiety, Medication, and Frustration

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Originally Posted by hollywood View Post
it seem like this is a standard question. The stimulants helps you focus but many times you focus on the wrong things and worry thoughts take over. Wish there was a more concrete answer for this .
I agree! I'm now having the problem of fearing figures of authority and time. I mean, before I was on adderall I'd go to the YMCA to lift weights but now I'm afraid of going. I fear people will look at me and talk about how little I'm lifting or how skinny I look (I don't really it's just that I'm complete muscle and no fat so to ME I seem too skinny but others argue with me that I don't). I guess it's all performance based fears (as in I won't live up to peoples expectations and look stupid), that i'll say something that sounds weird, or that I'll do something wrong and look stupid in front of others.

It's weird because I thought i'd gotten over it but I think having a pill that allows me to talk to strangers easier (I can talk/hang out with friends perfectly fine) will help me get going on CBT and getting a therapist that specializes in anxiety treatments.
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Old 07-14-09, 08:36 PM
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Re: Anxiety, Medication, and Frustration

Quote:
Originally Posted by Koblin3426 View Post
That will probably help my case in getting klonopin but what's a normal starting dosage for it?
I was prescribed with .5mg yesterday, my doctor told me to only take half that and to only take it twice a day "as needed."

Now that I look at the bottle, it looks like the generic version made by Mylan, it's still Clonazepam though.
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Old 07-15-09, 07:05 PM
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Re: Anxiety, Medication, and Frustration

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Originally Posted by Bladezor View Post
I was prescribed with .5mg yesterday, my doctor told me to only take half that and to only take it twice a day "as needed."

Now that I look at the bottle, it looks like the generic version made by Mylan, it's still Clonazepam though.
I ended up being prescribed Remeron. It seems like an actual GOOD alternative to a benzo. At least, after reading reviews and researching the drug, it does. I'm still wondering why it's not prescribed much as an anti-anxiety. I'm thinking because of the weight gain, which actually helps ME but I'm sure many people don't like that side effect. I've read numerous reviews and such from users and it SEEMS like there's more success for anxiety relief from Remeron. Perhaps this is due to it's lack of popularity and therefor negative reviews though. It's hard to tell. Lots of speculation! I'm excited to report my findings, however.
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Old 10-09-09, 12:18 AM
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Re: Anxiety, Medication, and Frustration

ive been on everything from anti depressants, to xanax and klonopin. my question is i always took .23 xanax, then when i changed to klonopin i was at .25 either seemed to help i mean at all. i also have panic attacks... so i really thing you all for discussing your meds i can use the advice...
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Old 11-01-09, 01:17 AM
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Re: Anxiety, Medication, and Frustration

im on adderall 30mg xr 2x a day and now on 150 mg of clomipramine for my ocd and the clomipramine works on and off why is that?
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Old 01-06-11, 12:20 AM
CFQgrl CFQgrl is offline
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Smile Re: Anxiety, Medication, and Frustration

No offense, but I'm not sure if you actually have ADD and should be taking adderall. It sounds like it is making your anxiety worse.

I started seeing a psychiatrist for what I thought was a social anxiety problem but finally, about two years later, I've been diagnosed with ADD and I finally feel normal again. I was prescribed ativan for a while but it just made me feel like I was high- I would literally take it for a certain "anxiety" occasions and then come home and eat junk food, watch movies and sleep. My social anxiety completely goes away when I take my add medication (vyvanse 30mg/instant release adderall 10 mg) and I function like an actual human being and have productive days. My depression from my anxiety used to make me dread leaving my bed. I also am a lot less awkward when I take my add medication. When I don't take my add medication I can never find the right words to say in conversations and I'm just slow and not engaged in social situations.

Anyways, the reason I don't think you have ADD-> I have friends that dont have ADD but will buy add medication from people on campus to help them pull all-nighters when they have a ton of work, and they always tell me how anxious and paranoid it makes them feel when they take those pills.

Here's what I think about ADD- medications for ADD help EVERYBODY do their school work better. Just because somebody takes a pill that "helps with ADD" and it makes them work better DOES NOT mean they have ADD. These types of pills help EVERYBODY do work better.

I believe people with real ADD are the ones who benefit behaviorally and in other areas of their life besides school from taking ADD medication. ADD medication changed my whole life- it didn't just help me write some papers.

Anyways, so I think maybe you should try a different type of antidepressant than you have before (I've heard those really with anxiety since anxiety and depression are usually coupled) and I think should try a prescription to relieve immediate anxiety like ativan or xanax. good luck!
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Old 01-06-11, 01:04 AM
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Re: Anxiety, Medication, and Frustration

Since the original poster wasn't asking about his adhd symptoms but about his anxiety symptoms and meds why would you question his diagnosis?

The poster was diagnosed by a qualified person and is being treated for adhd. There's nothing in his post to suggest he doesn't have adhd so I'm at a complete loss on this one.
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