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Re: Anxiety, etc. Need Advice! }} Wildman

Posted by sgoose on January 23, 2004, at 14:53:29

In reply to Re: Anxiety, etc. Need Advice!, posted by Wildman on January 23, 2004, at 13:53:16

All of this comes down to what I have experienced in six years of "treatment": The level of care UNLESS you have $$$$ is disgusting and inadequate. The doctors I have seen who have offices in the more wealthy towns here are MUCH more likely to write scripts for the controlled substances such as adderall and klonopin. Low income/no money/young male.. whatever = association with drug abuse and problems for these doctors. Obviously they sleep easier knowing that the privledged people of our society are less likely to be "busted" or do something "stupid" with controlled substances. Stereotypes. What about the CHRONIC sufferers whose lack of treatment has thrown them to poverty and further complications? There are exceptions but this is what I have seen as the average. This leads to the problem of overprescribed SSRI's. IMO, people suffering from severe and chronic anxiety will gain little to NO benefit from treatment with SSRI's. The only benefit I see from SSRI's is when combo'd with a benzo such as klonopin. The problem with klonopin is that it has long since gone generic, so there isn't one big drug company pushing it hard to doctors right now with fancy literature pamphlets and all expenses paid trips to where-ever or an all day outing at the country club. It is that and the label of "addicting" .. I've said it before and will say again that addiction to a few mg's of Klonopin each day is NOTHING compared to the alternatives that untreated chronic anxiety can lead you to. If your doctor will prescribe you klonopin to take evey day KEEP THAT DOCTOR no matter what the cost. Trust me.. I have been to the point of getting 360 Klonopin in one bottle and then the complete opposite. The only reason I'm not with that Doctor is that I couldn't pay over $100 for each visit out of my pocket.

Keep Fighting

> Interesting that you mention "speaking up about what you want" and that you are concerned about being labeled as "drug seeking" by your pdoc.
>
> I have the same concerns, even though I _don't_ yet know what the next med I should try is. I'm currently on Lex (week 6) and while I know I should be patient and wait until week 10+ before really deciding if it is worth the side effects, I am researching options.
>
> I've taken a bit of Ativan to battle some of the side effects of Lex (works well for that), but feel that if I had it every day, that I would be helping the "baseline" anxiety that I am saddled with. Is klonopin something to bring up to the pdoc? When he gave me the Ativan, he told me he expected that Rx to last six months. So, he expects 30 1mg tabs to last for 25 weeks. That's only one per week, unfortunately.
>
> If I had one 1mg per _day_ I would be comfortable. The last thing I want is to be thought of as "drug seeking", as he deals with a lot of addiction issues in his other clients. the doc knows I've dabbled in rec drugs in the past and still smoke pot regularly (but I think he smokes pot also -he said his wife still does) and I'd wager 10:1 that he's tried every drug that _I've_ every tried (recreationally). (I am surprised about this amount of self-disclosure on his part, but
>
> So, I'm torn here.


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poster:sgoose thread:304326
URL: http://www.dr-bob.org/babble/20040122/msgs/304709.html