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What should I consider for long term treatment?

Posted by jealibeanz on May 23, 2006, at 19:05:53

Hey all...

My doc just gave me a script for Xanax. His directions were to take .25 mg 3 x daily. I've been taking 1-1.5 mg total daily, so it's a little more than he had written it for, but I don't think he'd object. I need to go see him and discuss a longterm plan. This was an "emergency" script as I was going to college and having extreme anxiety (also extreeeme depression, but he doesn't know that right now).

The Xanax helps the anxiety quite a bit, although I'm a tiny bit groggy, forgetful, and slurring my speech. But I am much more relaxed and able to easily interact with all my new classmates and deal with the pressure of a new move and intense school, so things have improved greatly over the past few days. I'm a little suprised since Klonopin used to make me incredibly tired, dumb, and depressed. Xanax almost has a slight antidepressant effect I feel.

We've tried Paxil, Buspar, Adderall, Wellbutrin, Klonopin, and Effexor in the past for social/general anxiety and for major depression. I'm unwilling to try an SSRI. I've had dysthimia for my whole life! Is it possible this and the chronic anxiety has a chance of being properly medicated?

I know he's one of the few GP's who'd be willing to give me daily Xanax b/c I don't appear that "bad" in person. If I were to stop taking it right now, I was at a point in my life we're I was nearly suicidal and too unhappy and anxious to get out of bed and be productive. I think the depression does need to be addressed. He's very nice and understanding.

I hate talking about depression, especially in a very serious way, but I think he needs to know that I was very much not wanting to continue my life til I just started taking my Xanax. I'm not even completely sure he's willing to do it longterm, but I'm not living near him and can't constantly travel back to appointments, so options need to be looked at.

I've thought about adding EMSAM to the Xanax. It's something I've never tried. I just wonder if he'd look at me like I'm crazy. Do GP's know much about it and are willing to try? He's very supportive of me and my future, so I know he may at least give me an honest answer, but I feel silly asking, like I'm jumping on the bandwagon. I know they like to have drugs on the market for a while before handing them out like candy, but I need to address this matter quickly before it gets out of control and interferes with my future. Any thoughts?


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Psycho-Babble Medication | Framed

poster:jealibeanz thread:647484
URL: http://www.dr-bob.org/babble/20060520/msgs/647484.html