![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 26. This is the beginning of the thread.
Posted by Garnet71 on June 24, 2009, at 0:42:32
I am concerned about having underlying psychotic sytmptoms...With an intense transference with new PDoc a week ago, though it as ok at the time as a childlike feeling, the end result was traumatic for me (the way he handled termination of our patient/doctor relationship).
When I talked on the phone with him tonight about my meds and the situation we had in the past,I felt the transference overtake me within 30 seconds of our conversation-I could't concenrate while on the phone with him, couldn't think, and the transference feeling again entered my body like a possession, thouh not as strong as last time. I'm not thinking of that in a delusional way, but it's just that powerful.
So were ase supposed to meet in a couple weeks, but I'm concerned. I feel like when I see him, I'm goign to have a psycotic reaction from the intense transference; neve rhad a psychotic reaction befoe, can't explan how I am unituitvely feeling this. I am I thinking I've had underlying psychotic tendences. I am also wondering if sleep deprivation is part of this, but I think mos tof it was last experience with PDoc/analyst.
So I'm not going to take the dextrat tomorow either. I wonder if that was part o the rason, since dopamine problems are and aspect of schitzophrena. My grandmother had schitophreinia. And could exlain why it's not working the smae as last script
Can xanax stop a breakdown if you are on a verge of psychosis and address it right away? Can you take an mild/small does antipsychotic to prevent a full breakdown - which one?
Should I call him and ask for an antipsycottic atr I exlain situation? i never felt like tis befor and scared. Can't go to class tomorow either. and my attendance is part of my greade I can't go to an ER after seing my sister trauamtized during nreakdown and after I was strauamtized, accussed of being a drug seeker
What meds can be taken for psychosis?
I'm scard, bt to tired I can't keep my eyees offen anogher AND fell aleep whiel writing tis. Took 3 xaax. I feel asleep for a moment while writing this post.
So any idea of prventative psychosis and apprpriate meds, psychsis ect
I think I'm going to sleep now and not go to school again tomorrow. It's going to hurt my grade, but I don't feel stable right now. I can't explain how or why, but i feel it emerging an I' am so scared.
Posted by morganpmiller on June 24, 2009, at 1:52:10
In reply to Help - trigger - scared, posted by Garnet71 on June 24, 2009, at 0:42:32
Man sorry to hear you are experiencing this right now. It sounds awful. I would either tell him or go see another doctor ASAP and tell them. Are you a full time student? Are there free psychiatric services?
You can start taking low doses of zyprexa or seroquel but of course you won't be able to get those without telling some doctor first.
Whatever you do, do NOT smoke marijuana or take any other drug as they can be triggers for psychotic breaks
In the long run, since you have schizophrenia in your family, you may want to consider trying the nicotine patch or some other safe for of nicotine. Nicotine may reduce the chance of developing schizophrenia.
Don't want to freak you out any more than you are but I came across this on the net:
Brain-Disabling Effects Of Benzodiazepines In Psychiatry (page 1)
Posted by morganpmiller on June 24, 2009, at 1:55:19
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 24, 2009, at 1:52:10
OOps, I thought that would be something you could click on, sorry.
Benzodiazepines
Brain-Disabling Effects Of BenzodiazepinesBy Peter R. Breggin, M.D.
From Brain-Disabling Treatments in Psychiatry
This is the first page of a two page article.The benzodiazepines (BZs) have for several decades been recognized in the literature and clinical practice for their capacity to cause mental and behavioral abnormalities.
Xanax (alprazolam), and to an even greater extent, Halcion (triazolam), have a significantly different profile from other benzodiazepines due to their greater capacity to bind to receptors and their shorter half-life.
Halcion's very short half-life led to the hope that it would make a particularly good sleeping medication but it has proven especially dangerous.
The brain-disabling or toxic effects of the Bzs in general can be divided into several somewhat overlapping categories:
(1) The primary clinical effect of inducing sedation (tranquility) or hypnosis (sleep), which is indistinguishable from a toxic effect except in degree;
(2) Cognitive dysfunction, ranging from short-term memory impairment and confusion to delirium;
(3) Disinhibition and other behavioral aberrations-- including extreme agitation, psychosis, paranoia, and depression, sometimes with violence toward self or others;
(4) Withdrawal, in which the individual experiences a continuum of symptoms from anxiety and insomnia after routine use to psychosis and seizures after the abrupt termination of long-term, larger doses;
(5) Rebound, an aspect of withdrawal, in which the individual develops anxiety, insomnia, or other serious emotional reactions that are more intense than before drug treatment began. Withdrawal can take place between doses during the routine administration of Bzs, especially the short-acting ones.
(6) Habituation and addiction, along a continuum from feeling dependent on the drug to compulsively organizing one's behavior in a self-destructive manner around obtaining large amounts of the agent.The Mechanism of Brain-Disability Neurophysiological studies show that the BZs potentiate the neuronal inhibition that is mediated by gamma-aminobutyric acid (GABA).
In doses used clinically, this results in a generalized suppression of both spontaneous and evoked electrical activity of the large neurons throughout all regions of the brain and spinal cord (Ballenger, 1995).
The binding of BZs to the GABA receptors is most intense in the cerebral cortex. Some BZs, such as Xanax and Halcion, bind especially tightly, increasing their tendency to produce more intense sedation and hypnosis, and also more severe cognitive deficits, behavioral abnormalities, rebound, and withdrawal.
Some advocates of the BZs have argued for a specific anti-anxiety effect separate from the general sedative effect, but there's no substantial evidence for this.
Rall (1990) concludes: The question whether the so-called antianxiety effects of the benzodiazepines are the same or different from the sedative and hypnotic effects has not been resolved.
People who use BZs to calm their anxiety will frequently use alcohol and other sedatives interchangeably for the same purpose, either in combination or at different times.
As they switch from drug to drug, they tend to find little or no difference in the anti-anxiety effect. This confirms the brain-disabling principle that BZs have no specificity for anxiety in comparison to other sedative/hypnotic agents. The Mechanism for Producing Behavioral Abnormalities.
There are at least two probable causes for the abnormal behavior produced by BZs. One mechanism is direct intoxication, resulting in impaired executive and cognitive function, including reduced judgment and impulse control.
Fogel and Stone (1992, p. 341) observe Benzodiazepines, given to reduce arousal or possibly to treat a hypomanic state, may aggravate impulsive behavior by impairing the inhibition mechanism of the frontal lobes. Barbiturates may have similar effects.
Especially in regard to the BZs, a second mechanism, rebound, has been demonstrated, and is a probable cause of many more severe reactions.
Rebound or discontinuation symptoms occur when the BZs are withdrawn or when they begin to lose their effectiveness (American Psychiatric Association, 1990). As the BZ disappears from the GABA receptor sites, the receptors may have become down-regulated (less sensitive).
Or there may be a reduction in GABA itself in response to the drugs, once again leaving the GABA system relatively inactive. Without the inhibiting effects of the GABA system, the disinhibited brain over-reacts.
The American Psychiatric Association (1990) task force report, Benzodiazepine Dependence, Toxicity, and Abuse, theorized that discontinuation symptoms arise from the abrupt withdrawal of BZs from their receptor sites. Before GABA can retake these positions, there is an acute reduction of GABA, and a loss of GABA inhibitory tone.
BZ disinhibition differs in some ways from alcohol disinhibition. It can occur without a noticeable sedative intoxication, such as slurred speech, lack of coordination, or impaired consciousness. Furthermore, the BZs are prescribed by a physician, often without providing the patient a warning about possible disinhibition.
Unlike the experienced alcohol user, the trusting BZ user has little reason to anticipate losing control. Expecting to be helped, and not harmed, by the drug, the patient is less able to understand or manage potentially overwhelming feelings of anger or violence, or other untoward emotional responses.
Also unlike alcohol, some of the worst BZ behavioral reactions occur during withdrawal, or in between doses, adding to the patient's confusion concerning what is happening. At the time, the patient may have little idea what is driving the unfamiliar behavior, and in retrospect it may seem like a fragmented, poorly recalled nightmare.
Adverse Reactions to the BZs as a Group Standard textbooks and reviews spanning more than two decades, as well as a variety of clinical studies, confirm widespread recognition of BZ-induced behavioral abnormalities (DiMascio and Shader, 1970; Kochansky, Salzman, Shader, Harmatz, and Ogeltree, 1975; Shader and DiMascio, 1977; Rosenbaum, Woods, Groves, et al., 1984; Arana and S. Hyman, 1991; Maxmen, 1991; Maxmen and Ward, 1994; Ashton, 1995).
Salzman, Kochansky, Shader, Porrino, Harmatz, and Swett (1974), in a placebo controlled study, showed that volunteers taking chlordiazepoxide became more hostile when confronted with a situation of interpersonal frustration.
In 1988, Dietch and Jennings reviewed the literature concerning reports about disinhibition whose Manifestations range from irritability to increased verbal hostility and frank assault.
They found a variety of studies that demonstrate an increase in feelings of hostility or in verbal hostility. They did not come to a definitive conclusion concerning the existence of the phenomenon, but estimated it was probably rare. Salzman (1992) reviewed the literature.
He too pointed out the controversial nature of BZ-induced violence, but went on to assert, Recent observations, however, have confirmed that hostility can be seen with all benzodiazepines, including alprazolam and clonazepam (citations omitted).
Writing in Goodman and Gilman's The Pharmacological Basis of Therapeutics, Rall (1990) summarized: AAdverse psychological effects: Benzodiazepines may cause paradoxical effects.
Nitrazepam frequently and flurazepam occasionally increase the incidence of nightmares, especially during the first week of use. Flurazepam occasionally causes garrulousness, anxiety, irritability, tachycardia, and sweating.
Euphoria, restlessness, hallucinations, and hypomania behavior have been reported to occur during the use of various benzodiazepines.
Antianxiety benzodiazepines have been reported to release bizarre uninhibited behavior in some users with low levels of anxiety; hostility and rage may occur in others. Paranoia, depression, and suicidal ideation occasionally also accompany the use of these agents.
Rall believed that the incidence of such paradoxical reactions is extremely small. Whether or not that is true, they are extremely hazardous. They are more common in regard to the short-acting Bzs.
The APA task force report on BZs (1990, p. 18) presents a table of discontinuation symptoms. The complete list of frequent discontinuation symptoms includes anxiety, insomnia, restlessness, agitation, irritability, muscle tension.
Among many symptoms that are common but less frequent, it lists depression and nightmares, as well as lethargy. Clinical experience indicates that the combination of anxiety, insomnia, restlessness, agitation, irritability, nightmares, and depression can produce a spectrum of behavioral abnormalities, including suicide and violence.
Adding to the dangers, the task force's complete list of uncommon symptoms includes psychosis, seizures, persistent tinnitus, confusion, paranoid delusions, hallucinations.
Posted by morganpmiller on June 24, 2009, at 1:58:31
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 24, 2009, at 1:55:19
I think this is more pertinent to your situation. I do not think xanax or any other benzo would be an answer for psychosis. It appears it could potentially be a problem..Sorry if I am freaking you out more.
Mania, a psychosis, is a special danger in regard to Xanax. The Drug Facts and Comparisons (p. 1440) makes a specific reference to Xanax in this regard, stating that Anger, hostility and episodes of mania and hypomania have been noted with alprazolam.The fact that mania is a particular risk with Xanax is generally recognized. As another example, Maxmen and Ward's Psychotropic Drug Fast Facts (1995, p. 287) states that manic reactions are Most often reported with alprazolam.
It also states that rage reactions and violent episodes have especially been observed with Xanax and Valium. Yet another example is The Handbook of Psychiatric Drug Therapy (Third edition, 1995, p. 177) by Hyman, Arana, and Rosenbaum.
It singles out Xanax to observe Increased impulsiveness, euphoria, and frank mania have been reported with alprazolam.
Drug Facts and Comparisons, Psychotropic Drug Fast Facts and the Handbook of Psychiatric Drug therapy are intended for ready reference for physicians for the purpose of alerting them to adverse drug reactions they need to be aware of.
That all three indicate that mania and uncontrollable rage are special problems with Xanax confirms my own clinical observations that this medication is more apt than many others to produce these hyper-excited, aggressive psychotic states.
The FDA's Safety Review and Evaluation of Clinical Data by J. Knudsen (1989) for Xanax for panic disorder once again highlighted its tendency to produce mania.
It included a review of Xanax-induced mania from the literature. It described several cases of mania produced in the panic disorder clinical studies and offered two tables described 14 cases of hypomania and one of mania.
Several attacks developed during the first week of treatment at relatively small doses.
Posted by morganpmiller on June 24, 2009, at 2:09:59
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 24, 2009, at 1:58:31
Hope your feeling better this morning..
I wanted to add that it may be a good idea to start taking a high quality fish oil high in EPA. Maybe one with a 4 to 1 EPA/DHA ratio. There are studies that show fish oil may be another preventative measure for those with schizophrenia in their family.I wish I had a solution to your current problem.
Like I said before, tell your p doc what is going on or go see another one and tell them ASAP.You may not be experiencing psychosis of any kind. Good luck and I hope you start feeling better
Posted by morganpmiller on June 24, 2009, at 3:38:29
In reply to Help - trigger - scared, posted by Garnet71 on June 24, 2009, at 0:42:32
I just remembered that niacin can help with psychosis. So I did a search and found that large amounts of niacin and vitamin C may help. I guess you could run to the local vitamin store and by some niacin and vitamin c and try it. Beware of the niacin flush though. You may not have any luck with niacinamide, the non flush version. I have heard it is not as effective as regular niacin. You could try nicotinamide. Anyway, the flush isn't so bad and it goes away in 30 mins.
Just wanted to tell you about the niacin and vitamin C thing..It's worth a try and it won't harm you.
Posted by garnet71 on June 24, 2009, at 6:21:03
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 24, 2009, at 3:38:29
Thanks Morgan, well I slept 4 hours and feel better as far as stability terms, woke up with a headache.I'm not sure why i can't sleep longer even when i try. I feel like sh*t.
My vision was getting hallucinatory last night and I was scared. It was weird because it felt like my brain cells were vibrating too, then my body had a vibrating kind of anxiety like something was trying to emerge. Does that feeling happen before psychosis?
I've had distorted vision for over 6 months now, just bent lines in my periphial vision, but forgot to tell PDoc. Opthamologist couldn't see anything. But last night was different. The font on the screen got real thick and black in just some places and the colors changed, like big grey bands.
But the past 3 weeks i haven't been eating good or sleeping hardly at all.
I have nicotone gum and now got cigarettes. I just took a multi B, but that seems kind of silly.lol
I'm really wishing I never started psychoanalysis, but who knew after 2 meetings that I'd get unstable like this? I've been pretty stable despite my life hanging by a thread.
I just read that the transference reaction of psycoanalysis can cause an acute psychosis, or bring out a hidden psychosis. But i didn't read that until after i sensed it, so it wasn't an idea i put in my head.
I'm still scared but don't know if i want to call pdoc today. I have so much this week for school. I feel like if i talk to him, i'll start hallucinating. I don't have any paranoia or delusionary thinking or anything else. I'm not a big xanax user, usually took .25 or .5 a day. PDoc gave me more, and I had mentioned wanting to go off it/taper. Not sure if a small amount of xanax could have that effect. I do take 1 mg with a panic attack or severe anxiety.
Maybe my dopamine system changed, and after quitting d-amp for a week, then starting back up on it the day before yesterday, maybe that has effected me too. Don't know how dopamine can suddenly change, but it was like a switch went off in my brain during 2nd trial of psychoanalysis.
Thanks for the advice, it's nice to hear your support.
Posted by seldomseen on June 24, 2009, at 8:20:09
In reply to Help - trigger - scared, posted by Garnet71 on June 24, 2009, at 0:42:32
Garnet,
For what it's worth I don't think you are having a psychotic experience. I think you have had a strong emotional experience (trigger) and these can be profoundly disruptive, often taking days to return to baseline. Dissociation, anxiety, panic are all part and parcel of the trigger. I think something about this interaction with this analyst and your strong reaction to him has evoked a very old and very powerful feeling that, at present, is outstripping your ability to cope with it. IMO how you feel right now will pass.This is just fear I think and not psychosis. It may feel like it's going to overwhelm you and take you under, but it won't.
The good thing is that you know what triggered you and believe it or not, that is huge. It empowers you to begin to deal with that trigger.
I think you are smart to take a day off from school, however, getting back to some sort of routine as quickly as you are able might be of benefit. In my experience, it helps to re-engage back into the world and helps to normalize the experience somewhat.I can't remember if you are going to enter therapy with another therapist, but would like to encourage you to do so. Until then, please do keep posting about how you feel. That will likely help as well.
Take good good care of yourself and try to do something routine and normal today.
Peace to you
Seldom.
Posted by morganpmiller on June 24, 2009, at 9:10:07
In reply to Re: Help - trigger - scared, posted by seldomseen on June 24, 2009, at 8:20:09
I agree with seldomseen..You may not be having anything more that really really bad anxiety attacks. Though the vision thing is a bit odd and scary. I didn't pick up on you doing psychoanalysis. Is this with your psychiatrist? Yeah confronting some things in psychotherapy may be triggering your current episode. I would strongly recommend seeing a very compassionate/empathetic psychotherapist with a phd; one that has a psychodynamic approach. You will be less likely to have a reaction like the one you are experiencing while under the care of a better therapist. Psychiatrists are not usually the best for psychoanalysis/psychotherapy. I wouldn't see you having any kind of confrontation/conflict like the one you had with your p doc if you were seeing a compassionate psychotherapist.
Posted by garnet71 on June 24, 2009, at 9:14:17
In reply to Re: Help - trigger - scared, posted by seldomseen on June 24, 2009, at 8:20:09
Hey thanks for the advice, whew. I feel a bit better, but still not so sure. I am spending the day on homework, still have to go to school later for 2 hrs. If i didn't take this morning off, I would have had to stay up all night and I was starting to feel unstable.
I feel comfortable with what you said-it makes a lot of sense. I am seeking another analyst, but have an appt. w/this one I had the reaction to, who has also been acting as my PDoc for now, to discuss what transpired more in depth. I read that my strong reaction could be a sign of a severe llness or disorder, and he is going to talk to me about what happened and give me advice as to whether or not I should continue to seek this kind of treatment (my doubts about this kind of therapy for me considering my experience). I'm holding off till i talk to him. He's going away, so I have to wait.
But I somehow sense it can be psychotic, though I am going to try to look at it the way you explained it so I don't succumb to the fear of hallucinating. It feels like a force now rather than an emotion though. Like it takes over my mind and body. It sure is bizarre. I mean, just talking to him on the phone, and bam, a switch goes off in my brain. When I think of that day when that happened, when I think about us talking, I picture him to be somebody else--but I have no idea who it is. I can envision this man, but not entirely. What I see looks like no one I've ever known. A thought entered my mind last night that when I am able to discern who this person I envision is, I will suddently hallucinate and become psychotic--even though I can get a sense of what he looks like already. It's so scary to have that thought!!
But if these psychotic fears enter my mind for now on, I'm going to think of what you said about coping/emotional reaction and reread it: "Dissociation, anxiety, panic are all part and parcel of the trigger."
I'm not that so uncomfortable with those things; they are not so scary since I've dealt with them, mostly the last 2, for so long. I never had this type of anxiety--is it possible to get psychosis from anxiety,much like someone gets from bipolar mania?
I do feel better now...Thanks : )
Posted by seldomseen on June 24, 2009, at 10:35:10
In reply to Re: Help - trigger - scared » seldomseen, posted by garnet71 on June 24, 2009, at 9:14:17
" It feels like a force now rather than an emotion though. Like it takes over my mind and body. It sure is bizarre. I mean, just talking to him on the phone, and bam, a switch goes off in my brain."
Yeah, that's EXACTLY what emotional triggers feel like to me. The BAM! and then all of a sudden I'm off the charts. These reactions are often the result of things long buried emerging to the surface and when they do emerge, they can be powerful and debilitating. They may even contain so-called psychotic (read irrational) features, but I really don't think you are psychotic.
First, you are aware that you may be psychotic.
Second, it's a situational stressor
Third, these hallucinations likely aren't, but are either a defense (it wasn't him!) you are constructing to shield yourself from the trigger OR some sort of memory.I think there are two very important things to do/remember that will help (or at least help me). Try to ensure that you *stay grounded* and attached to something that is completely and undeniably real. Also try to remember that others have experienced similar things and are okay, just as you will be.
Seldom.
Posted by Justherself54 on June 24, 2009, at 10:55:42
In reply to Re: Help - trigger - scared, posted by garnet71 on June 24, 2009, at 6:21:03
>>I've had distorted vision for over 6 months now, just bent lines in my periphial vision, but forgot to tell PDoc. Opthamologist couldn't see anything. But last night was different. The font on the screen got real thick and black in just some places and the colors changed, like big grey bands.
This popped out at me. I had the same thing happen out of the blue. It scared me half to death. After having a MRI and other tests..turns out I have "silent migraines", where you get all the visual distortions and physical symptoms, but not the severe pain. Some meds (remeron at low dose) bring them on daily.It might be something to talk to your doctor about, as stress can bring them on.
Posted by floatingbridge on June 24, 2009, at 11:07:17
In reply to Re: Help - trigger - scared, posted by seldomseen on June 24, 2009, at 8:20:09
Hi Garnet,
I'm sorry you're having such an intense time. I want to second Seldomseen's post. One common feature of severe anxiety is thinking that one is losing one's mind. (I personally know this!) I think it should be o.k. to take your benzo as needed during this time.
hang in there
Posted by garnet71 on June 24, 2009, at 11:35:06
In reply to Re: Help - trigger - scared » seldomseen, posted by floatingbridge on June 24, 2009, at 11:07:17
You all are so reassuring. I think what Seldom said is part of the issue - my unconscious memories are surfacing. I just realized today what's happening. The visualizations are intrusive-they pop in my head, but from another part of my mind. The only reason I can distinguish where the thoughts originate is because I've had lucid dreams for years, where you are in a semi-conscious state, and lucid dreams emerge from the non-thinking part of your mind while you view them. This is the same, in how these visualizations ae emerging from an area of my mind that doesn't control the thoughts, i guess some place of memory storage, but I am completely conscious rather than being in the semi-conscious lucid dream state.
But can the emergence of these visions lead to other things?
This is so very odd, 3 times with an analyst, and it's like the butterfly effect-one cause/event leads to a ripple of consequential, continuous effects.
Posted by Phillipa on June 24, 2009, at 12:46:04
In reply to Re: Help - trigger - scared, posted by garnet71 on June 24, 2009, at 11:35:06
Garnet after 40 years on low dose benzos your doses are very low. I also don't feel you are psychotic. I would definitely stay away from amphetamines and get some good sleep. Phillipa
Posted by Nadezda on June 24, 2009, at 14:24:12
In reply to Re: Help - trigger - scared, posted by garnet71 on June 24, 2009, at 11:35:06
Hi, Garnet.
I also agree with Seldom and others. I've had reactions such as you're having with certain Ts, and it can happen. It's more a mix of you and that person-- there is probably some important characteristic or way of relating that stirs up some deep conflict or painful experience or set of experiences-- and they are evoked in such an intense way that it's very overwhelming and frightening.
My advice, honestly, would be not to see this T again and to find another pdoc, at least temporarily, until you can find a more permanent one. I think that possibly each encounter with him will reevoke whatever emotional configuration you've gotten in touch with-- and won't help you resolve it.. Whatever it is, it will change over time-- if you work with it. But it seems very raw and immediate now-- which I don't think is good for you--
I don't think you're becoming psychotic-- but I do think it's best to protect yourself, because whatever is kicking this up seems really upsetting and disruptive.
You may be drawn back to reexperience whatever it is with him-- but I truly hope you can resist that and look for someone else who doesn't evoke these feelings, for any further therapy. It's not that all psychodynamic therapy or therapists will bring these feelings out-- Very useful and important work can be done without going through this kind of destabilizing thing.
Try not to frighten yourself with thoughts of being psychotic--or to overanalyze what went wrong. It may simply be impossible to understand right now.. Howver, xanax might not be a bad idea, to relieve the anxiety and to keep things at a manageable level.
Nadezda
Posted by rjlockhart04-08 on June 24, 2009, at 14:40:54
In reply to Help - trigger - scared, posted by Garnet71 on June 24, 2009, at 0:42:32
Tell your Pdoc, the only thing that is going to hurt, is d-amphetamine is known to cause psychosis becuase it increases dopamine levels, in some people to high levels to where to causes "delusional beliefs" why? is that there?
It's all too much dopamine in the froutral coutrex, it's on overflow, above the nuerotransmitters.
Talk to him, and you need to see you need an nueroleptic such as Compazine, Zypreza at moderate dose, it depends, i'm not a pdoc, no degree. The main you need is a dopamine blocker, to stop the outlage of it.
take care, and stay in there, keep in touch
rj
Posted by rjlockhart04-08 on June 24, 2009, at 14:46:55
In reply to Re: Help - trigger - scared, posted by rjlockhart04-08 on June 24, 2009, at 14:40:54
If you go the hospital, they will know what to give for temp. sedation.
They will contact your pdoc and tell exactly what is going on. You are going to have to explain to him, what is happening, then on my side, i'm NOT a doctor, a nueroleptic (Compazine, Thorazine, there is alot i've studied, yet i cannot even recall it's been years)
Listen take care....stay in touch, or w/someone who can get you help.
rj
Posted by morganpmiller on June 24, 2009, at 14:51:42
In reply to Re: Help - trigger - scared, posted by rjlockhart04-08 on June 24, 2009, at 14:40:54
I have to apologize for the xanax scare..I knew of one person that had a sort of manic reaction to xanax and I had read about the possibility. Sorry if I freaked you out more. I agree the stim is more likely to destabilize you.
You just never know, everyone has their own unique reaction.
Posted by desolationrower on June 24, 2009, at 20:36:29
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 24, 2009, at 14:51:42
any benzo is a good idea if you are having an anxiety attack like this that is stopping sleep and thus causing these kind of out of control things. sleep deprevation will make anyone feel like their goign crazy.
-d/r
Posted by garnet71 on June 24, 2009, at 22:21:10
In reply to Re: Help - trigger - scared, posted by desolationrower on June 24, 2009, at 20:36:29
Ok, so I'm not scared of being psychotic anymore.lol. I feel normal today, and better because I ended up going back to sleep instead of school. Wow, all that from talking to him on the phone 5-10 minutes. I had an influx of visions of repressed memories, well just little images, popping up in my mind all night. None were bad, just objects/picture images.
Then I had the most colorful dreams about my childhood. Like some people but lots of things like a car i remember from growing up and sneaking out of the house, the steps of someones house i used to visit when little, and people sitting around a dining room table-this guy got up and I confronted him and he left. I don' tremember what we talked about, but i remember it was significant, and that no one was upset. But it seemed we were talking about something that was very upsetting-but he was nonchalant when he left, with a smirk on his face and I felt no anger or emotion. But he looked like no one I knew. Why all these images of people I dont know?
But in the dreams, everything was bright purple and red and pretty and flowing fabrics everywhere and open windows with warm breezes flowing. I never had such colorful dreams that I can remember. They were so vivid and amazing; they felt good. I don't think it was the d-amp, cause I'd taken it for 2 months before, and it didn't effect my dreams though I feel like it makes me sleep better.
Well he called me today to come in at the last minute, but i wouldn't have got theere in time. I didn't bother telling him about my anxiety on voice mail when I called back, will wait until I see him again. I just won't take the d-amp next time i talk to him, and take lots of xanax. lol
I feel so much better after my scary moment, having heard from you all : ) Loved hearing your opinions, and no morgan, I wasn't upset about the xanax stuff!!! I forgot for a while that anxiety can bring those fears. I had anxiety for a while that didn't evoke fear or thoughts or worry, it was more or less physical. I guess i have several types of anxiety.
Posted by garnet71 on June 24, 2009, at 22:28:27
In reply to Re: Help - trigger - scared » garnet71, posted by Justherself54 on June 24, 2009, at 10:55:42
hmmm. I had a sharp, extreme pain behind my eye off/on for years while taking effexor, then milder w/other meds. I had an MRI too, showed nothing. that was years ago. I'm going to call my neurophthamologist I used to see for that and get checked anyway. I want to ask him about prolactin too.
I'm glad you told me that. I was diagnosed with occular migranes from a retina specialist I saw for the same problem, but i didn't believe him. There was no physical evidence, I just think sometimes they give diagnosis in their specialties rather than saying they don't know. But I'm just being overly skeptical i guess. He was a character, real arrogant, not the type of doctor i like to deal with. lol
But the norepinephrine from effexor causing muscular reaction makes more sense to me than occular migranes. Hey, I had swollen joints from effexor and was diagnosed with fibromyalgia; quit taking the effexor and it disappeared. I don't understand why doctors don't connect these ADs with our physical symptoms, rather than make diagnoses that reflect the lowest common denominator.
The neurophthamologist i used to for that see is phenominal though, so i'll see what he says. It takes 3 months to get an appt. with him.
Posted by Zyprexa on June 25, 2009, at 0:18:58
In reply to Help - trigger - scared, posted by Garnet71 on June 24, 2009, at 0:42:32
I think you should call your psychiatrist and ask them to call in a script for an anti-psychotic. I always recomend zyprexa because it always works for me and the others don't. But I have never taken seroquel and hear good things about it. Sounds like you might be psychotic, its a hard thing to accept. But I think an AP is the way to go.
Posted by morganpmiller on June 25, 2009, at 23:28:54
In reply to Re: Help - trigger - scared » Garnet71, posted by Zyprexa on June 25, 2009, at 0:18:58
> I think you should call your psychiatrist and ask them to call in a script for an anti-psychotic. I always recomend zyprexa because it always works for me and the others don't. But I have never taken seroquel and hear good things about it. Sounds like you might be psychotic, its a hard thing to accept. But I think an AP is the way to go.
Well until there is real proof of any psychosis and a proper diagnosis, there is no reason to concern him with it since he just started feeling better about it. If he has any psychosis developing I am sure his doctor or another doctor will tell him after he shares his experience with them. The doctor is better qualified to make such a judgment than you are. I really don't think anything going on was obvious enough to just come out and flat out say, "get on Zyprexa, I like it and you will like it too cause I think your psychotic". Ask you doctor for a script before he makes any assessment or diagnosis?
If he took zyprexa, if anything it might be a better alternative as far as sleep and anxiety because it is not addictive and it's longer lasting. As long as it was used short term until things simmer down. You must be a bit biased here being that your babble name is Zyprexa.
Posted by Zyprexa on June 29, 2009, at 1:13:31
In reply to Re: Help - trigger - scared, posted by morganpmiller on June 25, 2009, at 23:28:54
Very biased, as zyprexa has been the one drug that has helped more than any other drug or therapy. Sorry to be pushing this stuff...
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