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Category: Panic Attacks Cure

Question:

– Hide quoted text — Show quoted text – Hello all, I need help disputing the following irrational thoughts: Thoughts rated on 1-10 scale What if I get a panic attack? 10 What if I fall? 10 What if I get those horrible feelings? 9 What if I make a fool of myself in front of people? 10 What if I faint? 9 What if I freak out? 9 What if I lose control? 10 Oh my God! Here comes another panic attack. 10 When will I get cured? 10 People will find out my weakness. 7 People will laugh at me. 10 I am hopeless. 7 Thanks, Sunil Mumbai, India

I’ve experienced all of these.  A rating would depend on what situation I was facing.  I’m not sure what you mean about "disputing" these thoughts. -frizz — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Thank you all for your most outstanding support and excellent ideas! Sunil – Hide quoted text — Show quoted text – Hi, Sunil, What if I get a panic attack? 10 ***They pass.  We have learned tools to help us get through them.  We haven’t died yet… What if I fall? 10 ***More than likely you won’t but as Margrove said, get back up. What if I get those horrible feelings? 9 ***Deep breathe and retreat to a safe place momentraily.  They will pass. What if I make a fool of myself in front of people? 10 ***Have you yet?  If you "feel" you are making a fool out of yourself then distract yourself as well as the others.  You could start to cough and then simply say, "Excuse me" and then go on with the conversation. What if I faint? 9 ***Have you yet?  90% Of what we worry about doesn’t happen. What if I freak out? 9 ***See "What if I faint" What if I lose control? 10 ***Aah, my biggest concern also.  Retreat until you feel more normal.  If you are in a meeting simply say, "Excuse me one minute" and then use the restroom.  Splash some water on your wrists and/or face, deep breathe and re-enter the meeting with a smile on your face. Oh my God! Here comes another panic attack. 10 ***Expect it to occur, accept it, and deep breathe through it. When will I get cured? 10 ***To my awareness there is no cure.  We do the best we can by learning to use the tools, therapy and meds. People will find out my weakness. 7 ***Aah, yet another concern of mine.  I decide who I tell.  I feel you are shameful of your anxiety???  I used to be.  Nowadays I have learned to accept my condition.  So many people I have told of my condition know people who also deal with panic attacks.  It’s not like we have some contagious disaese.  I used to lie my way through situations and I was good at that.  I found being more open with most people is easier and then I have no need to turn one lie into another.  My main issue being the limited driving.  People will laugh at me. 10 ***More than likely they know someone who also has anxiety issues, if they themselves don’t.  You woyld be surprised how many people do deal with at least general anxiety.  Most people tend to be concerned and sympathetic.  I am hopeless. 7 ***Felt that way in the beginning for me.  Putting the shame aside, dealing with anxiety when it comes and being more open has made me feel better about myself. Sunil, I read a book called "Letting Go Of Shame: Understanding How Shame Affects Your Life".  It was very easy to read and very insightful for me. It might be good for you to read this book and think about how shame is affecting your life, as well as anxiety. ((((((Sunil)))))) smiles, Rita Thanks, Sunil

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Sunil, What if I get a panic attack? 10

***They pass.  We have learned tools to help us get through them.  We haven’t died yet… What if I fall? 10

***More than likely you won’t but as Margrove said, get back up. What if I get those horrible feelings? 9

***Deep breathe and retreat to a safe place momentraily.  They will pass. What if I make a fool of myself in front of people? 10

***Have you yet?  If you "feel" you are making a fool out of yourself then distract yourself as well as the others.  You could start to cough and then simply say, "Excuse me" and then go on with the conversation. What if I faint? 9

***Have you yet?  90% Of what we worry about doesn’t happen. What if I freak out? 9

***See "What if I faint" What if I lose control? 10

***Aah, my biggest concern also.  Retreat until you feel more normal.  If you are in a meeting simply say, "Excuse me one minute" and then use the restroom.  Splash some water on your wrists and/or face, deep breathe and re-enter the meeting with a smile on your face. Oh my God! Here comes another panic attack. 10

***Expect it to occur, accept it, and deep breathe through it. When will I get cured? 10

***To my awareness there is no cure.  We do the best we can by learning to use the tools, therapy and meds. People will find out my weakness. 7

***Aah, yet another concern of mine.  I decide who I tell.  I feel you are shameful of your anxiety???  I used to be.  Nowadays I have learned to accept my condition.  So many people I have told of my condition know people who also deal with panic attacks.  It’s not like we have some contagious disaese.  I used to lie my way through situations and I was good at that.  I found being more open with most people is easier and then I have no need to turn one lie into another.  My main issue being the limited driving.  People will laugh at me. 10 ***More than likely they know someone who also has anxiety issues, if they themselves don’t.  You woyld be surprised how many people do deal with at least general anxiety.  Most people tend to be concerned and sympathetic.  I am hopeless. 7 ***Felt that way in the beginning for me.  Putting the shame aside, dealing with anxiety when it comes and being more open has made me feel better about myself. Sunil, I read a book called "Letting Go Of Shame: Understanding How Shame Affects Your Life".  It was very easy to read and very insightful for me. It might be good for you to read this book and think about how shame is affecting your life, as well as anxiety. ((((((Sunil)))))) smiles, Rita Thanks, Sunil Mumbai, India — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

I do believe in a Higher Power though my faith is shaky these days :-( I think for each of us that suffer from all these various mental thoughts the answer may be different. I personally am going back to religion which at one time I had rejected.( Reason being–I felt there were too many differing ideas, religions, etc.) I was raised Christian and am finding once again that prayer can help. I’m not trying to convert anyone to any religion; but getting the mind in touch with God or your higher power may provide some relief. All of us feel alone in our great suffering and medicines provide some relief, but God has answers before man does.

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hello all, I need help disputing the following irrational thoughts: Thoughts rated on 1-10 scale What if I get a panic attack? 10 What if I fall? 10 What if I get those horrible feelings? 9 What if I make a fool of myself in front of people? 10 What if I faint? 9 What if I freak out? 9 What if I lose control? 10 Oh my God! Here comes another panic attack. 10 When will I get cured? 10 People will find out my weakness. 7 People will laugh at me. 10 I am hopeless. 7 Thanks, Sunil Mumbai, India — The charter is available at:http://readystump.algebra.com/~asapm

I don’t think these thoughts need disputing. You have already done so when you label them irrational. But, I think underlying these are other irrational thoughts. Like I shouldn’t be thinking these thoughts. If I have these thoughts, this means I am crazy. I don’t know if this fits in with CBT but at this point, I am just trying to be aware of the thoughts/feelings. They are there. They are not true but they keep coming. So what?  I have other things to do with my life. I think that is basically what we do anyway to be able to continue. So we just need to get better at it. Bob — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hello all, I need help disputing the following irrational thoughts: Thoughts rated on 1-10 scale

for what it’s worth What if I get a panic attack? 10

the irrational belief here is you cannot stand a panic attack and that having one would be awful catasptrophic beyond anything humanly posible to withstand-in fact you have withstood them, they have yet to kill you even though you wished they would and beyond that if you do have one so what? You may seem less then perfect, become ashamed, feel worthless for having such a malady etc.. see further What if I fall? 10

then you either stay down or get up-what would be the worse case scenario-others may judge you for falling? People fall, lose their balance, become ill, slip, etc.. you get up. What if I get those horrible feelings? 9

you define the sensations you have as either neutral, negative or positive-it would be ludicrous to believe you can channel a negative feeling into a positive one, but it is very possible to, with practice, see that the feeling in question is really more neutral then you currently see it as…-if I get those feelings it would be inconvenient and annoying but I will handle it the best way I can and survive it in spite of getting them-if you change the terms of how you describe, define and empower the things that make you miserable, they no longer will-you will endure a discomfort rather then fall powerless to it What if I make a fool of myself in front of people? 10

what does a fool look like? How can anyone act foolish unless others have a standard acceptable behavior to set as an example-those examples are precarious, arbitrary and non rational-one may look like a fool to some and a genius to others-you are convincing yourself that you Must be perfect at all times and be liked or loved by others at all times and if you aren’t, you are somehow worth less as a person and cannot stand others approval and your own imperfections-in fact it would be impossible to act foolish-unless you define it so and your assesment is most likely subjective and erroneous-you can survive what others think of you and will make yourself miserable if you judge yourself by some inhuman Godlike standard you or anyone could hardly acheive What if I faint? 9

same as you fall-you wake up and get up What if I freak out? 9

freak out was a weirdo dance in the late 70’s-again-you cannot truly freak out-you can act out, you can act innervated and anxious or hysterical and out of control-but this is hardly anything more or less then anyone else has ever acted or experienced-you don’t have to allow yourself to lose control, since it is you that controls you anyway-but if you did-again-so what? You regain control, brush yourself off and exclaim "pardon me" to others and go about living What if I lose control? 10

you don’t really have control anyway-it is a vacuous concept of little value-you do have say over how you act and behave and this is a conscious active process that you have control over-so expos factos-you control how you act not totally control the universe -you can challenge what you feel and believe about the universe or how you perceive it-There are times when it is nice to be uninhibited and other times we chose to inhibit ourselves, for various reasons-you can chose to inhibit making yourself miserably hysterical and over reactive to a panic attack-you can endure it and transcend it and maybe, they will lessen in frequency and duration and have less power over you-or maybe not-if you take a less then perfection based perspective on what you should feel rather then what you do feel, you won’t fear many of the things you needlessly fear-no one likes to feel panic it hurts-but demanding it never grace your life and if it does it is awful only buys you more grief-go into a crowded area and act like a baffoon and see you will survive and it is actually fun to act ridiculous-then you may fear being ashamed less. Oh my God! Here comes another panic attack. 10

same as above-change the awfulizing to here comes another panic attack-now what? If I ride this like a wave it will crest and break and the waters of my emotions will calm and become stable-if I awfulize it and believe it will harm me, make me embarassed, harm others, cause great disruption etc etc.. you will fear it and make yourself anxious about being anxious-it is the secondary anxiety that is the most painful-the primary panic is a surge of adrenal secretions and some wacky brain chemicals that make you feel stoned and dumb-your body regulates it and it goes back to normal stasis in time-if the time takes too long meds are helpful, or you just live with it like any other illness’s symptom. When will I get cured? 10

there is no cure for anxiety as there is no cure for life-you live it and in spite of anxiety, enjoy it People will find out my weakness. 7

so what everyone has weakness and strength People will laugh at me. 10

so what-better they laugh then throw stones at you I am hopeless. 7

no you feel hopeless because you allow yourself to believe all kinds of erroneous negative crap-you are YOU-you are many things and feel many things-hope is something that takes courage and resolve to feel-it is better to strive for neutrality and have hope that many things may happen but if they don’t no big deal. I hope I live to be 100 in good health-if not-so what-shit happens your nervous system is hyperactive and you react to its reactions with defining terms that are not true or logical conclusions of what is happening-you jump to conclusions, you react with "I can’t stand this, it is awful, I am awful, you are hateful, I am hateful, things are bad, things will never get better, I am worthless, I am different, I am a freak and unlovable, I cannot do anything right, or I do everything right until you fail and then I do nothing right-you focus on the negative and justify it, ratify it and discount the positive, you create an ongoing dialogue of judgement of yourself-if you wish to be rational, it takes practice-you break down your irrational belief and challenge it with rational beliefs what if I fall–I get up what if what if-what if a comet hits earth and we all die-  we wouldn’t know it! make a journal a-is the trigger  "falling down" b= your belief about it your irrational belief oh my god I will make a fool of myself c= the consequence what you will feel I will feel awful d= is the dispute how is falling awful and foolish and how can anyone in their right mind judge someone for falling -even if it is a slapstick comedy it is funny not pitiable e-is the rational emotional consequence-you don’t want to fall down, you could get hurt -but if you did-so what you have been reading burns and ellis many times for years-apply it there are excercises in those books-they aren’t there to take up space-this takes time and practice and repetition and help from a pro and maybe some meds-there is no easy way out of this-it takes work and you need to commit to it Thanks, Sunil Mumbai, India

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hello all, I need help disputing the following irrational thoughts: Thoughts rated on 1-10 scale What if I get a panic attack? 10 What if I fall? 10 What if I get those horrible feelings? 9 What if I make a fool of myself in front of people? 10 What if I faint? 9 What if I freak out? 9 What if I lose control? 10 Oh my God! Here comes another panic attack. 10 When will I get cured? 10 People will find out my weakness. 7 People will laugh at me. 10 I am hopeless. 7 Thanks, Sunil Mumbai, India — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hello all, I need help disputing the following irrational thoughts: Thoughts rated on 1-10 scale What if I get a panic attack? 10 What if I fall? 10 What if I get those horrible feelings? 9 What if I make a fool of myself in front of people? 10 What if I faint? 9 What if I freak out? 9 What if I lose control? 10 Oh my God! Here comes another panic attack. 10 When will I get cured? 10 People will find out my weakness. 7 People will laugh at me. 10 I am hopeless. 7 Thanks, Sunil Mumbai, India — The charter is available at:http://readystump.algebra.com/~asapm

I think for each of us that suffer from all these various mental thoughts the answer may be different. I personally am going back to religion which at one time I had rejected.( Reason being–I felt there were too many differing ideas, religions, etc.) I was raised Christian and am finding once again that prayer can help. I’m not trying to convert anyone to any religion; but getting the mind in touch with God or your higher power may provide some relief. All of us feel alone in our great suffering and medicines provide some relief, but God has answers before man does. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Question:

(snip) Egad!  That is very similar to what happened to me.  Just reading this, I can feel the stress of it all.  :-(  I also had not been working, since I was taking care of my dad (I should add that this came about because my mom was diagnosed with pancreatic cancer and died 5 awful weeks thereafter, and someone had to take care of dad).  How was I supposed to get a place to live when I had no income and, at that point, no resources?

Yes, I know. I didn’t know how I would do it either.  I pulled it off, though.  I just about "what iff’ed" myself to death, but I pulled it off. I have to keep telling myself that, because my brain doesn’t really know that yet, LOL..    Well.. I would say, you’ve been through enough – if you didn’t have anxiety already, that would have surely brought it on.   Just keep reminding yourself.. you did live through that.  As bad as all of that was..from your mother’s diagnosis all the way through to you having a place to live and and up until now.  You got scared, but you lived and coped and.. we’re stronger than we want to admit to ourselves. (snip) I would suggest.. having a full work up, if you’ve not had that.. then, if they find nothing… just ignore it. Yes, I have decided that since the Holter Monitor and the EKG showed nothing alarming that I have to try not to think about it.  Indeed, those findings have been helpful.  Or maybe the Atenolol is helping too?  Sigh.  I would just lie in bed, breathing and hoping my heart would eventually resume a normal rhythm.

Well, I think we all can relate to that.  I bet there’s not a one of us that at one time, wasn’t sure they were about to have "the big one" – in the words of Fred Sanford.  Even after KNOWING I have tachycardia and PD and all of that, I’ve been in the ER thinking I might be having a heart attack because my  panic produced new symptoms I had never had before.  But maybe, once a year, if you can afford it.. get your heart checked out to keep that level of comfort about it.  Not for your heart’s sake – for your sanity’s sake. I don’t even notice that I’m tachycardic.  I honestly don’t notice it, to me it’s my normal rhythm now. You know, Jean.  I’d ask the pdoc for a benzodiazapine. (snip) I don’t know if that is necessary.  The Atenolol is really helping.  I don’t know about the AD though….  I do wonder why the two psychiatrists agreed on the Celexa instead of trying Xanax or Valium.  I am actually not depressed now, although that is my history.

Well, some pdocs don’t like to prescribe a benzo. We call them "benzophobes" – but really, whatever works is what you need to do. If the Atenolol helps you manage it, then that is what you need. If sheer panic becomes a problem in the future, and the Atenolol doesn’t cut it.. I’d find a doctor that would prescribe a benzo. That’s just me, though. I’m not even informed enough to discuss any AD, because I’ve been on several , and nothing worked, and a few of them made me ill.. but I do know if you ever go the route of an AD, you have, like a month before it works, or doesn’t..then it has to be tweaked. and in the meantime, you are suffering not only with panic, but also trying to get used to a new drug in your system.  I’m not a doctor, I’m just going on my own experience, and I would just prefer to take a low dose benzo, which will knock the "oomph" out of panic in about 20 minutes or less and be done with it, instead of doing the tweaking and all of that. Another just as important thing you can do is to find a therapist that practices CBT – Cognitive Behavioral Therapy.  It has .. changed my life in many ways.  It’s not a cure. There is no cure..but it is a very effective tool.  (snip) Oh yes!  I discovered David Burns some years ago and thought his books were very helpful.  I need to drag "Feeling Good" down off the top shelf and read it again.  Are these forms of therapy usually group therapy?  In the past, I would have nixed that right away.  I might POSSIBLY be able to do that with the Atenolol (especially) calming my innards.

No,  they are are one-on-one.  I think that sort of therapy would be a bit difficult to do in a group setting.. so no used to worry about that one. Besides.. I’d just explain to the office that I didn’t "do" group therapy when I made my first appointment — I don’t even forsee that would even come up with a correctly trained CBT therapist.  BTW.. waiting rooms. Take a book. The Burns book is a good choice of books to just carry around and read while you wait. I’m so glad you’ve read that – you are apparently very resourceful, and you need to be.  My therapist always tells me I’m so resourceful .. LOL.. it’s either that or curl up in an anxious, depressed ball and hide. No. I think you have to take some responsibility for your own mental health.. but a good therapist is a necessity. I see mine once a week. No charge.  Look for offices that have a sliding scale, it can get expensive, but it does not HAVE to. I’m so glad you posted.. and you are so welcome here.. you sound like you need to talk this out, and you are in place where you will be understood.. lots of compassion here, we’ve all been down this road, some of us, for decades.  I’m so glad you got the courage to post. Thanks again, Sally.  I could tell from reading here a bit that it would be a good place for me. — Jean B.

It is.  It’s a very good place – and both my therapist and my pdoc are surprised I know as much as I do about anxiety and panic – and I always tell them it’s because of this group and the sharing that goes on here. If you arm yourself with knowledge and learn CBT, and take your meds.. the anxiety won’t go away and not come back, but you’ll not be afraid of things you don’t understand .. and so many people here will relate. All of them.  It’s wonderful to have a place  like this to come and talk about stuff. Take care, keep reading and posting. Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Jean, I don’t see anything offputting about your post.  I can feel your anxiety from here, sitting at my monitor, though.  I ..uh.. think you belong right here, with us.  Like, a few years ago.  So glad you posted.

Thanks so much for your reply, Sally.  My comments will be imbedded below. – Hide quoted text — Show quoted text – That is one bad experience  you had taking care of your father, selling the house, and not knowing if  you and your daughter  would have a home until the last week – with dad dying on top of that kind of stress.. Uh, that would send a non-anxious person to the brink, I do believe.  I sort of relate, but my case was not that drastic. Similar. I lived with my mother – we had bought a house together 10 years ago.  Mom passed away last Christmas, and I had to sell our home, as I could not afford the mortgage payment on my own.  The house sat on the market for 6 months, and I swear, I am having PTSD from the stress of all of that. It did finally  sell,  but when it did, I was told I had one month to get out.. which  meant.. I had to find a place, sock a BIG amount of money into it, so that I would be able to afford the mortgage (I have not worked for several years – I am on SSDI) – somehow, it worked out for me too. I found a place that I liked, and I just moved in at the end of April..but the anxiety lingers just from the stress of ..well, I think.. visions of living in a box on the streets here in Ohio during the winter haunted me from the very second my mother was diagnosed up until, LOL..even now. It didn’t happen, but it sort of still is in my mind. Takes awhile to realize what reality is – in my case, it’s NOT what my mind thinks it is.

Egad!  That is very similar to what happened to me.  Just reading this, I can feel the stress of it all.  :-(  I also had not been working, since I was taking care of my dad (I should add that this came about because my mom was diagnosed with pancreatic cancer and died 5 awful weeks thereafter, and someone had to take care of dad).  How was I supposed to get a place to live when I had no income and, at that point, no resources? Tachycardia.  I’m the queen of that.  My resting pulse runs around 120, and I have had so many doctors casually take out their stethascope, listen for a minute, then get a concerned look on their face, and immediately order an EKG. I finally learned to just explain to them that this is anxiety..this is normal for me.. I’m not dying, and every test that has ever been done on my heart finds nothing.  I just relate.  No, you’re not dying. That is anxiety.  I don’t even notice it, myself, that’s just normal for me, and so far, no doctor has suggested any meds for it.  I would suggest.. having a full work up, if you’ve not had that.. then, if they find nothing… just ignore it. I wake up every morning, and I’ve had this rhythm.. I think since around the mid ’90’s.  Glad the Atenelol has given you some relief.. It doesn’t have to be a PA to cause the tachycardia. For sure – yes. a PA will cause that, but I know just plain old anxiety makes my heart do that.

Yes, I have decided that since the Holter Monitor and the EKG showed nothing alarming that I have to try not to think about it.  Indeed, those findings have been helpful.  Or maybe the Atenolol is helping too?  Sigh.  I would just lie in bed, breathing and hoping my heart would eventually resume a normal rhythm. You know, Jean.  I’d ask the pdoc for a benzodiazapine. That’s very good for anxiety and panic. Some pdocs understand and will prescribe it.. some think it’s evil and won’t do it. They are misinformed.  If your pdoc won’t prescribe you some Xanax, Klonopin, Valium.. .something like that, I’d find another doc.. fast.  Now, many folks in here are on AD’s and they get good results as far as alleviating anxiety.. but for me, and for some others.. I needed (not wanted.. needed) a benzo. I use it as little as I possibly can, but it has helped my anxiety so very much.

I don’t know if that is necessary.  The Atenolol is really helping.  I don’t know about the AD though….  I do wonder why the two psychiatrists agreed on the Celexa instead of trying Xanax or Valium.  I am actually not depressed now, although that is my history. Another just as important thing you can do is to find a therapist that practices CBT – Cognitive Behavioral Therapy.  It has .. changed my life in many ways.  It’s not a cure. There is no cure..but it is a very effective tool. Please check the therapist’s credentials first. Make sure they’ve been certified by either a school that is associated with David Burns or Albert Ellis (he employs rebt – similar to cbt). Don’t assume they know squat about CBT unless they are the real thing – lots of charletans out there, and nut cases, to boot.  I recommend a book, in the meantime to start you off learning about it.  "Feeling Good, the New Mood Therapy" by David Burns, M.D. I often see it on Amazon for a penny, or just a few cents.  It’s worth about a million bucks if you read it and apply it..at least, it has been for me and some others.

Oh yes!  I discovered David Burns some years ago and thought his books were very helpful.  I need to drag "Feeling Good" down off the top shelf and read it again.  Are these forms of therapy usually group therapy?  In the past, I would have nixed that right away.  I might POSSIBLY be able to do that with the Atenolol (especially) calming my innards. Well. I need to go. I AM working now, part time – and my hair.. I have to wash it.  I have major bed head this monring.  It is sticking up in all of the wrong places…well, I am glad we don’t have to have webcams or something to post in this forum, or I’d be out of luck.

Hehe.  I’d hate a web cam…. I’m so glad you posted.. and you are so welcome here.. you sound like you need to talk this out, and you are in place where you will be understood.. lots of compassion here, we’ve all been down this road, some of us, for decades.  I’m so glad you got the courage to post.

Thanks again, Sally.  I could tell from reading here a bit that it would be a good place for me. — Jean B. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi again.  Sally, you’re right about being protected.  We also have renters insurance, which should help. The rain has slowed for the moment and the landlord came by yesterday with the roofer to check it out.  Turns out that he hadn’t put storm windows in the attack, so when the wind and rain went crazy, it flooded and leaked into our apartment.  Ick!  He’s fixing it and it should be better… I hope. Hope everyone is great! KD — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – ::I really intended to read longer ere posting, but I do want to ::say that this weather is NOT our typical weather.  BTW, ::although I am now in a western ‘burb of Boston, I lived near ::Brookline Village for about 10 years. Dear Jean, Just wanted to welcome you to ASAPM! Post whenever you feel like it. Hope you enjoy your stay with us :) Jackie ~*~Would you respect my mind more if it bounced gently when I walked?~*~

Ooops!  I’m sorry I didn’t see this thread earlier.  Thank you for the nice welcome, Jackie, Elise, Sally, and Diane.  This does, indeed, look like a really great group. I don’t quite know where to begin, but I do want to give a brief intro so you all know I am not here for anything other than the obvious reason:  I am suffering from anxiety (and possibly panic attacks, but perhaps not). I really don’t know how long I’ve had this problem.  I guess one could say my increasing inability to talk in school was an early symptom/indicator though.  (I am now 56.)  Later, as an editor (don’t laugh when you see all my typos and wordos), my reputation as a miracle worker combined with my perfectionism exacted a great toll–one that I was only aware of toward the time I quit to go back to school and have a child. (Interestingly, when I heard a recent report re anxiety at the workplace, I immediately could feel that anxiety again, even though I have not been working for most of the last 20 years.) I rank my work experience of one of the two most critical things that happened to make me exceedingly anxious now.  The other was toward the end of the time I was taking care of my demented father.  The decision was made to sell his house, and no thought was given to where my daughter and I would live. Indeed, this was not resolved until literally the last week before we had to be out, and then my father was suddenly dying at the same time.  At some point during this time, I called my HMO and said "I am DYING of anxiety"–only to find the person who answered the phone in the mental health area did not understand because she spoke very poor English.  You can guess that I could not deal with that at that time, so I went many more years, until very recently, without doing anything about this. In the meantime, I have become very isolated.  I cannot deal with people (other than what I have to do for my daughter and trivial interactions), and very little makes me feel better. Increasing numbers of things make me very anxious–to the point where I have to evacuate the house.  Things like hearing the neighbor using his electric clippers or mowing his lawn….  Hearing trees being cut down…  Although I flee, I also felt like if I kept on going the way I have been going, I might just end up agoraphobic. I think my recent visit to my GP was prompted by my tachycardia.  I am mostly aware of it as I am trying to get to sleep.  I don’t know what this is, because the Holter Monitor didn’t pick it up.  Is it a panic attack, even though I am feeling pretty relaxed when it happens, and I respond by breathing slowly and deeply–not knowing what else I can do but thinking I will just make it worse if I freak out? Anyway, the dr. found out that my BP and cholesterol were really elevated.  That seems to have tipped me right over the edge of a precipice.  I started feeling like I was a walking time bomb, about to have a heart attack or a stroke any second.  And, of course, that did not help my BP.  After ruling out various other causes, my dr. put me on Atenolol, which is really helping, not only with my BP but also with my anxiety.    (The psychiatrist whom I saw briefly said it wouldn’t help, but calming the visceral feel really does help.) I then saw my erstwhile psychiatrist, whom I used to see for depression but have not seen for about 16 years, only to find he now just dispenses pills.  :-(  He did say I was exactly as he remembered me, that there was always an element of anxiety.  He prescribed Celexa–20 mg for a week, then 40 mg/day.  Uh, I don’t like it.  It not only dulls the anxiety–but it dulls everything else too.  Like what is the point if you don’t enjoy anything?  I looked this up online and decided to take much less–am taking 10 mg every other day, which seems to be better, but I have a feeling the psychiatrist isn’t going to like that decision. In my more objective state, it seems to me that I have been perched at the top of a pinnacle, and any little thing has just pushed me off the top into a chasm of overt anxiety. Well, there’s a little intro–probably have forgotten important things.  I hope it’s not too offputting. — Jean B. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – ::I really intended to read longer ere posting, but I do want to ::say that this weather is NOT our typical weather.  BTW, ::although I am now in a western ‘burb of Boston, I lived near ::Brookline Village for about 10 years. Dear Jean, Just wanted to welcome you to ASAPM! Post whenever you feel like it. Hope you enjoy your stay with us :) Jackie ~*~Would you respect my mind more if it bounced gently when I walked?~*~ Ooops!  I’m sorry I didn’t see this thread earlier.  Thank you for the nice welcome, Jackie, Elise, Sally, and Diane.  This does, indeed, look like a really great group. I don’t quite know where to begin, but I do want to give a brief intro so you all know I am not here for anything other than the obvious reason:  I am suffering from anxiety (and possibly panic attacks, but perhaps not). I really don’t know how long I’ve had this problem.  I guess one could say my increasing inability to talk in school was an early symptom/indicator though.  (I am now 56.)  Later, as an editor (don’t laugh when you see all my typos and wordos), my reputation as a miracle worker combined with my perfectionism exacted a great toll–one that I was only aware of toward the time I quit to go back to school and have a child. (Interestingly, when I heard a recent report re anxiety at the workplace, I immediately could feel that anxiety again, even though I have not been working for most of the last 20 years.) I rank my work experience of one of the two most critical things that happened to make me exceedingly anxious now.  The other was toward the end of the time I was taking care of my demented father.  The decision was made to sell his house, and no thought was given to where my daughter and I would live. Indeed, this was not resolved until literally the last week before we had to be out, and then my father was suddenly dying at the same time.  At some point during this time, I called my HMO and said "I am DYING of anxiety"–only to find the person who answered the phone in the mental health area did not understand because she spoke very poor English.  You can guess that I could not deal with that at that time, so I went many more years, until very recently, without doing anything about this. In the meantime, I have become very isolated.  I cannot deal with people (other than what I have to do for my daughter and trivial interactions), and very little makes me feel better. Increasing numbers of things make me very anxious–to the point where I have to evacuate the house.  Things like hearing the neighbor using his electric clippers or mowing his lawn….  Hearing trees being cut down…  Although I flee, I also felt like if I kept on going the way I have been going, I might just end up agoraphobic. I think my recent visit to my GP was prompted by my tachycardia.  I am mostly aware of it as I am trying to get to sleep.  I don’t know what this is, because the Holter Monitor didn’t pick it up.  Is it a panic attack, even though I am feeling pretty relaxed when it happens, and I respond by breathing slowly and deeply–not knowing what else I can do but thinking I will just make it worse if I freak out? Anyway, the dr. found out that my BP and cholesterol were really elevated.  That seems to have tipped me right over the edge of a precipice.  I started feeling like I was a walking time bomb, about to have a heart attack or a stroke any second.  And, of course, that did not help my BP.  After ruling out various other causes, my dr. put me on Atenolol, which is really helping, not only with my BP but also with my anxiety.    (The psychiatrist whom I saw briefly said it wouldn’t help, but calming the visceral feel really does help.) I then saw my erstwhile psychiatrist, whom I used to see for depression but have not seen for about 16 years, only to find he now just dispenses pills.  :-(  He did say I was exactly as he remembered me, that there was always an element of anxiety.  He prescribed Celexa–20 mg for a week, then 40 mg/day.  Uh, I don’t like it.  It not only dulls the anxiety–but it dulls everything else too.  Like what is the point if you don’t enjoy anything?  I looked this up online and decided to take much less–am taking 10 mg every other day, which seems to be better, but I have a feeling the psychiatrist isn’t going to like that decision. In my more objective state, it seems to me that I have been perched at the top of a pinnacle, and any little thing has just pushed me off the top into a chasm of overt anxiety. Well, there’s a little intro–probably have forgotten important things.  I hope it’s not too offputting. — Jean B.

Hi Jean, I don’t see anything offputting about your post.  I can feel your anxiety from here, sitting at my monitor, though.  I ..uh.. think you belong right here, with us.  Like, a few years ago.  So glad you posted. That is one bad experience  you had taking care of your father, selling the house, and not knowing if  you and your daughter  would have a home until the last week – with dad dying on top of that kind of stress.. Uh, that would send a non-anxious person to the brink, I do believe.  I sort of relate, but my case was not that drastic. Similar. I lived with my mother – we had bought a house together 10 years ago.  Mom passed away last Christmas, and I had to sell our home, as I could not afford the mortgage payment on my own.  The house sat on the market for 6 months, and I swear, I am having PTSD from the stress of all of that. It did finally  sell,  but when it did, I was told I had one month to get out.. which  meant.. I had to find a place, sock a BIG amount of money into it, so that I would be able to afford the mortgage (I have not worked for several years – I am on SSDI) – somehow, it worked out for me too. I found a place that I liked, and I just moved in at the end of April..but the anxiety lingers just from the stress of ..well, I think.. visions of living in a box on the streets here in Ohio during the winter haunted me from the very second my mother was diagnosed up until, LOL..even now. It didn’t happen, but it sort of still is in my mind. Takes awhile to realize what reality is – in my case, it’s NOT what my mind thinks it is. Tachycardia.  I’m the queen of that.  My resting pulse runs around 120, and I have had so many doctors casually take out their stethascope, listen for a minute, then get a concerned look on their face, and immediately order an EKG. I finally learned to just explain to them that this is anxiety..this is normal for me.. I’m not dying, and every test that has ever been done on my heart finds nothing.  I just relate.  No, you’re not dying. That is anxiety.  I don’t even notice it, myself, that’s just normal for me, and so far, no doctor has suggested any meds for it.  I would suggest.. having a full work up, if you’ve not had that.. then, if they find nothing… just ignore it. I wake up every morning, and I’ve had this rhythm.. I think since around the mid ’90’s.  Glad the Atenelol has given you some relief.. It doesn’t have to be a PA to cause the tachycardia. For sure – yes. a PA will cause that, but I know just plain old anxiety makes my heart do that. You know, Jean.  I’d ask the pdoc for a benzodiazapine. That’s very good for anxiety and panic. Some pdocs understand and will prescribe it.. some think it’s evil and won’t do it. They are misinformed.  If your pdoc won’t prescribe you some Xanax, Klonopin, Valium.. .something like that, I’d find another doc.. fast.  Now, many folks in here are on AD’s and they get good results as far as alleviating anxiety.. but for me, and for some others.. I needed (not wanted.. needed) a benzo. I use it as little as I possibly can, but it has helped my anxiety so very much. Another just as important thing you can do is to find a therapist that practices CBT – Cognitive Behavioral Therapy.  It has .. changed my life in many ways.  It’s not a cure. There is no cure..but it is a very effective tool. Please check the therapist’s credentials first. Make sure they’ve been certified by either a school that is associated with David Burns or Albert Ellis (he employs rebt – similar to cbt). Don’t assume they know squat about CBT unless they are the real thing – lots of charletans out there, and nut cases, to boot.  I recommend a book, in the meantime to start you off learning about it.  "Feeling Good, the New Mood Therapy" by David Burns, M.D. I often see it on Amazon for a penny, or just a few cents.  It’s worth about a million bucks if you read it and apply it..at least, it has been for me and some others. Well. I need to go. I AM working now, part time – and my hair.. I have to wash it.  I have major bed head this monring.  It is sticking up in all of the wrong places…well, I am glad we don’t have to have webcams or something to post in this forum, or I’d be out of luck. I’m so glad you posted.. and you are so welcome here.. you sound like you need to talk this out, and you are in place where you will be understood.. lots of compassion here, we’ve all been down this road, some of us, for decades.  I’m so glad you got the courage to post. Take care, Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – Ya’all won’t believe it (or maybe you will)… Our brand new apartment started LEAKING last night!  Mind you, we’re on the top floor but there is an attic above us.  I came home from work to take one of the dogs to the Vet, and there it was… a nasty, ugly, swollen line of water straight across the livingroom ceiling.  I called the owner and he came up, said… "oh sh*t" and his solution included a large bucket and some more curse words. I’ve decided that I am a direct descendant of Murphy… of Murphy’s law.  There is just no other explanation!  ;o) I am sending my sympathies to everyone else dealing with this rain!!  I hope you’re having better luck staying dry. Hugs, Katie

Katie, That is awful.  I’d probably cuss, too, if it were my ceiling. Yeah. I would for sure. Now, I don’t have a clue what I am talking about.. but that has never stopped me before ;) I have not rented since.. 1996??? But I believe there are laws that protect you if you are a renter, and I don’t know what is covered by renter’s insurance – I THINK if any of your furniture etc. gets damaged by water, that is covered, read your policy.  I don’t know, but I am sure that someone here does know.  I bet legally, you can make that landlord fix the roof. I know next to nothing about the law – except for basic stuff, like don’t kill people LOL. Anyway.. that is bad this happened to you, but just be glad you didn’t BUY the place – be glad you do not own it, and be glad you do not have a basement.  Put down pots and pans to catch the drips and keep on that landlord until the roof is fixed. The squeaky wheel gets the grease. Take care and stay dry! Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – ::I really intended to read longer ere posting, but I do want to ::say that this weather is NOT our typical weather.  BTW, ::although I am now in a western ‘burb of Boston, I lived near ::Brookline Village for about 10 years. Dear Jean, Just wanted to welcome you to ASAPM! Post whenever you feel like it. Hope you enjoy your stay with us :) Jackie ~*~Would you respect my mind more if it bounced gently when I walked?~*~

Hi Jean, You can lurk if you want to, but I think I just started posting right away, LOL. I’ve never been one to hold back and not talk — like a lot.  Too much, maybe. Welcome to ASAPM!  I hope you feel comfortable reading and posting. We’re a friendly bunch, and if it’s anxiety and panic, this is the place to learn about it, and how to cope with it… and it’s also a good place to come to for any type of support.   Welcome again, Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

::I really intended to read longer ere posting, but I do want to ::say that this weather is NOT our typical weather.  BTW, ::although I am now in a western ‘burb of Boston, I lived near ::Brookline Village for about 10 years. Dear Jean, Just wanted to welcome you to ASAPM! Post whenever you feel like it. Hope you enjoy your stay with us :) Jackie

Ditto what Jackie said, Jean.  I think you’ll like this group.  I know I do. :-) Hugs, Di — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Jean, Welcome to ASAPM!  This is a great support group.  Feel free to post, vent or join in on the QOTD… smiles, Elise

– Hide quoted text — Show quoted text – ::I really intended to read longer ere posting, but I do want to ::say that this weather is NOT our typical weather.  BTW, ::although I am now in a western ‘burb of Boston, I lived near ::Brookline Village for about 10 years. Dear Jean, Just wanted to welcome you to ASAPM! Post whenever you feel like it. Hope you enjoy your stay with us :) Jackie ~*~Would you respect my mind more if it bounced gently when I walked?~*~ — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

I cannot, CANNOT believe the rain here.  I moved to Boston (as most of you know) on May 12th.  Since that time, we have not had a solid week of sun or temperatures that feel like summer.  Does anyone else live in New England?  I am absolutely in awe of the amount of rain that has been hitting us.  My dogs seem to be constantly wet. This weather makes me want to crawl back into bed with some hot chocolate, silly magazines, and my TV remote.  :o) Hope everyone is having a great week so far! Best, Katie

Katie, The bed, and silly books and the TV remote sound like a good idea until the sun comes out. We’re having rain in Ohio, too, and I know about wet dogs and clean carpet. sigh.  I am thinking this is our payback for having an extremely mild (mildest I have ever seen here) winter.. looks like we get to skip summer, since we skipped winter. Sally — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Ya’all won’t believe it (or maybe you will)… Our brand new apartment started LEAKING last night!  Mind you, we’re on the top floor but there is an attic above us.  I came home from work to take one of the dogs to the Vet, and there it was… a nasty, ugly, swollen line of water straight across the livingroom ceiling.  I called the owner and he came up, said… "oh sh*t" and his solution included a large bucket and some more curse words. I’ve decided that I am a direct descendant of Murphy… of Murphy’s law.  There is just no other explanation!  ;o) I am sending my sympathies to everyone else dealing with this rain!!  I hope you’re having better luck staying dry. Hugs, Katie — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Katie, I’m sorry you are having to deal with this.  So does the landlord intend to fix the problem once the rain stops? smiles, Elise

– Hide quoted text — Show quoted text – Ya’all won’t believe it (or maybe you will)… Our brand new apartment started LEAKING last night!  Mind you, we’re on the top floor but there is an attic above us.  I came home from work to take one of the dogs to the Vet, and there it was… a nasty, ugly, swollen line of water straight across the livingroom ceiling.  I called the owner and he came up, said… "oh sh*t" and his solution included a large bucket and some more curse words. I’ve decided that I am a direct descendant of Murphy… of Murphy’s law.  There is just no other explanation!  ;o) I am sending my sympathies to everyone else dealing with this rain!!  I hope you’re having better luck staying dry. Hugs, Katie — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

I cannot, CANNOT believe the rain here.  I moved to Boston (as most of you know) on May 12th.  Since that time, we have not had a solid week of sun or temperatures that feel like summer.  Does anyone else live in New England?  I am absolutely in awe of the amount of rain that has been hitting us.  My dogs seem to be constantly wet. This weather makes me want to crawl back into bed with some hot chocolate, silly magazines, and my TV remote.  :o) Hope everyone is having a great week so far! Best, Katie

I really intended to read longer ere posting, but I do want to say that this weather is NOT our typical weather.  BTW, although I am now in a western ‘burb of Boston, I lived near Brookline Village for about 10 years. — Jean B. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Anne, The weekdays are bad enough getting so much rain but to have it go into the weekend sucks.  I hope your home stays dry. smiles, Elise

In RI we got more than 4" of rain today. More is predicted through Saturday. ::glub:: xxoo Anne — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

::I cannot, CANNOT believe the rain here.  I moved to Boston (as most of ::you know) on May 12th.  Since that time, we have not had a solid week ::of sun or temperatures that feel like summer.  Does anyone else live in ::New England?  I am absolutely in awe of the amount of rain that has ::been hitting us.  My dogs seem to be constantly wet. :: ::This weather makes me want to crawl back into bed with some hot ::chocolate, silly magazines, and my TV remote.  :o) Dear Katie, We`ve had the same weather here on the island. The hot cocoa sounds yummy! Too bad I couldn`t fill my tub with hot cocoa. It would keep me warm and fill me belly up quite nicely :) How are you feeling? I hope better! Jackie ~*~Would you respect my mind more if it bounced gently when I walked?~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

In RI we got more than 4" of rain today. More is predicted through Saturday. ::glub:: xxoo Anne — The charter is available at: http://readystump.algebra.com/~asapm

Response:

I cannot, CANNOT believe the rain here.  I moved to Boston (as most of you know) on May 12th.  Since that time, we have not had a solid week of sun or temperatures that feel like summer.  Does anyone else live in New England?  I am absolutely in awe of the amount of rain that has been hitting us.  My dogs seem to be constantly wet. This weather makes me want to crawl back into bed with some hot chocolate, silly magazines, and my TV remote.  :o) Hope everyone is having a great week so far! Best, Katie — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Me too, Katie.  8-( xxoo Anne in Providence — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Katie, Sorry about the weather though it is the same here in Ohio…ugh! smiles, Elise

– Hide quoted text — Show quoted text – I cannot, CANNOT believe the rain here.  I moved to Boston (as most of you know) on May 12th.  Since that time, we have not had a solid week of sun or temperatures that feel like summer.  Does anyone else live in New England?  I am absolutely in awe of the amount of rain that has been hitting us.  My dogs seem to be constantly wet. This weather makes me want to crawl back into bed with some hot chocolate, silly magazines, and my TV remote.  :o) Hope everyone is having a great week so far! Best, Katie — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Question:

Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!)

Welcome : ) Sorry to hear about you having panic attacks, they stink ; ) I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med.

Zoloft has been prescribed to millions of people in the USA and is considered very safe.  However, the biggest problem with anxiety/panic disorders is that not every treatment will work the same for everyone. What works for me may not work for you. A little background on me.  I an 33 and had my first PA around 10 years ago.  Like you I was totally stumped and it was tough going at first. Unlike you I didn’t look to the internet for help or support.  I felt alone.  After getting to a doctor I was put on Zoloft.  Zoloft worked for me for a good 6+ years.  I was able to lead a pretty "normal" life. Did my anxiety/panic totally disappear?  No, but it was far better. During those 6 years on Zoloft I got married, moved my new wife and I 1,200+ miles away from our family, started a career, moved a few times, changed jobs 2 times and had 2 kids.  I would call that pretty "functional" : )  However, there were the negative aspects.  For example, Zoloft made me gain a little weight and anti-social. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly??

You are not being silly.  Zoloft, or any SSRI can increase anxiety/panic at first.  The hardest part of getting treatment is the trial-and-error to find what medication/treatment is right for you.  If you do have initial side effects that you are not comfortable with, you can ask your doctor for a small amount of a benzo like klonopin, ativan or xananx to help you get past the first few weeks. I can understand your worrying about becoming dependent.  However, there is no cure for anxiety/panic disorders.  Some people are lucky and it goes away.  However, for the majority of us, we will need treatment for life.  I am not saying that to depress you.  You can look at it as if your doctor told you that you have a heart condition and must take medication for it.  Would you worry about being dependent on heart medication or being able to stop heart medication down the road? If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!!

Well, unless your anxiety/panic goes away or you find a cure, your lifestyle will change.  Would you not change your lifestyle if you found out you had heart disease or diabetes?  A mental disease is no different.   Thank you in advance for your help :)

We are all hear to help : ) Christy

Jim — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Welcome Christy! TJ said it all so well, I really don’t have much to add other than: I’ve been there, done that.  My panic attacks started in my mid 20s.  I’m now 54 and doing pretty well on daily Lexapro (an SSRI), plus Xanax as needed. I also had a lot of psychotherapy and highly recommend cognitive behavioral therapy (CBT). Please keep posting here and let us know how it’s going. xxoo Anne — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Thank you for taking the time to post back! I appreciate the advice…since this is all very new to me I’m like a sponge just soaking up whatever I can get!! I am sure though that aside from medicine, being a part of this group where I can find people that relate with my experience will make things a lot easier. Its hard to explain to those that don’t experience, how scary panic really is!! Thanks again for your support and advice :)

Hi Christy and welcome. As far as how scary panic attacks really are, it is said that a panic attack can actually be more frightening than the fear of death. Tony — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!) I just recently started experiencing panic attacks. My first one occured randomly a few months ago while I was driving, and got so bad I wound up in the emergency room…only to be completely fine by the time I actually got to see a doc. I ignored it thinking it was a freak incident, but recently I have been experiencing them more frequently. It started to happen every other week, then every week, and then almost everyday. I am very healthy and have never experienced any depression or anything like this so I have been thrown for a loop. This is all new to me and I’m pretty scared…which I’m sure doesn’t help decrease the amount of panic attacks I’m experiencing!!! I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly?? If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!! Thank you in advance for your help :) Christy

Dear Christy, The doctor who gave you Zoloft has to know that the first 2 or 3 weeks are tough.  He should have given you something to help that.  Even the idiot I first saw gave me 15 Zanax.  If you start feeling jittery or antsy, call your doctor and let him/her know.  I had a hard time getting on Zoloft but it eventually was a lifesaver for me. Sometimes it takes 6 to 8 weeks.  Be patient.  I know it is tough.   I only took it for a year.  It caused me to gain weight so I sought something else.  YMMV. I wish you luck. Vicki — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Thank you for the great advice…I’m taking things day by day and just mostly trying to tell myself that I WILL BE OK! I remember that there are plenty of other people out there going throught this, and that helps a lot. I am just confused because this just recently started..its seems out of no where. I do plan on finding a psychiatrist and just going from there. Thanks again for your support and advice!! It is very much appreciated!  :) — The charter is available at: http://readystump.algebra.com/~asapm

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<gently snipped ::If someone could please post back and let me know their experiences ::with Zoloft, panic disorder, and the two together, I would really ::appreciate it. This is all new to me and I’m pretty scared and don’t ::want my lifestyle to change because of it!! Thank you in advance for ::your help :) Dear Cama, Welcome to ASAPM! You got wonderful advice and support from many posters. I Here are some informative links on cognitive behavioral therapy… http://panicdisorder.about.com/cs/therapycbt/ http://www.cognitivetherapy.com/ http://panicdisorder.about.com/cs/therapycbt/a/cbtintro.htm Here is a very informative site on anxiety and panic disorder. http://panicdisorder.about.com/ Here you will find all sorts of self-help techniques like deep breathing and muscle relaxation exercises that can help decrease your anxiety and panic. http://panicdisorder.about.com/od/selfhelp/ You might want to check out the following books from your library: "A Guide to Rational Living", by Albert Ellis, Ph.D "Feeling Good, The New Mood Therapy", by David D. Burns, M.D. "How to Control Your Anxiety, Before it Controls You", by Albert Ellis, Ph.D "The Anxiety & Phobia Workbook", by Edmund J., Ph.D. Bourne A few days ago I posted lots of info ranging from self-help, to finding local support groups…. to anxiety-reducing techniques. Make sure to check it out. Also, the weekly and monthly FAQS contain a lot of information. Don`t hesitate to ask any questions you may have, we`ll do our best to help you. It will get better! Jackie ~*~If it has tires or testicles, you’re going to have trouble with it~*~ — The charter is available at: http://readystump.algebra.com/~asapm

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Thank you for the great advice…I’m taking things day by day and just mostly trying to tell myself that I WILL BE OK! I remember that there are plenty of other people out there going throught this, and that helps a lot. I am just confused because this just recently started..its seems out of no where. I do plan on finding a psychiatrist and just going from there. Thanks again for your support and advice!! It is very much appreciated!  :)

When I had my first panic attack, I was sitting in a college psychology class, taking notes and minding my own business, and it hit me out of the blue, and I thought I was going to die. I had an overwhelming feeling of terror and impending doom.  I was afraid to speak up and say anything, I just sat in that class, falling apart inside, and nobody even noticed.  I went a long time before I got a diagnosis, too, not really understanding what was happening to me. Just be glad you got an early diagnosis and you’re receiving treatment!!  You’ll learn how to cope with this.  Just stick around and ask all the questions you need to.  We understand. Sally — The charter is available at: http://readystump.algebra.com/~asapm

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Thank you :) — The charter is available at: http://readystump.algebra.com/~asapm

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Thank you for the great advice…I’m taking things day by day and just mostly trying to tell myself that I WILL BE OK! I remember that there are plenty of other people out there going throught this, and that helps a lot. I am just confused because this just recently started..its seems out of no where. I do plan on finding a psychiatrist and just going from there. Thanks again for your support and advice!! It is very much appreciated!  :)

I had my first panic attack when I was 14. It was 2 weeks before I got my very first menstrual period. I don’t know if it’s related or not. Finding what triggers panic can be helpful but it’s not always obvious. Over analyzing can end up feeding the anxiety cycle. The important thing is early intervention. I went for years without treatment and therefore what began as a few panic attacks ended up as agoraphobia… fear of having panic attacks. Whether you decide to stay on Zoloft is up to you but I think finding a psychiatrist who deals with anxiety/panic is a great way to start. Vanessa — The charter is available at: http://readystump.algebra.com/~asapm

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Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!) I just recently started experiencing panic attacks. My first one occured randomly a few months ago while I was driving, and got so bad I wound up in the emergency room…only to be completely fine by the time I actually got to see a doc. I ignored it thinking it was a freak incident, but recently I have been experiencing them more frequently. It started to happen every other week, then every week, and then almost everyday. I am very healthy and have never experienced any depression or anything like this so I have been thrown for a loop. This is all new to me and I’m pretty scared…which I’m sure doesn’t help decrease the amount of panic attacks I’m experiencing!!! I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly?? If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!! Thank you in advance for your help :) Christy — The charter is available at: http://readystump.algebra.com/~asapm

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- Hide quoted text — Show quoted text – Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!) I just recently started experiencing panic attacks. My first one occured randomly a few months ago while I was driving, and got so bad I wound up in the emergency room…only to be completely fine by the time I actually got to see a doc. I ignored it thinking it was a freak incident, but recently I have been experiencing them more frequently. It started to happen every other week, then every week, and then almost everyday. I am very healthy and have never experienced any depression or anything like this so I have been thrown for a loop. This is all new to me and I’m pretty scared…which I’m sure doesn’t help decrease the amount of panic attacks I’m experiencing!!! I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly?? If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!! Thank you in advance for your help :) Christy

Hi Christy!! Welcome to ASAPM!! I think you’ll find this a great place to get support and information about Panic Disorder, and probably just about anything else that pops up in your life that you need to talk/vent about. This is a fantastic support group. I’ll let some of the others, and there are several, who can talk to you about the Zoloft.  It’s been my personal experience that antidepressants don’t alleviate my anxiety.  Many people here do use them, and are greatly helped, but I’m not the one to discuss THAT topic, because I don’t know what I’m talking about. I can tell you that the medication that works best for my panic attacks is a benzo, it is a calming agent.  The name of the one I use is Xanax.  Some people here use Klonopin, which is similar, but longer lasting and less intense than Xanax. Some are on Ativan.. it just depends on what your doctor is willing to prescribe.  For most, but not ALL patients with panic disorder, often a benzo is a very good way to treat panic, but not all doctors will prescribe them, fearing the patient will get "addicted" to them, but hardly any patients with true panic disorder abuse their medications.  They use them as they need them. Could be that you might discuss a low dose of a benzo with your doctor and that doctor may or may not agree to perscribe one, but you can always find another doctor that will, if you live in an area where you have a choice about health care providers. As to "willing away" your panic attacks.. LOL!!! Good luck on that one.  It’s my experience the more you fight, the more intense the panic. There is good therapy for anxiety, though.  It’s called Cognitive Behavioral Therapy, and it’s helped me a great deal.  A good book, that is probably in your library, can be found in used book stores..Amazon had a copy the other day for one cent is a book titled, "Feeling Good The New Mood Therapy" by David Burns, M.D.  I also think that looking for a therapist in your area that specializes in CBT is a good idea, but it may or may not be easy to find one.  You have to do some calling and asking, but definitely, I recommend getting the book even if you do get a therapist that specializes in that because it’s a great resource to have to refer back to.  I find with therapy, it’s worked best for me to take a proactive approach. I DO go to therapy, in fact I have not one, but three free therapists, which is kind of hysterical to me, I have no idea how I accomplished that.. but the therapist can only help you so much. A lot of your therapy, you have to do on your own, when you are not sitting in the therapist’s office. I see it like going to school but not doing the homework, if you just rely on the therapist to "fix" you in one hour a week, month, whatever.  I believe in all health care, including mental health care, we have to educate ourselves and take care of ourselves, and the therapist is good to help give you insight and point you in the right direction, but I think we basically have to take care of ourselves, with the aid of a professional — I sure wouldn’t do WITHOUT my therapists, but I do my homework, too. Well, welcome to the group, and it’s just been my experience that panic IS pretty bad, but if it hadn’t been for panic, I wouldn’t have found this great group, so even panic has it’s benefits.  I hope you like it here. Stick around, there’s tons of knowlegeable suppotive friendly people here. Sally — The charter is available at: http://readystump.algebra.com/~asapm

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Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!) I just recently started experiencing panic attacks.

I started experiencing them almost 40 years ago. I’m 61. My first one occured randomly a few months ago while I was driving, and got so bad I wound up in the emergency room…only to be completely fine by the time I actually got to see a doc.

My first attack also occurred "out of the blue", for no apparent reason. I was eating a sunday (ice cream) outside and my heart started pounding very fast. I had no idea what was happening. I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med.

You should be seeing a psychiatrist for treatment. They are the experts on the drugs used to treat anxiety and panic. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially.

You have to be very careful what you believe on the internet. Cause there’s alot of misinformation on it. Zoloft, and all the SSRIs, can increase anxiety for the first few weeks. That’s why a doc often prescribes a benzodiazepine along with the SSRI for the first few weeks. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly??

I bet you’ve probably already tried to use will power to prevent attacks. I remember when I first had the first panic attacks I made up my mind to refuse to have attacks. And it worked for one whole day, right up till the time I had the next panic attack ;) I’ve been on Zoloft for 13 years, but to prevent depression, not for my panic disorder. I take clonazepam to prevent panic attacks. But Zoloft (and other SSRIs) can also block panic attacks. If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!! Thank you in advance for your help :)

Well, Christy, the best meds to use for panic disorder (in my opinion) are the high potency benzodiazepines, such as Xanax and Klonopin and Ativan, but most docs are afraid patients will get addicted to them. Research has shown this is unusual and, if anything, patients with anxiety disorders tend to take less benzos than their docs tell them to take, cause they’re afraid of getting addicted. For panic disorder, and the other anxiety disorders, the treatments with *proven effectiveness* are meds (antidepressants and benzos) and cognitive behavior therapy (CBT). Also I’ve found exercising helps to relieve stress and tension. Chip — The charter is available at: http://readystump.algebra.com/~asapm

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- Hide quoted text — Show quoted text – Hi everyone, (I’ve copied and pasted this from a post I made to another group just in case you noticed!) I just recently started experiencing panic attacks. My first one occured randomly a few months ago while I was driving, and got so bad I wound up in the emergency room…only to be completely fine by the time I actually got to see a doc. I ignored it thinking it was a freak incident, but recently I have been experiencing them more frequently. It started to happen every other week, then every week, and then almost everyday. I am very healthy and have never experienced any depression or anything like this so I have been thrown for a loop. This is all new to me and I’m pretty scared…which I’m sure doesn’t help decrease the amount of panic attacks I’m experiencing!!! I was recently prescribed Zoloft…25mg for the first 7 days, 50mg everyday thereafter. I am only on my 3rd day but am worried about taking it. I haven’t taken it yet today because I am still unsure and feel liek I do not have enough information on the condition or the med. I have been surfing around the internet searching for information about the disorder and the drug (which is how I found this group :)  )and I am hearing that Zoloft can increase the attacks initially. I am also worried about becoming dependent on the drug and am hoping that maybe I can just fight off the attacks with strong will power. Am I being silly?? If someone could please post back and let me know their experiences with Zoloft, panic disorder, and the two together, I would really appreciate it. This is all new to me and I’m pretty scared and don’t want my lifestyle to change because of it!! Thank you in advance for your help :) Christy

Hi Christy,  welcome to ASAPM.  You have raised a lot of important questions so I will give you my answers in brief. Firstly, your pattern is very common – probably  the most common one there is.  I went to the ER too with my first panic attack and then found they came more often as time went on.  Eventually I was having about 30-40 small attacks every day! Zoloft is a commonly prescribed drug from the SSRI family.  Other common ones for panic are Paxil and Lexapro and lots of others too.  You may have some minor side-effects from this drug but nothing serious.  You will NOT get addicted to this drug and you will be able to quit if you want – you will just need to reduce your dose slowly over a few weeks.  There is no guarantee Zoloft will work for you – you may need to try a few different ones to get a good one. I have had about 11 drugs – none really worked for me :-) Other good drugs are beta-blockers (if you have a lot of heart related symptoms) and benzodiazepines.  You may have trouble getting a benzo from some doctors as they have more potential for abuse by some patients. Some advice for you: You must see a psychiatrist.  Family doctors don’t know enough about panic and anxiety to treat them effectively.  I swear you will be glad if you see one. You should try to sign up for CBT therapy if possible.  This is the best therapy going for panic attacks. You should feel free to post here whenever and whatever is on your mind – it really helps! You must ALWAYS remember this fact: Panic attacks cannot kill you or harm you in any way.  No one has EVER died from a panic attack or suffered any physical harm. They are scary at first – but they are all bark and NO BITE WHATSOEVER. That is the single most important fact I ever learned about panic.  After I truly accepted it I was pretty much cured – seriously!  I went from 30+ panics a day to about 5 minor ones. You should try to take life less seriously.  Try to be cool and calm and don’t over-react to events around you.  This is similar to my previous point I think :-) Good luck to you! — _TJ_ <TJ_IREL at YAHOO dot IE — The charter is available at: http://readystump.algebra.com/~asapm

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Thank you for taking the time to post back! I appreciate the advice…since this is all very new to me I’m like a sponge just soaking up whatever I can get!! I am sure though that aside from medicine, being a part of this group where I can find people that relate with my experience will make things a lot easier. Its hard to explain to those that don’t experience, how scary panic really is!! Thanks again for your support and advice :) — The charter is available at: http://readystump.algebra.com/~asapm

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Question:

Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years.

wow.  i guess it’s a matter’ah priorities. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show.

DO THA SHOW !!!!!!!  look…. how many of us get that opportunity?  how many of us CAN do what you do?  how many of us would give our left BOOBY ta be able ta do what you do? (i hate ta break it to ya, SirK… but ya probly weren’t as good as ya are without tha booze)… even Dean Martin pretended tha booze long after he quit, either it was such’ah touch-stone or’ah part’ah his schtick. It’s about a month away.

If I said yes my anticipatory anxiety would be with me until the show was over.

and?  so ya got anticipatory anxiety.  YA GOT TALENT…. let’s put them 2 things in order of importance to ya. i’m guessin:  (i could be wrong) 1) TALENT 2) anticipatory anxiety they make shit for anxiety.  they don’t make SHIT for talent.  (ask that Kevin kid on American Idol.) I feel

stop that "feelin" shit and start "doin"… ya ain’t gettin’ any younger and how ya gonna feel if ya let a thing like this take this away from you?  HUH? tell ya what… YOU accept the booking.  tell me where yer gonna be.  and we’ll wheel’n deal here.  *i’ll* come where you are personally and watch your show. not only that, i’ll promise not ta make ya marry me and i’ll make ya ferget about yer anxiety.  (you’ll have new an exciting anxiety in’ah realm with my dorky ass)….. but yes… i WILL come where you are, i’ll get my way to yer show, you tell me where, when, and TANYA WILL BE THERE ! deal? c’mon. WHAT THA FUCK DO YOU GOTS TA LOSE? i’m not scary in person, i swear.  i’ll be there, i might even bring a friend on this forum.  he’s very cool. I DON’T CARE IF IT’S'AH FRIGGIN’ WEDDING YER SINGIN AT, I’LL BE THERE ! to keep my sanity (and physical health), I have to retreat once again.

LOOK at the big picture.  LOOK at what yer doin, dude !  FUCK IT UP, WHO CARES, JUST DO IT !  the big picture ….. the BIG PICTURE !!!!!! tell me the worse that can happen.  ya fuck it up?  you can move back ta oklahoma with me.  there is ALWAYS an escape route.  GET YER ASS ON (oooooooooooh, don’t make me come over there.) all these people can dipsy doodle yer ass til tha cows come home, yer to.) I  feel I would completely humiliate myself if I did it.

so you humiliate yerself.  what does that mean to you? let’s say you do yer thing and humililate yerself.. what let’s say you do yer thing and do well, even REALLY well… what thanks for fillin’ in them blanks, cuz i need ta book muh ticket in’ah quickness.  so does muh friend.  (he hates ta fly cuz of them pretzels, but he’ll fuckin’ survive.) AND YOU THINK YOUUUUUUUUUUUU GOT PROBLEMS ! Thanks again.

YOU DUNNEEEEEED’AH SHRINK  !!!!!! ya need ta getchur ass out there and i need’ah vacation. ~tanya   (yer biggest fan-ta-be)

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"..you get what you put in, which is staying where you are. Since you want things to change, you’ll need to put in the time" Consider that with great care.  There is not a quick fix to public-speaking anxiety. I have found that visual aids, such as an overhead projector or Microsoft Powerpoint presentations can be helpful, as they make you feel somewhat less of the focus, yet you are still doing the presentation, so the exposure component of the therapy is very much present, but in a slightly diluted form.  Then again, I don’t know what kind of presentations you do, and that may not be feasible. Therapist might suggest using a beta-blocker, and that can reduce some of the symptoms, but does not address the underpinnings of the issue.  Sort of like treating pneumonia with cough syrup alone. G

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Indeed it is.  Consider making a contribution back to the group, by at least letting us know how you’re doing. Gary

– Hide quoted text — Show quoted text – Thanks for the kind words, Sharon. I have been off of ADs for 6-8 months and have started taking them again as of yesterday. Between them and the beta blockers I may try to do the jamboree. I will like myself a lot better afterwards if I do. Thanks to everyone that replied. I’m in sort of a hurry right now but may post more later. The Internet is so great for things such as this. Yeah, I didn’t mention it, because it sounds as though Koffagus is not ready to take meds (I might be incorrect on this) But, a beta blocker is the med that helps me with the symptoms of anxiety. I had a very rapid heartbeat as well as the shaking hands, and a beta blocker is what seems to have helped. Just throwing this out there….Inderal made my depression a bit worse, and I was switched to Toprol XL, which doesn’t seem to have that effect. Performers and entertainers commonly use beta blockers for the symptoms of anxiety.

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Dear Sir K. I have had trembling hands for all of my life….at least as long as I remember.  When I was 16 I was put into the hospital for a bunch of tests. I was sent home without a certain diagnosis, but many possibilities.  None of the diagnoses had anything to do with any mental disorder.  I finally went to another Neurologist many years later and I was diagnosed as having a Benign Essential Tremor.  It is not uncommon, not hurtful in any way, not a sign of anything worse (or better) to come down the road.  It often runs in families and they do not know what causes some people to have them while others in the same family do not. My hands always shake….always…. at least a bit, but when I am nervous about something they are often uncontrollable to the point that I cannot get a fork to my mouth.  I was put on Inderal for it for a while, but needing some other meds, I chose to live with the shaking hands.  The downside is that I don’t even notice it most of the time anymore (until I spill my coffee….which is daily and the dog licks it up) but everyone else does. When I meet someone and I can see that it is making them uncomfortable or confused, I simply explain it to them and then it is a moot point.  The upside is that they have gotten me out of a few speeding tickets because the police officers thought I was going to have a heart attack or something, even after my telling them that it is normal for me…..lol. The fact that you say that you have no self confidence could be taken one of two ways.  Maybe you are lacking self confidence BECAUSE of the shaking of your hands.  I know I would not even eat lunch at school with the other kids because of my hands.  Maybe it is not your self confidence that is causing the shaking……nor anything related to mental illness. In summary I would highly recommend that you talk to your primary care physician about it and they may refer you to a neurologist for an exact diagnosis.  You are not crazy, you are not alone, and hey…..you can even use your hands to get some laughs!!! Good Luck…..I hope this has helped in some way. Respectfully submitted Sarah J Spicer

– Hide quoted text — Show quoted text – What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

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"..you get what you put in, which is staying where you are. Since you want things to change, you’ll need to put in the time" Consider that with great care.  There is not a quick fix to public-speaking anxiety.

how’d you find out he did pubic speaking?  dang… yer good. I have found that visual aids, such as an overhead projector or Microsoft Powerpoint presentations can be helpful, as they make you feel somewhat less of the focus, yet you are still doing the presentation, so the exposure component of the therapy is very much present, but in a slightly diluted form.  Then again, I don’t know what kind of presentations you do, and that may not be feasible. Therapist might suggest using a beta-blocker, and that can reduce some of the symptoms, but does not address the underpinnings of the issue.  Sort of like treating pneumonia with cough syrup alone.

or tell yerself it don’t make’ah good goddam, i swear.  i gotta disagree wif muh baby dad, Gary on thissun.  i think tha more ya think about it tha more ya worry about it and consequently, tha more ya do whacha spend so much time thinkin’ about. i had’ah tad artist that had that same problem … (and a kick-ass artist he was) except when he tattooed.  why?  HE DIDN’T GIVE’AH SHIT about shit when he was doin’ his art. he eventually had ‘FUCK THE WORLD’ tattooed on his head.  no, i wasn’t happy.  yeah, he was.  he had "FUCK CORPORATE AMERICA"  tatted on his neck with flavah, i tell ya…. i wasn’nt happy.  he was. he never shook again when he came ta terms with tha fact that not one idiot walkin’ this planet was worth his angst, he had his own. he hung himself, eventually, but he wasn’t shakin’. RIP, Tim… (GOD, i love yer ass.) ~tanya (helllllllo, nasty, where ya been?)

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Thats right,  entertainers do use them.  When I had my first appt with a pyshciatrist (sp?) about 14 years ago, I asked him that very question, and he said, yes they do use beta blockers. Also, I believe you can go off them easily. I first was on Aetenlol for about 10 years, dr had me quit that, and lowere an anti anxiety drug.. just this month we talked about it, and he prescribed the Inderal. I really think it does help.  Good luck everyone! – Hide quoted text — Show quoted text – Yeah, I didn’t mention it, because it sounds as though Koffagus is not ready to take meds (I might be incorrect on this) But, a beta blocker is the med that helps me with the symptoms of anxiety. I had a very rapid heartbeat as well as the shaking hands, and a beta blocker is what seems to have helped. Just throwing this out there….Inderal made my depression a bit worse, and I was switched to Toprol XL, which doesn’t seem to have that effect. Performers and entertainers commonly use beta blockers for the symptoms of anxiety.

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Yes, I take 50 mg of atenolol for my blood pressure. Thanks for the suggestion. At one point I took Inderal, in addition to Atenolol, but was still drinking. It helped with the trembling (panic was still present though). I may look into this again.

The panic might well have still been there because of the drinking, Sir K….I’m a recovering alcoholic and conned doctors for meds (for my anxiety) even when I was putting away at least a litre of vodka a day…..eventually the drinking becomes the cause of the panic, at least that was the case with me. I pretty much had a nervous breakdown in the last weeks of drinking. Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk).

I was a landscaper and turned into a drunk. When one quits drinking, we often find that the anxiety disorder returns with a vengeance. There are a lot of things that I haven’t dared to do since I quit drinking, but that’s probably healthy….at any rate, for alcoholics, most anything is better than drinking. Congratulations on having stayed sober!  Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show.

You probably know that there are ways to deal with the performance anxiety beforehand that aren’t med-related, that are cognitive….you have a month. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again.

Retreating does horrible things for one’s spirit. I feel I would completely humiliate myself if I did it. Thanks again.

Response:

I hear what you are saying, because I find it embarrassing as well.  I haven’t found a way to beat it but to live with it.  If the ole’  "ha ha sorry, I drank too much coffee today".  Doesn’t work, and it doesn’t for me anymore…let’s see what we learn here.  In August I began to take lithium and am now on 1200 mg  (that’s alot).  To my horror, it causes hand tremors.  I am just under 30 years old and have an active new social life.  I find it embarrassing, since, with my piercings, tatoos, long blond and blood-red hair and gothic look,

BAM !  i think i dun went’n found muh next convention showpiece.. LOL !!!!!!!  Canada?  i think that stigma is bout gone with tha wind, actually.  after 16 years in dis crazy bidness, i think yer probly thinkin’ about it more’n anybody else is and if ya gots da nads ta duit, fuggem. I fear people will think I’m on drugs!

so?  i fear peopl that AREn’t on drugs ain’t on drugs.  now THAT’s scary. So I have finally just decided to say "I’m crazy.  It’s my meds."  And my close friends laugh their asses off and the new person doesn’t know what to think.  It puts the embarassment on them!"

i say "i’m crazy" all’ah time.  and i accept NOTHING other.  don’t tell me i ain’t crazy, or we be thowin’ DOWN !   CRAZY PEOPLE ROCK, sane people bore tha motherfuck outta me. i’d love ta see yer pics. now i ain’t marryin’ ya ta getcha ta stop shakin, cuz that’d scare anybody inta calmness, but i sure would like ta know about yer artists in CA !  and see yer work :)   ~t

Response:

What can be done about trembling hands when nervous?

why’re ya nervous?  ya mean like just doin’ normal stuff like…..anything?  or are ya doin’ a presentation on "How Cool Belle Is" in front of millions? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this.

did ya ever notice that tha harder ya try not ta do sumthin’, the worse tha stuff ya do is?  now me?  i’m a full-service piercer (i know, it’s lame, but still)… and i’m fuckin FREAKED ta do stuff in public, i’m quite shy, actually.  since i started this crap i decided to promote myself/business in the public eye, television, festivals, newscasts, anything where i could be seen.  i did tons of public demonstrations within the media and in large audiences.  and i’m stickin’ a needle thru people and i gots ONE chance on tv, mind ya… and i’m basically probly as bad or worse than you.  so what ta do, what ta do…. well, my very first piercing i did on tv… (i lied, said i had 7 years behind me) and puked for 3 days and then BAM !  there’ah wuz. sooooooooo i told tha newsboy "i’m gonna fuckin’ pierce the frenular cord or an artery in this guy’s tongue, don’t be mad"… so i kinda put tha ball in his court.  then he was friggin’ about ta die, he could barely do his presentation, i breezed. maybe tha moral is:  put sumbody else in tha driver’s seat and you just laff yer way thru tha ride thatcha have power over and know "nobody really has control"… and the worse thing that’s gonna happen is this dude dies and it’s on ‘newsboys’ broadcast.   i’ll just get sued or sumthin, he loses his job.  so i lose mine?  and?  i’ll getta nother one. and don’t shit really always go well anyway?  (unless tha audience is real lucky…. oh, and tha tongue dude). i bet what yer really nervous about is that you’ll fuck up.  well, ya may.  and?  (people sometimes look way cuter fuckin’ up than they do when they do stuff well.)  CUTE’S WHAT ITS "REALLY" all about, eh? Is there any drug that can contain this, without making me drunk?

man, you wanna ruin it????  you could be calm AND drunk and you opt out’ah DRUNK?  ok… eat’ahcouplahbluez… eat’ah xanax.  fer chrissake, eat 3. OR…. yer 61, i”m 48, PERFECTION, EH?  and look at tha bright side… yer not marryin’ me and i’m DAMN apt ta beg.  tell yerself this:  "IF I’M NERVOUS, I GOTTA MARRY BELLE"… (now Margrove may be a tad perturbed, cuz he loves me more’n he loves raw oysters, but he ain’t sent me no "kissy kissy" emails so he’s gotta learn’ah lesson !!!!  AND I THINK HE MIGHT’AH FIRED MY CABANA BOY this will stop yer shivers with’ah quickness.  money back guarrrrrrrrr-onnnnnnnnnn-teeeeeeeeeeee….  ya heah? Basically, I have no self confidence.

i have confidence you’re gonna have tons’ah self confidence.  (when ya consider ta repercussions.) Psychiatry is of no help. I am 61,

psychiatry will be of no help when yer 161. (unless yer homicidal.) have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

will you marry me? (personally, i think yer thinkin’ about it too much, make’ah joke outta it.)  i’ve gotten myself outta numerous shakey breakey sits.  call me, let’s talk about it ! (405) 601-6053 ::THROWIN’ RICE:: ~tanya

Response:

I think what canadagirl had to say was useful…I used to be so phobic of my hands shaking that I couldn’t write in front of other people, not even to sign my name. I started to avoid situations in which I’d have to write, or exchange money, anything that showed that my hands were trembling. For one thing, I don’t think that it’s an uncommon problem, although saying that never helps the person suffering. A book that I read on coping with different symptoms of anxiety suggested chalking it up to tennis elbow, or muscle strain, or…..as Canadagirl mentioned, meds. I found it helpful to have such an explanation, although after a couple of practices I stopped using it….I just increased the amount of times I allowed people to see my trembling hands, and after a while, my self-consciousness lessened, and I was less sensitive about the symptom. Ultimately the symptom itself lessened. (although meds, for my conditions, are part of the reason trembling decreased)

Response:

Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again. I feel I would completely humiliate myself if I did it. Thanks again.

– Hide quoted text — Show quoted text – What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

I’m not sure if this has been suggested, but that is one of the things that make beta blockers so great.  Beta blockers are for the heart, but it slows the heart rate (when it becomes too fast) thus, no trembling hands, and I know what its like to have them, I couldn’t go pay for a thing because of it. I am currently on Inderal LA 80 mg. – Hide quoted text — Show quoted text – Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again. I feel I would completely humiliate myself if I did it. Thanks again. What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

I’m on a Beta Blocker called Tenormin (Atenolol generic) for my heart that I heard was also prescribed for panic attacks.

– Hide quoted text — Show quoted text – I’m not sure if this has been suggested, but that is one of the things that make beta blockers so great.  Beta blockers are for the heart, but it slows the heart rate (when it becomes too fast) thus, no trembling hands, and I know what its like to have them, I couldn’t go pay for a thing because of it. I am currently on Inderal LA 80 mg. Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again. I feel I would completely humiliate myself if I did it. Thanks again. What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

Yeah, I didn’t mention it, because it sounds as though Koffagus is not ready to take meds (I might be incorrect on this) But, a beta blocker is the med that helps me with the symptoms of anxiety. I had a very rapid heartbeat as well as the shaking hands, and a beta blocker is what seems to have helped. Just throwing this out there….Inderal made my depression a bit worse, and I was switched to Toprol XL, which doesn’t seem to have that effect. Performers and entertainers commonly use beta blockers for the symptoms of anxiety.

Response:

Yes, I take 50 mg of atenolol for my blood pressure. Thanks for the suggestion. At one point I took Inderal, in addition to Atenolol, but was still drinking. It helped with the trembling (panic was still present though). I may look into this again.

– Hide quoted text — Show quoted text – I’m not sure if this has been suggested, but that is one of the things that make beta blockers so great.  Beta blockers are for the heart, but it slows the heart rate (when it becomes too fast) thus, no trembling hands, and I know what its like to have them, I couldn’t go pay for a thing because of it. I am currently on Inderal LA 80 mg. Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again. I feel I would completely humiliate myself if I did it. Thanks again. What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

Thanks for the kind words, Sharon. I have been off of ADs for 6-8 months and have started taking them again as of yesterday. Between them and the beta blockers I may try to do the jamboree. I will like myself a lot better afterwards if I do. Thanks to everyone that replied. I’m in sort of a hurry right now but may post more later. The Internet is so great for things such as this.

– Hide quoted text — Show quoted text – Yeah, I didn’t mention it, because it sounds as though Koffagus is not ready to take meds (I might be incorrect on this) But, a beta blocker is the med that helps me with the symptoms of anxiety. I had a very rapid heartbeat as well as the shaking hands, and a beta blocker is what seems to have helped. Just throwing this out there….Inderal made my depression a bit worse, and I was switched to Toprol XL, which doesn’t seem to have that effect. Performers and entertainers commonly use beta blockers for the symptoms of anxiety.

Response:

Thanks for the reply. See post above.

– Hide quoted text — Show quoted text – I’m on a Beta Blocker called Tenormin (Atenolol generic) for my heart that I heard was also prescribed for panic attacks. I’m not sure if this has been suggested, but that is one of the things that make beta blockers so great.  Beta blockers are for the heart, but it slows the heart rate (when it becomes too fast) thus, no trembling hands, and I know what its like to have them, I couldn’t go pay for a thing because of it. I am currently on Inderal LA 80 mg. Thanks for the replies. I guess I’m stuck with it. I’m actually a performer (or was). If I hadn’t been so afraid I feel I could have accomplished a successful career as a singer. Used to drink to cure my stage fright (turned into a drunk). Then quit drinking and performing. Haven’t performed in 15 years or drank in about 14 years. I was asked by someone to appear on a show and I would like to do it but the anxiety or anticipation of it would drive me crazy before the show. It’s about a month away. If I said yes my anticipatory anxiety would be with me until the show was over. I feel that to keep my sanity (and physical health), I have to retreat once again. I feel I would completely humiliate myself if I did it. Thanks again. What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

I hear what you are saying, because I find it embarrassing as well.  I haven’t found a way to beat it but to live with it.  If the ole’  "ha ha sorry, I drank too much coffee today".  Doesn’t work, and it doesn’t for me anymore…let’s see what we learn here.  In August I began to take lithium and am now on 1200 mg  (that’s alot).  To my horror, it causes hand tremors.  I am just under 30 years old and have an active new social life.  I find it embarrassing, since, with my piercings, tatoos, long blond and blood-red hair and gothic look, I fear people will think I’m on drugs!  So I have finally just decided to say "I’m crazy.  It’s my meds."  And my close friends laugh their asses off and the new person doesn’t know what to think.  It puts the embarassment on them!

Response:

What can be done about trembling hands when nervous? Mine tremble so much that I won’t do things that I want to do because I am so embarrassed by this. Is there any drug that can contain this, without making me drunk? Basically, I have no self confidence. Psychiatry is of no help. I am 61, have been in therapy numerous times and have not resolved anything (concerning this anyway). Any help is appreciated.

Response:

Question:

ok, just checking….  for what it’s worth (I don’t like acronyms) I was also under a LOT of stress at work, and I’m not sure it got handled right, by me, by people "helping" me, and I still don’t feel completely like my normal old self even four months after having left.  That is why I probed a bit.  It’s very serious, it’s important, it’s nothing less than your life. You’re welcome to e-mail me if you want to discuss it on a more personal level.   –Gary

– Hide quoted text — Show quoted text – There is nothing else going on. I am under a lot of stress at work. Other than that, nothing. — Carl On the face of it, it’s not a high dose, but some can’t tolerate the median/average doses for PD.  I’m getting this feeling that there is more going on than just medication titration issues. G 1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? Yes, klonopin – .5MG BID. I also take prilosec for acid reflux. Been on prilosec for 6 or 7 years I think Marie. Carl, I’m not your doctor, but I take 1.5-2.0 mg daily and I don’t even have Panic Disorder nor panic attacks. I sometimes get anxious when I have obsessive thoughts and worries, but the anxiety is not "full blown," just jitters, like someone just ready to sing at the Metropolitan Opera House. My Doc told me that 2.0 mg daily is still a low dose. I cannot imagine that my 2.0 mg daily would do a lot for full-blown Panic Disorder, much less a total of 1.0 mg daily. IMO your dosage is way too low for full-blown Panic Disorder. This is not medical advice–I just have an opinion that your dosage sounds too low for severe Panic Disorder.

Response:

1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? Yes, klonopin – .5MG BID. I also take prilosec for acid reflux. Been on prilosec for 6 or 7 years I think Marie.

Carl, I’m not your doctor, but I take 1.5-2.0 mg daily and I don’t even have Panic Disorder nor panic attacks. I sometimes get anxious when I have obsessive thoughts and worries, but the anxiety is not "full blown," just jitters, like someone just ready to sing at the Metropolitan Opera House. My Doc told me that 2.0 mg daily is still a low dose. I cannot imagine that my 2.0 mg daily would do a lot for full-blown Panic Disorder, much less a total of 1.0 mg daily. IMO your dosage is way too low for full-blown Panic Disorder. This is not medical advice–I just have an opinion that your dosage sounds too low for severe Panic Disorder.

Response:

2) If so, are you taking an amount that is appropriate for your needs, and is the medication helping you to relieve symptoms of anxiety? I think so Marie.

Carl, if you think that you are taking enough medication to keep your symptoms under control, then why are you constantly writing that you can no longer stand the suffering of panic? I don’t understand…. 3) Are you exercising to relieve muscle tension? Are there stressors in your life that you can reduce? Yes, I use to run long distance before my panic disorder surfaced. Now, I ride a stationary exercise bike and lift light free weights moderately.

If your doc approves, I highly recommend working up a good sweat. It helps with my depression *tremendously*. Perhaps a good sweat would lessen muscle tension for you. The best cure I found for muscle tension is Benadryl, about 1-2 mg in the morning–a tiny speck of a 25 capsule. For some reason, I don’t need much Klonopin after that. 4) Have you had a full medical workup to rule out medical causes? You may have hyperthyroidism, for example, which mimics panic disorder in many ways; or you may have another medical condition that can aggravate anxiety or even cause it. Not lately, but one is scheduled. I don’t know what to think about these headaches. When something happens to me, my mind shifts and I think about it 24/7. This is now the case with the headaches I am having. I felt fine when I got up this morning and I thought when are the headaches going to start. Sure enough, the headache came.

They may be tension headaches. I’m not a doc, but I would ask for two tests outside of standard blood work–a food allergy test and a urine histamine test. If you’ve got histamine all over your body, your body will be in flight-or-fight mode all day and night fighting allergens. That’s why Benadryl kills my anxiety and tension better than Klonopin; my problem probably isn’t a GABA receptor problem–I have allergies that apparently trigger a state of low-level nervousness. I have changed my diet to a more healthier one and have vowed to stick with it Marie. I am 5"10", 168 LBS.

But you might still have food allergies. There was a girl who would get panic attacks every time she ate tomatoes or tomato-based products and milk/milk products. She eliminated the two offenders and no longer had any panic attacks. I have a PCP. I have been seeing him most of my adult life. He is fully aware of my PD. I have also seen two shrinks over the years. I saw one for almost 6 years w/o interruption. He 1st prescribed xanax to me. Thanks for your concern Marie.

Well, I definetely am concerned, simply because you are going through exactly what I went through last July–a constant feeling of restlessness and anxiety. I also had obsessive thoughts and compulsions. It started with a nasty viral respiratory infection with me, and then all kinds of allergies and intolerances developed, and a suicidal depression started last September out of nowhere. I had a naturopath that had to uncover *six* allergens through tests–within three days the depression began to lift. My body was in constant "attack mode."  It probably still is, and I only took a basic test.

Response:

On the face of it, it’s not a high dose, but some can’t tolerate the median/average doses for PD.  I’m getting this feeling that there is more going on than just medication titration issues. G

1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? Yes, klonopin – .5MG BID. I also take prilosec for acid reflux. Been on prilosec for 6 or 7 years I think Marie.

Carl, I’m not your doctor, but I take 1.5-2.0 mg daily and I don’t even have Panic Disorder nor panic attacks. I sometimes get anxious when I have obsessive thoughts and worries, but the anxiety is not "full blown," just jitters, like someone just ready to sing at the Metropolitan Opera House. My Doc told me that 2.0 mg daily is still a low dose. I cannot imagine that my 2.0 mg daily would do a lot for full-blown Panic Disorder, much less a total of 1.0 mg daily. IMO your dosage is way too low for full-blown Panic Disorder. This is not medical advice–I just have an opinion that your dosage sounds too low for severe Panic Disorder.

Response:

There is nothing else going on. I am under a lot of stress at work. Other than that, nothing. — Carl

– Hide quoted text — Show quoted text – On the face of it, it’s not a high dose, but some can’t tolerate the median/average doses for PD.  I’m getting this feeling that there is more going on than just medication titration issues. G 1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? Yes, klonopin – .5MG BID. I also take prilosec for acid reflux. Been on prilosec for 6 or 7 years I think Marie. Carl, I’m not your doctor, but I take 1.5-2.0 mg daily and I don’t even have Panic Disorder nor panic attacks. I sometimes get anxious when I have obsessive thoughts and worries, but the anxiety is not "full blown," just jitters, like someone just ready to sing at the Metropolitan Opera House. My Doc told me that 2.0 mg daily is still a low dose. I cannot imagine that my 2.0 mg daily would do a lot for full-blown Panic Disorder, much less a total of 1.0 mg daily. IMO your dosage is way too low for full-blown Panic Disorder. This is not medical advice–I just have an opinion that your dosage sounds too low for severe Panic Disorder.

Response:

…for treating severe anxiety, phobias, and panic. Just curious that’s all. I wish I could invent something to end this suffering once and for all.

Carl, I have a few questions, just out of curiosity. Of course, you don’t have to answer them: 1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? Yes, klonopin – .5MG BID. I also take prilosec for acid reflux. Been on prilosec for 6 or 7 years I think Marie. 2) If so, are you taking an amount that is appropriate for your needs, and is the medication helping you to relieve symptoms of anxiety? I think so Marie. 3) Are you exercising to relieve muscle tension? Are there stressors in your life that you can reduce? Yes, I use to run long distance before my panic disorder surfaced. Now, I ride a stationary exercise bike and lift light free weights moderately. 4) Have you had a full medical workup to rule out medical causes? You may have hyperthyroidism, for example, which mimics panic disorder in many ways; or you may have another medical condition that can aggravate anxiety or even cause it. Not lately, but one is scheduled. I don’t know what to think about these headaches. When something happens to me, my mind shifts and I think about it 24/7. This is now the case with the headaches I am having. I felt fine when I got up this morning and I thought when are the headaches going to start. Sure enough, the headache came. 5) Have you looked at the possibility that you may have food allergies that are releasing adrenaline and cortisol non-stop, making you panicky?  I know that if I ingest chocolate, eggs, or dairy, my depression and anxiety goes through the roof. A quick Benadryl takes care of the symptoms, but eliminating the allergens is the best way to do it. I have changed my diet to a more healthier one and have vowed to stick with it Marie. I am 5"10", 168 LBS. 6) Are you consuming excess stimulants, such as caffeine and nicotine? These are hardly helpful for panic. I don’t drink coffee at all. I have eliminated soft drinks from my diet at the moment. I won’t say that I will never ever have another soft drink. I did drink exactly one once of liquor last night before going to bed because I was so restless. I do not drink regularly. It was the 1st drink I have had in about 2 months and it is always a carefully measured one once volume of liquor. You are telling us very little about your anxiety disorder. I don’t even know if you’re seeing a doctor. You don’t tell us enough. Of course, you need to tell a doctor first and foremost, but here you don’t tell us much of anything. Please check into a hospital if you’re not seeing a doctor right now. If you are, can you call him or her and state what you are going through so that your medication can be adjusted? I have a PCP. I have been seeing him most of my adult life. He is fully aware of my PD. I have also seen two shrinks over the years. I saw one for almost 6 years w/o interruption. He 1st prescribed xanax to me. Thanks for your concern Marie. — Carl

Response:

Carl, I haven’t heard of any, but the people who work in research and development are still employed, so they may be working on one, or possibly a drug that works in a different way.  I think it would be a good project (for you) to visit www.phizer.com  or www.lilly.com  and send them an e-mail to inquire what they’re doing.  While you’re there, read the site, the history, the financial stuff, this may take your focus away from your symptoms. Could you tell me what your entire medication list is? G

– Hide quoted text — Show quoted text – …for treating severe anxiety, phobias, and panic. Just curious that’s all. I wish I could invent something to end this suffering once and for all. — Carl

Response:

Thanks for the response Gary. I am now taking 1MG of klonopin daily (.5MG BID) and I also take 20MG prilosec (QD)……hth. I also drop the 1MG to .5MG QD when the stress is not overwhelming. — Carl

– Hide quoted text — Show quoted text – Carl, I haven’t heard of any, but the people who work in research and development are still employed, so they may be working on one, or possibly a drug that works in a different way.  I think it would be a good project (for you) to visit www.phizer.com  or www.lilly.com  and send them an e-mail to inquire what they’re doing.  While you’re there, read the site, the history, the financial stuff, this may take your focus away from your symptoms. Could you tell me what your entire medication list is? G …for treating severe anxiety, phobias, and panic. Just curious that’s all. I wish I could invent something to end this suffering once and for all. — Carl

Response:

…for treating severe anxiety, phobias, and panic. Just curious that’s all. I wish I could invent something to end this suffering once and for all. — Carl

Response:

…for treating severe anxiety, phobias, and panic. Just curious that’s all. I wish I could invent something to end this suffering once and for all.

Carl, I have a few questions, just out of curiosity. Of course, you don’t have to answer them: 1) Are you taking any anti-anxiety medication right now, such as Xanax, Ativan, or Klonopin? 2) If so, are you taking an amount that is appropriate for your needs, and is the medication helping you to relieve symptoms of anxiety? 3) Are you exercising to relieve muscle tension? Are there stressors in your life that you can reduce? 4) Have you had a full medical workup to rule out medical causes? You may have hyperthyroidism, for example, which mimics panic disorder in many ways; or you may have another medical condition that can aggravate anxiety or even cause it. 5) Have you looked at the possibility that you may have food allergies that are releasing adrenaline and cortisol non-stop, making you panicky?  I know that if I ingest chocolate, eggs, or dairy, my depression and anxiety goes through the roof. A quick Benadryl takes care of the symptoms, but eliminating the allergens is the best way to do it. 6) Are you consuming excess stimulants, such as caffeine and nicotine? These are hardly helpful for panic. You are telling us very little about your anxiety disorder. I don’t even know if you’re seeing a doctor. You don’t tell us enough. Of course, you need to tell a doctor first and foremost, but here you don’t tell us much of anything. Please check into a hospital if you’re not seeing a doctor right now. If you are, can you call him or her and state what you are going through so that your medication can be adjusted?

Response:

Question:

Hello, and welcome, Phillip, I’m pleased that you have found a med that helps you, I have very personal knowledge of anxiety attacks, not panic attacks. But both are horrid, from what I’ve heard of panic attacks. And I don’t imagine that they are that terribly different in terms of symptoms. First off, I hope that you aren’t terribly put off by the crazy stuff don’t know who else might have been, but it looked to me like it was mostly some trolls and Steve. Steve’s a good man but he doesn’t believe in meds. That’s his choice.

 A good man? Boy your veggies must be kick in it. Your a good woman too and its extremely difficult to get past a bad family and I didn’t mean to suggest what i said about going out is easy. I was comparing my anxiety with any anxiety. They are both important. Unlike allot of people here though, I think talking and doing is better then taking meds. This might not be true for borderline or depression , but for me , with anxiety its true. I wish you much luck. What helped for me, is what I have said in the past. The next time you feel anxious, try to visualize what its like to be in a nursing home and never have done the things you wanted because of this anxiety. Panic is a different story for me. I literally have to run to physically calm myself down to get over high bridges and amazingly it worked. Two suggestions for you. – Hide quoted text — Show quoted text –

Response:

Hello, and welcome, Phillip, I’m pleased that you have found a med that helps you, I have very personal knowledge of anxiety attacks, not panic attacks. But both are horrid, from what I’ve heard of panic attacks. And I don’t imagine that they are that terribly different in terms of symptoms. First off, I hope that you aren’t terribly put off by the crazy stuff don’t know who else might have been, but it looked to me like it was mostly some trolls and Steve. Steve’s a good man but he doesn’t believe in meds. That’s his choice. I’m glad that Gary posted to you, when I read your post here, I thought, "Oh, I remember that feeling from my first days on Xanax…." I felt that it was a magic cure. It is an extremely useful medication, and can do wonders in getting you back out into the world, facing your fears. Panic can immobilize you, and it sounds like that was where you were. I use meds for my anxiety and depression, and I don’t mind if I always have to. I’m not med-phobic. But I also work daily on exposing myself to my feared situations, so that I might one day overcome my fears. I’ve overcome some, some hang on. It’s a hard situation for me…..it seems like I’ve been battling this forever. But what can one do but keep on working away at getting better? You will find, I think, that meds combined with the sort of personal work that Gary described is probably the most effective treatment for your disorder. He mentioned a couple of good books, I like Claire Weekes very much, and if you are burned out from panic attacks, she makes sure she is easy to read and understand. Meryl posted a list of good books, if you click on ’show options" next to her name on any post she has made, click then on "find messages by this author" you will find the post listing all of the books she recommends. I’m glad you found this group, Phillip, and hope you stay around, Take care, Sharon

Response:

Panic can immobilize you, and it sounds like that was where you were.

even tho you don’t suffer from panic attacks, seems you have a grasp on’em… the feeling of impending doom is so overwhelming…. a walk in the park, a simple conversation, a handshake, a family gathering, anything fun…. becomes the hell of that which is inexplicable, unfathomable… and SO personal, not to be shared, it’s almost a feeling of complete "abandonment" from reality. i sometimes thought when i was panic ridden…. "this is what if feels like to die"… alone, (yet among friends and loved ones),  desperate, and not desperate, (the sensation doesn’t dictate that rationale), the knowlege i’m exiting this world with the world around me carrying on, business as usual, the voices around me amplified, specific ones taking precedence,  the inability to discern whose suffering it is (mine, or the people around me now that love me than i can’t possibly relate to at this moment in time), the fear i’ll be "found out", as i KNOW in my head this isn’t real, my physical being unable to follow my head, the unimportance of everything deemed important on a usual day… the silence of anger, hostility, regret, angst, hatred, etc… the importance of nothing feasible, (when life has taught me the importance of many things i’m experiencing SHOULD be important), the inability to know what to do, where to go, to sit, to stand, to talk, to breathe, to walk, to stop, to go, to …. anything…. the world stops in it’s tracks, and that 5-15 minute experience is a lifetime that has just past before my mental eyes….. the fear, not even fear…. it’s so much greater or maybe not as great (who knows) as the fear i’ve come to know and… nothing…. nothing… is real.  the exhilaration of coming out of this "feeling of dying", unscathed, on the other side, a breathless moment. nothing can compare. nobody’s even wrote’ah song about it. i think i maybe overdid that’n, not in my eyes, but in others?  i’m sure it was overly dramatic…. so be it.  But I also work daily on exposing myself to my feared situations,

a HUGE key to managment, well said. so that I might one day overcome my fears.

amen. I’ve overcome some, some hang on. It’s a hard situation for me…..it seems like I’ve been battling this forever. But what can one do but keep on working away at getting better?

therein lies tha only answer i’ve found.  maybe there’s another.  i dunno. I’m glad you found this group, Phillip, and hope you stay around,

yeah, Phillip.. i agree… c’mon’n suffer with tha rest of us… YOU AIN’T EXEMPT.. YOU ain’t gettin’ out easy !!!!!!!  LOL SIT’AH SPELL ! you’ll overcome yer misery long enuff ta have’ah choklit martini with us’n say "WOW !  at least i ain’t alone." then? back to tha drawin’ board… (of managability, which the meds have opened tha door to)… trust me. you WILL fall into ease via the medication, then you’ll be all about doin’ tha work necessary to flippantly ::kick:: panic attacks, you’ll never be in control, but empowered. life will be good. <kissssssssssez ~t

Response:

Glad you are feeling better today!  Like you, i tried many different things before xanax.  breathing, mediation, vitamins and herbs and the xanax after losing my grandfather on November 28 and my grandmother on January 4 was the last straw for me as far as my sanity and anxiety were concerened.  I’m sure it was a very hard decision for you also to take that step towards meds.  I’m glad you did, you are definately in the right direction.  I have no intention of solely relying on meds.  I am intentionally taking a low dose – no more than a milligram a day so i can use it as a tool only.  I’ve started counseling and if that doesn’t work i have also found a very affordable phsyciatrist and have taken every chance to get out and do something as much as possible to hopefully overcome this someday or learning to control it and would love not to take this and be able to go back to vitamins and herbal supplements.  Everyone has given you great advice!  Hope all works out for you. Angela – Hide quoted text — Show quoted text – hello everyone,  Xanax is a wonder drug. Its completly wipes out panic attacks.Stops it in its tracks. I have tired: breathing, meditation, you name it tried it. Iam not saying everyone should go on drugs, but for me nothing else works..  A panic attack is one of the most gut wrenching thing I have ever been     Phillip

Response:

after losing my grandfather on November 28 and my grandmother on January 4 was the last straw for me as far as my sanity and anxiety were concerened.

a "like’ situation motivated my panic attacks, resulting in panic disorder, i lost my Brother and BAM !  there i was without’an operative brain cell left ta rely on as far as "power" in my life.  I have no intention of solely relying on meds.

perzackly, and the meds can take you where you need to be once you get on a "level of comfort"…. they ya can take it from there. I am intentionally taking a low dose – no more than a milligram a day so

as am i, i started out with 8 mgs… down ta one, sometimes 2 these days, but those are rare occassions.  so that pretty much proves that there’s NOT a tolerence level that is need of concern. i can use it as a tool only.

amen.  I’ve started counseling and if that doesn’t work

(just kiddin’) oh, don’t ferget that sense’ah humor, Phillip… it’ll getcha thru life with’ah skatin’ ease :) ~tanya

Response:

hello everyone,  Xanax is a wonder drug. Its completly wipes out panic attacks.Stops it in its tracks. I have tired: breathing, meditation, you name it tried it. Iam not saying everyone should go on drugs, but for me nothing else works..  A panic attack is one of the most gut wrenching thing I have ever been     Phillip

Response:

hello everyone,  Xanax is a wonder drug. Its completly wipes out panic attacks.Stops it in its tracks. I have tired: breathing, meditation, you name it tried it. Iam not saying everyone should go on drugs, but for me nothing else works..

AMEN!  i’ve said it many times in here, Phillip, but after suffering tons of panic attacks, i found an old doctor in his office (i saw him thru his window at about 7 or 8 pm new years eve 8 years ago) and after going to 3 doctors that day and NObody helping me, he prescribed 30 .5 mg xanax for me, subsequent to me merely walking in his office, desperate…. i took one and said …"SIGN ME THA FUCK UPPPPPP ! " he died, he was in his 80’s when i met him about 2 blocks from my shop that evening, we became friends. i brought him lunch ever so often, and we just sat’n talked, i told him many times how much he helped me, but his humility didn’t dictate gettin’ "all about that"…. and his legacy lives on… (R.I.P.)  A panic attack is one of the most gut wrenching thing I have ever been

unless ya been there, the ride is inexplicable. i’m so glad you discovered relief. ~tanya

Response:

Hi Phillip:  I’m glad you went to get some treatment for yourself.  Consider using the time (after a few weeks of "mental rest" have passed) that you’re being medicated to possibly venture out and expand your life a little bit – do some new and different thing.  Maybe go swimming at the city aquatic center, or volunteer doing something that has meaning to you, or learn how to do some hobby like photography, or whatever – it really doesn’t matter. A lot of times just doing anything to "get out of your head" (avoiding thinking and obsessing about what is stressful to you) will make you get a lot better.  No, you do not have to stay on Xanax for the rest of your life; the severity of the underlying disorder and the amount of effort you put into getting less "nervously ill" will determine how low you can go on the meds.  For some it’s Zero, for others it’s not (severity of underlying illness is unfortunately sometimes really bad – although I believe you can always effect SOME improvement…). Try to focus on positive, eat well, make sure to get a full complement of B vitamins in your diet.  Read "Hope and Help for your Nerves" by Claire Weeks (amazon.com)  and "Feeling Good, The New Mood Therapy" by David Burns.  You have an enormous amount of control over things, even if it doesn’t seem that way right now, and you have an amazing capacity to heal, as all humans do; it’s one of our main strengths.  Go outside and do some activity if you can, like walk for 15 minutes, or whatever is reasonable and will work for you – walking can be an amazing anxiety reducer. Also remember, symptoms are just symptoms, don’t give them too much power over your thinking process or it ends up turning into that vicious cycle of panic that we all know so well. You must have been very anxious, most people don’t start right out taking 4 mgs of Xanax a day.  My reason for posting to you is to urge you to do other things besides just rely on medicine alone.  Make sure to get some therapy. Discuss cognitive-behavioral therapy with your doctor and see if you can get that going on, if it’s not already. I hope you continue to get better, Gary

– Hide quoted text — Show quoted text – hello everyone, Xanax is a wonder drug. Its completly wipes out panic attacks.Stops it in its tracks. I have tired: breathing, meditation, you name it tried it. Iam not saying everyone should go on drugs, but for me nothing else works.. A panic attack is one of the most gut wrenching thing I have ever been Phillip

Response:

Question:

I just took the (rather simplistic) GAD diagnosis screening quiz at about.com, and it raised an issue about my problems specifically and diagnostic accuracy in general. There is definitely something wrong with my brain and I’ve had it since I was a small child.  I get a lot of relief from an antidepressant (phenelzine), a take-as-needed benzo (Klonopin), and sleep aids like Ambien (probably largely to counteract side effects of the phenelzine, but I have always had some insomnia).  I also have a mild case of OCD and a few other symptoms.  I have occasional panic attacks, especially if I go shopping for too long. Yet, I don’t really worry about things.  I’m not a worrier at all, and specific problems roll off my back.  Even though my disorder is fairly serious — most days, I don’t even leave the house —  I don’t score that high on "GAD" screening tests.  And although I get sick to my stomach if I have to go to a dinner party, if I am walking my dog and see new neighbors working in their yard, I have no problem at all walking up to him and introducing myself, having a conversation etc. My wife, who loves to go to parties, is embarrassed about me doing this. So, do I have a serious social anxiety?  I think so.  Do I have serious GAD.  Again, I’d say I do.   My theory is that this kind of problem is caused by a physical abnormality in the limbus systerm, or at least some part of the brain other than the cerebral cortex.  Neurologists were initially amazed at the bizarre symptoms that could be cause by injury or lack of development of a specific location of the cerebral cortex.  But the c.cortex is comparatively easy to map, since it is largely two-dimensional, is so thin (a couple of millimeters), and is on the extreme outside of the brain. Well, sorry for rambling.  Maybe in two hundred years the science community will be able to diagnose our conditions with complete accuracy (Dr. Hyde, your patient has an underformed grey cell area at location M1665.33578-38920 of his amygdala), and perhaps even cure us. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Good job, Deirdre.  I bet your mom appreciates all you do for her. smiles, Elise

– Hide quoted text — Show quoted text – I just took the (rather simplistic) GAD diagnosis screening quiz at about.com, and it raised an issue about my problems specifically and diagnostic accuracy in general. There is definitely something wrong with my brain and I’ve had it since I was a small child.  I get a lot of relief from an antidepressant (phenelzine), a take-as-needed benzo (Klonopin), and sleep aids like Ambien (probably largely to counteract side effects of the phenelzine, but I have always had some insomnia).  I also have a mild case of OCD and a few other symptoms.  I have occasional panic attacks, especially if I go shopping for too long. Yet, I don’t really worry about things.  I’m not a worrier at all, and specific problems roll off my back.  Even though my disorder is fairly serious — most days, I don’t even leave the house —  I don’t score that high on "GAD" screening tests.  And although I get sick to my stomach if I have to go to a dinner party, if I am walking my dog and see new neighbors working in their yard, I have no problem at all walking up to him and introducing myself, having a conversation etc. My wife, who loves to go to parties, is embarrassed about me doing this. So, do I have a serious social anxiety?  I think so.  Do I have serious GAD.  Again, I’d say I do. My theory is that this kind of problem is caused by a physical abnormality in the limbus systerm, or at least some part of the brain other than the cerebral cortex.  Neurologists were initially amazed at the bizarre symptoms that could be cause by injury or lack of development of a specific location of the cerebral cortex.  But the c.cortex is comparatively easy to map, since it is largely two-dimensional, is so thin (a couple of millimeters), and is on the extreme outside of the brain. Well, sorry for rambling.  Maybe in two hundred years the science community will be able to diagnose our conditions with complete accuracy (Dr. Hyde, your patient has an underformed grey cell area at location M1665.33578-38920 of his amygdala), and perhaps even cure us. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please

bring me some coffee."         — Abraham Lincoln — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Question:

Hi Philip, Believe me, I’ve tried about every SSRI and SNRI in the book. SSRI’s scare the hell out of me because they instigate anxiety in me rather than cure it and SNRI’s like Effexor don’t do diddly scatt.

Hi Maria, Tono here. I went through the same scenario, most everything I tried either made my anxiety worse or I only got the side effects and no benefits. The only ‘cure all’ med I’ve hit was Amitryptiline (a tricyclic called Tryptizol over here). It was great for sleep, anxiety and depression.

I too finally found help with a TCA but mine is Nortriptyline (it was the first one I tried).  When I say it helped me, I mean with depression.  It didn’t touch the anxiety. Until I mysteriously developped the Sjogren Syndrom (extreme – and I mean sand grinding extreme – dry mouth and eyes leading to all sorts of complications), so unfortunately this perfect pill is out of reach for me (just when I thought I had the problem fixed).

I can’t help but wonder if a different TCA might work better for you? That must have been awful to find a med that works, then the side effects kept you from continuing it’s use.  :-( The difficulty is that most AD excruciate dry mouth. End of story. Hence the different approach.

I do get an extremely dry mouth at times, but I try to always have water nearby (in the car).  I hope it doesn’t end up like yours. – Hide quoted text — Show quoted text – I agree with you, Seroquel is not usually the first choice. But because of the ‘dryness’ my p-doc had to go off-label (I’m not psychotic). She decided to try this route because I do not only have GAD/Dysthymia (depression) but also severe insomnia. She knew from experience Seroquel is good for dampening fear and great for sleep. She absolutely hit the mark spot on there. But Seroquel doesn’t do a chicken shit for depression. So hence the augmentation with Wellbutrin. Maybe Klonopin (what’s that indicated for BTW??) is a good anxiolitic as well, but does it induce dry mouth….?? The p-doc never mentioned this option. And Xanax? Are you crazy? Just read the reports of people trying to quit this stuff…. It’s like trying to quit heroine cold turkey. I don’t want it near me. For emergencies I also have Ativan on hand but I’m trying to minimalise it’s use. Already feel like a walking pill box some days…

Ativan and Klonopin are in the same class as Xanax.  There are lot’s of horror stories out there about "benzo’s" as they are called, but if you don’t, or never had a problem with drug abuse (including alcohol), then the chance of a problem is very slim.  And if you aren’t currently abusing your Ativan, then I’d venture to say you would be quite safe with xanax also.  I am a recovering alcoholic and most Dr.’s say no benzo’s for me, but I do take klonopin and have Ativan for really bad times.  As for all the Dr.’s that said I’d abuse benzo’s, I’ve proved them wrong for almost 4 years now.  I don’t take the ativan very often, and even though my Dr. continues to write a new prescription for it along with my other meds, I simply don’t get it filled.  It’s been over 6 months since I had the Ativan filled and I still have enough to get me through a month or two of taking it.  To some Dr.s I must be a freak of nature! :-)  Imagine an alcoholic who doesn’t abuse his benzo’s!  It’s *impossible*!!! I wish you heaps of sunshine and tons of smiles!

Thanks, the sunshine finally came today!  Wishing you the same! Tono — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Vic, Hope you don’t mind me trying to trace you like this, but I want to respond to one of your topics posted some months ago. Your wrote you were given Wellbutrin and Seroquel to combat depression. I’m on the same regime…. only trouble is, Wellbutrin induces great anxiety in me. Been on the stuff for 34 days now and still no let up. Presently I’m on 100 mgs of Seroquel (and 150 mgs Wellbutrin), but the anxiety doesn’t abide… Oh God, how I’d wish the side effects would fade! Are you still on this combo? Is it working for you? Did you have fear as a side effect too? Feel free to answer these questions. I wish you all the best and heaps of sunshine! Maria — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Dear Maria, It is not working for me at this moment but it doesn’t mean it won’t work for you.  I just seem to be immune to AD’s in general.  Good luck to you. Take care, Vicki

– Hide quoted text — Show quoted text – Hi Vic, Hope you don’t mind me trying to trace you like this, but I want to respond to one of your topics posted some months ago. Your wrote you were given Wellbutrin and Seroquel to combat depression. I’m on the same regime…. only trouble is, Wellbutrin induces great anxiety in me. Been on the stuff for 34 days now and still no let up. Presently I’m on 100 mgs of Seroquel (and 150 mgs Wellbutrin), but the anxiety doesn’t abide… Oh God, how I’d wish the side effects would fade! Are you still on this combo? Is it working for you? Did you have fear as a side effect too? Feel free to answer these questions. I wish you all the best and heaps of sunshine! Maria — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

<gently snipped ::Been on the stuff for 34 days now and still no let up. Dear Maria, If in a few more days you are still feeling this badly, you need to call your doctor and tell him. Many people with anxiety disorders cannot tolerate the stimulating effect of wellbutrin. Thirty four days is a very long time to suffer this much. I hope you feel better soon. Jackie ~*~You think you know who you are. You have no idea~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Dear Jackie, I think you are absolutely right. It’s gone on long enough. So last night I bit the Wellbutrin in half…. and lo and behold, already felt a little better today. Also, the effect of Seroquel seems stronger already. See how this combo goes for a few days… Thanks for your advice and support! Maria Jacqueline schreef: – Hide quoted text — Show quoted text – <gently snipped ::Been on the stuff for 34 days now and still no let up. Dear Maria, If in a few more days you are still feeling this badly, you need to call your doctor and tell him. Many people with anxiety disorders cannot tolerate the stimulating effect of wellbutrin. Thirty four days is a very long time to suffer this much. I hope you feel better soon. Jackie ~*~You think you know who you are. You have no idea~*~ — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Maria, Wishing you much success with lowering the Wellbutrin. smiles, Elise

– Hide quoted text — Show quoted text – Dear Jackie, I think you are absolutely right. It’s gone on long enough. So last night I bit the Wellbutrin in half…. and lo and behold, already felt a little better today. Also, the effect of Seroquel seems stronger already. See how this combo goes for a few days… Thanks for your advice and support! Maria Jacqueline schreef: <gently snipped ::Been on the stuff for 34 days now and still no let up. Dear Maria, If in a few more days you are still feeling this badly, you need to call your doctor and tell him. Many people with anxiety disorders cannot tolerate the stimulating effect of wellbutrin. Thirty four days is a very long time to suffer this much. I hope you feel better soon. Jackie ~*~You think you know who you are. You have no idea~*~ — The charter is available at: http://readystump.algebra.com/~asapm — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Hi Philip, Believe me, I’ve tried about every SSRI and SNRI in the book. SSRI’s scare the hell out of me because they instigate anxiety in me rather than cure it and SNRI’s like Effexor don’t do diddly scatt. The only ‘cure all’ med I’ve hit was Amitryptiline (a tricyclic called Tryptizol over here). It was great for sleep, anxiety and depression. Until I mysteriously developped the Sjogren Syndrom (extreme – and I mean sand grinding extreme – dry mouth and eyes leading to all sorts of complications), so unfortunately this perfect pill is out of reach for me (just when I thought I had the problem fixed). The difficulty is that most AD excruciate dry mouth. End of story. Hence the different approach. I agree with you, Seroquel is not usually the first choice. But because of the ‘dryness’ my p-doc had to go off-label (I’m not psychotic). She decided to try this route because I do not only have GAD/Dysthymia (depression) but also severe insomnia. She knew from experience Seroquel is good for dampening fear and great for sleep. She absolutely hit the mark spot on there. But Seroquel doesn’t do a chicken shit for depression. So hence the augmentation with Wellbutrin. Maybe Klonopin (what’s that indicated for BTW??) is a good anxiolitic as well, but does it induce dry mouth….?? The p-doc never mentioned this option.

The doc probably didn’t mention it cause he’s afraid to use benzodiazepines. Especially if you live in England. As our resident psychiatrist Margrove said, to use an antipsychotic for anxiety is like driving a nail with a sledge hammer. Maria, I’ve been on Klonopin for 18 years for panic disorder. It’s a benzodiazepine as is Xanax. I’ve never abused either med, and most people taking benzos for anxiety don’t abuse them. Klonopin blocks my panic attacks and lowers my overall anxiety level. And Xanax? Are you crazy? Just read the reports of people trying to quit this stuff…. It’s like trying to quit heroine cold turkey. I don’t want it near me.

I switched from Xanax to an equivalent dose of Klonopin 18 years ago during the course of one day and had no difficulty. In fact, I couldn’t even notice any change at all. I still take an occasional Xanax as needed for anxiety provoking situations like driving over a bridge. Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Philip, Believe me, I’ve tried about every SSRI and SNRI in the book. SSRI’s scare the hell out of me because they instigate anxiety in me rather than cure it and SNRI’s like Effexor don’t do diddly scatt. The only ‘cure all’ med I’ve hit was Amitryptiline (a tricyclic called Tryptizol over here). It was great for sleep, anxiety and depression. Until I mysteriously developped the Sjogren Syndrom (extreme – and I mean sand grinding extreme – dry mouth and eyes leading to all sorts of complications), so unfortunately this perfect pill is out of reach for me (just when I thought I had the problem fixed). The difficulty is that most AD excruciate dry mouth. End of story. Hence the different approach. I agree with you, Seroquel is not usually the first choice. But because of the ‘dryness’ my p-doc had to go off-label (I’m not psychotic). She decided to try this route because I do not only have GAD/Dysthymia (depression) but also severe insomnia. She knew from experience Seroquel is good for dampening fear and great for sleep. She absolutely hit the mark spot on there. But Seroquel doesn’t do a chicken shit for depression. So hence the augmentation with Wellbutrin. Maybe Klonopin (what’s that indicated for BTW??) is a good anxiolitic as well, but does it induce dry mouth….?? The p-doc never mentioned this option. And Xanax? Are you crazy? Just read the reports of people trying to quit this stuff…. It’s like trying to quit heroine cold turkey. I don’t want it near me. For emergencies I also have Ativan on hand but I’m trying to minimalise it’s use. Already feel like a walking pill box some days… Thanks for your advice none the same. I’ll keep you posted on my progress. I wish you heaps of sunshine and tons of smiles! Maria — The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – Hi, Maria, Wishing you much success with lowering the Wellbutrin. smiles, Elise It might be wise, however, to discuss med changes including dose changes with your doctor. Is he a GP or a pdoc? Why the Seroquel instead of just a benzo like Xanax XR or Klonopin with Xanax IR *as needed* on the side? If you have a dual diagnosis prescribing the Seroquel may be sensible but for a garden variety anxiety disorder antipsychotics are not first choice meds. Philip

**MONEY**  The Dr.’s are listening to the drug representatives and prescribing an anti psychotic that costs the consumer $3+ a day instead of a benzo that only costs a few cents a day. Tono — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, Maria, Wishing you much success with lowering the Wellbutrin. smiles, Elise

It might be wise, however, to discuss med changes including dose changes with your doctor. Is he a GP or a pdoc? Why the Seroquel instead of just a benzo like Xanax XR or Klonopin with Xanax IR *as needed* on the side? If you have a dual diagnosis prescribing the Seroquel may be sensible but for a garden variety anxiety disorder antipsychotics are not first choice meds. Philip – Hide quoted text — Show quoted text – Dear Jackie, I think you are absolutely right. It’s gone on long enough. So last night I bit the Wellbutrin in half…. and lo and behold, already felt a little better today. Also, the effect of Seroquel seems stronger already. See how this combo goes for a few days… Thanks for your advice and support! Maria Jacqueline schreef: <gently snipped ::Been on the stuff for 34 days now and still no let up. Dear Maria, If in a few more days you are still feeling this badly, you need to call your doctor and tell him. Many people with anxiety disorders cannot tolerate the stimulating effect of wellbutrin. Thirty four days is a very long time to suffer this much. I hope you feel better soon. Jackie ~*~You think you know who you are. You have no idea~*~ — The charter is available at: http://readystump.algebra.com/~asapm — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Question:

Actually anxiety disorders, plural. Specifically, I have a phobia of not falling asleep at night, and I have GAD-like worry attacks once in a blue moon. The fear of insomnia developed when I had sleepless nights during a respiratory infection. During those sleepless nights I felt intrusive thoughts enter my mind, and the intrusive thoughts (What if?) coupled with ongoing anxiety brought on by little sleep made my insomnia during those ten days a very unpleasurable experience. My brain never forgot it.

you could always mind-fuck yerself and be scared ta death ya might sleep.  maybe ya got’ah touch’ah OCD and bipolarity coupled with PD/PA/PMS’n LMNOP.  yer screwed.  you should never ever sleep.  PERIOD ! and don’t count sheep, all tha men made’em nervous’n they left tha buildin’… count yer blessins. ya sound cute, so that’s one. ~tanya

Response:

"If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln

whad’ah picky bitch dat boy was. i hope he left’ah penny for a tip. trivia:  is he facin’ right or left on that penny? ~tanya (so full-ah useful info it astounds even me.)

Response:

I’d kill for 6 hours sleep!! Si

amen, BRUTHAH MAN ! It denos’t mtater waht oredr the ltteers in a wrod are, it’s olny iprmoatnt taht the frist and lsat ltteer be at the rghit pclae.The rset can be a total mses and you can sitll raed it wouthit porbelm.Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the wrod as a wlohe.

well that just fucked up muh world. ~tanya

Response:

AFAIK

now huh??? AFAIK????  WTF ! two snaps up’n "A Fist And Icky Kiss"? hayyYYYYYyyyyyyy ~tanya

Response:

Underlying causes of stress and insomnia really MUST be addressed,

1313 mockingbird lane? You can spray air-freshener in a room all day long, but if you don’t empty the trash can, the smell just keeps coming back, and coming back.

omg, that’s funny.. i used ta say ta them football playin’ boys that never showered and stuck cologne on… "ya can’t spray Right Guard on’ah a turd’n ’spect it ta stop smellin’ like’ah turd." i didn’t date much. i never tested that theory, mind ya, but hey.  i can only guess we’s both right. ~tanya

Response:

I know I’m responding to an old post, but you share a few things in common with me. I ‘m always waking up in the middle of the night and it’s almost due to being hungry. I sleep good for the first 4 hours. Wake up, get something to eat and hop back to bed. I sleep for another two hours and feel groggy the next day. I usually have a full meal three hours before bedtime, then eat something just before bedtime. I don’t understand why I get hungry so easily. As for six hours, that isn’t too bad. I take a generic form of Klonopin on some nights (normally .25 or .5 mg) to reduce my bpm.

Response:

I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions. I was prescribed Klonopin mostly for sleep and nocturnal anxiety, which I take as follows: .5 mg sometime between 5-8 p.m., when my nocturnal anxiety starts building up, and 1 to 1.5 mg at 10 p.m., one hour before bedtime.

This is an unusual dosaging schedule for Klonopin.  Did your doctor recommend this?  Since you have other anxiety issues (mentioned in other posts), you might be better off taking 2 even doses 12 hours apart. Check with your doc. I also take 3 mg of fast-release melatonin and 2 mg of time release melatonin also at 10:00 p.m.

Too much melatonin, unless you’ve have the blood tests that prove you have a melatonin deficiency, something that seems unlikely based upon what you’ve said.  Recently published material speculates that too much supplemental melatonin can cause a down-regulation of the melatonin receptors, which can make both the supplemental and endogenous melatonin less effective. If you’re using 3mg IR tablets, cut them in quarters and take only one of those quarters, and scrap the timed release version for now. (yes, if sounds like only a tiny amount, but for most people 0.3 mg is the best dose – barring abnormal production levels). Give yourself several days to adjust to the new dosage level, then you can tinker in small increments to see what works best for you. The Klonopin and melatonin are topped with slices of whole wheat bread to help me with feeling sleepy–an combo effect that works quite well. At 11:00 p.m. I am usually sleepy enough to hit the sack.

You might try adding a touch of honey to the whole wheat bread to stimulate your trytophan production.  Works for some. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway.

There’s nothing unhealthy about sleeping only 6 hours for awhile; if your body really needs 8 hours, you’ll catch up. If you wake up after 6 hours, get up and start your day early.  Do housework, jog around the block, catch up on your reading, go to work early (flextime available?).  After a while your body will make your sleep/wake cycle adjust. When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat), I only get six. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have.

If work is suffering, take time off or go part-time for awhile; lingering fatigue after an illness is not unusual and your employer should grant you sick leave or some kind of reasonable accomodation.  Believe me, two weeks of less than your normal complement of sleep is not going to do you any lasting harm. I did it for almost 3 decades. Feedback much appreciated. Thanks.

About a couple of years ago we had a poster who had been awakened early several days in a row by an unexpected noise.  After that he developed anticipatory anxiety at bedtime, worrying about whether the noise would reoccur and he ended up not sleeping at night at all.  After trying some good sleep hygiene practices and just a little melatonin he was OK again. I read your other post about the need to desensitive yourself to your phobic fears.  Don’t overdo your concern about this.  Unless there are other issues impacting your fear of going to bed/not sleeping, this will work itself out as long as you don’t aggravate it. Relax and give yourself a chance to get back to a normal schedule. Fig

Response:

– Hide quoted text — Show quoted text -I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions. I was prescribed Klonopin mostly for sleep and nocturnal anxiety, which I take as follows: .5 mg sometime between 5-8 p.m., when my nocturnal anxiety starts building up, and 1 to 1.5 mg at 10 p.m., one hour before bedtime. I also take 3 mg of fast-release melatonin and 2 mg of time release melatonin also at 10:00 p.m. The Klonopin and melatonin are topped with slices of whole wheat bread to help me with feeling sleepy–an combo effect that works quite well. At 11:00 p.m. I am usually sleepy enough to hit the sack. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway. When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat), I only get six. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have. Feedback much appreciated. Thanks. Marie

I have the same problem.  The worst was when I had to take steroids for a sinus infection.  I got maybe 3 hours’ sleep per night.  I had the most horrible panic attack of my life during my MRI. Most of my problem is drug induced by anti-depression medication. I personally haven’t had much luck with melatonin, wheat bread, or even capsule l–tryptophan.    I’ve also tried walking as much as 5 miles in the daytime.  I’ve had some success with transcendental meditation but I had to do it for several weeks before it did any good. Klonopin should work if you hold the entire dose until just before bedtime, but it’s really not a good sleeping aid, especially if you are using it every day.  At least it’s not expensive.  Probably the best drugs are Lunesta or the new time-release Ambien, as neither is habit-forming, but they are pricey. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln

Response:

Klonopin should work if you hold the entire dose until just before bedtime, but it’s really not a good sleeping aid, especially if you are using it every day.

I hold off until early evening for that reason. I don’t have much anxiety during the day, and even a 0.5 mg pill will make me too drowsy during the day. No, KLonopin is really not for sleep; it’s to calm a person down so that they can sleep. Other problems can arise–a person can have his/her mind racing beause of a poor marriage, or financial pressures, or just an unsatisfied life, or even a lack of productive activities during the day. Probably the best drugs are Lunesta or the new time-release Ambien, as neither is habit-forming, but they are pricey.

I will ask my pdoc next time about sleep-onset meds. Melatonin is starting to wear off its effectiveness (maybe). I tried a Unisom last night to induce sleep and it got me a good seven hours. Sleep maintenance is not my problem now. Sleep onset lately has reaered its ugly head for a couple of days. Once I am asleep I don’t have problems staying asleep. Can one rotate sleep-onset meds, including OTC ones, to avoid tolerance issues. For example, how do you rotate Benadryl, Unisom, Sonata, melatonin, etc.? Daily or weekly?

Response:

– Hide quoted text — Show quoted text – Klonopin should work if you hold the entire dose until just before bedtime, but it’s really not a good sleeping aid, especially if you are using it every day. I hold off until early evening for that reason. I don’t have much anxiety during the day, and even a 0.5 mg pill will make me too drowsy during the day. No, KLonopin is really not for sleep; it’s to calm a person down so that they can sleep. Other problems can arise–a person can have his/her mind racing beause of a poor marriage, or financial pressures, or just an unsatisfied life, or even a lack of productive activities during the day. Probably the best drugs are Lunesta or the new time-release Ambien, as neither is habit-forming, but they are pricey. I will ask my pdoc next time about sleep-onset meds. Melatonin is starting to wear off its effectiveness (maybe). I tried a Unisom last night to induce sleep and it got me a good seven hours. Sleep maintenance is not my problem now. Sleep onset lately has reaered its ugly head for a couple of days. Once I am asleep I don’t have problems staying asleep. Can one rotate sleep-onset meds, including OTC ones, to avoid tolerance issues. For example, how do you rotate Benadryl, Unisom, Sonata, melatonin, etc.? Daily or weekly?

AFAIK you can take melatonin or l-tryptophan every night. Check the ingredients for Unisom and Benadryl.  You can build up so much tolerance that it won’t work at all, but that’s the only problem, again afaik. My pdoc won’t let me take Ambien but 5 times every 2 weeks, i.e. 2.5 times per week.  I think you can actually take it every night but the longest test has been 6 weeks, so my guy is cautious. Lunesta you can use every night on a long-term basis. I don’t know about tolerance but I don’t think it’s a big issue.  A Japanese drug company is coming out with a new drug in the next year that you can take every night. Klonopin you can rotate with anything except another benzo. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln

Response:

I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions.

BTW, if it makes you feel any better, I think I’ve gotten 6 hours sleep in the past *two* nights. I feel terrible.  I’ll hit the pills tonight. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln

Response:

BTW, if it makes you feel any better, I think I’ve gotten 6 hours sleep in the past *two* nights. I feel terrible.  I’ll hit the pills tonight. Mason Barge

Has anyone here tried Sonata? Sonata seems to be a good sleep onset med. Does tolerance develop quickly? Apparently, as I understand it here from this board, Ambien and Lunesta–and maybe even Restoril–are sleep maintenance meds.

Response:

Ambien, Sonata, Lunesta – these are all drugs that attach to a "sub-unit" of the GABA receptor complex, which I believe is referred to as the GABA-BZ receptor.  I’m not an expert on neuro-chemistry, however it’s my understanding that this part of the gaba receptor complex has largely to do with sleep, and less to do with anticonvulsant effects or muscle relaxation, which other parts of the gaba receptor are involved with.  Full-blown benzodiazepines attach to the entire complex, and thus cause not only sleep, but also the muscle relaxation/anticonvulsant thing.  I took Ambien for about a year, and never developed any tolerance to a ten mg. dose, and abruptly stopped the drug, and slept kind of poorly for a couple nights, and that was about it.  Sonata seems to work for a shorter period of time; I’ve found it most helpful to me if I have to go to bed, get some decent sleep, and get up in about 5 or 6  hours, as it does not seem to "last" much longer than that, for me personally. Using Benadryl, and other proprietary brands of diphenhydramine, essentially a sedating antihistamine will yield sleep, but the "architecture" of the sleep is compromised.  Stage 3 and 4 sleep, the deeper parts of the sleep cycle are essentially destroyed by this type of drug, so the person may have been "asleep" for 8 or 9 hours, but the quality of the sleep tends to be poor, leaving many with a feeling that they did not sleep "long enough".  I would not advocate the use of this type of drug for sleep, primarily for this reason.  Ambien and Sonata have not been shown to have a bad effect on the "sleep architecture", and are better choices, IMO, for that reason. Underlying causes of stress and insomnia really MUST be addressed, or this problem never really gets any better.  You can spray air-freshener in a room all day long, but if you don’t empty the trash can, the smell just keeps coming back, and coming back. Gary

– Hide quoted text — Show quoted text – BTW, if it makes you feel any better, I think I’ve gotten 6 hours sleep in the past *two* nights. I feel terrible.  I’ll hit the pills tonight. Mason Barge Has anyone here tried Sonata? Sonata seems to be a good sleep onset med. Does tolerance develop quickly? Apparently, as I understand it here from this board, Ambien and Lunesta–and maybe even Restoril–are sleep maintenance meds.

Response:

I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions.

NO !  you must be perfeck like us and never ask querschuns. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway.

yanno what they gave me in tha psych ward?  this is really funky shit, but hey… it worked… a dramamine and 2 extra strengh tylenols, and somehow that combo makes ya sleep. maybe they wuz jerkin’ muh chain, but it worked for all us nutz.  (with the exception of charles, tha homicidal maniac. only a ball-peen hammer firmly implanted in his haid would’ah worked.)  unfortunately, he had good reason not ta sleep, as he was goin’ to a state psych ward’n gettin’ lost in sum thorazine, i’m sure… but he had good reason ta be homicidal.  his uncle walked on his freshly poured CEEEEE-MENTTTT that mornin’n i think that’s justifiable homicide. (boy, could i go on’n on about ole charles… whadd’ah slice’ah heaven in this borin’ thang called life.) When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat),

i think if ya put turkey on that whole wheat’n drank sum milk it makes ya sleep.  (side effect:  ya wanna marry a guy named "Tom")  but hey. I only get six.

six ain’t enuff?   i’m happy ta get 6 hours in 3 days.  i think yer ahead’ah tha game and maybe quit puttin’ a ‘number’ on tha amount of hours ya sleep, maybe ya only need 6. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have.

6 hours is sum good stuff, i’m thinkin’.  but it ain’t about me… (i gotta convince me’ah that, but i can type it’n good faith) ~tanya

Response:

BTW, if it makes you feel any better, I think I’ve gotten 6 hours sleep in the past *two* nights. I feel terrible.  I’ll hit the pills tonight. Mason Barge Has anyone here tried Sonata? Sonata seems to be a good sleep onset med. Does tolerance develop quickly?

My experience with Ambien was that I needed more to do the trick affter taking it five times, then levelled off.  I don’t think you are supposed to develop tolerance in the long run. Mason Barge "If this is coffee, please bring me some tea.  If this is tea, please bring me some coffee."         — Abraham Lincoln

Response:

There is some cognitive distortion going on here.  You were sick (were) and obviously that would create fatigue.  Fatigue, while unpleasant, is not disastrous – the solution is to call in sick, re-nourish your body, and tune up any health issues that need tuning up. The answer to "what if I don’t sleep" is "I won’t sleep till later on". Your health is more important than your job, so it must take first priority, regardless of any other factors.  Millions and millions of people sleep six hours a day.  I’m inclined to think that the Klonopin might be causing you as much fatigue as you imagine your sleep deficit does.  Obviously I do not know that absolutely, but I think it’s worth considering, mostly by you. I would not want to be on that particular Klonopin schedule, preferring a more even blood level over the entire day, which would promote a more relaxed posture toward life in general – but that is just me.  The melatonin is probably helping you sleep (along with the bread) more than the Klonopin, if you’ve been on Klon for more than 3 or 4 weeks. Your problems with your spouse are likely enormously contributory, and the problem is likely to remain as long as those problems do.  You have previously described your marriage as "terrible", and you acknowledge that you know that your chronic stresses arise from this "situational anxiety". You asked, in a previous post if the "irritability" which his physical presence engendered was "unusual".  I’d say it’s sadly a norm for many, but is not normAL.  Are you willing to settle for this?  The answer you give me (if any) is unimportant, but the answer you give yourself is of inestimable importance.  Most angry/anxious people do not sleep well.  Sorry, I am very frank, but I do believe that without examining the underlying cause of a problem, discussing palliative strategy is of limited to no use.  I personally cure situational anxieties by leaving the situations whenever that is feasible, however that is not any sort of advice at all – I don’t know your whole situation – and even if I did, my advice would still be of limited value; it’s your show. You got physically sick, started having panic attacks, and got some Klonopin about a month ago (or so it appears, no exact dates cited).  Talk with your doctor about tricyclics (like amitriptyline) and their possible use in helping you move away from Klonopin if you are concerned about tolerance. Tolerance to the sedation from Klonopin will surely happen, but it will continue to reduce anxiety in almost everyone if it’s indicated for them. Obsession, panic and phobia are all fairly good responders to SSRI’s like Celexa and also tricyclic meds, which tend to be more sedating.  Your physician would know you best of course, but I offer these ideas merely as discussion topics for your next visit.  Hypnotics like Lunesta or Ambien can be helpful for some people. You had three nights of no sleep, and a few more nights of really bad sleep – but you were sick!  You have stopped caffeine, are exercising and those are good things, but I suspect you are a little fatigued by the whole combo. Consider a (solo) trip to a distant and fond relative’s house for about a week or two (or a close friend). YOUR HEALTH IS MORE IMPORTANT THAN ANY JOB, and I feel uniquely qualified to say that as of late.  I have two weeks left to go at my present bad job. How long will you have left to go in your present situation?  I submit that you have much more control over that amount of time than might presently be obvious. Gary

– Hide quoted text — Show quoted text -I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions. I was prescribed Klonopin mostly for sleep and nocturnal anxiety, which I take as follows: .5 mg sometime between 5-8 p.m., when my nocturnal anxiety starts building up, and 1 to 1.5 mg at 10 p.m., one hour before bedtime. I also take 3 mg of fast-release melatonin and 2 mg of time release melatonin also at 10:00 p.m. The Klonopin and melatonin are topped with slices of whole wheat bread to help me with feeling sleepy–an combo effect that works quite well. At 11:00 p.m. I am usually sleepy enough to hit the sack. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway. When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat), I only get six. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have. Feedback much appreciated. Thanks. Marie

Response:

Who diagnosed you? What were you diagnosed with?  < can’t be ‘anxiety disorders’

Actually anxiety disorders, plural. Specifically, I have a phobia of not falling asleep at night, and I have GAD-like worry attacks once in a blue moon. The fear of insomnia developed when I had sleepless nights during a respiratory infection. During those sleepless nights I felt intrusive thoughts enter my mind, and the intrusive thoughts (What if?) coupled with ongoing anxiety brought on by little sleep made my insomnia during those ten days a very unpleasurable experience. My brain never forgot it. OK, let’s call that ‘evening’ anxiety – because ‘nocturnal panic attacks’, for instance, WAKE one while sleeping.  I believe you’re saying that in the evening, your anxiety level increases – and was likely keeping you from  getting to sleep (or getting a good night’s sleep). Is that somewhere close?

Yes, the anticipatory anxiety builds up slowly over the night, until a couple of hours before bedtime–and wham!, I feel anxiety bordering on panic–unless of course I medicate. What thoughts are going on during this ‘build up’ of anxiety? Is it worry?  Is it worry about being able to get to sleep?

What if I don’t go to sleep? What if the meds don’t help me sleep? If I don’t sleep, I will have intrusive thoughts that I won’t be able to stop–worry thoughts that will make me respond with anxiety and a feeling of a loss of control. I also had two nocturnal panic attacks before the respiratory infection and that also contributes to the anticipatory anxiety build-up, but less strongly. One fellow recommended that I desensitize myself by allowing the phobia to take its course, and the thoughts to go on and on. However, a loss of sleep via flooding will weaken my body further and produce more anxiety. Flooding is not the answer. Flooding is why my mother had agoraphobia for two years–she was going "full blown" out of the house and constantly resensitizing herself. Only after systematic desensitization did she finally control her anxiety. But how do you desensitize yourself to a phobia where non-medicating will result in flooding and resensitization? This is one hard phobia for desensitization.

Response:

- Hide quoted text — Show quoted text – Who diagnosed you? What were you diagnosed with?  < can’t be ‘anxiety disorders’ Actually anxiety disorders, plural. Specifically, I have a phobia of not falling asleep at night, and I have GAD-like worry attacks once in a blue moon. The fear of insomnia developed when I had sleepless nights during a respiratory infection. During those sleepless nights I felt intrusive thoughts enter my mind, and the intrusive thoughts (What if?) coupled with ongoing anxiety brought on by little sleep made my insomnia during those ten days a very unpleasurable experience. My brain never forgot it. OK, let’s call that ‘evening’ anxiety – because ‘nocturnal panic attacks’, for instance, WAKE one while sleeping.  I believe you’re saying that in the evening, your anxiety level increases – and was likely keeping you from  getting to sleep (or getting a good night’s sleep). Is that somewhere close? Yes, the anticipatory anxiety builds up slowly over the night, until a couple of hours before bedtime–and wham!, I feel anxiety bordering on panic–unless of course I medicate. What thoughts are going on during this ‘build up’ of anxiety? Is it worry?  Is it worry about being able to get to sleep? What if I don’t go to sleep? What if the meds don’t help me sleep? If I don’t sleep, I will have intrusive thoughts that I won’t be able to stop–worry thoughts that will make me respond with anxiety and a feeling of a loss of control. I also had two nocturnal panic attacks before the respiratory infection and that also contributes to the anticipatory anxiety build-up, but less strongly. One fellow recommended that I desensitize myself by allowing the phobia to take its course, and the thoughts to go on and on. However, a loss of sleep via flooding will weaken my body further and produce more anxiety. Flooding is not the answer. Flooding is why my mother had agoraphobia for two years–she was going "full blown" out of the house and constantly resensitizing herself. Only after systematic desensitization did she finally control her anxiety. But how do you desensitize yourself to a phobia where non-medicating will result in flooding and resensitization? This is one hard phobia for desensitization.

Do you ever just say  -  so I won’t sleep tonight, and pick up a good book  ? If the fear of not sleeping is the monster, then look it in the eye and say,  ok I’m not afraid.   So what if I never sleep again.   I’m getting on with things. You will sleep eventually, and it seems that you really need to break the pattern of  sleeplessness bringing on fears. You won’t die if you miss a night or two of sleep. And chances are, if you just do something else that engages your mind fully, you’ll become sleepy in the absence of your usual thoughts. What’s the worst that you imagine will happen if you don’t sleep. I’ll bet that’s where the root is.

Response:

I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions. I was prescribed Klonopin mostly for sleep and nocturnal anxiety, which I take as follows: .5 mg sometime between 5-8 p.m., when my nocturnal anxiety starts building up, and 1 to 1.5 mg at 10 p.m., one hour before bedtime. I also take 3 mg of fast-release melatonin and 2 mg of time release melatonin also at 10:00 p.m. The Klonopin and melatonin are topped with slices of whole wheat bread to help me with feeling sleepy–an combo effect that works quite well. At 11:00 p.m. I am usually sleepy enough to hit the sack. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway. When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat), I only get six. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have. Feedback much appreciated. Thanks. Marie

Response:

I’d kill for 6 hours sleep!! Si — It denos’t mtater waht oredr the ltteers in a wrod are, it’s olny iprmoatnt taht the frist and lsat ltteer be at the rghit pclae.The rset can be a total mses and you can sitll raed it wouthit porbelm.Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the wrod as a wlohe.

– Hide quoted text — Show quoted text -I am new to this, having developed anxiety disorders only three months ago. Please bear with my newbie questions. I was prescribed Klonopin mostly for sleep and nocturnal anxiety, which I take as follows: .5 mg sometime between 5-8 p.m., when my nocturnal anxiety starts building up, and 1 to 1.5 mg at 10 p.m., one hour before bedtime. I also take 3 mg of fast-release melatonin and 2 mg of time release melatonin also at 10:00 p.m. The Klonopin and melatonin are topped with slices of whole wheat bread to help me with feeling sleepy–an combo effect that works quite well. At 11:00 p.m. I am usually sleepy enough to hit the sack. However, I wake up after six hours of sleep on average and find that I can’t go back to sleep unless I eat more whole wheat and wait about two hours to get sleepy again. My work schedule, however, won’t afford this and I don’t want to screw up my body clock anyway. When I first started Klonopin, I slept a full eight hours. Now with this combo (melatonin, Klonopin, and whole wheat), I only get six. Granted, the first week of Klonopin was after a whole week of extreme fatigue induced by a respiratory infection–that may have led to the 8 hours of sleep. Nevertheless, two weeks of only six hours sleep is leaving me too fatigued and edgy and unable to perform well at a physically demanding job that I have. Feedback much appreciated. Thanks. Marie

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Question:

Hey my name is Andre and I have been suffering from moderate to  heavy anxiety for about three years.   I am an 18 year old student,  I do not work, but I do go to college full time.  I was in fact addicted to crystal meth for a little more then 2 years, and I am not sure that caused the anxiety but It sure trigged a lot of it once I stopped. Since then I have been drug free (besides marijuana and tobacco), but I have been overridden with anxiety.  nervousness, shakiness, and sometimes difficulty breathing are symptoms I suffer at least once a day.  I am not sure what it is from., but I am about tired of it.  I schedualed an appointment with my doctor later this month so I can get his opinion.  From what I’ve been told, they can help but medication does not cure anxiety.  What I am worried about is if I start taking it, I will become dependent on it.  I am already dependent on nicotine and I’d rather not be a slave to some benzo.   Well, I am up for anything as long as it helps, any advice is appreciated — The charter is available at: http://readystump.algebra.com/~asapm

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Hi Andre. There is no simple answer to whether you should take medication. Best thing is to consult your doctor, explain your previous and current dependencies and your fears regarding taking medication and he/she should be able to advise you as to the course to take. There are alternatives to medication such as Cognitive Behavioural Therapy and there are techniques you can use to control and minimize the anxiety, such as breathing and muscle relaxation exercises, meditation, mental distraction, all of which can be taught via a qualified psychologist/psychiatrist, and details of which can be found elsewhere on this forum or by doing a search online. The reason there is no simple answer to your question is that everyone’s condition is individual and not everything works for everyone. Some require meds, some require therapy, some require both. The important thing is to seek help early on, which you’re obviously doing. Once you’ve seen your doctor it’s usually a case of trial and error until you find what works for you. Your symptoms are quite usual for an anxiety sufferer and none of them are actually harmful, although they are distressing when they happen. Here are a few links to breathing and relaxation techniques which you can try out while waiting to see your doctor: http://panicdisorder.about.com/gi/dynamic/offsite.htm?site=http%3A%2F… http://panicdisorder.about.com/gi/dynamic/offsite.htm?site=http%3A%2F… http://panicdisorder.about.com/cs/shbreathing/ht/breatheproperly.htm http://stress.about.com/cs/relaxation/a/aa110600a.htm Good luck and let us know how you get on. All the best from Steve.

– Hide quoted text — Show quoted text – Hey my name is Andre and I have been suffering from moderate to  heavy anxiety for about three years.   I am an 18 year old student,  I do not work, but I do go to college full time.  I was in fact addicted to crystal meth for a little more then 2 years, and I am not sure that caused the anxiety but It sure trigged a lot of it once I stopped. Since then I have been drug free (besides marijuana and tobacco), but I have been overridden with anxiety.  nervousness, shakiness, and sometimes difficulty breathing are symptoms I suffer at least once a day.  I am not sure what it is from., but I am about tired of it.  I schedualed an appointment with my doctor later this month so I can get his opinion.  From what I’ve been told, they can help but medication does not cure anxiety.  What I am worried about is if I start taking it, I will become dependent on it.  I am already dependent on nicotine and I’d rather not be a slave to some benzo.   Well, I am up for anything as long as it helps, any advice is appreciated

– The charter is available at: http://readystump.algebra.com/~asapm

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- Hide quoted text — Show quoted text – Hey my name is Andre and I have been suffering from moderate to  heavy anxiety for about three years.   I am an 18 year old student,  I do not work, but I do go to college full time.  I was in fact addicted to crystal meth for a little more then 2 years, and I am not sure that caused the anxiety but It sure trigged a lot of it once I stopped. Since then I have been drug free (besides marijuana and tobacco), but I have been overridden with anxiety.  nervousness, shakiness, and sometimes difficulty breathing are symptoms I suffer at least once a day.  I am not sure what it is from., but I am about tired of it.  I schedualed an appointment with my doctor later this month so I can get his opinion.  From what I’ve been told, they can help but medication does not cure anxiety.  What I am worried about is if I start taking it, I will become dependent on it.  I am already dependent on nicotine and I’d rather not be a slave to some benzo.   Well, I am up for anything as long as it helps, any advice is appreciated

First quit the pot.  It gives lots of people anxiety and panic attacks, and the nicotine sure doesn’t help either.  You didn’t mention alcohol, but that is also a well known cause of anxiety/panic. (Normally the symptoms come the next day as your body craves more.) Let us know what happens, Tono — The charter is available at: http://readystump.algebra.com/~asapm

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Hi Andre, Steve gave you some good advice.  I’d also suggest that you stop smoking dope at least for awhile, while it’s happy, calm, la-la land for some it can also make anxiety worse.  Yes, I learned that the hard way. Jess — The charter is available at: http://readystump.algebra.com/~asapm

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::I am not sure what it is from., but I am about tired of it.  I ::schedualed an appointment with my doctor later this month so I can get ::his opinion.  From what I’ve been told, they can help but medication ::does not cure anxiety.  What I am worried about is if I start taking ::it, I will become dependent on it.  I am already dependent on nicotine ::and I’d rather not be a slave to some benzo.   Well, I am up for ::anything as long as it helps, any advice is appreciated Hi! Welcome to ASAPM! Sorry you are struggling with anxiety. Going to your doctor is a good starting point. Make sure to get a thorough exam and some basic bloodwork. You want to make sure there are no physical disorders at play here. Make sure to mention that you were addicted to crystal meth and are currently smoking pot and ciggies. This is nothing to be ashamed about! Your doctor can only help if he knows everything. If your doctor feels you are suffering from anxiety, it would be in your best interest to see a psychiatrist for diagnosis and treatment. It`s understandable that you are leery about taking meds for anxiety. I was too. If you don`t find some kind of effective treatment for your anxiety, whether that be through meds and/or therapy, than I guarantee you will become a slave to your anxiety disorder. Check out all your treatment options. Medications aren`t the only treatment available. There`s also cognitive behavioral therapy. Here are some informative links on CBT… http://panicdisorder.about.com/cs/therapycbt/ http://www.cognitivetherapy.com/ http://panicdisorder.about.com/cs/therapycbt/a/cbtintro.htm Here is a very informative site on anxiety and panic disorder. Check out the disorders on the left hand side. If you relate to any of them, discuss it with your doctor. http://panicdisorder.about.com/ P.S. Alcohol and pot can trigger anxiety and panic. It would be in your best interest to abstain from indulging in either. Smoking pot and drinking alcohol were big panic triggers for me. I`m much better off without them. Don`t hesitate to any questions you may have. We`ll do our best to help you. Jackie ~*~Nothing lasts forever, not even troubles~*~    ~~ Arnold H. Glasgow — The charter is available at: http://readystump.algebra.com/~asapm

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