Psychiatrist

[hyooge]

I have given up, anxiety is extreme.

It is not AAS induced or anything like that.

How upfront should I be about what I am doing?
I am wanting some medication to handle anxiety, don't really want to talk too much etc.

Any experience or advice is appreciated

 

[Evom1]

What's your diet like? Do you eat processed foods? Do you consume refined sugar? Do you drink caffeine? Drink alcohol

Sleep, are you getting 7+ hours per night?

How much sunlight do you get daily?

Start here for anxiety.


To answer your question, if you're hiring someone to analyze you, you need to be open with them completely. You can't expect them to do their job properly when there's variables you aren't telling them. Even if YOU think they don't matter, they might think differently and this is their profession hence why you're turning to them for help.

 

[hyooge]

What's your diet like? Do you eat processed foods? Do you consume refined sugar? Do you drink caffeine? Drink alcohol

Sleep, are you getting 7+ hours per night?

How much sunlight do you get daily?

Start here for anxiety.


To answer your question, if you're hiring someone to analyze you, you need to be open with them completely. You can't expect them to do their job properly when there's variables you aren't telling them. Even if YOU think they don't matter, they might think differently and this is their profession hence why you're turning to them for help.

Hey man,

I have a very specific diet, vitamins etc.
It has taken years to work out what worked, and what the issues were.

All is on point to the extent I went 6 years without needing any medication, SSRIs etc. I was definitely a candidate, I feel I have done everything I can.

Unfortunately, I need help now.

 

[Nilatac]

I have given up, anxiety is extreme.

It is not AAS induced or anything like that.

How upfront should I be about what I am doing?
I am wanting some medication to handle anxiety, don't really want to talk too much etc.

Any experience or advice is appreciated

Go there say your problem and take the meds they give you.

 

[hudson98]

id find th root o the problem, eliminate it. they will be happy to put you on big Pharma drugs, ask and you shall receive. But your going down a dangerous path and those drugs are HORRIBLe

 

[hyooge]

id find th root o the problem, eliminate it. they will be happy to put you on big Pharma drugs, ask and you shall receive. But your going down a dangerous path and those drugs are HORRIBLe

I know... I will avoid benzos, out of options, I can't afford any more weeks being zombie level

 

[Doodle]

I know... I will avoid benzos, out of options, I can't afford any more weeks being zombie level

I take buspar. I don’t want benzos either. That’s a nasty road to go down. But buspar has been pretty great. I take it twice a day and I feel so much calmer in my brain and give less fucks without being a zombie. No dependence or addiction. (I have a very addictive personality so this has been great)

Be completely honest. They need to know everything to take the right step. A good psych will not judge you.

 

[Hightower]

I have given up, anxiety is extreme.

It is not AAS induced or anything like that.

How upfront should I be about what I am doing?
I am wanting some medication to handle anxiety, don't really want to talk too much etc.

Any experience or advice is appreciated

I would like to see a doctor who works with mental health issues. it helps me.

 

[Inspired]

I have given up, anxiety is extreme.

It is not AAS induced or anything like that.

How upfront should I be about what I am doing?
I am wanting some medication to handle anxiety, don't really want to talk too much etc.

Any experience or advice is appreciated

What are your symptoms? What diagnosis do you think you may have?

Without knowing more, I'd recommend Lexapro 10mg once per day. I know many people who felt like how you appear to be saying, and this medication worked like magic to help bring them out of that phase. It works quickly also.

I'm not a fan of SSRI's, but Lexapro a good one and is the one to take.

Sometimes a person has problems because they are essentially.....brain damaged, for whatever reason. An SSRI like Lexapro can cause neurogenesis and protect the brain at the same time.

 

[jJjburton]

What are your symptoms? What diagnosis do you think you may have?

Without knowing more, I'd recommend Lexapro 10mg once per day. I know many people who felt like how you appear to be saying, and this medication worked like magic to help bring them out of that phase. It works quickly also.

I'm not a fan of SSRI's, but Lexapro a good one and is the one to take.

Sometimes a person has problems because they are essentially.....brain damaged, for whatever reason. An SSRI like Lexapro can cause neurogenesis and protect the brain at the same time.

This is also always where they start. 800$ for this advice here.

 

[hyooge]

What are your symptoms? What diagnosis do you think you may have?

Without knowing more, I'd recommend Lexapro 10mg once per day. I know many people who felt like how you appear to be saying, and this medication worked like magic to help bring them out of that phase. It works quickly also.

I'm not a fan of SSRI's, but Lexapro a good one and is the one to take.

Sometimes a person has problems because they are essentially.....brain damaged, for whatever reason. An SSRI like Lexapro can cause neurogenesis and protect the brain at the same time.

I am probably not neurotypical.
I operate at a high level, but anxiety tanked me these past few weeks.
Last 5 years, anxiety has been bad but I got used to it and managed the essentials.
Last month, anxiety went to shit, daily panic attacks.
Struggling to get to places, very hard being in public or loud places.

I realized I do not have to live with this, it has been robbing me of time and honestly a normal life.

Ideally, I avoid SSRIs and Benzos long term, I would take a benzo rn, it is that bad.

 

[Jin23]

I am probably not neurotypical.
I operate at a high level, but anxiety tanked me these past few weeks.
Last 5 years, anxiety has been bad but I got used to it and managed the essentials.
Last month, anxiety went to shit, daily panic attacks.
Struggling to get to places, very hard being in public or loud places.

I realized I do not have to live with this, it has been robbing me of time and honestly a normal life.

Ideally, I avoid SSRIs and Benzos long term, I would take a benzo rn, it is that bad.

SSRI's are a blunt tools and are used solely because (they do work in the majority of cases) they are easy to tolerate for most and their sides are more often then not worth the benefits. But, the sides are real and it can take a long time to reverse. Serotonin system goes through a lot of changes when using an SSRI, receptors downregulate, some receptors multiply in numbers, etc. As I said, it's a blunt tool, a hammer, not a scalpel.

That being said, using benzos is really risky and they should be avoided for general use scenarios.

You got one good advice thus far; buspirone. It's end mechanism of action is similar to that of SSRI's, but without SERT inhibition. 5HT1a receptors are a major part of how serotonin modulates anxiety and it makes sense to go straight to the "source", avoiding lot's of sides from SSRI's. But you're mentioning panic, which is a serious deterioration of anxiety so maybe an atypical antipsychotic might be helpful.

If anxiety is a major problem, do not use aas. They further dysregulate the HPA axis, which is a major proponent of anxiety related disorders and they will further hyper arouse the amygdala, which again, is hyper active in anxiety disorders. This is also a good reason why you SHOULD mention aas use to a psychiatrist. Also, aas use will go hand in hand with, or will point to, a lot of possible personality disorders, reward system pathologies, etc. Especially if aas use was frequent, like more then one cycle per year, for an extended period of time and even more so if b&c ...

You mentioned you aren't neurotypical. Do you have an incline in which direction this might point? Do you also have a personality disorder?

 

[hyooge]

SSRI's are a blunt tools and are used solely because (they do work in the majority of cases) they are easy to tolerate for most and their sides are more often then not worth the benefits. But, the sides are real and it can take a long time to reverse. Serotonin system goes through a lot of changes when using an SSRI, receptors downregulate, some receptors multiply in numbers, etc. As I said, it's a blunt tool, a hammer, not a scalpel.

That being said, using benzos is really risky and they should be avoided for general use scenarios.

You got one good advice thus far; buspirone. It's end mechanism of action is similar to that of SSRI's, but without SERT inhibition. 5HT1a receptors are a major part of how serotonin modulates anxiety and it makes sense to go straight to the "source", avoiding lot's of sides from SSRI's. But you're mentioning panic, which is a serious deterioration of anxiety so maybe an atypical antipsychotic might be helpful.

If anxiety is a major problem, do not use aas. They further dysregulate the HPA axis, which is a major proponent of anxiety related disorders and they will further hyper arouse the amygdala, which again, is hyper active in anxiety disorders. This is also a good reason why you SHOULD mention aas use to a psychiatrist. Also, aas use will go hand in hand with, or will point to, a lot of possible personality disorders, reward system pathologies, etc. Especially if aas use was frequent, like more then one cycle per year, for an extended period of time and even more so if b&c ...

You mentioned you aren't neurotypical. Do you have an incline in which direction this might point? Do you also have a personality disorder?

I have never spoken to a Dr about any of this.
I am functional, very functional in things I enjoy - postgrad in the sciences.
I assume somewhere on the spectrum, and then I have a lot of OCD behaviours and way of thinking. It is a good recipe when the depression and anxiety are low lol

My genuine issue, is keeping information away from me.
So walking, I really fucking hate crowds or buses.
To me, I wake up as if I have had 10 cups of coffee

 

[Inspired]

SSRI's are a blunt tools and are used solely because (they do work in the majority of cases) they are easy to tolerate for most and their sides are more often then not worth the benefits. But, the sides are real and it can take a long time to reverse. Serotonin system goes through a lot of changes when using an SSRI, receptors downregulate, some receptors multiply in numbers, etc. As I said, it's a blunt tool, a hammer, not a scalpel.

That being said, using benzos is really risky and they should be avoided for general use scenarios.

You got one good advice thus far; buspirone. It's end mechanism of action is similar to that of SSRI's, but without SERT inhibition. 5HT1a receptors are a major part of how serotonin modulates anxiety and it makes sense to go straight to the "source", avoiding lot's of sides from SSRI's. But you're mentioning panic, which is a serious deterioration of anxiety so maybe an atypical antipsychotic might be helpful.

If anxiety is a major problem, do not use aas. They further dysregulate the HPA axis, which is a major proponent of anxiety related disorders and they will further hyper arouse the amygdala, which again, is hyper active in anxiety disorders. This is also a good reason why you SHOULD mention aas use to a psychiatrist. Also, aas use will go hand in hand with, or will point to, a lot of possible personality disorders, reward system pathologies, etc. Especially if aas use was frequent, like more then one cycle per year, for an extended period of time and even more so if b&c ...

You mentioned you aren't neurotypical. Do you have an incline in which direction this might point? Do you also have a personality disorder?

Lexapro works for panic disorder.

He should NEVER tell a psychiatrist he uses AAS. That is a terrible idea.

All of those antipsychotics are a bad idea.

Lexapro works quickly. 10mg per day and see what happens.

 

[Jin23]

I have never spoken to a Dr about any of this.
I am functional, very functional in things I enjoy - postgrad in the sciences.
I assume somewhere on the spectrum, and then I have a lot of OCD behaviours and way of thinking. It is a good recipe when the depression and anxiety are low lol

My genuine issue, is keeping information away from me.
So walking, I really fucking hate crowds or buses.
To me, I wake up as if I have had 10 cups of coffee

I see. Overstimulation happens when thought inhibition is a problem and/or a problem with default mode network. Both of which are trademarks of an adhd pathology. It's also a trademark of anxiety and anxiety is a byproduct of untreated adhd.

High anxiety, hyperfocus, could just well be adhd and that could just as well make you speculate a spectrum disorder. But you just as well could have a spectrum disorder, not saying that's impossible.

Buy in any case, diagnosing yourself, really do a proper analysis of your neurochemistry and personality traits and then finding the right pharmacotherapy and behavioral adaptations is the thing that will lead to you living a life worth living.

You most probably are unstable, not in a psychotic state, but in an unstable personality disorder, which is an outcome of your untreated neurobiology problems. (I'm really underslept so excuses my simplistic writing) Just don't use aas, they are nothing but bad for your neurobiology, period. You need to find a way to be stable, without being anxious, hyperfocused, a working robot, etc.

Have you tried lamictal or some other mood stabilizer and have you tried stimulants?

 

[Jin23]

Lexapro works for panic disorder.

He should NEVER tell a psychiatrist he uses AAS. That is a terrible idea.

All of those antipsychotics are a bad idea.

Lexapro works quickly. 10mg per day and see what happens.

Okay.

 

[jJjburton]

For me my anxiety keeps me in a constant state of fight or flight. But now i know this is happening I am able to tell myself its just a psysiological response. I can manage better. Instead of panicing. Also gabapentin is incredible for anxiety. And easy to taper off.

I am using it for a while. Until i see i can do thins withouts this fight or flight reponse. Also i have ptsd from my last relapses. They were awful.

So i have to manage this also.

The things about ssris is the anxiety gets worse for 6 or more weeks, then it supposedly subsides. But i wasnt abke to manage a higher anxiety with those pills. Hence something that doesnt do that.

 

[Jin23]

For me my anxiety keeps me in a constant state of fight or flight. But now i know this is happening I am able to tell myself its just a psysiological response. I can manage better. Instead of panicing. Also gabapentin is incredible for anxiety. And easy to taper off.

I am using it for a while. Until i see i can do thins withouts this fight or flight reponse. Also i have ptsd from my last relapses. They were awful.

So i have to manage this also.

The things about ssris is the anxiety gets worse for 6 or more weeks, then it supposedly subsides. But i wasnt abke to manage a higher anxiety with those pills. Hence something that doesnt do that.

Hey, weren't you the dude that had to go to prison or smth? Apologies if I mistook you for somebody else.

Fyi, the ssri upregulation of anxiety should go away sooner then in 6 weeks. 3 weeks is the most often touted length. However, you can drastically offset this by starting of with a much smaller dose. Like 2.5 mg's of escitalopram instead of 5 or 10 mg's. This really does work. Other thing to do is to use a 5HT1a antagonist concomitant with the escitalopram.

 

[Hightower]

For me my anxiety keeps me in a constant state of fight or flight. But now i know this is happening I am able to tell myself its just a psysiological response. I can manage better. Instead of panicing. Also gabapentin is incredible for anxiety. And easy to taper off.

I am using it for a while. Until i see i can do thins withouts this fight or flight reponse. Also i have ptsd from my last relapses. They were awful.

So i have to manage this also.

The things about ssris is the anxiety gets worse for 6 or more weeks, then it supposedly subsides. But i wasnt abke to manage a higher anxiety with those pills. Hence something that doesnt do that.

Sometimes a feeling of anxiety attacks me, especially at night, that I can’t sleep and I start to suffocate.

 

[hyooge]

I see. Overstimulation happens when thought inhibition is a problem and/or a problem with default mode network. Both of which are trademarks of an adhd pathology. It's also a trademark of anxiety and anxiety is a byproduct of untreated adhd.

High anxiety, hyperfocus, could just well be adhd and that could just as well make you speculate a spectrum disorder. But you just as well could have a spectrum disorder, not saying that's impossible.

Buy in any case, diagnosing yourself, really do a proper analysis of your neurochemistry and personality traits and then finding the right pharmacotherapy and behavioral adaptations is the thing that will lead to you living a life worth living.

You most probably are unstable, not in a psychotic state, but in an unstable personality disorder, which is an outcome of your untreated neurobiology problems. (I'm really underslept so excuses my simplistic writing) Just don't use aas, they are nothing but bad for your neurobiology, period. You need to find a way to be stable, without being anxious, hyperfocused, a working robot, etc.

Have you tried lamictal or some other mood stabilizer and have you tried stimulants?

So I am very confident I am not ADHD.
Stimulants can hit me hard, caffeine is a no-go if I have to go into a loud city later for example.

I have most symptoms of Asperger's, I seem to have a methylation issue which I am working to correct, but honestly, even at my best, my anxiety was probably an 8/10 to normal people.

So stimulants, I avoid, cannabis I love but do not abuse (with a beer on holiday, or on a friday night).

I have gone years without cannabis and it never made me worse or brought on any psychosis etc.

I loved modafinil, kept OCD thoughts out.

Yeah no real experience with other pharmaceuticals.
GABA and 5-HTP have also saved me from extreme depression/anxiety phases of my life.