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OfflineXUL
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My College Anxiety Treatment Log * 1
    #21292674 - 02/18/15 09:26 AM (9 years, 2 months ago)

My College Anxiety Treatment Log






Introduction


This log explains my approach to succeed in college while dealing with anxieties problems such as social phobia, generalized anxiety, and panic disorder. The most important factor I am concerned with is preserving and maintaining my cognitive abilities for school. I must be able to retain information, analyze information, organize information, synthesis conclusions, and create ideas. The most important goal of my treatment is to minimize my anxiety to a level at which I can still think clearly and accurately - and comfortably interact with my student colleagues and professors at the same time.





Current Drug Use

--Marijuana

--Alcohol. Moderate to heavy drinking once a month.

--Clonozepam

--Paroxatine

--Occasional caffeine



Treatment

February 18, 2015:

1.) 7 weeks ago I was prescribed 10mg of paroxatine (Paxil), which I was to take every morning at 9. At week five during my Paxil intake I increased my dosage to 20mg. Now it is week 7.



2.) I am also prescribed 2mg of clonazepam (klonopin) twice a day. Once in the morning and once before bed. It should be noted that I take my daily dose as needed. That is, some days I do not take the entire 1mg day dose.



3.) Flooding. Constant exposure to uncomfortable situations in group related work. Presentations.



4.) Breathing exercises



5.) Positive psychology: three good things exercise

The three good things exercise consists of writing in a journal every day. I write about three good things that happened to me. I then write about why there were could, and how I could get more of it. The three good things can consist of anything from a business promotion to the sun shining through the window.

An idea I have is that exercises like this help to reduce cognitive loops that are negative in nature. Conversely, I believe that positive psychology helps me to change the way I think in that I stop focusing on the negatives, and I begining to start focusing more on the positives. Thus I am creating cognitive loops that are positive in nature.



6.) Self cognitive  behavioral therapy (CBT)


7.) nutrition

I am eating a diet of dark green vegetables, complex carbohydrates (potatoes, rice), fresh fruit, fresh meat - and unfortunately some fast food. I am drinking lots of water, but I also drink soda pop.


8.)Exercise

I exercise rigorously 2-3 times a week.


9.) meditation

I have started to meditate. At this current time I only do short bouts of meditation whenever I feel so inclined. I understand that meditating for 15-20 minutes at a time every day can be extremely beneficial. It is my intention to reach that level of meditation in my future.


March 9, 2015:

--Increased dosage of paroxatine to 30mg/day.

--Also continuing with Flooding, breathing, positive psychology, self CBT, nutrition, and exercise.



Results

February 18, 2015:

--Increased interest in talking to people

--Increased ability to make comfortable eye contact

--Increased ability to relax in social groups

--Perceived increase in confidence

--Less generalized anxiety (brooding about the anxiety that might happen in the day)

--Far less panic attacks. Panic attacks are nearly gone.

--Cognitive abilities seem relatively normal. My grades are still consistent As and Bs.

--After starting paroxatine I feel as though I do not need the clonazepam as much.


March 9, 2015:

Increased dosage of paroxatine to 30mg/day.

--I have little to no generalized anxiety, little to no panic attacks, and I am much more excited to jump into the world and experience everything I have ever wanted to. I talk to my professors more often, and I can make eye contact easily.

--The only side effect I had from increasing the dose was mild nausea and sleepiness for 1 week.

--Furthermore, since I have been taking paroxatine I have optionally cut back my dose of clonozepam from 1mg during the day to .5mg during the day. I feel less of a need to take it. I have that by spring I can reduce my day dose of clonozepam to .25mg/day. I still take my bed time dose of 1mg klonopin.



Side Effects of Medications

--When I started taking paroxatine I experienced nausea for about two weeks and then it stopped.

--1mg of clonazepam has the tendency to slow down my cognitive abilities in school. It seems to make me slow or sloppy.


Withdrawal

March 9, 2015:

As I increase my dosage of paroxatine, I am reducing my dose of clonozepam. I increased my dosage of paxil from 20 to 30 mg, and decreased my daily dose of klonopin from 1mg to .5mg. I still take my bed time dose of 1mg klonopin. I do not currently feel any symptoms of withdrawal during my slow ween off clonozepam.


--------------------
TRUMP 2020

Edited by XUL (03/18/15 09:40 AM)

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Anonymous #1

Re: My college anxiety treatment log [Re: XUL]
    #21292708 - 02/18/15 09:33 AM (9 years, 2 months ago)

How has the paxil been working for you?
I bet the klonopin definatly helps with the anxiety.

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OfflinePDU
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Re: My college anxiety treatment log [Re: Anonymous #1]
    #21292761 - 02/18/15 09:53 AM (9 years, 2 months ago)

I am glad you posted this as I am going to visit the counselling centre at my school when I get back from reading break, about these very issues. This is my second semester, and I am occasionally experiencing severe anxiety. The thought of doing something (group work, volunteering) nearly makes me sick and I get into an avoidance mindset.

I am fairly well follow through and perform well enough, although the sense of unease leading up to an anxiety causing event is affecting my quality of life. I saw a new Dr. on campus and she offered to prescribe me something if I felt it necessary, and I am considering it...


--------------------
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OfflineXUL
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Re: My college anxiety treatment log [Re: PDU]
    #21297980 - 02/19/15 10:12 AM (9 years, 2 months ago)

Quote:

PDU said:
I am glad you posted this as I am going to visit the counselling centre at my school when I get back from reading break, about these very issues. This is my second semester, and I am occasionally experiencing severe anxiety. The thought of doing something (group work, volunteering) nearly makes me sick and I get into an avoidance mindset.

I am fairly well follow through and perform well enough, although the sense of unease leading up to an anxiety causing event is affecting my quality of life. I saw a new Dr. on campus and she offered to prescribe me something if I felt it necessary, and I am considering it...





Indeed.

I was suffering from generalized anxiety pretty bad. I would brood about what possible social problems might occur in the day, which would greatly increase my attention to those social problems in class - which I think resulted in many panic attacks.

I am really taking a strong stance in preventing generalized anxiety and brooding. The medications I started using have nearly taken away those feelings, which makes it easier for me to concentrate large amounts of work. The fact that my treatment is working makes me so happy. I feel like I have the ability to do all the things I always wanted to do in life, but that I couldn't due to having panic attacks on an every day basis. So far my treatment has improved my overall well being.


You are a wise man, PDU. I hope you Finish it out strong and succeed in your goals.


--------------------
TRUMP 2020

Edited by XUL (02/19/15 10:14 AM)

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OfflinePDU
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Re: My college anxiety treatment log [Re: XUL]
    #21298114 - 02/19/15 10:34 AM (9 years, 2 months ago)

I am concerned about any interactions between these medications and Piracetam (which is itself, helping with some aspects of anxiety.) Any ideas XUL?


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OfflineXUL
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Re: My college anxiety treatment log [Re: PDU]
    #21321447 - 02/24/15 07:16 AM (9 years, 2 months ago)

Quote:

PDU said:
I am concerned about any interactions between these medications and Piracetam (which is itself, helping with some aspects of anxiety.) Any ideas XUL?





Unfortunately, I don't have an answer for you.

I am not too knowledgeable on medications - other than the ones I have taken.

From what I understand many people react differently to different medications. In a way it seems that the correct medication for an individual is due to trial in error.

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OfflineXUL
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Re: My college anxiety treatment log [Re: XUL]
    #21425773 - 03/18/15 08:27 AM (9 years, 2 months ago)

March 9, 2015.

My doctor increased my dosage of paroxatine to 30mg/day.

I have little to no generalized anxiety, little to no panic attacks, and I am much more excited to jump into the world and experience everything I have ever wanted to. I talk to my professors more often, and I can make eye contact easily.

The only side effect I had from increasing the dose was mild nausea and sleepiness for 1 week.

Furthermore, since I have been taking paroxatine I have optionally cut back my dose of clonozepam from 1mg during the to .5mg during the day. I have that by spring I can reduce my day dose of clonozepam to .25mg/day.


--------------------
TRUMP 2020

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