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Offlinehex_enduction
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About to see a psychiatrist, what should I expect?
    #21327322 - 02/25/15 10:26 AM (9 years, 2 months ago)

I just booked a psychiatric appointment for later today regarding a severe bout of insomnia I've been suffering lately and related anxiety and reduction in quality of life. I've been averaging 1-3 hours of sleep per night for 3 weeks, characterized by falling asleep with relative ease only to wake up a few hours later in a cold sweat and extremely anxious. At this point, I'm extremely skeptical as to whether or not seeing a psychiatrist will even do me any good at all, but my mental health has been awful lately and I feel I should at least give it a shot.

What should I expect? Are they just going to give me an SSRI or something? I really, really don't want to go down that path given all the negative things I've read about their inefficacy and side effects; I also don't think this is caused by a serotonin deficiency. Is there a chance they could actually give me something that could help?

In case anyone tries telling me to seek more natural or accessible options, I've already tried melatonin, valerian root, DPH, doxylamine, and hydrocodone (prescribed to me for insomnia for god knows what reason, didn't help at all) as far as drugs go, and I've began running several miles per day in addition to my existent exercise routine in attempt to exhaust myself. All of these have been of minimal success. I've began trying to learn meditation, but it seems impossible to me at this point, as my mind is so wracked from this lack of sleep and other obligations.

Thanks in advance to anyone who bothers to read this. I'm just wondering if I should have any hope for results or if I'm only going to be disappointed.


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Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

Edited by hex_enduction (02/25/15 10:27 AM)

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InvisibleSun King
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21327406 - 02/25/15 10:44 AM (9 years, 2 months ago)

I have gotten xanax, ambien, klonopin, ssri at different times from different shrinks. They all have different views on meds.


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OfflineNova

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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21327425 - 02/25/15 10:46 AM (9 years, 2 months ago)

If you don't want to take medicine you need to book a psychologist, not a psychiatrist. Psychiatrists are the ones who go to med school and can prescribe meds. Psychologists use stuff like behavior training techniques.

A good psychiatrist will still listen to you and help you identify negative behaviors and what not. But its pretty common for them to not even look at you, go down a list of questions, then write you a scrip for 2-3 meds 10 min in and set you off.

I would say give the meditation a good chance. Try to go for like 40 min at night before bed. Read up on mindfulness meditation. It will probably take you at least 30 min of 'struggling' with thoughts before you get to a calm place. But once you get there you feel like you are walking in a dream and I don't know how anyone could not sleep like a baby. Then if you wake up you can stay in bed meditate again and this could be important because you can recognize more clearly what is waking you up in anxiety, or it will just calm you down and you will drift back asleep, either way is :thumbup:.

I don't know if you have had any sort of issues with addiction/habituation but if you think that wont be an issue the psychiatrist could help you out. According to the drugs you've listed you still haven't tried the main sleep aids prescribed, stuff like benzos or ambien. You don't want to just get to a point where you have to crutch on these for sleep but they can be great tool for helping you heal up and get back on track while you deal with the sleep issues.

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: Nova]
    #21327491 - 02/25/15 11:00 AM (9 years, 2 months ago)

Thank you for the helpful response. I'm aware of the distinction between psychologist and psychiatrist; I'm visiting the latter in hopes that they can prescribe me something that might help me resume a normal sleep schedule, as I feel this would solve many of my current issues. However, I do plan on seeing a psychotherapist at some point in the near future to see if they can assist in other aspects of my mental health by means other than medication, which are a temporary fix in many cases.

I feel you're right about meditation being the safest and most effective solution, but given that I've never done it successfully and that my anxiety has been heightened recently, attempting to meditate is extremely frustrating and usually just prolongs the anxiety. Obviously I'm missing something/not doing it right but I guess I'll just have to keep giving it a shot.

Anyway, I'm off to the appointment. Hopefully something good will come of it.


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21328183 - 02/25/15 01:35 PM (9 years, 2 months ago)

As I suspected, he gave me an SSRI (Lexapro) right off the bat but he also gave me a few .5mg xanax tablets which I'm hoping will help me sleep for a few nights. Like I said earlier, I'm really, really apprehensive about SSRIs and their efficacy. Can anyone who has experience with Lexapro weigh in at all regarding its efficacy in treating anxiety/depression? I honestly don't think it's the solution I'm looking for but my lack of solid knowledge about the subject presents me with some difficulty in saying no altogether.


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Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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Offlinecircastes
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21329510 - 02/25/15 05:40 PM (9 years, 2 months ago)

Psychiatrists are all quite different.

Xanax or any benzo is bad news if you get addicted, and it's easy to get addicted because you need more and more for the same effect each time. Maybe at that low dose if you only take one for sleep a day it's not likely.

I was recently on Lexapro and it didn't work for me but neither has any antidepressant. There have been some placebo-like effects on the first day/week etc. but none of them - I've tried seven - have made me 'happy' or changed my mood significantly.

Just slowly go through them all you might find one that works or you might not.


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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: circastes]
    #21330195 - 02/25/15 08:03 PM (9 years, 2 months ago)

Quote:

circastes said:
Just slowly go through them all you might find one that works or you might not.



This just seems like such a tedious and potentially damaging process that it wouldn't even be worth it. But it looks like I don't have any options at this point.

I've never had any reason to consider using SSRI drugs as a treatment for depression, and I don't think they would be useful for this application in any case. I just want a drug that can help me get more than 3 hours of sleep per night right now, and since this doctor is convinced that my insomnia is rooted in depression/anxiety, all he will give me is an SSRI. This is so fucking frustrating.


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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InvisibleSun King
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21330274 - 02/25/15 08:23 PM (9 years, 2 months ago)

SSRIs can be sedating. Google lexapro + sedation


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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: Sun King]
    #21331060 - 02/25/15 11:28 PM (9 years, 2 months ago)

Well it looks like it's my only hope at this point. I've gone through almost half of my xanax prescription (3/7x0.5mg) in one night, and it's still early on in the night. Might have to procure a few more by clandestine means to help me transition before the antidepressants start working.


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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Offlinezzripz
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21333403 - 02/26/15 02:38 PM (9 years, 2 months ago)

Please can you share with me what it is that is making you anxious? This type of  question the fucked up shrinks never ask. They too busy pushing their fukin pills at you

To get o the roots of that is important. Something is bothering you right? It maybe a lot of intertwining things, but you talking about them will express how you are feeling

Rather than a shrink, or psychologist, I would recommend a person centred counsellor where you can talk and be listened to

So when did this insomnia begin

When did your anxiety begin

what do you think are the reasons?

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21339328 - 02/27/15 04:46 PM (9 years, 2 months ago)

It began around 3 weeks ago. Though I've suffered from insomnia in the past, it was never this severe or long-lasting. The anxiety began occurring after some consecutive days of waking up in a cold sweat and forming thought patterns of desperation (like this would never go away and I'm gonna have a fucked up sleep schedule forever, etc). However, the insomnia could be caused by anxiety and not the other way around as I've suffered from anxiety in the past.

I'm realizing now that a great deal of my stress is coming from my relationship with my girlfriend, which is becoming somewhat rocky for various reasons as of late. I'm thinking if I can figure out how to patch things up with her then maybe the anxiety will go away, but I fear there is no way to fix things and I'm gonna be all alone again. God, I don't know what the fuck to do. I'm probably going to stop taking this bullshit medication though.


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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Offlinezzripz
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21341368 - 02/28/15 02:18 AM (9 years, 2 months ago)

Quote:

hex_enduction said:
It began around 3 weeks ago. Though I've suffered from insomnia in the past, it was never this severe or long-lasting. The anxiety began occurring after some consecutive days of waking up in a cold sweat and forming thought patterns of desperation (like this would never go away and I'm gonna have a fucked up sleep schedule forever, etc). However, the insomnia could be caused by anxiety and not the other way around as I've suffered from anxiety in the past.

I'm realizing now that a great deal of my stress is coming from my relationship with my girlfriend, which is becoming somewhat rocky for various reasons as of late. I'm thinking if I can figure out how to patch things up with her then maybe the anxiety will go away, but I fear there is no way to fix things and I'm gonna be all alone again. God, I don't know what the fuck to do. I'm probably going to stop taking this bullshit medication though.





Right, see, that is getting to the bottom of it. It is a deeply personal problem for you which includes your fear of losing your girlfriend and then being 'all alone again'. So you know what feeling alone is like for you, and anxiety, and you can sense it looming,and it is making you fearful ('anxiety' is just another term for FEAR) and you just don't know how to make things right with your girlfriend. So when you try to go to sleep you find it hard relaxing, and letting go, and what sleep you manage doesn't last and you wake up anxious in a cold sweat?

So the thing to do as I see it is share how you feel with her. IE how your very sleep is being affected by your worry about the relationship. Is there any way you can talk to her about what is going on with you and her?

Edited by zzripz (02/28/15 02:20 AM)

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21341893 - 02/28/15 08:25 AM (9 years, 2 months ago)

Quote:

zzripz said:
Quote:

hex_enduction said:
It began around 3 weeks ago. Though I've suffered from insomnia in the past, it was never this severe or long-lasting. The anxiety began occurring after some consecutive days of waking up in a cold sweat and forming thought patterns of desperation (like this would never go away and I'm gonna have a fucked up sleep schedule forever, etc). However, the insomnia could be caused by anxiety and not the other way around as I've suffered from anxiety in the past.

I'm realizing now that a great deal of my stress is coming from my relationship with my girlfriend, which is becoming somewhat rocky for various reasons as of late. I'm thinking if I can figure out how to patch things up with her then maybe the anxiety will go away, but I fear there is no way to fix things and I'm gonna be all alone again. God, I don't know what the fuck to do. I'm probably going to stop taking this bullshit medication though.





Right, see, that is getting to the bottom of it. It is a deeply personal problem for you which includes your fear of losing your girlfriend and then being 'all alone again'. So you know what feeling alone is like for you, and anxiety, and you can sense it looming,and it is making you fearful ('anxiety' is just another term for FEAR) and you just don't know how to make things right with your girlfriend. So when you try to go to sleep you find it hard relaxing, and letting go, and what sleep you manage doesn't last and you wake up anxious in a cold sweat?

So the thing to do as I see it is share how you feel with her. IE how your very sleep is being affected by your worry about the relationship. Is there any way you can talk to her about what is going on with you and her?



Wow I severely overstated how bad the relationship issues are. Yeah I have talked to her about it. Things are honestly fine for the most part between us besides the fact that both of our mental health issues kind of put stress on the relationship, and we just haven't been as intimate lately.

It's not the only source of my stress; another is the job I recently started that I fucking hate but don't have a choice to quit or anything. Honestly, that weighs on me just as heavily as the relationship stress. However I just got called for an interview at another place that will probably be better, so maybe a new job will help.

I'm realizing my decision to pursue pharmaceuticals was probably a bad idea; using xanax for sleep only makes insomnia worse when I don't have it it seems. I'm also really skeptical about the efficacy of this antidepressant I've been taking, but I don't have any reason to stop 3 days in to the treatment.

Thanks for all the helpful advice, I'm sorry if this comes off as incoherent, but my mind is so scattered lately with the shit sleep and all.


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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InvisibleAsante
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction] * 1
    #21342502 - 02/28/15 10:38 AM (9 years, 2 months ago)

Without knowing you or your mental health history and without having read the thread I will blindly answer:

About to see a psychiatrist, what should I expect?

With:

Expect it to be over in an hour and to walk out of there with scripts to 1-4 kinds of pills and 1 will be an SSRI.

Thats how they roll yo.


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InvisibleAsante
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction] * 1
    #21342515 - 02/28/15 10:40 AM (9 years, 2 months ago)

Quote:

hex_enduction said:
As I suspected, he gave me an SSRI (Lexapro) right off the bat but he also gave me a few .5mg xanax tablets which I'm hoping will help me sleep for a few nights.




See? :frown:


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InvisibleToadstool5
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Re: About to see a psychiatrist, what should I expect? [Re: Asante]
    #21351197 - 03/02/15 09:39 AM (9 years, 2 months ago)

Don't go to psychiatrists, please do yourself a favor.

In my experience they make no observations regarding you, your internal biochemistry, symptoms, or mental well-being. They are pharmaceutical representatives, pure and simple.

They just go down a list of everything they have and they just take wild guesses (with doses, combinations) until you say everything is better. Its like throwing darts blindly and after 7 years of doing damage and hurting people they hit the bullseye and say, "see I knew what i was doing, it just takes time and experimentation"!

I've known so many people on "medicines" try to kill themselves or simply go into a catatonic state, no response whatsoever.

Expect to waste thousands of dollars, expect horrific side-effects, expect them to ignore you, expect to become so desperate and strung out on off-label prescriptions that you would rather bite a bullet.

Unfortunately these "psychiatrists" are still allowed to practice internal medicine and pharmaceutical companies don't give a fuck about the efficiency or safety of these chemicals they market to a bunch of layman as a cure-all.

Does anybody remember bayer pharmaceuticals diacetylmorphine and how great of a substitute it was for morphine until ~14 people died? What about the time bayer teamed up with german conglomerates in order to take advantage of free slave-labor and sell some cyanogenic nerve gases? Our government had to force them to dissolve their partnership AFTER it came to light that the companies were engaged in genocide, slavery, and corruption. If it was up to bayer we would still be gassing Hebrews after enslaving them to make pills.

Im normally not against big business or medicine but the US medical system is a joke. Our medicines are recalled 90% of the time for negligence and yet the FDA and DEA just sit there playing grab ass. :sissies:

Find a private specialist if you expect anything other than being scammed and exposed to dangerous, untested chemicals. :thumbup:


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If you do not know where the mushroom products you are consuming are grown, think twice before eating them. :badshroom:
- Paul Stamets

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Offlinecircastes
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Re: About to see a psychiatrist, what should I expect? [Re: Toadstool5]
    #21354873 - 03/03/15 03:43 AM (9 years, 2 months ago)

Yeah sorry that was a bit bland to just suggest running through them all like that but that's what they do to you. I don't know about damage from inhibiting serotonin reuptake short term, it's more the antipsychotics that will probably turn out bad for the brain.


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My shield...
My armour...

TESTED
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FULL
FORCE

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Offlinecircastes
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Re: About to see a psychiatrist, what should I expect? [Re: circastes]
    #21354876 - 03/03/15 03:46 AM (9 years, 2 months ago)

I understand your position Toadstool but there is a bit of a conundrum with all this pill business. After all the antipsychotic clozapine has turned my brother's life around.


--------------------
My solitude...
My shield...
My armour...

TESTED
WITH
FULL
FORCE

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: circastes]
    #21354949 - 03/03/15 04:44 AM (9 years, 2 months ago)

Well so far psychiatry has done nothing but make my problem worse. I've been taking xanax some nights to sleep and by now it seems I can't fucking sleep at all without it, and 1mg only keeps me asleep as long as I was able to sleep before (1-3hrs). The SSRI obviously isn't doing jack shit yet. So looks like therapy is the only option I have left and I know that isn't going to do anything either

God fucking damn it


--------------------


Connoisseur said:
oh ive cried on drugs

sunshine said:
Tragic.  I told the cop not to do it but he didn't listen.

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InvisibleToadstool5
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21355484 - 03/03/15 09:03 AM (9 years, 2 months ago)

Quote:

clozapine




Ever hear of the clozapine shuffle? It's where you are so sedated that you have to shuffle one foot at a time about 6" to walk. They almost look like zombies.

I'm sure it helps some people, but its kind of like giving them a horse tranquilizer every 12 hours. I cant imagine being able to do much of anything let alone fuck up my life, at that point you pretty much dont have a life.

My aunt was the same way when they used to prescribe morphine to keep patients calm, she got so tired of being in a haze and confused all the time that she blew her brains out one morning in the bathroom. It isn't fixing the problem when you use sedatives, its the equivalent of doing narcotics. Xanax, clozapine, seroquel, and valium all cause drowsiness, withdrawals, and have been known to be abused recreationally.

Quote:

Well so far psychiatry has done nothing but make my problem worse




Yep, thats their job, now they will up your doses and try to milk your insurance for double.

Interesting side note. Did you guys know that most pharmaceutical salesmen have little to no education in medicine? I've known several very successful pill reps that didn't even have an associates degree!

Some Drugs are bad
:mmmkay:


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