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Offlinezzripz
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Registered: 12/23/08
Posts: 8,292
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Last seen: 4 years, 10 months
Re: About to see a psychiatrist, what should I expect? [Re: Toadstool5]
    #21355597 - 03/03/15 09:51 AM (9 years, 2 months ago)


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OfflineObservatory
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Registered: 09/27/12
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21355615 - 03/03/15 09:59 AM (9 years, 2 months ago)

expect something like this


--------------------
Look around you

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Offlinehex_enduction
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Registered: 01/26/14
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Re: About to see a psychiatrist, what should I expect? [Re: Observatory]
    #21359161 - 03/04/15 01:09 AM (9 years, 2 months ago)

Fuck a psychiatrist I just want to know why I can't sleep... I'm so fucking tired


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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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Offlinezzripz
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Registered: 12/23/08
Posts: 8,292
Loc: Manchester, UK
Last seen: 4 years, 10 months
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21359266 - 03/04/15 02:27 AM (9 years, 2 months ago)

I once worked at a needle exchange, and this guy came. He had been a heroin user, and had other problems like gambling addiction, and was out of prison and living in a place where most of his friends lived who could cuck him back into heroin etc (he'd cold turkeyed in jail). He told me he couldn't sleep, and I asked him to describe how he felt and he said he had all these worries and was tossing and turning etc

So this is adcive i gave: don't fight it. Go with it, like surfing. Don't matter what thoughts come, go with it. It is the trying to get away from them that is whats keeping him awake. Just lose ourself in it

Anyhow, he came in several days later and really thanked me for the advice and said it worked, and he slept for first time in ages

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21359572 - 03/04/15 06:05 AM (9 years, 2 months ago)

It's not even that I'm anxious about things. I just lay in bed with eyes closed and cannot fucking sleep. No thoughts are even in my mind half the time.

2mg of xanax gave me 2.5 hours of sleep, and I can't sleep a fucking second without it. It seems I can either keep upping the dose to diminishing returns or fucking kill myself at this point as no one seems to be able to give me anything that helps.


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


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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OfflineMurzelpfrumpft
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Registered: 08/09/12
Posts: 1,857
Last seen: 1 month, 5 days
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21359618 - 03/04/15 06:35 AM (9 years, 2 months ago)

In my opinion as a psychology student (and that of psychiatrists who have learned their lessions from the 70ties), benzodiazepines are a very bad choice of a sleeping aid. Especially Xanax is probably close to the worst benzo for sleeping due to it's short half life. It is pretty normal for users to wake up when the concentration declines. This is far less the case with longer acting benzos.

On top, all benzodiazepines lower sleep quality drastically. Their use results in decline of deep sleep phases, production of all kinds of hormones is lowered and you won't feel as rested as with normal sleep.
If you think you absolutely have to use medication, try the Z-drugs. They perturb sleep quality a lot less then benzodiazepines.

I would not mess with any sleeping pill at all. Keep them around for important days once a week, when you absolutely have to sleep.
You will become addicted in terms of needing them for sleep within a week.
Even though your initial problem with sleep will be long gone, you will experience insomnia if you don't continue your sleeping aid.
This can be mistaken for "needing them" - but the opposite may be the case.

This might result in long term benzo use and this will lower your quality of life drastically, it will make you a zombie.


Just to add something about the SSRI:

Your problems are very likely related to your loss of sleep and the bad feeling may go away if you can sleep again normally.
Antidepressants have massive side effects, this can range from causing suicidal feelings to turning you into a rapid cycling bipolar patient.
They are not suitable for long term use, as they can contribute to chronification of depression. You should use them as short as possible and gradually withdraw from them.

Again, experiencing worse symptoms from antidepressant withdrawal is not a proof of "needing them" but of a physical dependancy that is slowly reducing.

Edited by Murzelpfrumpft (03/04/15 06:40 AM)

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Offlinehex_enduction
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Re: About to see a psychiatrist, what should I expect? [Re: Murzelpfrumpft]
    #21360557 - 03/04/15 10:48 AM (9 years, 2 months ago)

This has been an extremely helpful and reassuring post. I intend to speak with my psychiatrist to see if he can prescribe me with a z-drug or some such to aid in very rough nights of sleep, as the xanax seems to have only made the problems worse. I also intend to bring up what you said about the ssri, as I didn't want to take it from the start and it doesn't seem like a worthwhile solution whatsoever. I've only been taking it for 6-7 days and may discontinue use.

I fear that a prescription to any other sleep aids will prove too tempting not to succumb to on a nightly basis, as has been the case with my xanax use lately. Even on nights when I don't really need restful sleep for the next day I find myself reaching for the pills just to quell the increasingly awful uneasiness of my late-night wakefulness.

I'm off for a quick run, followed by an attempt at some meditation. Thank you everyone in this post for the advice and suggestions.


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


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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OfflineMurzelpfrumpft
pet donkey in a lucid dream

Registered: 08/09/12
Posts: 1,857
Last seen: 1 month, 5 days
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21360759 - 03/04/15 11:40 AM (9 years, 2 months ago)

I can relate to that a lot, as I do have a sleeping problem, too. Mine is falling asleep and not continuing sleep. However, Zolpidem, the shortest-acting of the 3 Z-drugs works like a charm. But I'm sure you would have to reach out to it's longer lasting cousins.

The danger of becoming addicted to sleeping aids is something I already experience if I use zolpidem for 2-3 nights in a row. Falling asleep becomes markedly harder.

I see how it is tempting, but I urge myself and you to not use it more often than 1-2 times a week, no matter what the doctor says. The sleeping problems will chronify and follow you for decades - not to say that the pills will stop working early and require you to dose higher.
That's when shit hits the fan. You will soon reach very high doses and if your doctor won't support that, you will witness what sleeping problems can really be.

The body adapts to everything and does so fast.

So you have been warned.

I think you should rather go and see a psychologist instead. There may be a reason for your sleeping troubles that you can not see yourself.

Edited by Murzelpfrumpft (03/04/15 01:06 PM)

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InvisibleAmanita86
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Registered: 09/26/12
Posts: 89,464
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21361226 - 03/04/15 01:18 PM (9 years, 2 months ago)

You got vicodin for insomnia???  Man, I wish I could get some vicodin for my back.  And some Xanax.  If I could just get some vicodins and some Xanax I would be (capital f) Fiiiine... 

But the docs don't break me off shit.

What's a "z-drug"


--------------------
:mushroom2:Orange clock, pencil:bouncysmoke:
"They threw me off the hay truck about noon...":fishing:
:mushroom2:*Mark 15:34:levitate::mushroom2::blueninja:
Gam zeh ya’avor...:sunny:

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Offlinehex_enduction
satta massa gana
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Registered: 01/26/14
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Re: About to see a psychiatrist, what should I expect? [Re: Murzelpfrumpft]
    #21361246 - 03/04/15 01:23 PM (9 years, 2 months ago)

I went to my psychiatrist earlier and had an absolutely ludicrous experience. He was apparently unaware of the appointment I had set up earlier, called me a liar and scolded me for not merely going over these problems with him on the phone. I showed him proof of the phone conversation I had with his receptionist and he blamed her for not informing him of the appointment. He talked to me for about 5 minutes and gave me a Trazodone script that I'm probably not even going to fill. I then spoke with the receptionist, who showed me proof of her notifying the psychiatrist of the appointment AND his written confirmation of it. Fucking idiots. I'm never returning to this psychiatrist and I'm probably going to drop the SSRIs.

I have sought psychological counsel through my school psychotherapy center which has proven absolutely useless at this point, but I've only had one appointment.

I feel my only options are to either rough it and live with 1-2 hours of sleep per night until this goes away or find a psychiatrist competent enough to give me the addictive drugs that might give me a few good nights of sleep per week. Jesus fucking christ.

Does anyone know if Trazodone is a worthwhile sleep aid? Along with xanax and flubromazolam (which I'm probably not gonna touch because I'm sure it will make matters worse), it's all I have to work with.


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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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Offlinehex_enduction
satta massa gana
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Registered: 01/26/14
Posts: 12,051
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Re: About to see a psychiatrist, what should I expect? [Re: Amanita86]
    #21361259 - 03/04/15 01:26 PM (9 years, 2 months ago)

Yes, the first doctor I approached about my insomnia (a general practitioner) gave me a huge fucking bottle of hydrocodone syrup right off the bat. I'll trade you the bottle and a couple dozen free xanax a friend of mine gave me for a few solid hours of sleep :rolleyes:

Z-drugs are nonbenzodiazepines; zolpidem, zopiclone, etc. I don't know much about them but they're apparently crazy addictive and have bizarre side-effects.


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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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OfflineMurzelpfrumpft
pet donkey in a lucid dream

Registered: 08/09/12
Posts: 1,857
Last seen: 1 month, 5 days
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21361808 - 03/04/15 03:30 PM (9 years, 2 months ago)

They're far less addictive than benzos and less pleasant to abuse.

Trazodone is a serotonine reuptake inhibitor.

I'd go as far as saying, don't use anything at all if you can deal with it.

If you need to experience the vicious circle sleeping aids pose, find a psychiatrist who is willing to prescribe Zopiclone or Zaleplone to you.
Benzos are absolutely intolerable as a long term treatment even if you solely regard the sleep quality concern.

That your current one is a douchebag was clear as he handed over the Xanax script.

By the way vicodine is a combination of paracetamol and hydrocodone. Dr. House would probably already have a dead liver from paracetamol if he actually consumed that stupid combo.

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Offlinezzripz
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Registered: 12/23/08
Posts: 8,292
Loc: Manchester, UK
Last seen: 4 years, 10 months
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21364480 - 03/05/15 02:39 AM (9 years, 2 months ago)

try and describe for me what would be a typical night when you cannot sleep. try and pay attention to details from the moment you walk in the room. Does it have computer, TV? Do you do that before you sleep?

IS the room alright?

As soon as you turn lights out and lay your head on the pillow what happens?

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Offlinehex_enduction
satta massa gana
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21365938 - 03/05/15 12:34 PM (9 years, 2 months ago)

In the hours before bed, I'm normally either hanging out with my girlfriend in her room or listening to music in my room while reading or browsing the internet. Sometimes I'll take a bath or attempt to meditate which usually leaves me pretty calm. I'll usually smoke some weed and sometimes take a sleep aid a few hours before I'm ready to fall asleep which typically makes me very sleepy by the time I'm ready to fall asleep.

The room seems fine temperature wise. A huge complaint about my room that I completely neglected to mention before is that my downstairs neighbors are extremely loud, constantly: listening to loud music, having conversations in yelling voices that I can hear every word of, etc all hours of the day and night. They usually stop around ~5-6am but not always. There is no noise ordinance in my city so there is nothing I can do to stop them, but I play my music/white noise loud enough to drown them out. They have never bothered my sleep in the past, and even when I sleep in other rooms where they cannot be heard I struggle with the same sleep problem.

When I lay down to go to sleep, I'm usually out within 5-15 minutes. The next thing I know I'm awake, and after trying to fall back asleep for several minutes I'll usually give up and look at the time to find out it's only been an hour or two since I fell asleep last. Sometimes I'll wake up in a cold sweat; before receiving my prescription drugs this symptom occurred every time without exception.

At this point I'm either EXTREMELY anxious or merely annoyed by the persistence of this problem. I'll get up and try and engage in relaxing activities; usually listening to music and reading a book. After this fails to promote sleepiness (I'm usually completely exhausted at this point but still not sleepy and unable to sleep) I usually get anxious again and do whatever I can to calm myself down (go outside, try and distract myself by browsing the internet or watching TV, sometimes I'll wake up my girlfriend and ask her for consolation, etc). Eventually I'll get calm enough to think that sleep may be possible, and I usually spend the rest of the night laying in bed trying to fall asleep to no avail. Maybe I'll drift in and out of sleep for minutes at a time, but it's never relaxing, and I get out of bed around 7-8 feeling as tired as I was the night before. Of course, not all of these things happen in this order every night, but this is a pretty thorough explanation of what my nights are usually like.


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


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 (03/05/15 01:56 PM)

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Offlinezzripz
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Registered: 12/23/08
Posts: 8,292
Loc: Manchester, UK
Last seen: 4 years, 10 months
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21373349 - 03/07/15 05:47 AM (9 years, 2 months ago)

so it is kind of not such a problem falling to sleep but then you wake up and can't get back?

Can you know WHAT wakes you up? Is it an external disturbance or some worrying dream?

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Offlinehex_enduction
satta massa gana
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21373843 - 03/07/15 09:23 AM (9 years, 2 months ago)

I never have a clue what it is waking me up, but whatever it is seems really distressing as I'm usually waking up in a cold sweat and anxious.

I'm happy to report that the past few nights I've been sleeping fairly alright, mostly med-free. I'm still waking up 8-10 times per night but I'm able to fall asleep with relative ease. I'm spending the week out of town at my dad's house and I'm able to sleep in silence, which seems to help.


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


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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Registered: 12/23/08
Posts: 8,292
Loc: Manchester, UK
Last seen: 4 years, 10 months
Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21374188 - 03/07/15 11:08 AM (9 years, 2 months ago)

Quote:

hex_enduction said:
I never have a clue what it is waking me up, but whatever it is seems really distressing as I'm usually waking up in a cold sweat and anxious.

I'm happy to report that the past few nights I've been sleeping fairly alright, mostly med-free. I'm still waking up 8-10 times per night but I'm able to fall asleep with relative ease. I'm spending the week out of town at my dad's house and I'm able to sleep in silence, which seems to help.




That is great news man!

Hmm though, it is strange how when you had woken up in cold sweat you didn't know. I wonder if magic mushrooms could help you remember, and/or become aware of what it is that is bothering you to make you go in cold sweats and have your sleep disturbed

But as you say--fingers cross--things is looking good :smile:

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InvisibleToadstool5
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Re: About to see a psychiatrist, what should I expect? [Re: zzripz]
    #21374296 - 03/07/15 11:43 AM (9 years, 2 months ago)

Quote:

silence, which seems to help.




Have you tried noice canceling headphones or ear-plugs? Ive used them before with great success after getting used to the feeling of them. After awhile you can't even feel them.

Do you have sleep apnea? Maybe your breathing is waking you up. :shrug: Its a long shot but my cousin was getting only an hour of sleep before getting an aspirator. He was losing his mind too, almost couldnt function and was hallucinating from sleep deprivation.


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

AMU Teks :mushroom2: Stro's Write Ups

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Offlinehex_enduction
satta massa gana
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Re: About to see a psychiatrist, what should I expect? [Re: Toadstool5]
    #21377205 - 03/08/15 08:07 AM (9 years, 2 months ago)

Quote:

Toadstool5 said:
Quote:

silence, which seems to help.




Have you tried noice canceling headphones or ear-plugs? Ive used them before with great success after getting used to the feeling of them. After awhile you can't even feel them.

Do you have sleep apnea? Maybe your breathing is waking you up. :shrug: Its a long shot but my cousin was getting only an hour of sleep before getting an aspirator. He was losing his mind too, almost couldnt function and was hallucinating from sleep deprivation.




The psych I consulted said that if my sleep problems persisted after a few weeks they'd do a study on me to see if I have sleep apnea and I considered that this might be the case.

I haven't tried the earplugs despite having been suggested to use them before. Now that I realize how much silence has been helping, I feel like a fucking idiot for not taking that advice :lol: It's just that I've always had trouble falling asleep in silence as my thoughts usually drift off to anxious places in silence at night; I usually fall asleep to music. The idea of falling asleep with little bits of silicone in my ears sounds uncomfortable too, but it seems this would only be a temporary issue.

Slept good last night too, best sleep I've gotten in months really (though I did wake up more groggy and out of it than normal, probably just woke up in the middle of REM or something). Hoping this week at home continues to help with my sleep and well being. Thank you everyone in this thread for the great advice.


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


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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Offlinemushypanda
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Registered: 12/18/08
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Re: About to see a psychiatrist, what should I expect? [Re: hex_enduction]
    #21382315 - 03/09/15 11:49 AM (9 years, 2 months ago)

:popcorn:


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There is something to be said for nodding out to a spectacle of colors. Plus that body high & euphoria...._Dark-Star
We are entirely defined by what we do and how we treat others._daytripper05

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