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To those of you new here: Welcome! And if you'd like to start a new discussion in order to talk with others or get more support, hold your cursor over the orange Post Now button on the upper right and choose 'Discussion' from the drop down menu which appears. Fill in the subject line and body of the message (you can ignore the poll part if you want) and Submit.View Thread
He is going through HELL right now. My daughter talked to him yesterday and is helping him vent. He has to take control and be the boss - but anyway not going to get into his problems here as they are awful.
I even saw his wife in my walk and not a word about Mother's Day - my son is never remembered on Father's Day by the way from her - it's all about her. Don't know what will happen - we cannot tell him what to do as it is his life. My daughter said she would be on drugs if she had a life like his so anyway it is really tough and am very sad for him. I told him that and told him I don't want him to get sick - so we will see what happens. He is a good person - works very hard - anyway it's sad so am not thinking about Mother's Day at all - he has just too much stress. But on an up note, he does have a wonderful 3-year-old son who loves him dearly and he loves him dearly too - at least he has a little joy with his son.
Thanks again for all your good advice - God bless all of us.View Thread
I have been divorced once because of an unfaithful wife and am now married to a very loving and understanding woman. She puts up with a lot. I'm a teacher and I am on the go from 5:15AM until 1130PM normally six days a week. I work with Emotionally Disabled students and last week I got the dreaded Lay-Off notice.
On some days I'm relieved as I had very left to give and on others I feel like a failure. I have 19 years teaching for retirement, my wife's Navy retirement, and mine as well. So if we didn't have the national average for credit card debt we'd be set. Most likely I'll have to Sub (that is just as stressful) to help. We have a 13 year old son, who has been great and sensitive even though I've bitten off his head during my low points.
Lately I haven't had many (one) high point; two weeks ago I actually laughed at something till tears came to my eyes and then I stopped and realized what I was doing; I was so surprised and today I couldn't tell you what I laughed about. My memory is shot and many times I have to stop and try to remember what I was doing.
I'm always tense and my dentist tells me that I broke a root below the jaw line from clinching my teeth. I know I do it during the day, but my wife says I do it at night as I toss and turn. I never realize how tense I am until I lay down in bed and take a deep breath.
Up till my heart attack I was always the strong one, Naval aviator, Naval Educational Administrator, Department Head, and consultant. I never hesitated in making decisions and they seemed to be more right than wrong; today it's the opposite and I feel very embarrassed at work and at home.
I know financially I'm better off than most others, but I've worked for 50 years and now I'm 62 and who would hire me? With belt tightening we'll make it, but not at the level I had envisioned. Many times I'm angry because I played by all the rules, worked hard, gave up personal interests and family time and now I feel I'm getting kicked in the teeth.
You see I was told the student count was too low, but I too can read computer readouts and know where to look for open positions where I found two postings looking for teachers with 0 experience. With the exception of the Administrators I was the highest paid teacher. Did I mention I'm from Wisconsin so the things happening up here weigh heavily on my mind. I go to work, but my heart isn't in it, but I am a professional and will be to the last day.
After all this rambling, I guess I would love to here someone say they've been there this and are now enjoying life somewhat like they had envisioned.
I must admit I've had thoughts of suicide, but I couldn't stand to leave my wife and son in worse shape. Even though I gave the key to the gun cabinet and three of the strongest prescriptions for my wife to hold. I'm just tired of starting to cry for no apparent reason, anxiety, stress, and tenseness to the point I have aches and pains when I go to bed.
I just want toknow that the light at the end of the tunnel isn't a train getting ready to run me down. I just need to talk to someone as I don't think I can open up totally to my wife as I can see the stress on her as well. Thanks for listening.View Thread
oldie28 - I have similar aches and pains due to my anxiety too.
AnxiousAndConfused - Thanks for sharing your experience. That is a scary situation.
I have done cognitive therapy in the past and I think I may start up again since my anxiety is increasing and I don't want to be reliant on the lorazepam to control it.View Thread
It does seem as though you are experiencing quite a bit of anxiety about this and it might be time for the 2 of you to have some therapy sessions with a psychologist who specializes in relationship issues. I think this is the best approach for the 2 of you.
Dr. FarrellView Thread
Anxiety can be brought on by your medication, by the interaction of your medications or by some medical condition or stress-related activity in your life. So it is very possible that it could be physical or it could be stress related or it could be medication related. Each one of these must be explored and ruled out before you can know what the treatment plan should be.
It's my understanding that anemia can be quickly diagnosed with a simple blood test from a prick of a finger. There is also a more sophisticated, simple test that checks blood oxygen. This test requires only that a small monitor be slipped on one finger. Anemia is a condition where the red blood cells do not carry enough oxygen and it can result from a number of things. Some other conditions may also cause anxiety and one of them is thyroid dysfunction or even a dietary insufficiency.
I hope that everything works out well for you and that you and your prescriber can come up with a plan that will be most helpful to you. You might also discuss with your prescriber whether or not some mild exercise would be helpful because we know, from recent research, that exercise is excellent in controlling stress and anxiety. We do have a number of simple exercises that can be done right in your home, in fact in your kitchen, in our Tips column and I would suggest that you review these.
Dr. FarrellView Thread
The unconscious skin picking which you have been engaging in is something which, I believe, could best be handled by a behavioral psychologist who will teach you ways to become aware of this and how to help yourself stop it. I don't believe you need a psychiatrist or a hypnotherapist. Please see if you can get a referral to a licensed psychologist who practices behavioral therapy for anxiety disorders.
Dr. FarrellView Thread
It's always good to discuss with your prescriber whatever medications you plan to take or that you have taken in the past and to make yourself an informed consumer.
Good luck with the taper. I hope it all continues to go a bit better with each passing day.
Dr. FarrellView Thread
I encourage you to start a new discussion on the board with your question so Dr. Farrell can more easily find it and respond.
To do that, hold your cursor over the orange Post Now button on the upper right and choose 'Discussion' from the drop down menu which appears. Fill in the subject line and body of the message (you can ignore the poll part if you want) and Submit.View Thread
I work a 5 days a week, 9-5 job and it is managable. I had to take some time off of work when I was experiencing debilitating attacks and waiting for my medicine to kick in but you can do it. Instead of looking at trying to get through 8 hours of the workday without an anziety attack, I break it up into smaller portions. I focus on getting to my midmorning break, then my lunch break and so on.
I think that anxiety disorders can be so isolating but it makes me feel better to know that I am not the only one who experiences these symptoms.View Thread
The medication which you are taking does cause sedation, some problems in concentration and may not be appropriate for your situation. I'm not an MD, but I would assume that some work with a cognitive behavioral psychologist would be useful. I would expect that this would need to be long-term and that you could learn, quite quickly, the sources of this stress and ways to manage them.
In the meantime, perhaps you might benefit from some of the things in our Tips column. I hope that you do some exercise on a regular basis because we know that that does decrease stress and help with anxiety and even depression and sleep. In fact there is a new workout that requires, over the entire week, as little as 20 min. but it is of high intensity. Because it is of such high intensity, everyone is recommended to have their PCP agree that they are in physical shape sufficient to engage in this exercise. Called HIIT (High Intensity Interval Training) you can look this up on the Internet.
In our Tips column we have simple exercises that you can do even in your home and we have a video tutorial on relaxation breathing which I would recommend to you. The breathing can be done anywhere you happen to be, at any time of the day or night. It should be done on a regular basis to help you manage both stress and anxiety.
Dr. FarrellView Thread
I don't know your therapist's background in terms of pharmacology, but as an informed consumer, you will of course look up any medications in the PDR (Physicians Desk Reference) which is available at your local library's Reference section or in any bookstore. This book will tell you not only the usual doses, but both common and rare side effects and your pharmacist, too, can help you with questions regarding medications.
I am not an M.D., but I do know that the rule for prescribing any medication is "Start low, go slow." For your therapist to recommend a specific level of medication would not seem to be in line with this mandate.
You've asked another important question and that is regarding the possible interaction of any medication or, specifically, this medication, with foods or vitamins that you may be taking. Yes, it is true, that some foods have to be avoided on certain medications. For some medications in the psychotropics area you need to avoid grapefruit juice, in particular. There may be other things that need to be taken into consideration too, so I would think that asking your PCP and your pharmacist would be a good idea.
Dr. FarrellView Thread
Self-esteem is also something that begins to be molded in the home and if a child's self-esteem is constantly being attacked by their being told that they are not doing something "correctly," what can we expect? There is very little in life that must be done only one way, unless we're talking about the alphabet or math. Much of the rest is open to individual interpretation and creativity comes from being able to find alternative solutions to things. Children also need to have a sense of importance, independence and of being respected. All of this enables them to develop appropriate personality traits.
Although you said you had been "to counseling," I believe family therapy would be the treatment of choice here since there seems to be many family issues which need to be worked on as a group. Your husband might also be referred for some individual therapy and all of this must be considered.
Dr. FarrellView Thread
You are correct in that geriatric patients have increased sensitivity to many medications because of changes in liver and kidney functions and all of their medications should be reviewed by someone who is familiar with either geropsychiatry or geriatric medicine.
I'm not an M.D., but I would suggest that a geriatric medicine specialist review not only your grandmother's medical status but all of the medications that she is taking, both prescription and OTC. Older patients are also quite sensitive to a number of OTC medications, in particular, those that are intended for sleep or allergy relief. Emotional outbursts and crying would lead me to believe that there may be an issue of medication here.
I hope that you do find a qualified geriatric medicine specialist in your area for your grandmother.
Dr. FarrellView Thread
I would suggest, however, that you consider a short course of cognitive therapy with a psychologist who specializes in anxiety disorders. This is intended to help you to learn new ways to manage your anxiety and to extinguish panic attacks should they come on or to initiate actions to prevent an attack. It's quite common for anyone who has had a panic attack to be in a somewhat constant state of concern regarding having another one. So in that regard, you are in the majority.
You can also find information in our Tips column which can be useful to you in learning to manage your anxiety. One thing I would recommend is the video tutorial on relaxation breathing. This is the technique that you can use anywhere, at any time and it will help you to calm down. Please remember, however, to use it prior to having your anxiety escalate into a panic attack. It is a method intended to help you to keep your anxiety at a much lower level.
I hope you find this information useful.
Dr. FarrellView Thread
I too suffer from severe anxiety, I used to think I was completely crazy. In 2006 I lost custody of my son and my daughter. I unfortunately had a drug problem and I needed treatment. I never thought I would never see my two children again. I tried to hold onto them any way I could, and just in this last year I have learned that if I do not let go and give this to God, I will not survive. I am very sorry for your loss, i too lost not in the same way as you, if you ever want someone to listen, I am a good listener. Try to stay as positive as you can, and just know there are people out there that suffer from the same annoying anxiety. take careView Thread
Unfortunately, medications in both the SSR I and SNRI groups can cause weight gain that often does not respond to diet or exercise. This is probably due to the fact that they act in the G.I. tract and have a direct effect on metabolism.
You might also wish to discuss this with your pharmacist who is a highly trained professional and can provide information on medications. Pharmacies also often have sophisticated computer programs that can evaluate medications used in combination.
Dr. FarrellView Thread
If your boss says things like, "You are not going anywhere unless I say so," you might just ask for a more detailed explanation in as pleasant and non-confronting manner you can. I think he may be indicating that your performance reviews which he will provide will determine how far you go in the company. Don't forget, you've been there 8 years already and that sounds like a solid track record to me.
Do the best you can to help yourself calm down before any situation and to offer reasonable explanations for anything that might have happened. You've indicated that you are trying to modify your behavior and that is a point in your favor. They will probably offer recommendations wherel you need improvement. Take them as recommendations and try to do the best you can within those recommendations.
I hope things do go well for you and that you are successful in changing your behavior so that you can benefit.View Thread
It's unfortunate that your doctor has tried so many medications that have been unsuccessful, but I believe that there should have been a cognitive/behavioral therapy component that would have helped you sooner.
I don't know anything about the new product that you are taking, but I feel you should discuss this with your prescriber and, possibly, your pharmacist. As to the TCA medications, they must be taken carefully, cannot be used by anyone with a cardiac condition, and may cause the reverse of the problem you've had most of your life. Your pharmacist can also tell you about this.
I'm not an M.D., but I have seen many patients who have had some difficulty with many medications. However, medication isn't always the issue and usually is not the only treatment plan component.
Dr. FarrellView Thread
Psychiatry depends on language and a very good understanding of the patient's culture because it is language and culture which are the 2 things that assist in making a psychiatric diagnosis. Psychiatrists, generally, are not trained in using any type of psychometric testing and depend on their language skills to come to the appropriate diagnosis and formulate a treatment plan. If there is a problem in language, it should be addressed immediately through the use of a certified interpreter. When I say interpreter, I also mean someone who understands psychiatric disorders and has a level of sophistication above the normal language interpreter skills.
I have seen patients in psychiatric hospitals who had interpreters who, unfortunately, interpreted incorrectly when it came to psychiatric symptoms. They did an interpretation of what they thought the patient meant and did not adequately interpret what was said. This is something that should be corrected immediately. I don't know if it is the psychiatrist who does not have sufficient language facility or the patient who speaks a different language. Either one will present difficulties in making the diagnosis and coming to formulate a treatment plan.
Your friend should also have been referred for some appropriate psychotherapy to help with his current situation.View Thread
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