Pscychiatrist appt soon...want to get most out of it

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  1. Pscychiatrist appt soon...want to get most out of it


    So I've been seeing a psychologist for a few weeks and by her advice I scheduled an appt with an MD who she suggested was "good with medication".

    My question is what have your guys' experiences been with docs and what are the best ways to deal with them without seeming "drug seeking". Not that those are my intentions, I've just tried every antidepressant under the sun as well as Buspar and I think I know that I need something a little stronger. I'm also torn on whether or not to reveal past experimentation with recreational drugs or not.

    What does everyone suggest my intentions be for a first appt. with a prescribing psychiatrist?


  2. Let them diagnose you instead of thinking you know what you need before you get there. They're the professional.

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  3. Quote Originally Posted by indianballer View Post
    So I've been seeing a psychologist for a few weeks and by her advice I scheduled an appt with an MD who she suggested was "good with medication".

    My question is what have your guys' experiences been with docs and what are the best ways to deal with them without seeming "drug seeking". Not that those are my intentions, I've just tried every antidepressant under the sun as well as Buspar and I think I know that I need something a little stronger. I'm also torn on whether or not to reveal past experimentation with recreational drugs or not.

    What does everyone suggest my intentions be for a first appt. with a prescribing psychiatrist?
    reveal as much as you can, including prior drug use. psychiatrists are there to help, and to find what's best for you. they're only going to prescribe antidepressants and/or anti-anxiety meds. the more clear you are on prior useage helps them better diagnose what's best for you.

    you may have a past history with a med that will be prescribed to you, which may lead you to relapsing. IMO.

  4. a lot of my family is depressed. and the anti depressants never really were a long term fix. but the anti anxiety meds seem to be helping a lot of them much more than the anti depressants even though none of them seem anxious or were diagnosed with anxiety. Just my personal experience with it. Also, i took prozac for a couple months. it made me feel really happy but when i got off it i got super sad for about a week or so. I am diagnosed with depression but im scared to take meds due to my history with addiction.

  5. do not tell them you do or have ever abused illegal drugs ..also do not tell them you have used prescription drugs for recreational purposes in the past
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  6. i mean, be completely honest, it sounds like your unsure as to what your goal in there is. Is it to get the best drugs possible? in which case look up the symptoms that are needed to be prescribed benzodiazapines, cause they are the ****, pretty addictive though. They make you feel awesome, plain and simple. If you looking to the forums for advice as to which drug will cure which symptoms you have, you can easily find that on webmd. Never ever ask them outright for a specific drug, ESPECIALLY CONTROLLED SUBSTANCES, cause once they hear even a sliver of drug seeking behavior the book is closed on the good **** forever. Be honest with your symptoms but don't reveal your drug past if it is extensive, tell them what you've been on in the past and how it has worked for you and basically why you are here, what intensification of what symptom has caused you to go from a psychologist to a psychiatrist.

  7. Let them ask you questions and just answer them. they will prescribe you what they think is best but only you know what is going on in your head. if you are depressed explain it. if you cant concentrate explain that.

  8. dont tell them about recreational drug use, it closes alot of options trust me

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  9. Quote Originally Posted by TURUGBY View Post
    dont tell them about recreational drug use, it closes alot of options trust me

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    i second that

  10. screw what everyone says. just stick to knockin back a couple beers and smokin weed. i just got out of rehab and I did that same thing back in my addiction and now if I could go back in time and not abuse prescription drugs I would in a heartbeat. it half-way ruined my LIFE... THESE DRUGS ARE PRESCRIPTION FOR A REASON. they're horribly addictive and could be deadly. i don't mean to sound like your mommy i'm just trying to give you a fair warning...
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  11. they are hard to fool so lie all you want. a good one will see right thru you. i say be honest because this is someone you want to trust you and someone you need to trust in return. psych meds are scary $hit and nothing to play around with. good luck anyway.

  12. good luck getting some zannie bars of valiume

  13. Quote Originally Posted by buster0371 View Post
    good luck getting some zannie bars of valiume
    Technically we can get all those on the outside. I know its not hard round here.

    I would say though stay away from anything that effects your mind...

    I spend my childhood on ritalin, or whatnot as well as a few other drugs. I dont take medicine anymore, save unless I am in dire pain....It left a few mental scars, as well as ticks and some OCD I had to conquer myself, and did.

    If you are seeing one, have them help you set up a mind webbing as I call it. Structure your mind, build it up layer by layer, until it is stronger. Screw popping a pill to feel better.

    I have been to a psychologist. And on my own, learned to face my own psyche. Do that, and no psychologist will ever be of use again. Many times people are pushed into depression because of society.

    They are 200K in debt making 30K a year.
    They are waaay overweight.
    They are blind.
    They have a scar across their face.
    They feel like an outcast.
    etc
    etc
    etc.

    But all of those are bad in comparison to what is the norm, what our society demands to be accepted. First things first, move above society. Find a realm that fits you, a style that explains you, and a story you want to be a part of. You stick me in an office chair, tell me to work 9-5 and you will piss me off. I cant do that crap.

    Identify what it is that's dragging you down to that point, and do away with the pre-programmed reasoning our country gives us.

    You either blaze your own trail, or follow in the blaze of the trails of others. I dont follow well -.-

    I still get depressed/angry....they have their places in reminding us we are still human.

  14. Its very easy to get pills. Psychiatrists are just legal drug dealers, nothing more really. "Oh you got a problem sleeping, here take this." Get the kid hooked on Xanax, yeah thats how ya deal with it! Take this advice to the heart, don't get into antidepressants or anxiety meds WITHOUT have a great knowledge of them. Many, like Xanax, have strong addictive properties and in the wrong hands could be a lifetime problem.

    If you really need to go that route though, just keep it short term man. Realize that these won't help you or cure you, they help you get through the day. And sometimes we need that. We need to learn to get through the day without being stressed/worried/anxious/depressed, but theres NOTHING worse than an addiction to a substance like Xanax or Valium. Keep it short term and understand that the government isn't out to help you, they're in it to collect your money, and ultimately get you hooked on substances in your lifetime. Don't believe it? Explain why there's a liquor store on every corner of every inner city neighborhood. The government needs to get people hooked and keep the vicious cycle going

    I'm an ex pothead and one thing that I can say that marijuana did for me was open my eyes to the world.

    And anyone who tells you that shrinks are going to help you in the long run is either downright stupid or just plain ignorant to the fact that our own government truly does not give a **** about us.

  15. Quote Originally Posted by indianballer View Post
    So I've been seeing a psychologist for a few weeks and by her advice I scheduled an appt with an MD who she suggested was "good with medication".

    My question is what have your guys' experiences been with docs and what are the best ways to deal with them without seeming "drug seeking". Not that those are my intentions, I've just tried every antidepressant under the sun as well as Buspar and I think I know that I need something a little stronger. I'm also torn on whether or not to reveal past experimentation with recreational drugs or not.

    What does everyone suggest my intentions be for a first appt. with a prescribing psychiatrist?
    not too sure if you guys all know this, but any antidepressant mixed with the stuff we all take is a recipe for disaster, if you go on ssri s brother, the supplement game is over for you, or if your smart it is. Not just PH or DS but the pre workout caffeine mixes are a no go as well, the 2 DO NOT MIX!

  16. Its the problem today man, its all about magic pills...
  17. Mars1107
    Mars1107's Avatar

    i think people overestimate the addictiveness of xanax and benzopedines.

    someone mentioned alcohol, trust me, thats much worse than some xanax for anxiety or to help you sleep.

    ive been taken 1mg of clonazapan for over a year, with no need to increase dosage, and it still works.
  18. Mars1107
    Mars1107's Avatar

    "Alprazolam, like other benzodiazepines, binds to specific sites on the GABAA gamma-amino-butyric acid receptor. When bound to these sites, which are referred to as benzodiazepine receptors, it modulates the effect of GABA A receptors and, thus, GABAnergic neurons. Long-term use causes adaptive changes in the benzodiazepine receptors, making them less sensitive to stimulation and less powerful in their effects.[62]

    Not all withdrawal effects are evidence of true dependence or withdrawal. Recurrence of symptoms such as anxiety may simply indicate that the drug was having its expected anti-anxiety effect and that, in the absence of the drug, the symptom has returned to pretreatment levels. If the symptoms are more severe or frequent, the patient may be experiencing a rebound effect due to the removal of the drug. Either of these can occur without the patient's actually being drug-dependent.[62]

    Alprazolam and other benzodiazepines may also cause the development of physical dependence, tolerance, and benzodiazepine withdrawal symptoms during rapid dose reduction or cessation of therapy after long-term treatment.[63][64] There is a higher chance of withdrawal reactions if the drug is administered in a higher dosage than recommended, or if a patient stops taking the medication altogether without slowly allowing the body to adjust to a lower-dosage regimen.[65][66][67]

    In 1992, Romach and colleagues reported that dose escalation is not a characteristic of long-term alprazolam users, and the majority of patients indicated that alprazolam continued to be effective, suggesting that tolerance to the anti-anxiety effect is limited.[68]

    If a patient feels the need to end treatment with alprazolam, he/she should consult his/her physician before discontinuing the medication. Some common symptoms of alprazolam discontinuation include tachycardia, dysphoria, dry mouth, loss of appetite, insomnia, anxiety, dizziness, tremors, nausea, cramps, vomiting, diarrhea, panic attacks, mood swings, heart palpitations, memory loss. Less common and more severe reactions can occur, including hallucinations, seizures or fever[69]

    Patients taking a dosing regimen larger than 4 mg per day have an increased potential for dependence. This medication may cause withdrawal symptoms upon abrupt withdrawal or rapid tapering, which in some cases have been known to cause seizures. The discontinuation of this medication may also cause a reaction called rebound anxiety. Other withdrawal effects reported from discontinuing alprazolam therapy include homicidal ideation (very rare), rage reactions, hyperalertness, vivid dreams, and intrusive thoughts.[70] Grand mal seizures have occurred after abrupt withdrawal after only short-term use. Therefore, even short-term users of alprazolam should taper off of their medication slowly to avoid serious withdrawal reactions including seizures.[71][72]

    Alprazolam should never be abruptly stopped if taken regularly for any length of time because severe withdrawal symptoms may occur. Severe psychosis and seizures have been reported in the medical literature from abrupt alprazolam discontinuation,[73][74] and one death occurred from withdrawal-related seizures after gradual dose reduction.[74]

    In a 1983 study of patients that had taken long-acting benzodiazepines, e.g., clorazepate, for extended periods, the medications were stopped abruptly under double-blind conditions (that is, patients were receiving either placebo or the same drug they had been taking). Only 5% of patients that had been taking the drug for less than 8 months demonstrated withdrawal symptoms, but 43% of those that had been taking them for more than 8 months did, whereas, with alprazolam - a short-acting benzodiazepine - taken for 8 weeks, 35% of patients experienced significant rebound anxiety. To some degree, these older benzodiazepines are self-tapering.[75]

    The benzodiazepines diazepam (Valium) and oxazepam (Serepax) have been found to produce fewer withdrawal reactions than alprazolam (Xanax) or lorazepam (Temesta/Ativan). Factors that determine the risk of psychological dependence or physical dependence and the severity of the benzodiazepine withdrawal symptoms experienced during dose reduction of alprazolam include: dosage used, length of use, frequency of dosing, personality characteristics of the individual, previous use of cross-dependent/cross-tolerant drugs (alcohol or other sedative-hypnotic drugs), current use of cross-dependent/cross-tolerant drugs (alcohol or other sedative-hypnotic drugs), use of other short-acting, high-potency benzodiazepines[8][76] and method of discontinuation."

  19. Quote Originally Posted by Zero V View Post
    Technically we can get all those on the outside. I know its not hard round here.

    I would say though stay away from anything that effects your mind...

    I spend my childhood on ritalin, or whatnot as well as a few other drugs. I dont take medicine anymore, save unless I am in dire pain....It left a few mental scars, as well as ticks and some OCD I had to conquer myself, and did.

    If you are seeing one, have them help you set up a mind webbing as I call it. Structure your mind, build it up layer by layer, until it is stronger. Screw popping a pill to feel better.

    I have been to a psychologist. And on my own, learned to face my own psyche. Do that, and no psychologist will ever be of use again. Many times people are pushed into depression because of society.

    They are 200K in debt making 30K a year.
    They are waaay overweight.
    They are blind.
    They have a scar across their face.
    They feel like an outcast.
    etc
    etc
    etc.

    But all of those are bad in comparison to what is the norm, what our society demands to be accepted. First things first, move above society. Find a realm that fits you, a style that explains you, and a story you want to be a part of. You stick me in an office chair, tell me to work 9-5 and you will piss me off. I cant do that crap.

    Identify what it is that's dragging you down to that point, and do away with the pre-programmed reasoning our country gives us.

    You either blaze your own trail, or follow in the blaze of the trails of others. I dont follow well -.-

    I still get depressed/angry....they have their places in reminding us we are still human.
    well put zero, I feel the same way about alot of my past and had a whole lot of mental problems to conquer, I swear to anyone though, no pill will make you feel as good as exercise.. Period.. I understand some cases are more severe as I myself learned once as well, but before docs give out meds they should give out free 1 week passes to a gym to see if that works better. In my opinion, in the mild cases its better than meds.

    just my .02

  20. Quote Originally Posted by searl12 View Post
    well put zero, I feel the same way about alot of my past and had a whole lot of mental problems to conquer, I swear to anyone though, no pill will make you feel as good as exercise.. Period.. I understand some cases are more severe as I myself learned once as well, but before docs give out meds they should give out free 1 week passes to a gym to see if that works better. In my opinion, in the mild cases its better than meds.

    just my .02
    Well for alot of people a week pass wouldn't be enough. But maybe a way for insurance to cover it as a means of therapy....that would be pretty neat.

    I myself get confidence and better emotional well being from pushing it in the gym until my body shuts me down lol. Most people would be suprised how great you would start to feel after something simple like 3 months of cardio @ 20 minutes a day and at least a light weight training regime.

  21. Dude, find what it is and get rid of it. "IT" is causing biochemical changes in your brain that your body cant keep up with. You get rid of "IT" through talk therapy about 3 years worth. If a psychologist is directing you to an MD they already may have some idea of what meds you should be on, probably an antidepressant and a tranq, go for the lowest dose they will prescribe and stay with it for at least a year. Do not use other drugs, including alcohol and keep your Psych. appointments. If you keep your med doses low there is little risk of addiction. JMO Oh, and if you are going to see a Doctor for psychotropic meds you are "drug seeking" and they know it.

  22. Quote Originally Posted by Knowbull View Post
    Dude, find what it is and get rid of it. "IT" is causing biochemical changes in your brain that your body cant keep up with. You get rid of "IT" through talk therapy about 3 years worth. If a psychologist is directing you to an MD they already may have some idea of what meds you should be on, probably an antidepressant and a tranq, go for the lowest dose they will prescribe and stay with it for at least a year. Do not use other drugs, including alcohol and keep your Psych. appointments. If you keep your med doses low there is little risk of addiction. JMO Oh, and if you are going to see a Doctor for psychotropic meds you are "drug seeking" and they know it.
    so you're reccomending he take a tranquilizer too? odds are he will get somewhat addicted to one of them-which plays right into the psychiatrists' hands. don't see a psychiatrist unless you want to make yourself an atm machine.

  23. Look, I realize many of you do not trust psychiatrist/psychologists etc, but as someone who is in the medical field and has seen, been on both sides of the story, it saddens me greatly when I see young people out there struggling with issues who have various forms of mental disorders and they are to afraid too be open and seek help. I've seen quite a few spiral down because of it. Albeit, I'm not saying medication is the absolute answer for everyone, but if it is needed and not used there could be serious consequences. There are tons of various forms of therapy and it quite often takes along time to get the right path nailed down. After all, the human mind and the therapy there of is quite complicated and just as variant. I've said it before, when were physically ill like an infection we take antibiotics, if we have athlete's foot we use anti-fungals, if we want to get big we take supps, if we are ill with our minds is it that hard to accept that we made need to take something for it? I see people self medicating themselves left and fuking right on this board. Gaba this, superdrol that, ghrp, htp-5, levothyroxine (<-T4 aka fuking synthroid) blah, blah, blah. There is such an irrational fear that it becomes sad because a lot of people out there whom truly need the help, which ever it be do not seek it. My advice, if you feel you need to see the doc, then see him. Be honest, even about recreational drug use before (I'll explain this later). Establish a trust base and an open rapport. It will give the therapist more to work with and allow him to make more accurate decisions and quite possibly help quicken the path to the right treatment. The reason why I believe honesty in the drug use area is a must is simple. Therapist's know the difference between some young kid experimenting with recreational drugs and true addictions. Yes it is true that, that kind of particular information disclosed can change the therapist's choice of medication and treatments. If the therapist suspects an addiction (and no they do not just assume everyone has an addiction) they may not want to prescribe something that can be addicting and further harming the patient. Also, remember we are free to ask all the questions we like, get explanations, and ask for a second opinion if you do not feel comfortable with the answers or explanations. It's the responsible thing to do. I'm sure there are many out there whom have had issues of there own and were able to overcome them on their own, who feel everything can be handled from within, good for you, but your problems and method are not someone else's. I'm sure there are people out there who have had bad experiences with therapists, I sympathize, but there are people out there who have had allergic reactions to certain vaccines, but that doesn't mean no one else should be vaccinated if it could help them.

    Just felt I needed throw my thoughts out there.
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  24. Quote Originally Posted by Zero V View Post
    Well for alot of people a week pass wouldn't be enough. But maybe a way for insurance to cover it as a means of therapy....that would be pretty neat.

    I myself get confidence and better emotional well being from pushing it in the gym until my body shuts me down lol. Most people would be suprised how great you would start to feel after something simple like 3 months of cardio @ 20 minutes a day and at least a light weight training regime.
    Some have problems that going to the gym, having a hot chick, etc won't solve. And your right, a week wouldn't be enough. Many meds need to be taken for like 14 days before they build up in the system and kick in.
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  25. Mars1107
    Mars1107's Avatar

    Quote Originally Posted by toiletflush View Post
    you can find any "study" to support want you want it to support. justifying your use of an anti-anxiety drug on a supplement message board is reckless and you may be able to trick people into thinking that this stuff isn't harmful. ruin yourself but don't ruin anybody else
    uh okay, im not supporting my addiction. Its a freaking medicine prescribed by my doctor. Im not trying to justify my use, when the hell i say that.

    Shure i rather not take any medications, but i need it. Simple. Some people need it. Simple.

    And yeah i believe the stuff isnt harmful if used in the proper medical environment.

    Were not talking about people taking recreational doses to get some sort of high.

    Anti-anxiety drugs are miracles for lots of people. Yeah its up to you if want to suffer, or take the risks and side effects.

    You drink alcohol? thats exactly what alcohol is, an anti-anxiety drug, that works on gaba receptors. And that is, for fact more dangerous than most classical anti-anxiety drugs, aka benzopadienes.
  26. Mars1107
    Mars1107's Avatar

    besides, none of this addresses the OP's question

  27. Benzos are far less dangerous than booze, when taken in the proper manner. The addiction potential is dose dependant, ie the less you take the safer you are. Most people get bored with the whole neurosis thing and taking meds. Eventually a person doesnt need meds except on occasion (unless they are really psychotic) I dont think the OP is talking about a psychosis.

  28. Why is fitness not working for you? What's wrong?

  29. Quote Originally Posted by killfat View Post
    Why is fitness not working for you? What's wrong?
    I'm not sure what that means? But the whole fitness thing doesn't cure mental disorders. Sure I get the same endorphin rush after a jog or a workout, but that doesn't even come close to masking the crippling anxiety I feel walking from machine to machine in the gym.

    Anyways, since this thread is still going and I started it forever ago...I'll give anyone who's interested the run-down on the past month.

    first appt: give him my story and he wants to try cymbalta
    next 2 weeks are hell...can't eat, throwing up during workouts, HELL

    next appt: I explain all this to him and he says nausea is a normal reaction and it will go away as my body adjusts

    next appt: I tell him the nausea is gona but I feel so tired all the time that I'd rather go back to no medication...this is when he suggested clonazepam...started at .25mg 2X a day and have since moved up to .5mg 2X a day and it has helped more than any of the SSRI's and I've been on them all

    it doesn't completely erradicate my anxieties as opiates, xanax, and valium did when I was self-medicating, but it has taken a little bit of the edge off and the rest I'm willing to work on in therapy.

    I haven't COMPLETELY lost my faith in the american psychiatric system just yet.

  30. Chemical dependancy is a beast to get over! I've been on oxycontin for over 3 years and am trying to get off just because of how bad it truly is for your body. I am on it for legitimate reasonas but the side effects are horrible while detoxing. I've missed work, my sons ballgames, and anything else that fell into my way. I've since relapsed due to missing work and bieng to weak to fight the temptations I guess. If you can avoid the meds do so!
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