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Mental Health (Expert Forum)
My condition has worsened
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.
My condition has worsened
by HANNS, Mar 19, 2002 12:00AM
I am sorry that I bring up a subject I asked earlier but I feel so helpless. I submitted a question regarding my social and anticipatory anxiety regarding my upcoming wedding and what medications I should use. I have tried these medications (Xanax, .25mg/ and Inderal 10 mg) in a "test run" and they do not seem to work. Moreover, my conditioned has worsened over my fears of being in front of everyone and anticipating my wedding. I have fallen into a deep depression. I really feel that I will not be able to perform well that day. My anxiety is now overwhelming my day to day activities. I thought my 30mg/day Paxil would help but I continue to worry. I continually have negative thinking and I feel very inadequate about my abilities/not being able to get married.
I have thought of many ways to improve. Perhaps taking kava kava or hypnosis to stop my fears of anxiety. My CBT is not working because when my psychologist uses a worse case scenario (a panic attack that stops the wedding) to help me overcome my fear, I start to worry that a panic attack on my wedding day may actually happen. It is a continued downward spiral for me. What should I do? What other medications should I try? How to I improve my outlook on life? Do I need to raise my dosages? I want to turn my life around. My fiancee is getting frustrated with my behavior. Thank you for your help.
I have thought of many ways to improve. Perhaps taking kava kava or hypnosis to stop my fears of anxiety. My CBT is not working because when my psychologist uses a worse case scenario (a panic attack that stops the wedding) to help me overcome my fear, I start to worry that a panic attack on my wedding day may actually happen. It is a continued downward spiral for me. What should I do? What other medications should I try? How to I improve my outlook on life? Do I need to raise my dosages? I want to turn my life around. My fiancee is getting frustrated with my behavior. Thank you for your help.
Doctor's Answer
by Roger Gould, M.D., Mar 20, 2002 12:00AM
, Mar 20, 2002 12:00AM
You can do several things. As the wedding gets closer, the anxiety builds, so you can keep on increasing your dose of xanax,inderal( under your doctor's supervision) until you get to a steady state without being "drugged"
Another approach is to ask your therapist to switch approaches to take a dynamic/motivational conflict approach. Try to get to the root of your fears.
A third approach is to take my masteringstress program (link above) and take the session on "transitions", and ask for a review by me, and I will try to help you get some quick insight into your fears.
Another approach is to ask your therapist to switch approaches to take a dynamic/motivational conflict approach. Try to get to the root of your fears.
A third approach is to take my masteringstress program (link above) and take the session on "transitions", and ask for a review by me, and I will try to help you get some quick insight into your fears.
Congratulations on you big day!!!! You will be fine.
I really think I can be of some help with this. I got myself into a situation where I developed severe panic/anxiety. I finally found the right doc who prescribed Klonipin. This was a miracle drug for me at just .5 mgs. That'll get you thru this. And do not keep taking it, as it is addictive. But I do admit I take it before my dental appts but only .25 mgs, (this stuff is pretty potent, and I take the generic brand called clonazepam) and it's miraculous! Truly. Just a feeling of calm. NOt a eurphoria or anything like that. Just calmness and much less nervousness and in complete control. You will be just fine. And the day will come and go so fast you will look back on all this worry and laugh. (although right now it's not so funny) You truly will. I've been there and know how you're feeling.
Good luck to you and best wishes.
R/55
R/55