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Mental Health  (Expert Forum)
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Does everything sound like its working the right way or do I need to switch?
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.

Does everything sound like its working the right way or do I need to switch?

by teacher1331, Nov 03, 2002 12:00AM
Hi, I'm a 25 year old third grade teacher working on my second year. I am currently also working my way through graduate school and planning my wedding for three weeks from today. I've had constant nausea and vommitting for years now and finally went through all of the medical tests possbiel to rule out any internal causes. Finally afater many doctors and exams I've been diagnosed with anxiety. With the wedding rapidly approaching I was determined to start on some sort of medication to help get me through the day without any vomitting or nausea. This past week my psychiatrist put me on Effexor and Klonopin. I haven't felt too much different from either, but its only been five days taking the Effexor and 1 full day with the Klonopin. Does that seem to soon to feel results? I biggest worry was that I had another attack last night at dinner with my parents. I starts the cold sweats, disconnectedness, and nausea except this time I didn't physivally vomitt. My concern is that these medication aren't working and I'm running out of time to find a solution for the day of the wedding. If anyone knows of anyone in a situation like my with similar symptoms or taking the same medications, how long does it usually take to take effect? Is it OK to still have an attack after 5 days of being on the medication? And do you know of any fantasic psychiatrists in my area? (Delray Beach Florida) Thank you so much for your time and please let me help you in anyway I can with my experiences.

by Roger Gould, M.D., Nov 04, 2002 12:00AM
The effexor should kick in soon, but in the meantime, if you can tolerate more klonopin, it acts immediately, and is dose related, so taking as much as need to quell your symptoms and not be too tired or "drugged" is what might be best.

You might also get a better handle on the kind of anxiety that is coming up through counseling.  Getting a therapist is a good idea.  You can also get some immediate online help at my site; www.masteringstress.com.
Member Comments (5)

by teacher1331, Nov 04, 2002 12:00AM
So it's ok to take Klonopin more then just half two times a day? Should I take it when I feel an attack coming on or will taking it the two times help stop the attacks from coming with the combination of the effexor?
Thank you so much.

by joyce45, Nov 13, 2002 12:00AM
There is an excellent psychiatrist in Okechobee, Florida, Dr. Heller.  I live just south of you.  He has a wonderful website at
www.biologicalunhappiness.com/off.htm
His phone #863-467-8771
He is not that far from you and may be very well worth the trip.
Joyce45

by vrolijk, Nov 25, 2002 12:00AM
Make sure you do not over use the klonopin, You have normal stress in your life, and have to learn how to handle it.
Any one would be stressed if they were doing so many changes and things at the same time.
I wished doctors would stop recommending klonopin, or any other
anti anxiety med. except Buspare, or running around the block, and some good physical exercise, and laughter, and physical touch, too stimilate natural endorphins.

by joyce45, Dec 06, 2002 12:00AM
To: vrolijk
Wow, That's a pretty contrite statement...it's not that easy for everyone.  This doctor is very good recommending Klonopin. Most doctors are so deep with the drug companies that they will only prescribe expensive antidepressants.  The benzos such as Klonopin, Xanax and Ativan have worked very well for many people, including me. Unless and until you have a severe panic attacks/anxiety attacks, please do not make statements like it is easy to snap out of it, cause it's not that way for many people. This is not meant as a criticism, just another opinion.
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