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#923373 - 08/29/09 04:12 PM
Re: Banana Kpins...
[Re: seattlewa]
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Stranger
Registered: 08/29/09
Posts: 24
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Been lurking but wanted to add my thoughts here, in case anyone cares. Firstly, I don't know how people can be certain of who NEEDS what. People can't even always be sure of what they themselves need. And everyone has their own biases. "Needs" are also always to/for something, eg "I need air FOR breathing," "I need oxygen TO live," "I need food TO avoid starving," "I need putty FOR this construction job," "I need to turn in this paper TO get a good grade," etc. I don't know if anyone is arguing "keystonelight needs a benzo to stay alive" or even "keystonelight needs a benzo to pass the class," but perhaps "keystonelight needs a benzo to be comfortable fully participating in this class." And then again, perhaps not. I'm not going to judge for him. Perhaps he should let a good, competent doctor/psychiatrist help him figure out whether he "needs" these or other benzos or other meds or talk therapy or anything, but in the end, he's the only one who directly experiences his own body and feelings. Age also shouldn't be a factor. At no age is someone "too young" to be ill, to be in need of medication, to deserve medical care, to suffer... If he was in his 60s and reentering college, would you say the same thing to him? What if he was 80? Is it relevant? How is ageism justified here? I also believe in the right to accept or decline treatment, and I think this should be expanded in many cultures. How is it any different from eyesight? Maybe if he used talk therapy or just "will power," he could "get over" this anxiety "for good" (or at least until something new triggers/worsens it), but at what cost, and is this cost worth it? That's for him to decide. Maybe he'd prefer to pop a benzo as needed, even if it becomes a habit, a tool he relies on. Some people could get laser surgery for their vision, but at what cost, and is this cost worth it? Maybe they'd prefer to use contacts or glasses, even if it becomes a habit, a tool they rely on...for life. That's for them to decide. Just because YOU think a permanent treatment, a less invasive treatment, a cheaper treatment, etc is better for someone else, doesn't mean they'll agree. http://www.rxlist.com and similar sites can be useful for figuring out SEs, interactions, etc. And all that should be factored into the decision. And the decision should be left up to the patient. If dependence and withdrawal (and harmful misuse/abuse) are larger risks of some drugs and smaller risks for others, and that's important to the patient, of course that should be among the SEs to factor in. But I don't think it's necessarily a bad sort of habit to have a crutch (whether it's a pill, or putting a little cross or heart-shaped pin or whatever in your pocket, or going for a walk before the speech, etc) for many years or all your life. Surely if you lose your cross or can't go outside the whole day, that could be very distressing, but that's just another risk to factor in, not a dealbreaker. Meds also tend to not be troublesome in terms of "addiction" unless there's already a severe underlying problem that causes a desire for ongoing self medication, and dependence isn't really an issue if you take a low dose of a benzo once in a while (such as days you give speeches). I was going to say more but I must go now. Good luck and take care, all 
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#923380 - 08/29/09 04:29 PM
Re: Banana Kpins...
[Re: Lettuce]
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Pooh-Bah
Registered: 02/21/07
Posts: 1434
Loc: There ain't no TV guide...
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Been lurking but wanted to add my thoughts here, in case anyone cares. Firstly, I don't know how people can be certain of who NEEDS what. People can't even always be sure of what they themselves need. And everyone has their own biases. "Needs" are also always to/for something, eg "I need air FOR breathing," "I need oxygen TO live," "I need food TO avoid starving," "I need putty FOR this construction job," "I need to turn in this paper TO get a good grade," etc. I don't know if anyone is arguing "keystonelight needs a benzo to stay alive" or even "keystonelight needs a benzo to pass the class," but perhaps "keystonelight needs a benzo to be comfortable fully participating in this class." And then again, perhaps not. I'm not going to judge for him. Perhaps he should let a good, competent doctor/psychiatrist help him figure out whether he "needs" these or other benzos or other meds or talk therapy or anything, but in the end, he's the only one who directly experiences his own body and feelings. Age also shouldn't be a factor. At no age is someone "too young" to be ill, to be in need of medication, to deserve medical care, to suffer... If he was in his 60s and reentering college, would you say the same thing to him? What if he was 80? Is it relevant? How is ageism justified here? I also believe in the right to accept or decline treatment, and I think this should be expanded in many cultures. How is it any different from eyesight? Maybe if he used talk therapy or just "will power," he could "get over" this anxiety "for good" (or at least until something new triggers/worsens it), but at what cost, and is this cost worth it? That's for him to decide. Maybe he'd prefer to pop a benzo as needed, even if it becomes a habit, a tool he relies on. Some people could get laser surgery for their vision, but at what cost, and is this cost worth it? Maybe they'd prefer to use contacts or glasses, even if it becomes a habit, a tool they rely on...for life. That's for them to decide. Just because YOU think a permanent treatment, a less invasive treatment, a cheaper treatment, etc is better for someone else, doesn't mean they'll agree. http://www.rxlist.com and similar sites can be useful for figuring out SEs, interactions, etc. And all that should be factored into the decision. And the decision should be left up to the patient. If dependence and withdrawal (and harmful misuse/abuse) are larger risks of some drugs and smaller risks for others, and that's important to the patient, of course that should be among the SEs to factor in. But I don't think it's necessarily a bad sort of habit to have a crutch (whether it's a pill, or putting a little cross or heart-shaped pin or whatever in your pocket, or going for a walk before the speech, etc) for many years or all your life. Surely if you lose your cross or can't go outside the whole day, that could be very distressing, but that's just another risk to factor in, not a dealbreaker. Meds also tend to not be troublesome in terms of "addiction" unless there's already a severe underlying problem that causes a desire for ongoing self medication, and dependence isn't really an issue if you take a low dose of a benzo once in a while (such as days you give speeches). I was going to say more but I must go now. Good luck and take care, all The volcano just erupted.
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#923965 - 08/31/09 08:02 AM
Re: Banana Kpins...
[Re: SWIM]
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Stranger
Registered: 08/29/09
Posts: 24
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Thanks for all of your replys guys. I understand why some of you started bashing me and i thank the ones who defended me. Aw np. And I don't think they meant to bash you (about the performance anxiety), to be fair. (The "you must be LE" comments I will probably never understand. Anyone who wants to figure out what sites people are ordering from can just look at the threads, it's no secret.) I think they had the best of intentions and wanted to help. Maybe they had bad side effects using benzos (many people fall into the trap of "I personally didn't like it, so I must warn other people away from it"). Or just had different ideas (eg beta blockers). And I'm afraid some people just made inaccurate assumptions about how severe your problem is, and think it's similar to the type of normal, "no problem"-type of problem they've experienced. I see a lot of examples of this, both medical and otherwise. Social anxiety = Everyone gets shy sometimes, just be yourself and don't worry! Agoraphobia = Everyone gets nervous about going to strange new places sometimes, you just have to do it and you'll be fine. You'll wonder why you hesitated in the first place once you're out there. Depression = Everyone gets down sometimes, just cheer up and quit whining. Bipolar = Everyone gets mood swings sometimes. Ups and downs are part of life. Chronic pain = Everyone gets hurt sometimes. I stubbed my toe the other day and it hurt so much for a few minutes, I didn't feel like getting up and washing the dishes. I feel your pain. But you just have to buck up and take it like a man and get doing what you gotta do anyway. PTSD = Everyone has bad stuff happen to them. Stop thinking about it so much and you'll get over it. Specific phobias = Everyone gets irrationally afraid of things sometimes. Stop being silly and freaking out about it. Bullying = Every kid gets picked on sometimes. Just ignore them and they'll stop. Physical abuse = Everyone gets a whack or two from their mom or dad when they're really bad. Remember to honor and obey your parents, and think about what you did wrong when they do hit you. And sometimes the people who say these things really DID go through things that would have been much better if better addressed, but options weren't available to them at the time, and/or other people told them these nasty false things back then and they believed it. They think "If I have/had this problem and I'm still alive without help, other people with this problem don't need help either." So many people out there with MDD, for example, are told they're depressed because they want to be sad, they want an excuse to be lazy, they're just after attention, etc. Yes, because insomnia and constant hopelessness are so very fun, every depressed person decides to make their glial cells die off, social withdrawal and apathy are great ways to get attention, people choose depression because they want their hippocampus to shrink and their blood CRF skyrocket... Yet I've talked to so many people who ended up believing these things that they blame themselves for their depression, and think of other depressed people (who seek medical treatment) as "weak," "losers," etc. This is a complex subject but I hope you get the idea. These people really mean well and honestly believe themselves, so I hope you don't feel too bad when you hear these things. And I hope you don't fall for it. If you think something will help you, and you make an informed rational decision to try it, you don't have to change your mind just because someone else didn't need it, or someone else didn't think they need it, or it didn't work for someone else who tried it. ...because my dr absolutely wont prescribe me any benzo. ... I have been to my Dr. explaining why i want these drugs and he wont see things my way. Is this a GP/PCP/whatever they're called where you live? Can you ask for a referral to a (good) psychiatrist? Even if the first one you see is no better, hopefully there's a good doctor somewhere nearby who will understand and help you. Again, I believe in the patient's right to choose, and by that I mean an informed decision, including risks, possible/probable benefits, possible/probable drawbacks, potential alternatives, etc. http://psycheducation.org/anxiety/socialphobia.htm has a good point. If you have any bipolar tendencies, I would avoid "traditional" antidepressants such as SSRIs, and go for behavior therapy, anticonvulsants/mood stabilizers, benzos, exercise, or other treatments. (Remember I'm a lay person giving my personal opinion for what *I* would do for *my* body given my current level of knowledge, so don't take this as medical advice for *you*. DO inform any doctor who wants to give you paroxetine or something when you might be bipolar though, I feel confident saying that much.) There are many options out there. The site that page recommends has a page of medications used for social anxiety, and pages for other approaches, if you're interested. I would read up on each medication you're considering (at minimum, the PI sheet, also http://crazymeds.us/ can be good too but also written by a lay person and not always accurate) before deciding on it. And if you take anything else (including dietary supplements, "herbal" remedies, and over-the-counter drugs like aspirin), I would inform a good doctor of this so they can help you track interactions. It always helps to do your own homework as well. Both pharmacodynamic and pharmacokinetic interactions can kill you. Oh and my apologies, it sounds like "keystonelight needs a benzo to pass the class." The volcano just erupted. A volcano? Did I do something bad? ...the banana k2s are very addictive and before you know it you could have forgotten that they are medicine It's a pretty complex subject but I don't think this should deter people from using meds, just caution them into monitoring themselves and perhaps getting family/friends/doctors to help monitor too. If someone starts showing signs of unhealthy use, then I think it's most logical and humane to keep them on it, make sure they're staying at a healthy dose, and address the underlying problem that is showing one symptom (tendency to abuse drugs). My stance is that no drug is inherently addictive, any more than hugs, chatting, jogging, etc are. Rather, many problems that are not acknowledged as problems result in seeking assistance for coping, which can eventually become harmful (eg constant attention-seeking and approval from peers, compulsive dangerous injury-causing jogging, drug abuse). http://www.orange-papers.org/orange-ratpark.html is a great introduction to Rat Park and its implications. I highly recommend it. Wikipedia also has an article on Rat Park.
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#924359 - 09/01/09 08:34 AM
Re: Banana Kpins...
[Re: bld213]
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Stranger
Registered: 08/29/09
Posts: 24
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Only time I took a benzo in college for speaking I fell asleep before my turn. Head back, mouth open. Gave an excuse about being on a new med. Quite the embarrassment. I wanted to respond to a few things here. Firstly, please don't try drugs for the first time like that, since you never know how it will affect you. In fact I usually have at least one friend near me for a few hours when I take a new med, inform them of what I'm doing and what the likely SEs are and what are symptoms of needing to drag me to the ER (e.g. anaphylactic shock, SJS/TEN), and make sure I'm alright. I recommend this for everyone, for every new drug they try, because chances of something unexpected happening are highest within the first few hours. (Just because your first time on a drug is good, however, doesn't mean that won't change at a later time; the risk is just lower.) Life-threatening reactions may be rare but don't let it happen to you. Just embarassing reactions like falling asleep are still good to know about before you head to class  (Of course, falling asleep could be dangerous in other situations, like if you're about to drive a car.) But when I did finally get up there without meds I just basically owned it and made everyone listen. It was like I wasn't myself. Didn't know I had it in me. I think most/all people are capable of the dissociative state I think you're referring to, when your brain goes on "autopilot." This happens to people in major crises, such as a large building set on fire--they might feel no fear, calmly look for fire exits, assess the rate at which the fire is spreading, calculate how much time they have to help others, search for and herd out the panicking people, etc. (And then when it's over, they may or may not get delayed panic, sweat, tremor, etc.) This is normal, non-pathological dissociation. But dissociation varies from person to person when it is triggered, what triggers it, how reliably it happens in response to certain triggers (eg all the time, half the time, rarely), what learning is accomplished in this state, how adaptive it is, and so on. I do have SAD and am dependent on Paxil now which doesn't do much for it but it's more of fear going into situations. I get all the physical symptoms of anxiety but just force myself. Benzos are nice once in awhile but I'm also on Propanolol (sp) which is a beta blocker that seems to help. I'm glad you seem able to deal with your SAD. Is the paroxetine used for something other than SAD, or is it of zero help and you're just afraid of withdrawal? Some people have more anxiety about going into certain situations than they have of being in the situations themselves, you're right about that. Some people have a lot of anxiety about going into the situations, and also have a lot of anxiety being in the situations. Some people don't learn a whole lot of anticipatory anxiety, but they have a lot of anxiety once they're in the situations. It varies from person to person and the type of anxiety. Also I take a few supplements for relaxation. Just out of curiosity, do any of these contain valerian, Virginian skullcap, and/or kava? Those are GABA A receptor ligands, just like benzos, alcohol, and barbituates. I wish these "herbal" drugs were FDA regulated so you have a better assurance that what's on the label is actually what's in the bottle. They could be helpful to a lot of people. Lettuce was giving examples of the sort of stuff he sees and hears; they weren't his opinions and he actually disagreed with them, going on to say that the patient should have a choice in their treatment. Yes, thank you. I know my posts can get so long some people can't be bothered to read it all :P i am sorry if i am taking this the wrong way but dont judge what is wrong with me ptsd just dont think about it live in my shoes for month and we will see how your plan works for you then i have several of the problems you named and been in thearpy for 20 years and if i had followed any of the advice i read from you i might not have made it this far [...] sorry mods but his post made me so mad i am about to pop Sometimes when I hear this stuff, "made me so mad i am about to pop" describes me too! I'm no stranger to some of the things on the list either, but what I was even more concerned about was how my friends (with different problems) were treated. I made it a point to research some of these problems that I don't have, so I could understand my friends better, share ideas, and educate other people when they would say stupid things like the examples on my list.
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#924370 - 09/01/09 09:44 AM
Re: Banana Kpins...
[Re: Lettuce]
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GRAND Pooh-Bah
Registered: 09/04/06
Posts: 9715
Loc: NOT 40!
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Something else to bear in mind when delivering lectures or publicly speaking for whatever reason, is not to make too many notes. The more you read from your notes, the more you will have to. It is better, generally, to make bullet points so that you have to use your brain to answer questions fired at you rather than try to seek an answer from notes.
Obviously, this varies from person to person. Some prefer to make minimal notes; some prefer more. But from experience, I find it better to go in just with a few points, and force my brain to work.
Lettuce makes a good point about the anticipation of an event causing more anxiety than the event itself in some cases. Apart from reminding yourself that worrying makes no difference to the outcome, and as long as you're prepared, keeping yourself busy right up to the point of performance does help. Playing sport, for example, can benefit the mind and body in such a way that anxiety is relieved to quite an extent in a lot of cases. It might also leave some endorphins lying around for you by the time you perform, and leave various other vital parameters in top condition.
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