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#666545 - 03/12/08 12:43 AM Where to go for anxiety?
vitalinstinct Offline
Newbie


Registered: 03/02/08
Posts: 28
OK... First off I am new to this board, but have read a lot of posts and look forward to talking with everyone. \:\)

My situation is...
I have problems with anxiety, especially when it comes to going out. My anxiety has gotten very bad, and affects my every day life. I am often afraid to leave the house (I end up staying home for extremely long periods of time), and do not participate in the simple activities because of the anxiety I have. I would not consider myself a bad looking person, but I often fear people will talk negatively about me (when I know in the back of my mind it cannot be true), One of of my neighbors who has seen me stay home so long calls me "caveman," I laugh it off but it really hurts. I was prescibed xanax by a no records doctor, which isn't the best way I know, but it definitely worked wonders for me. I was going out, meeting new people; and now I feel like I am back in the same old rut again.

My main question for everybody is where do I go to seek medical help? I do not have insurance and do not have much money. I contemplated going to a walk-in clinic, but I talked to one doctor that said all he could prescribe me was an SSRI and suggest a therapist (I really can't afford to pay for multiple sessions). I was thinking about going to a general doctor, getting a physical; and asking him about my problem at the end. What do I say if he prescribes me an SSRI? Would I be better off going to a ROP?

Thanks in advance.

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#666567 - 03/12/08 03:22 AM Re: Where to go for anxiety? [Re: vitalinstinct]
jimmyleft Offline
Member


Registered: 02/12/08
Posts: 158
Well I'm not from the U.S so I cant help you there regarding insurance. But where I'm from doctors are cheap to see and medication is cheap, my point really is seeing a doc and getting an ssri might work for you as might therapy.

I would have a good read up on this site theres so much info regarding what A.D and what are good for anxiety BUT what works for some wont work for others.

I'm at the point where I look after myself weather thats odering from the net or seeking professional help. I honestly feel sorry for you lot in the U.S having to pay silly money to see a doctor and paying crazy money for meds.

I've never used a ROP dont really know what thay are or do.

As you prob will now a benzo will work great but it has a lot of negatives.

An A.D might be worth trying to start with, I'm sure someone will jump in with some better info. You also should get blood tests make sure its nothing physical could be something simple to do with your body.

Anxiety sucks what can you do I understand when you say its like going round in circles you just have to keep tying new thing's.

Good luck

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#666574 - 03/12/08 03:41 AM Re: Where to go for anxiety? [Re: vitalinstinct]
Strawberry Offline
GOLDEN EAGLE
GRAND Pooh-Bah


Registered: 01/29/06
Posts: 5336
I think you really need to talk about your medical issue with a doctor or therapist at least one time. You would probably need to go through a few months or a year on some ssri's before you get prescribed a benzo. An Rop would want to see that you have already been prescribed some kind of meds for your issues.

If you have a solid reason to believe that a benzo is right for you, I would reaserch them on the medical sites of the internet.

If you did order a benzo type medication from the internet, i would research the board to find the most trusted iop's used, in terms of the quality of the meds, try them, the smallest amount you can for relief. I would continue to do the research on the medical sites ( webmd is good) and maybe you can talk in general with a few pharmisit for free.

But the key is to make sure you have seen a doctor first, and don't cause youself more harm then good. In My Opinion.
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#666654 - 03/12/08 07:34 AM Re: Where to go for anxiety? [Re: Strawberry]
hmmmmk Offline
Enthusiast


Registered: 11/03/07
Posts: 234
I was in the same exact situation and suffered for years before I finally broke down and went to my GP. She gave me a months supply of Xanax and 8 weeks of Effexor. The Effexor didn't help and the Paxil she gave me after that didn't help either. The Xanax worked perfectly and allowed me to live my life again.

I don't have insurance and I'm in that gray area where I can't get medicaid or any other free programs because "I make too much money" but can't afford to pay a psychiatrist out of pocket.

I just order benzos from IOPs and keep my GP updated on what I'm doing and what I'm taking since we have a long history going back 12 years and I know I can depend on her to give me benzos if I really need them (she prescribed me T3s for legit pain when she knows I recreationally use opiates now and then).

My local walk-in mental health clinic charged $250 just for intake. I could have bought enough medication for that money to last months and months (don't even get me started on what I owe in GP visits and trips to the ER). SSRIs don't work on me and I've been going through this since I was a child and prescribed all kinds of stuff over the years and even institutionalized. Benzos are my lifeline but unfortunately people regard you as a drug addict if you take them everyday and you'll be really lucky to find a doctor or psychiatrist that will give you a long term script.

I don't have any real advice, just sharing my experience. Not having insurance and having anxiety issues is brutal unless you live in a good area with good clinics and respond well to SSRIs. If that isn't the case you'll end up having to go the benzo route through IOPs like most of us probably do. Its not the safest thing but as long as you're careful and are aware of the dangers and addiction potential and know to taper off of them you should be fine in the long run.

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#666720 - 03/12/08 10:10 AM Re: Where to go for anxiety? [Re: vitalinstinct]
nephro Offline
GRAND Pooh-Bah


Registered: 09/04/06
Posts: 8816
Loc: UK, despite the rumours
This is yet another example of idiot doctors prescribing Xanax without justification. If a benzodiazepine is indicted here, with the patient suffering long periods of anxiety rather than acute panic, a long-acting benzodiazepine would be more appropriate and much safer.

The trouble with NROPs in this instance it that benzodiazepines aren't usually the first step in treatment, and at least a couple of sessions talking to a doctor about possible options and life in general really, would be a great help.

The drug may appear to work miracles initially, but the long-term cost may not be nearly worth it.

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#666849 - 03/12/08 01:45 PM Re: Where to go for anxiety? [Re: vitalinstinct]
vitalinstinct Offline
Newbie


Registered: 03/02/08
Posts: 28
I just wanted to thank everyone who has replied. I value your opinions and appreciate your responses.
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#667016 - 03/12/08 05:51 PM Re: Where to go for anxiety? [Re: vitalinstinct]
4lori Offline
Enthusiast


Registered: 10/08/06
Posts: 283
If you haven't tried an antidepressant, then you should probably at least give them a try before determining that benzo-type drugs are your only option. I had a good friend who was severely depressed, had a lot of anxiety, and found it more and more difficult to get out of the house. Her doctor put her on Lexapro and after about a month, she started to feel better. It wasn't all of a sudden, it's just that each day seemed to be a little better. She's back to normal now and is feeling great. This medication has significantly improved her quality of life.

Good luck!

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#667022 - 03/12/08 06:03 PM Re: Where to go for anxiety? [Re: 4lori]
jpbp Offline
Threadhead


Registered: 09/23/07
Posts: 867
Loc: okie
You might want to look into your area and find what state funded programs there are out there. In my state they call it family and children services. They have psychiatrists and a pharmacy. It's all free, but you have financially qualify.

If not, go see a regular doctor and try and anti-depressant such as cymbalta. Then, if you qualify, you could get your meds for free or reduced. Have you ever seen that commercial with Montel Williams talking about Partnership Prescription America (PPA)?

I truely believe in long acting medicines(like cymbalta) to help with depression and anxiety. I only mention cymbalta because that is what I take. My husband is self-employed and I got my meds for free for a year. Then he started making enough money, but I still qualify for discounted meds.

Using xanax is like putting a band-aid on a deep problem. Pretty soon they will stop working and then what will you do? You have got to look into any state funded places you could qualify for. Start checking with your Department of Human Services. They can help you find what you need.

I really do wish you the best of luck. I know exactly how you feel having been there myself. The good news is that it can get better!!!
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#667085 - 03/12/08 08:33 PM Re: Where to go for anxiety? [Re: jpbp]
Cooly Offline
Board Addict


Registered: 02/08/05
Posts: 394
Does Cymbalta cause weight gain?
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#667257 - 03/13/08 09:30 AM Re: Where to go for anxiety? [Re: Cooly]
nephro Offline
GRAND Pooh-Bah


Registered: 09/04/06
Posts: 8816
Loc: UK, despite the rumours
It can cause weight loss or gain.
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#667624 - 03/13/08 07:18 PM Re: Where to go for anxiety? [Re: nephro]
Cooly Offline
Board Addict


Registered: 02/08/05
Posts: 394
 Originally Posted By: nephro
It can cause weight loss or gain.


Yeah, all anti-depressants "side effects" section mention both, but what "usually" happens?

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#667629 - 03/13/08 07:25 PM Re: Where to go for anxiety? [Re: Cooly]
hup234 Offline
Board Addict


Registered: 04/05/05
Posts: 343
Loc: 50th state
 Originally Posted By: Cooly
Does Cymbalta cause weight gain?


it makes you sweat like hell

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#667642 - 03/13/08 07:47 PM Re: Where to go for anxiety? [Re: hup234]
Cooly Offline
Board Addict


Registered: 02/08/05
Posts: 394
Thanks that's pretty much all I needed to know.
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#668276 - 03/15/08 03:11 AM Re: Where to go for anxiety? [Re: vitalinstinct]
nephro Offline
GRAND Pooh-Bah


Registered: 09/04/06
Posts: 8816
Loc: UK, despite the rumours
 Originally Posted By: vitalinstinct
Where to go for anxiety?


Work.

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#668295 - 03/15/08 05:09 AM Re: Where to go for anxiety? [Re: nephro]
Monkey_claw Offline
Suspended. Found out to be the owner of requestedmeds...
Board Addict


Registered: 12/24/06
Posts: 396
Loc: United Kingdom
 Originally Posted By: nephro
 Originally Posted By: vitalinstinct
Where to go for anxiety?


Work.


Very true nephro
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#668401 - 03/15/08 10:15 AM Re: Where to go for anxiety? [Re: vitalinstinct]
kevin8462 Offline
Veteran


Registered: 11/08/06
Posts: 584
Loc: USA
If you do decide to go the iop route for benzo, start off with a very small doseage like maybe .5 mg and try to use it on a non daily basis, because as so many of us will tell you, once you start daily usage of benzo, your body will demand continued use and you will need more per day for the med to be effective. jmo Of course no advice on this board can replace a face to face with a doctor.
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#668601 - 03/15/08 06:26 PM Re: Where to go for anxiety? [Re: nephro]
vitalinstinct Offline
Newbie


Registered: 03/02/08
Posts: 28
 Originally Posted By: nephro
 Originally Posted By: vitalinstinct
Where to go for anxiety?


Work.


I work from home right now.. althought I do suppose that would contribute more to my dread of going out.

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#668603 - 03/15/08 06:30 PM Re: Where to go for anxiety? [Re: kevin8462]
vitalinstinct Offline
Newbie


Registered: 03/02/08
Posts: 28
 Originally Posted By: kevin8462
...start off with a very small doseage like maybe .5 mg and try to use it on a non daily basis...


I wish that were possible, I started off with 2mg and towards the end of my script I was barely affected by those. I haven't taken any in a long time though so my tolerance is probably lower now.

..& I tried IOP once and recieved a love letter, got a refund, and vowed never to go that route again.

Thank you & everyone for you input.. I am reading everyone's comments.

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#669143 - 03/17/08 02:56 AM Re: Where to go for anxiety? [Re: jimmyleft]
vitalinstinct Offline
Newbie


Registered: 03/02/08
Posts: 28
I have one more question about ROP's.

If I go to the doctor to get a physical and the doctor doesn't note that I asked about my anxiety, will I not be able to get prescribed an anxiety drug from an ROP?

Thanks in advance..

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#670914 - 03/20/08 07:19 AM Re: Where to go for anxiety? [Re: vitalinstinct]
Miguel_Sanchez Offline
Banned: posted he wanted rx drugs to get high
Newbie


Registered: 03/14/08
Posts: 26
I would recommend and SSRI like Prozac (take more than one capsule if your anxiety is severe) in combination with some benzo like xanax (take xanax for example in the morning and in the afternoon else it won't work all day)
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#679291 - 04/04/08 07:03 PM Re: Where to go for anxiety? [Re: Miguel_Sanchez]
heythere101111 Offline
Banned. Soliciting meds
Journeyman


Registered: 04/01/08
Posts: 56
Thing for me is, people who complain that benzos shouldnt be prescribed probably A. Dont have anxiety like others or B. Can take an SSRI and feel better. I tried a lot of SSRIs and each time I got violently sick, and had the worst panic attack of all time. I tried taking even 1/4 the suggested amount every other day, and would find myself loosing weight and being just plain sick and have even more anxiety. Benzos have helped me alot. Simple things like going to class or work. People just need to understand about abuse. Personally, I feel like just knowing there is relief in my cabinet gets ride of a lot of my anxiety.
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#740860 - 08/03/08 12:18 PM Re: Where to go for anxiety? [Re: 4lori]
bronko Offline
Journeyman


Registered: 01/11/04
Posts: 92
My therapist agrees. She said if I give Lexapro time, it will
relieve the anxiety and I won't need benzos. Besides an anti-depressent it's also for GAD (general anxiety disorder)
good luck

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#750401 - 08/20/08 04:33 PM Re: Where to go for anxiety? [Re: heythere101111]
ptsd Offline
Stranger


Registered: 11/01/07
Posts: 1
got intense stomach problems like gerd on zoloft-switched
to remeron and feel great watch out for weight gain and
sleeping more- PTSD

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#751178 - 08/21/08 10:51 PM Where to go for anxiety?
thesyd Offline
Banned. You have to be 21 years old
Journeyman


Registered: 04/23/08
Posts: 80
 Originally Posted By: ptsd
got intense stomach problems like gerd on zoloft-switched
to remeron and feel great watch out for weight gain and
sleeping more- PTSD


again, just my PERSONAL experience, but mirt. lasts less time in effectiveness than benzos.

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#751184 - 08/21/08 11:03 PM Re: Where to go for anxiety? [Re: thesyd]
Code21 Offline
Veteran


Registered: 07/05/07
Posts: 567
Loc: Xanadu
I have a love/hate affair with Paxil.

Love: it saved my life. I was a crazy, bitter, enraged monster who would yell at people for looking at me in restaurants and treated salespeople in clothing stores like shite. After Paxil, I'm ME. I'm not seeing people whispering and thinking, "OMG they are talking about me". I don't care who the hell looks at me now. I'm happy.

Hate: I will never go off it. It's there to stay. It makes you violently ill if you even miss a couple days (which, yes, I know you shouldn't, but I was poor and without insurance at one time...). I have tried to go off it twice to try something else, both with horrible results. And I am serious when I say this: if my new psych. wants to try and take me off it again, I will only do it in the hospital where I can be monitored.

SSRI's are great for some people. Like I said, mine is here to stay and I'm ok with that. I've learned to deal with it. Benzo's are just a band-aid, I think - which are nice in times when I'm in the midst of a panic attack. But the Paxil keeps me from becoming the Incredible Hulk, and I'm cool with that.

And that's my story. The end.
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Ahh Klonopin, sweet nectar of the gods!

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#751586 - 08/22/08 01:58 PM Re: Where to go for anxiety? [Re: Code21]
jehza1 Offline
Veteran


Registered: 02/28/08
Posts: 537
Loc: Southwest US
 Originally Posted By: missanxious
I have a love/hate affair with Paxil.

Love: it saved my life. I was a crazy, bitter, enraged monster who would yell at people for looking at me in restaurants and treated salespeople in clothing stores like shite. After Paxil, I'm ME. I'm not seeing people whispering and thinking, "OMG they are talking about me". I don't care who the hell looks at me now. I'm happy.

Hate: I will never go off it. It's there to stay. It makes you violently ill if you even miss a couple days (which, yes, I know you shouldn't, but I was poor and without insurance at one time...). I have tried to go off it twice to try something else, both with horrible results. And I am serious when I say this: if my new psych. wants to try and take me off it again, I will only do it in the hospital where I can be monitored.

SSRI's are great for some people. Like I said, mine is here to stay and I'm ok with that. I've learned to deal with it. Benzo's are just a band-aid, I think - which are nice in times when I'm in the midst of a panic attack. But the Paxil keeps me from becoming the Incredible Hulk, and I'm cool with that.

And that's my story. The end.


I took Paxil for several years-the last year that I took it was to avoid the unpleasant side effects discontinuing the drug. They do go away, for me it took about six weeks. You could start tapering down and once you get finished start titrating upwards on a newer medication. There are better options out there. I took it for depression and anxiety. I figured out after I got off it that I was actually less anxious off Paxil then without anything at all. It also made me go from weighing 115lbs to 155lbs in a year!

You don't have to reconcile yourself to taking something that is just keeping you out of withdrawals--there are ways around this, but better leave that to the doctors. Good Luck!


Edited by jehza1 (08/22/08 02:00 PM)
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#751596 - 08/22/08 02:18 PM Re: Where to go for anxiety? [Re: jehza1]
Oxy80 Offline
GRAND Pooh-Bah


Registered: 03/30/08
Posts: 1906
Paxil CR nearly killed me, I'll never take it again...
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#751599 - 08/22/08 02:25 PM Re: Where to go for anxiety? [Re: Oxy80]
dawn147 Offline
Pooh-Bah


Registered: 05/08/07
Posts: 1496
Loc: somewhere in time
 Originally Posted By: Oxy80
Paxil CR nearly killed me, I'll never take it again...

I heard theres a class action suit on paxil
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