Monday, September 19, 2011

Update

Panic attackImage via Wikipedia
A lot's happened since I last posted. The reason for such a delay in posting has to do with my medication changes. After a lot of thought, I decided to stop taking lexapro and go back to effexor. That was a huge deal since I ranted for so long about going off effexor. It was hard and I still hate this drug for its withdrawal but I had to admit to myself that effexor worked better for me than anything else I've been on in the last few years.

Just admitting that after all my ranting about it made me feel like a hypocrite going back on effexor but in the end I had to do what was best for me.

Tapering lexapro was not easy either. I had such horrible stomach cramps that lasted for days. It was the kind of cramping you get when you have diarrhea. Just pure hell. But I tapered as slowly as possible and finally went off a couple of weeks ago. I restarted taking effexor while I was on the lowest dose of lexapro and it's been about two weeks that I've been back on just effexor. I'm only on 75mg now and I'm seeing a new psychiatrist, who I really like. He's very nice and helpful.

I'm also attending a group therapy for panic attacks once a week. It's been nice meeting others in person who have the same problems. The group is CBT based and we're learning how to get over this disorder through, well cognitive behavior therapy. So, we'll see how it goes.

I'm also rereading Claire Weekes' books as I feel I've forgotten everything I read before. This time I aim to absorb everything she says and actually do the things she suggests. I feel like she is the best when it comes to panic attacks and agoraphobia.

Also, I've been spending a lot of time on MDJunction, just talking to other agoraphobia and panic disorder sufferers. I like the forums there and the people. It's pretty active. I've actually been looking for something like this for a long time. Either I find forums that are barely active or some have too many stupid rules. So, I'm glad I've finally found one that suits me.



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Sunday, July 31, 2011

Off Seroquel, On Zopiclone

Two days ago I took my last Seroquel pill and started Zopiclone. It was a pain stopping the Seroquel; I was tapering off for months it seems. Now that I'm done with it, there's a sense of relief. But also disappointment as Zopiclone does not seem to be working for me. One person said that Zopiclone knocked him off his feet, but no such luck for me. I did notice a bitter taste in my mouth though. That's not a problem. I don't know whether Zopiclone is supposed to work right away or whether it's like an antidepressant that can take weeks to take effect.

I'll keep taking it for now. At least until I see my new psychiatrist in August. I missed my first appointment, which I addressed in a previous post and I couldn't get another on until August 11th. I'm wondering if she's too busy. It would suck if I could only get an appointment once a month but I'll take what I can get.
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Thursday, July 28, 2011

Obstacles to Mental Illness Help

LED elevator floor indicatorImage via Wikipedia
Today, after months of waiting for an appointment with a new psychiatrist, I went full of anxiety. On the way there I resisted the urge to take my emergency Ativan. At least, until I got really close. After looking for a spot to park, I was frustrated that I had to park on the hospital parking lot. I thought I'd just park there since I had only 3 minutes to make it on time. But after seeing the price for one hour, I balked and angrily drove away. There was no way in hell I was going to pay $4.50 for one hour, since it would expire 3 minutes before my appointment was over and by the time I got there, I probably would have gotten a ticket since those parking attendants patrol those lots like sharks. I didn't even bother to look at how much it would cost for 2 hours. There was nothing in between 1 and 2 hours.

So, I drove around and finally found a lane spot across from a church, though still within walking distance to the psychiatrist's office. I paid a $1.50 there. Reasonable. I walked into the building a couple minutes later. I saw two elevators which I did not want to take as I was already nervous enough, so much so that I wanted to flee home but I made myself stay because I hate standing people up and I thought that this was my last chance to get some professional help. I didn't want to wait anymore. To my shock and anger, there was only one stairwell and it led DOWN. Into the basement I think from the first, ground floor. My appointment was on the fourth floor in Outpatient Psychiatry. I asked around and nobody knew. Finally, gathering some courage, I took the elevator up to the fourth floor, heart in throat.

The woman who was with me in the elevator also got out on the fourth floor and I asked her if there was a stairwell. She said there was but that it was LOCKED.

I was fuming. Thinking how it was against fire codes and I felt like it was inaccessible to me because of my disability. I just could not get into an elevator. While I was up there I searched for the psychiatrist's office but all I could think about was that elevator. Because of previous experiences of waiting for an elevator to come, I was terrified. I felt trapped up there. The hallway was narrow and windowless and full of offices with closed door that I fled.

On my way out I decided I would call whomever was responsible for that building and demand that the doors to the stairwell be unlocked. I was not about to give up this opportunity of getting professional help for my panic and agoraphobia which is spiraling out of control.

When I got home, I called the psychiatrist's office, first to tell her why I couldn't make and secondly to ask her whom I should talk to about the stairwell issue. (This may not seem like a big deal to most people, but for me, it is a serious obstacle. One too many. It's hard enough leaving the house and driving in traffic to an appointment in a stuffy car with no air-conditioning on a hot day while hyperventilating.)

Anyway, what she told me made sense. The psychiatrist's receptionist told me that there are people, or rather patients on that floor who are there against their wills and thus the doors must be locked so they don't leave. I told her that that was scary. She agreed and then told me that when I come to my next appointment to call and someone with a key will come down and let me in. Of course they'll also have to unlock the door on the fourth floor when I leave and walk with me down to the ground floor and unlock that door as well. Phew. That has an unpleasant feel of a prison. And I am so claustrophobic and terrified of being locked in anywhere that this will definitely be a challenge at least for a while until I get used to it.

The building itself is not a hospital but is next to it and I think the patients who are admitted into the psychiatric ward of the Royal Columbian Hospital, attend sessions with their psychiatrists in that building. I don't think anybody actually lives there. I am not afraid of those people, just the locked stairway.

One last disturbing thought.

I don't think that I would ever have the guts to attempt suicide, and that's a good thing, because you can never be sure if you'll succeed. And failing would be worse than death if it meant being locked up like an animal, no matter if that is what's best for you.
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Friday, July 1, 2011

Back From Self-Imposed Exile (Thank You For All the Comments and Support))

Every once in a while I feel the need (or urge) to take a break from my blog. Sometimes I just get fed up with my disorder and want to forget about it for a while and hence the avoidance. But I'm back now as I realized that I feel better when I air things out and thank you all for sticking around. :)

Retta, thank you for your comment. Recently, I had a major panic attack after reading some horror stories about Klonopin online. I won't do that again. I was so terrified by this one post that I just had to search google for good experiences with Klonopin. I found some and what this person said totally made sense. He basically said that people for whom Klonopin worked or is working are not spending their time online talking about it but are out living their lives. I hope that's true and that these horror stories are few and far between if not exaggerated. It seems that some people's negative experiences with this drug was mostly due to them taking it every day and then all of a sudden trying to quit them cold turkey.

After that day (reading the horror stories) I became so frightened that I haven't used my Ativan since. It's almost been a week. I just had to prove to myself that I do not need it every day and that I can handle my panic attacks. Before that day, I had been a little lax in using it. I was having a hard time sleeping. I went to my doctor and told him I wanted to stop my Seroquel and asked for something safer and he gave me Zopiclone. Like an idiot, I tried stopping the Seroquel and substituting it with Zopiclone (I was on 50mg/day on the Seroquel). Needless to say, it was horrible. I took the Zopiclone and couldn't sleep at all. It was 7 or 8am when I went to sleep and that was because I took an ativan. That night I doubled the Zopiclone to 15mg (my idiocy wasn't apparent to me at the time). It was hard to sleep again. Later in the day, I became so dizzy and I felt my heart-rate slow down. I was so terrified I thought I would have to go to the hospital. And that terrified me even more. I had to take my ativan. I also took my Seroquel dose and the dizziness soon stopped.

Since then I have been taking seroquel; well tapering. Taking it slowly because I am afraid of feeling that dizzy again. I have been on medications that made me dizzy for hours after taking them but not like this. This was truly terrifying.

I may try zopiclone again after I taper off seroquel. And that's going to take a while. I'm down to 37.5mg and anxious about tapering further as even at this dose I feel foggy.

But some good news now. I finally get to see a psychiatrist. I'm on the waiting list for an outpatient psychiatry program at a great hospital that's actually close to me, yay. Just waiting for a phone call. Can't wait to have an actual psychiatrist advising and prescribing my meds.



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Saturday, May 7, 2011

A Month Without Effexor

Clonazepam tablets Klonopin 1mg.Image via Wikipedia
Tomorrow will be a month since I went of Effexor and I hate to admit this but I feel so much worse. I'm not in withdrawal anymore, at least I don't think so but my agoraphobia is so much worse that I don't know what to do. In my frustration I actually considered GOING BACK ON EFFEXOR. That tells me that I'm really desperate. I really don't want to go back and I don't think it's an option anymore now that I'm on lexapro. I've been considering taking Klonopin but I'm not sure if it's a good idea or not. If anyone has taken klonopin, can you please let me know what you think of this drug. I've read many reviews and most were good, some bad but that's to be expected. Klonopin was the drug taken most often for agoraphobia and that's why I'm considering it.

About three weeks ago, my doctor increased the lexapro to 20mg a day but so far, I can't say that it has eased my agoraphobic symptoms. At least I don't have as many panic attacks. Only when I'm out of the house do I feel agoraphobic and then I have a panic attack. It's just horrible. I don't remember feeling this way since 2001, when I could barely leave my house. I don't want to go back there. I'm really disappointed in my doctor and I'll have to try to get another appointment with a psychiatrist because a family doctor knows nothing about what I'm going through.


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Monday, April 18, 2011

Feeling Agoraphobic Again

I was on my way here when I freaked out today. I took this
picture a year ago when I went to Granville Island. I didn't
even get close to this intersection today.
I don't know what is happening but I feel so agoraphobic again and it's pissing me off. A month ago I was able to drive downtown, not anxiety free, but totally manageable. Now, I can't even drive half that distance without freaking out. I think the effexor withdrawal is really screwing with me. I feel like it's making my anxiety and agoraphobia worse now that I'm completely off the drug. I stopped taking effexor exactly two weeks ago. I still feel the withdrawal symptoms and I just wonder when it'll end. I wanna go out again. I've tried to drive to this appointment with a mental health advocate four or five different times in the last year without success. I tried again today, but not even halfway there, I totally freaked out. The lights were red everywhere and there were so many cars, I had to turn back. It was horrible.

Yesterday was even worse. I totally caused a scene at a Choices supermarket. God, I hate that store. Every time I go in there, and I mean every single time, I have a panic attack. But like a sadist, I keep going back. My sister was with me, I would never go in there myself (way too expensive), and I was so close to just leaving her there, I was so freaked out. But of course I couldn't just leave her there and that made me panic even more because I had to wait for her to pay for her shit. Ugh. So, I ran out of the store and tried to calm down using Panic Away's 21 second countdown. It didn't work. Not today. It worked beautifully the day before. I guess I was too freaked out for it to work. And there was no way in hell, with the way I was feeling, that I would embrace the fear and invite it in. (If you don't know what I'm talking about, I'll elaborate on the Panic Away system tomorrow).So, as soon as my sister got out of the store, we got the hell out of there.

Back to my doctor on Wednesday. I need to up the lexapro now that I'm off effexor.



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