Posted by Vincent_QC on July 13, 2009, at 5:56:23
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by Sigismund on July 12, 2009, at 16:21:04
> >I found that 30 mg of valium would prevent panic attacks when speaking before the assembly. Later switched to klonopin and need 3 mg to stop an attack when speaking before the assembly.
>
> I'm pleased you could remember what to say. I'm not sure I would.Hummm, I admit that 30 mg of Valium in one dose is "somewhat" highly sedative... BUT, for the anxyolytic effect, 30 mg of Valium = around 1,5mg of Clonazepam (Rivotril)... anyway, for public speech, the only one med who can reduce the anxiety-like symptoms is the Beta-Blocker... the Benzo drugs are not good to block the panic attacks comming from the public speech... I'm talking with MY own experience.... it can be effective for someone else... but I don't think it's very helpfull... they will make you "maybe" less anxious and have less apprehension before the speech... but while you will do your speech, you will feel the anxiety increase and also you will have some problems with your memory for sure... I had to stop the university because we had to do oral presentations in every courses we had... after 2 years I was completly tired of the situation... it was always a disaster... I remember that I take more than 6 mg of Rivotril before one oral presentation... I was not able to open my mouth and talk because I was just looking like a piece of "crap"... I stay there, in front of more than 100 peoples, with the mouth open, without anything comming off of it... I had to look at one of the member of my team and he start the oral presentation... So for the oral presentation, it's a very common phobia... I think even the peoples without any social problems like social phobia or even peoples without panic disorder, they will feel overstress when it's time to do an oral presentation in front of a lot of peoples...
The Beta-Blockers are helpfull to stop the heart rate increase... mean less chance to start a panic attack... but that doesn't mean a more GOOD oral presentation!!!! lol
And mix a Benzo with a Beta-Blocker 1:30 hours before an oral presensation don'T help more...anyway...
Every benzo have the same effect on the brains... some are more "effective" than others ones with the control of the panic attacks, they kill the apprehension and the fear more easily... The Clonazepam and the Xanax are good for this... all the others fail on that field... Yes, they are helping to reduce the "global" anxiety for long hours... but dose need to be high to achieve the same blocking effect with the less addictive Benzo drugs...
They all slow down the neurons in the head... so anyone who take them for a long time, like me, will see that a BIG decrease of the cognitive abilities and a decrease in the memory ....
Unfortunally, the anxyolitic effect often stop after a while...sometimes in less than one month... Why? Because some people are more predisposable to the addiction of drugs or alcohol...
In fact, even if you don't feel an effect on your anxiety with a Benzo med, at a high dose,they still working on your brains without you notice it.... and that probably mean that your Gaba system change... you have less gaba neurons in the brain, making the benzo drugs not able to bind the Gaba-a brains...
Peoples tend to think that the Gaba system is the only one important thing in the anxiety disorder problem... but that's not the case... i'm not sure that even in 2009, the medical field is aware of the whole process in the brains involving into the anxiety disorder... or depression...
For what I know, Benzo are not my long-term solution treatment... and wearing off of them will make my depression stoped for sure... I'm not sure if I will completly recover from the brains dammages I have from the Benzo drugs... but I don't care... if they can't help me to manage my anxiety and my panic disorder problem now, they will never be helpfull in the future and they will just make my state decrease and decrease until I will have a NO LIFE AT ALL... mean not social interraction, depression and high anxiety...
So my target is to find the good AD (probably the Paxil... even if it's worse for the weight gain... with some Remeron to sleep or some Trimipramine...). When the anxiety will return to a more normal state and the occurence of the panic attacks will decrease, it will be time to start another CBT I think... and it will be the time to start withdrawl the Benzo drugs...
Well that's what I think... Benzo are helpfull only in short-term uses...2-4 weeks max... after they worse the life quality... these small pills are more addictive than the alcohol and more potent also... peoples seem to not realise this!!!
Anyway, I know my Doctor at the time don't RX them for me on a bad purpose and didn't wanted to worse my state... I'm just not a lucky person and it's seem that i'm highly easy to fall into the addiction circle...
poster:Vincent_QC
thread:905657
URL: http://www.dr-bob.org/babble/20090709/msgs/906510.html