Psycho-Babble Medication | about biological treatments | Framed
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Re: stimulants and social anxiety

Posted by undopaminergic on March 13, 2020, at 13:57:11

In reply to Re: stimulants and social anxiety, posted by beckett2 on March 13, 2020, at 13:09:12

> > Avoidant?
> Sorry. I didn't mean like Cluster C. Basically if one avoids social situations, the anxiety decreases. With GAD, simple avoidance isn't enough.

And with agoraphobia, the anxiety decreases when you avoid open spaces?

> >I coped with it by taking a walk. I have also found another trick, which is to allow oneself to fully feel the anxiety: concentrate on it, and it will go away much faster.
> Interesting. I'm glad to hear it. This sounds like the DBT distress skill of distress tolerance.

I've taken a DBT course, but I don't remember that skill.

> If you do not mind me asking, what are your mental health issues? If I recall correctly, you experience AD induced apathy. And didn't you recently say medication caused depersonalization, (which, by the way, can be temporarily induced by panic attacks)? Free-floating depersonalization sounds different.

Bipolar disorder, because I've been manic, but otherwise it resembles unipolar depression more. When manic, I get delusions, which is the reason why I have a schizophrenia diagnosis. The first time I had psychosis was due to sleep deprivation which led to paranoia and auditory hallucinations; that *looked* like schizophrenia, but in retrospect I regard it as a mixed manic episode. I'm not entirely sure whether schizoaffective disorder might fit. The delusions do not necessarily go away when the manic episode is over, and therefore delusional disorder might also be a fit, in addition to the bipolar which is the main thing. Without mania, no psychosis -- that's why the bipolar is the most relevant diagnosis. I have most of the negative symptoms of schizophrenia, and most of the neuropsychiatric symptoms of Parkinson's disease, and these symptoms are also common in depression.

I like to say I don't have a "mood" disorder any more, because my thinking is positive and my mood is good.

Apathy and cognitive dysfunction are the residual symptoms of my depression.

So my apathy is not drug-induced. However, SSRIs can *worsen* the apathy.





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