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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 28. This is the beginning of the thread.
Posted by Vincent_QC on July 8, 2009, at 18:23:03
Hi Everyone,
I'm in a never ending state of panic attacks (trigger by thoughts or not) since more than 3 weeks... and it's worse since 1 week... and I need some help...Since I had my heart check up last night at the emergency and everything is ok, I have to avoid the heart issue... everything is ok...
The story then... I start doing panic attacks again after a lot of time without having one... I mean having a REAL panic attack no trigger by thoughts, drugs or alcohol abuse... I was mainly free of panic attacks from 21 yo to 29 yo... had small ones in 2005... dissepear with the Clonazepam ... having one once in a while when I was too drunk or when I had oral presentation to do at the university, but I never had any STRONG panic attakcs like those ones since a while...
At first, it was only at the gym, when I begin to exercises more in the begining of April 2009. It take at least 3 weeks before they fade away and that I was able to hit the gym being panic free...
After a trial of a natural product (L-Arginine), I start doing BIG panic attacks. They first appear while I was driving the car. The others happen always when I have a med (AD or something else) to take. It's like I know I take a med and I will have side-effects and I start thinking about this and the BIG panic attack occur...
The problem now is they never stop, I do around 10-12 panic attacks by day, even if I stop all the meds I take and use only my Clonazepam (4mg) and some Valium pills... who still don't help me at all to prevent or control the frequency of the panic attacks...
What make me anxious the more is that now, each time I drive the car, my heart start racing as hell and I start a panic attack... If i'm alone at home, even if I don't a med, I feel bad because I know i'm alone and I will not be able to have help if something happen, so my heart start racing and I start a panic attack... They happen for every possible reasons... even suddenly while I watch TV or something as usual as surfing on the net... even if I awake at night time...
So the question is... What to do with this? Some of those panic attacks last 1 hour and more. I assume that my heart can resist for a pulse rate of 150 and more for more than one hour... but having 10-12 panic attacks a day it's a lot... I feel tired and even if everybody around me told me that I need to change my minds and stop thinking about panic attacks, I can't stop thinking about this because it's what i'm living now...
I call my Doctor... he told me that I have something wrong with my serotonin... I call my PDoc and he never return the phone call...
Over the years I have learn a lot of tricks in CBT or other therapies to prevent the occuring of panic attacks... but now it's seem that I lost the control!!!
I'm now stuck in the panic circle...and want to find an exit...
I had to stop the gym, since I can't even drive my car there, it's far away from my home. If I have to go out of the house and drive the car I take the small roads... and stop often because I do a panic attack...park the car and wait that the pulse rate slow down and start the car again... that's freaking me out and make my life miserable... I don't want to hurt someone else with the car...
I wonder if I will have to do like I was 19yo... and start to meet again a Psychologist who will just listen to me each week??? That's the thing who work the best for me at the time... Now i'm 33 yo, have mofe life-experiences and know a lot more about meds, therapies and other things that I will hope sometimes that I don't know... I almost try all the meds used to treat anxiety, even the off-label meds... seem like I will have to find another solution...
The only meds who I never try are the Luvox, the Cymbalta and some TCA's (Surmontil, who seem to be good for panic attacks...)... I wonder if a med is really something who will help me or I will have to work more with natural technics...
One thing is sure... the Benzo will be the next thing, when I will be more stable, to be out of my life forever!!!
Anyway, any tips or tricks or meds advises will be really appreciate...
Thanks a lot everyone!
Vincent ;-)
Posted by shasling on July 8, 2009, at 18:30:51
In reply to Tips to reduce the frequency of panic attacks?, posted by Vincent_QC on July 8, 2009, at 18:23:03
A benzo a a high dose of gabpentin usualy work well togther to handle anxiety and panic attacks
Posted by Phillipa on July 8, 2009, at 20:17:04
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by shasling on July 8, 2009, at 18:30:51
Vincent if the CBT worked before best add it back. So sorry. Love Phillipa
Posted by seldomseen on July 8, 2009, at 20:38:48
In reply to Tips to reduce the frequency of panic attacks?, posted by Vincent_QC on July 8, 2009, at 18:23:03
Have you considered a beta-blocker like propanolol? These drugs block epinephrine (and other things) to reduce the physical symptoms of panic.
They are used for performance anxiety but have application in panic disorder as well.
Propanolol, atenolol, etc are very old drugs with a safe side effect profile. They are widely used to reduce blood pressure and control cardiac arrhythmias.
They might help.
Seldom
Posted by floatingbridge on July 8, 2009, at 21:57:10
In reply to Tips to reduce the frequency of panic attacks?, posted by Vincent_QC on July 8, 2009, at 18:23:03
Hi Vincent,
I'm sorry you're having the panic attacks--sounds miserable. I can't advice on meds--I take benzo for anxiety, but I do think a round of therapy with someone you like and trust is a good additive to any med. And sometimes, the cbt needs to be tuned up.
best regards,
fb
Posted by shasling on July 8, 2009, at 22:56:22
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by floatingbridge on July 8, 2009, at 21:57:10
Im actualy aganist CBT,reason being i feel when youre brain is not in full function the last thing you need is a hard activity to focus on and strain your mind,but thats just me of course.
Posted by bulldog2 on July 9, 2009, at 16:15:09
In reply to Tips to reduce the frequency of panic attacks?, posted by Vincent_QC on July 8, 2009, at 18:23:03
> Hi Everyone,
> I'm in a never ending state of panic attacks (trigger by thoughts or not) since more than 3 weeks... and it's worse since 1 week... and I need some help...
>
> Since I had my heart check up last night at the emergency and everything is ok, I have to avoid the heart issue... everything is ok...
>
> The story then... I start doing panic attacks again after a lot of time without having one... I mean having a REAL panic attack no trigger by thoughts, drugs or alcohol abuse... I was mainly free of panic attacks from 21 yo to 29 yo... had small ones in 2005... dissepear with the Clonazepam ... having one once in a while when I was too drunk or when I had oral presentation to do at the university, but I never had any STRONG panic attakcs like those ones since a while...
>
> At first, it was only at the gym, when I begin to exercises more in the begining of April 2009. It take at least 3 weeks before they fade away and that I was able to hit the gym being panic free...
>
> After a trial of a natural product (L-Arginine), I start doing BIG panic attacks. They first appear while I was driving the car. The others happen always when I have a med (AD or something else) to take. It's like I know I take a med and I will have side-effects and I start thinking about this and the BIG panic attack occur...
>
> The problem now is they never stop, I do around 10-12 panic attacks by day, even if I stop all the meds I take and use only my Clonazepam (4mg) and some Valium pills... who still don't help me at all to prevent or control the frequency of the panic attacks...
>
> What make me anxious the more is that now, each time I drive the car, my heart start racing as hell and I start a panic attack... If i'm alone at home, even if I don't a med, I feel bad because I know i'm alone and I will not be able to have help if something happen, so my heart start racing and I start a panic attack... They happen for every possible reasons... even suddenly while I watch TV or something as usual as surfing on the net... even if I awake at night time...
>
> So the question is... What to do with this? Some of those panic attacks last 1 hour and more. I assume that my heart can resist for a pulse rate of 150 and more for more than one hour... but having 10-12 panic attacks a day it's a lot... I feel tired and even if everybody around me told me that I need to change my minds and stop thinking about panic attacks, I can't stop thinking about this because it's what i'm living now...
>
> I call my Doctor... he told me that I have something wrong with my serotonin... I call my PDoc and he never return the phone call...
>
> Over the years I have learn a lot of tricks in CBT or other therapies to prevent the occuring of panic attacks... but now it's seem that I lost the control!!!
>
> I'm now stuck in the panic circle...and want to find an exit...
>
> I had to stop the gym, since I can't even drive my car there, it's far away from my home. If I have to go out of the house and drive the car I take the small roads... and stop often because I do a panic attack...park the car and wait that the pulse rate slow down and start the car again... that's freaking me out and make my life miserable... I don't want to hurt someone else with the car...
>
> I wonder if I will have to do like I was 19yo... and start to meet again a Psychologist who will just listen to me each week??? That's the thing who work the best for me at the time... Now i'm 33 yo, have mofe life-experiences and know a lot more about meds, therapies and other things that I will hope sometimes that I don't know... I almost try all the meds used to treat anxiety, even the off-label meds... seem like I will have to find another solution...
>
> The only meds who I never try are the Luvox, the Cymbalta and some TCA's (Surmontil, who seem to be good for panic attacks...)... I wonder if a med is really something who will help me or I will have to work more with natural technics...
>
> One thing is sure... the Benzo will be the next thing, when I will be more stable, to be out of my life forever!!!
>
> Anyway, any tips or tricks or meds advises will be really appreciate...
>
> Thanks a lot everyone!
>
> Vincent ;-)
>
>
>I to suffer from social panic attacks..Started first when I spoke before people in high school and than followed me to college when I spoke before people. When I became a teacher sometimes I had them when I spoke before the assembly. For those of you that have never had a panic attack it is a horrible experience. Such terrible fear and anxiety.
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.
Try upping your dose and find one that will stop them. Heard xanax may be good for them
A long term solution may be nardil as some say it works for them.
Posted by Phillipa on July 9, 2009, at 19:53:56
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by bulldog2 on July 9, 2009, at 16:15:09
Not to change subject but did you just become very succesful in life? Phillipa
Posted by rskontos on July 10, 2009, at 0:28:52
In reply to Tips to reduce the frequency of panic attacks?, posted by Vincent_QC on July 8, 2009, at 18:23:03
Vincent,
I understand your history of panic attacks. Mine all started at the grocery store, WTF, and when I went out to clean my barn/stalls when I owned my farm. This was three years ago. Now my entire life I have had extreme anxiety, untreated, I did not even recognize how extreme my anxiety was until my p-doc told me that those incidents, were indeed panic attacks and prescribed xanax. I worried at first about becoming dependent on it so I did not take it. Until I wasn't leaving the house anymore except to go to therapy. I could not go to the grocery store without feeling like I was dying. I would go weeks in between until we were out of all food. I simply did not understand how they work. Well finally taking the xanax daily, twice a day for quite a while my anxiety levels lowered and I thought great. My dx is Dissociative Disorder so if I wasn't dissociating I was anxious. My p-doc helped me alot to get things under control until this January things were to became worse.. I would medicate prior to going to the grocery store or any social outing since I hate going out around people. (I still hate that).
I started a new job and my dissociation peaked extremely and finally this May I wound up in ER with my work calling 911. Mainly because with this panic attack, it was so severe my blood pressure shot up. And the nurse (I work at a school) freaked and called for the ambulance and they took me off to the hospital. It wasn't until an EMT said if you take xanax for panic attacks could this be one, I was in no shape to determine this and finally when the ER let me go home I called my p-doc and he phoned me back immediately and yes that sounds like a very severe attack and scheduled an emergency session.
In the meantime the gp put me on a beta blocker. I was averaging an attack a daily and if I took xnanax they subsided. But still got another one next day. My p-doc thought it might be because I went off topamax and that can have a calming effect or mood stablizer. I did not want to go back on it because I felt so stupid and my memory sucked.
Now my p-doc doesn't think I have true hypertension he thinks it is panic attack driven and I agree since my blood pressure taking the beta block is often below normal. But since I think it is helping the attacks I will continue for a while longer. Until other things in my life change and I feel the beta blocker is no needed anymore.
I think the advice for the beta blocker might a good one. I have now been on it for almost a month, 3 weeks I guess, and my attacks with that and the xanax are so much better. I also started exercising again, and while I dissociate because I have a trainer my husband paid for because he thinks exercise cures all problems, I was a little freaked out about someone new but the trainer is good and I am beginning to calm down with him. I do take an xanax before I go to him because i know what can happen if I don't. But I noticed today that my panic and anxiety was better, my mood seems more stable and I think the beta blocker, bystolic is what they prescribed and it is only 5 mg. is working to help. Plus the exercise. The voices in my head are calmer and that is what gets my anxiety up. I have nightmares I don't remember and that is also another source of anxiety.
So I do understand. See if a gp will prescribe the beta blocker. It is helping I really believe. I feel better lately than I have. I do think it is also the fact I am not working for the summer and I am not sure if I will go back since work triggers me so much.
I hope this helps. I feel for you because I can feel a panic attack coming on. I did have one this week, I start out wanting to wring my hands, shake them up and down and my heart starts racing. If I take the xanax immediately it will help.
My p-doc says a severe panic attack is the worst because he said when you are in the grips of it you can't recognize it and it takes over. He says meds are needed to first help reduce the severity and then calming or grounding exercises can help from that point on. I haven't found really good grounding exercises or calm except for physical activity.
Good luck and let us know how it goes.
rsk
Posted by floatingbridge on July 10, 2009, at 1:37:32
In reply to Re: Tips to reduce the frequency of panic attacks? » Vincent_QC, posted by rskontos on July 10, 2009, at 0:28:52
Geez RSK, that's some story. Xanax is my emergecny med, too, though only twice did I get just a taste of what a panic attack does. I did CBT with a good coach and in group for a year to work on SP.
Now this might sound flakey, so hang tuff here--
Has anyone considered http://en.wikipedia.org/wiki/Qigong?
There is another form of Chinese movement that I can't reall the name of--but can get if there is interest--that I found grounding. I totally understand the movement thing, though, so maybe this wouldn't be enough....
fb
Posted by rskontos on July 10, 2009, at 11:19:58
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by floatingbridge on July 10, 2009, at 1:37:32
yeah my health has been shaky for the past couple of months.
I like that link and tried to look for practioners in my area but they are pretty far away.
thanks for the information. It is something to think about.
rsk
Posted by johnj1 on July 10, 2009, at 17:34:41
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by floatingbridge on July 10, 2009, at 1:37:32
Yes, I practice and this book is very good. Remember just standing IS the exercise.
http://www.amazon.com/Way-Energy-Mastering-Internal-Strength/dp/0671736450
Posted by floatingbridge on July 10, 2009, at 18:40:58
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by johnj1 on July 10, 2009, at 17:34:41
Did you start because of anxiety, panic?
Do you think the book w/o an instructor is doable?
Thanks for the link,
fb
Posted by Vincent_QC on July 11, 2009, at 7:06:44
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by bulldog2 on July 9, 2009, at 16:15:09
> I to suffer from social panic attacks..Started first when I spoke before people in high school and than followed me to college when I spoke before people. When I became a teacher sometimes I had them when I spoke before the assembly. For those of you that have never had a panic attack it is a horrible experience. Such terrible fear and anxiety.
> 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.
> Try upping your dose and find one that will stop them. Heard xanax may be good for them
> A long term solution may be nardil as some say it works for them.Ok... you seem to have more a "performance anxiety" problem than a panic disorder problem...
The Clonazapam( Rivotril), is somewhat very addictive.... and not very effective for me, since I was on it for almost 2 years at 8mg / day.... I switch to the Valium in the summer of 2007, after a FAIL on the Nardil... no improve at 75mg for 3 month and at 90 mg I had severe hypotension orthostatic... so I had to stop it... I never something from the Nardil, I was just able to cut my Benzo intake by half at the time....
After the change from the Rivotril to the Valium, I succeed to lower my dosage to 8-12mg of Valium a day...
With time the Valium dosage increase...again... going to 20mg and 30 mg...
Now i'm on a blend of 10-20mg Valium and 4 mg of Clonazepam...
In 2008, I had some anxiety problems, mainly social phobia...not a panic disorder problem and no real panic attack... and I agree with my PDoc that it was the time to try the Xanax... what a mistake... I became addicted in less than 1 week... had to take huge amount of it to be ok, mean 10-12mg/day... I hate it's SHORT half-life in the blood and the fact that you need to take a pill or two, every 2 hours... it took 3 months to withdrawl completly the Xanax and return on the Valium in the summer of 2008... I was not able to speak for weeks, I had hands and muscles shake, terrible anxiety rebound... was not able to get out of the house... social anxiety was at is peak ... but I had no panic attack!!! Even when I withdrawl the Xanax... I was lucky I think...
Anyway, it was a nightmare... I don't wish this kind of experience to my worse ennemy...
I think my problem now is that I return on the Clonazepam... in the begining of june 2009... and taking it on purpose, and before social exposure or before a "potential" panic attack situation, making it more eas for me to start panic attacks for no reason... or trigger by the fear...
That's make sens for me since the Clonazepam make me more depress... and the problem also is that I don't feel anything from it... to be able to have a calming effect and feel ok to go out of the house, I have to take 3mg ... and at this dosage, I have side-effects and I feel drunk... those side-effects can start a panic attack...so it's like a double edge knife...
I guess I ask for the wrong Benzo again... anyway I need to get them out of my life forever since the Gaba system in my brain is completly f*ck up...
I succeed to reach my PDoc on the phone and we schedule an appointment next tuesday morning... he will take 1 hour with me... normally he take only 15 minutes...
Since the only med who help me in the past for panic disorder was the Paxil, I will ask my PDoc to return on it but taking it at bedtime with some Seroquel to avoid the panic attacks from the fear of having side-effects from the Paxil!!!
I will also ask for a beta-blocker... I try it in the past, and feel no calming effect on it... but it was good the the migraine I had at the times... I assume that if the Clonidine fail on me to reduce my blood pressure and my anxiety problem... I will need a beta-blocker...
Will ask for something else than the Inderal
, who is the more common beta-blocker use to treat "performance anxiety" problem... I will ask about the Metropolol... It will maybe help to reduce the high pulse rate feeling I have everytime I start a panic attack...Anyway, I will give update to all of you after I meet my PDoc... for now, i'm ok.. that's the important no? ;-)
I hate leaving in a panic mood... I try to do my best and change my minds... but when you can't even drive your car and going out of your house alone, that's hard to change is minds... and think about something else than the panic attacks!!!!
Thanks everyone for your answer... ;-)
Oh, for the person who talk about the gym....and exercises... I had to stop the gym cause i'm not able to drive to the gym, it'S too far away from my home... I never find the exercises to have a calming effect on me... in fact, it's seem to make me more anxious, probably related to the production of the lactic acid release by the muscles...and the NE increase also...
I always feel that like I was on "cocaine" when I exercises at the gym and everytime I go there, I have severe pain in the jaw...I think they call this the "rabbit syndrome"... you know, I feel like I chew gum for hours and like I grinch my teeths... that's very annoying...I will have to talk about it to the PDoc also...
Well, I keep everyone informe of the situation.. and tahnks everyone for your help !!! And sorry for my poor english... I do my best... I don't take the time to correct the mistake.. I don't have a good memory and concentration level to start... it's now even worse with the panic disorder problem I live right away...
Take care of you !!!
Vincent ;-)
Posted by floatingbridge on July 11, 2009, at 11:50:49
In reply to Re: Tips to reduce the frequency of panic attacks? » bulldog2, posted by Vincent_QC on July 11, 2009, at 7:06:44
Thanks Vincent, for the update and more information.
Best wishes and I'd like to know how you are doing and how it goes with your pdoc,
fb
Posted by johnj1 on July 11, 2009, at 12:35:23
In reply to Re: Tips to reduce the frequency of panic attacks? » johnj1, posted by floatingbridge on July 10, 2009, at 18:40:58
Yes to both questions. I have bad anxiety at times and meds just didn't help anymore. I have been off two years and my sleep is just now getting better after coming off benzos, remeron, and lithium. It has been up and down but when I sleep I feel much better. I practice some in the morning and right before bed to relax. Remeron was a very bid mistake for me.
Gi Gong is actually pretty simple and the book is excellent a friend of mine who does tai-chi (of which I also do sometimes) showed it to me. You just have to do it and start moving. Thinking can be the enemy and when I just do stuff I don't sabotage myself by over analyzing everything.
Good luck.
johnj
Posted by floatingbridge on July 11, 2009, at 12:51:38
In reply to Re: Tips to reduce the frequency of panic attacks? » floatingbridge, posted by johnj1 on July 11, 2009, at 12:35:23
Thanks, it's in my amazon shopping cart, awaiting the release of next month's budget ; )
fb
Posted by johnj1 on July 11, 2009, at 22:27:46
In reply to Re: Tips to reduce the frequency of panic attacks? » johnj1, posted by floatingbridge on July 11, 2009, at 12:51:38
Just remember, as the same with meditation, don't expect some huge moment where it will all be gone. Anxiety comes and goes. I am trying to build up the ability to let it pass and recover quicker when I have bad times.
Follow the book and give yourself time. Start slow like it says and slowly build up. Enjoy it. You will get benefits. Keep me informed and let me know if you have any questions. Good luck.
johnj
Posted by floatingbridge on July 12, 2009, at 0:03:16
In reply to Re: Tips to reduce the frequency of panic attacks? » floatingbridge, posted by johnj1 on July 11, 2009, at 22:27:46
Posted by Sigismund on July 12, 2009, at 0:16:36
In reply to Re: Tips to reduce the frequency of panic attacks? » floatingbridge, posted by johnj1 on July 11, 2009, at 22:27:46
>Just remember, as the same with meditation, don't expect some huge moment where it will all be gone. Anxiety comes and goes. I am trying to build up the ability to let it pass and recover quicker when I have bad times.
There's a sphere of agitation inside me and if I end up inside of it I become really upset. At other times, most of the time, I look at the world around me and think how beautiful it is, but it is always over there, really upset and agitated, and that's how it is. This agitation will last till I die, but as one gets older the world becomes more beautiful, which is some comfort.
Posted by floatingbridge on July 12, 2009, at 0:24:01
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by Sigismund on July 12, 2009, at 0:16:36
Sigismund, Your post was beautiful to hear--if i could get past this glass wall (for lack of a proper term). I like the reminder that beauty is out there (and maybe in here?) --thank you.
fb
Posted by bulldog2 on July 12, 2009, at 14:42:23
In reply to Re: Tips to reduce the frequency of panic attacks? » bulldog2, posted by Phillipa on July 9, 2009, at 19:53:56
> Not to change subject but did you just become very succesful in life? Phillipa
You should not change the subject in someone's thread. That is rude. Also I told you something about my personal life and I told you that was private!
Please have common courtesy in your posts.
Posted by Sigismund on July 12, 2009, at 16:21:04
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by bulldog2 on July 9, 2009, at 16:15:09
>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.
Posted by Phillipa on July 12, 2009, at 20:06:40
In reply to Re: Tips to reduce the frequency of panic attacks?, posted by bulldog2 on July 12, 2009, at 14:42:23
Sorry won't do it again. Hangs head. Love Phillipa
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...
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Dr. Bob is Robert Hsiung, MD,
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