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I have a lot of anxiety lately. It's been building the past two or three months. 6 times out of 10 the anxiety seems to be about feeling like I am a failure and nothing will change. The other times, the anxiety is because of a trigger or loss that comes up.

The anxiety is to the point that on an almost daily basis I will have a lot of physical stuff go on. I will have anxiety to the point of breaking out in a cold sweat. I don't really hyperventilate to the point of needing to breathe into a bag or my hands to not pass out, but I will sometimes (and only sometimes) breathe faster, or tend to hold my breath a little. I will be being anxious and fearful to the point of vomiting, and will litterally tremble with fear. This will last for HOURS. It eventually gets better, one way or another. Sometimes because I made it stop through bad coping skills, sometimes because I just seem to crash and then sleep, sometimes because I do sometimes find ways to bring my nervous system down with good ways of coping through breathing or addressing what has triggered the fear or talking through it or using endless amounts of grounding and mindfulness. On a few occasions, it gets so bad for so long, I get dissociative. It's just a lot of intense fear.

It does get better, but then it's just a few hours before it happens again.

Last week, my primary care doctor gave me meds, concerned about the physical toll on my body. As bad as I feel, it's not a great things. I'm ok with using them when it gets to the point I'm to the point of not being able to really function - i.e. shaking and vomiting for hours. But when I take them... the anxiety comes back like gang busters anyhow. I have to take a lot too. I have taken them in the past, years ago, at extremely small doses. 1/4 a tablet used to put me asleep. Now, even thought I have not taken them for years, 1/4 a tablet has no effect. I usually have to take 2 whole tablets.

The doctor gave me two meds - klonopin and ativan. I tried the klonopin yesterday, and it really gave me a lot of relief, in an almost scary way, for about 6 hours. It was scary because I am so desperate and it worked so well... I'm nervous I will get hooked. Badly. Alcoholism runs in my family, and while I don't drink, I think I still may have a tendency to get addicted, so I try to be careful - and yesterday, the relief was so amazing. I didn't feel happy, but I felt ok in my skin again. I felt relaxed, but not overly so. I felt like I could function and do things and not fight off this anxiety monster for a little bit.

My doctor also gave me Ativan. I took it once about 4 days ago. He told me to take a larger amount of it. I started off taking a really small amount and then waited 30 minutes and eventually ended up taking the amount he prescribed (in all - not in addition to the initial amount). It really affected me badly. I wasn't that sedated, some of the anxiety was relieved, but I felt really drugged and the walls were like.. it was like looking through "beer googles." And I still was somewhat anxious.

I'm not sure I will take either med again. I am working on getting a psychiatrist, but it will likely take a few months.

I wasn't like this just a few months ago. Then it was only happening 1 or 2 times a week. Now, it's pretty much daily.

Does this sound like panic attacks? But just really long ones?

I am becoming hopeless that I will find the kinds of therapy that would help this really change (like a new T to do EMDR or somatic work with). I also am begining to really think therapy is not for me, at least not for a long time.

My doctor did blood tests just to make sure there was no physical reason, and as expected, there isn't. It's just a lot of stuff all built up and now my nervous system is so senstive. But to be so anxious for HOURS is really taking a toll on my mind and body. I have no idea what to do to really work on the core of what is bringing this on so bad...

There were some things my old T and I were doing that were helping, but she is ending and I cant see her right now, because she is another trigger that is triggering such fear to the point of dissociating very badly in unsafe ways. Before her ending came up, I wasn't dissociating, but I was having these lengthy anxiety attacks. Now, things with my T have just pushed it farther. I'm not seeing her to end right now, and the dissociation is back under control, but now there is even more anxiety attacks, and I am so mixed up and don't know what to do but spend my days doing every grounding and mindfull skill I can to survive this.

I am baffled about these attacks being so physical, so intense, for hours on end.

Anyone experience anything like this?
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Janedoe -
I am so sorry that you are going through that. I don't know how much help I can actually be b/c that does not happen that often to me but it does happen sometimes. I am on adivan as well and was wondering what dose your Dr recommended? (PM if you prefer). Also, why is therapy ending with your current T?

quote:
yesterday, the relief was so amazing. I didn't feel happy, but I felt ok in my skin again. I felt relaxed, but not overly so. I felt like I could function and do things and not fight off this anxiety monster for a little bit.
quote:


- This sounds like it is working the way its supposed to. I would be more concerned if it was making you feel overly happy or "high". Don't worry so much about the possibility that you "might get addicted" that it end up preventing you from finding relief. What the anxiety is doing to your body is not good so I think it outweighs the "risk" of getting addicted to the medication.

Anyway....I just wanted you to know that I know how those attacks feel, although I have only had probably two of them alltogether so I know what you are going through right now is much worse.

Hang in there...
I have experienced this, not so severely but for over a month last year I was in a cold sweat almost all day, every day and my sleep was disturbed as well.

I would say if you know how to do mindfulness and grounding stuff, and it helps you, just keep doing it ad nauseum and eventually you will come out of this. And if it helps take whatever medication you need to get 8 hours worth of sleep until you can sleep normally without it, since sleep deprivation will really throw you off.

I know it seems crazy to spend your entire day working on your anxiety, but if there's not much else you need to do at the moment, then why not? You can do an hour or a couple hours of concerted stuff and then spend the rest of the time on stuff that is generically relaxing.

I know you already have a lot of skills for this, but maybe I will post my own list of what helps my anxiety somewhere else just in case it helps anyone else.

((((Jane)))) Frowner

That sounds like severe anxiety and panic attacks. I hate to say this, but its probably what a psychiatrist would also say-you should be on a med regularly for the symptoms you described. Klonopin can be that med, at least for now. Klonopin is also an anti-convulsant; it's addiction propensity is much lower than other meds in its class, like the Ativan. The Ativan should be good for emergencies, and it is short acting. Your doc would probably tell you its ok to take less of the Ativan, or cut them in half if you need to.

Overall, Klonopin is more of a maintence drug to prevent anxiety; Ativan to relieve it. If you are concerned about addiction, know that anti-depressants such as zoloft and celexa prevent anxiety and work for many, serving the same purpose. They often take 2 months to kick in, though. But if the AD works, your doc might tell you that yoy could gradually stop the Klonopin.

Jane, Im worried about you. Your anxiety is understandable given your circumstances, and on top of your PTSD too, but there is a point when breathing exercises and meditation are not appropriate treatments while a long-term AD or Klonopin might be necessary. your doc is right about the effects on your body...im very pleased for you that your doc even recognises that. sign of a really good doc.

When you say dissociation when panic attacks escalate, what do you mean exactly? i am also wondering what you think about schitzoaffective? I know how torturous that type of anxiety is. so to your other question, yes, ive had panic attacks last for 4 days straight. No sleep at all during the time and horrible symptoms. i called a doc about it once to ask for xanax and was accused of being a drug seeker. (its actually common in the area i lived in) . i was so traumatized... still affects me today as i have psychological problems, PTSD associated with medical care.. anyway, so glad your doc is supportive. i hope you do find a regular psychiatrist you can trust. i know they can be hard to find.

i am so sorry about your therapist, and really hope things get better for you soon. the type of anxiety you desribe, esp. with its onset, is just the type usually associated with adjustment disorder. its the absolute worst!! Fortunately, it is more temporary in nature.

Cant wait to hear that you are getting better, dear Jane. please take good care.

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