Panic Attacks (I'm seriously fucked in the head)

TheDeceased

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I've been getting what I assume are panic attacks at university. My heart beats really loud and I get extremely anxious. My voice gets shaky. It feels like I can't breathe. It only happens during class. I've been self-medicating my anxiety unsuccessfully with alcohol and weed for too long so I went to the doctor and told them that I was self-medicating and experiencing panic attacks and I could tell he was judging me and just assuming that I was trying to score some anti-anxiety meds for recreational purposes. I think it was the combination of mentioning drugs & alcohol and generally looking like a hippie. But I was really there asking for help. Which I was refused. Now I don't know what to do. Should I go and lie to a doctor? Do I have to lie to receive help? Why are people with drug problems refused medication? It doesn't make much sense to me. I don't know what to do. As it is, I find it incredibly difficult to sit through a class or concentrate. Most of the time, I just want to run out. Today was particularly bad. I thought I was going to have a heart attack.
 
Anxiety can be brutal..don't give up on finding a solution. Therapy can also be helpful for modifying any thought patterns that contribute to it.

I found a psychiatrist that I am able to be honest with. He knows about my current and past drug use and still prescribed me a low dose of benzos. But I'm sure that a lot are more hesitant to prescribe anything with abuse potential if the patient has a history of or currently uses other types of drugs.

If you do end up getting a prescription I do think it's important to make sure you are using other methods of minimizing anxiety too. So many people run into problems when benzos are the only tool they are using.
 
Why are people with drug problems refused medication? It doesn't make much sense to me.

Honestly...I think this question answers itself...

Did he not offer you anything? I mean, even alternatives to meds?

Firstly, It sucks to be 'pigeonholed' into a certain stereotype but this is reality some of the time, some Proffesionals(even good ones) make assumptions but it sounds to me like he didnt help you out or give you any hope at all...!? If so, Thats not on.

It is awful to be judged in the wrong, when/if your being genuine.

Your completely right there is a stereotype but also people who are self medicating have to go through periods of abstainance before a med can determine what the real problem is; as weed and Alcohol can cause as well as exacerbate psychological problems such as Anxiety/Depression/Panic Attacks etc.

Be realistic, if the Doc is selling you therapy and you refuse, it is showing him that you are only concerned with a quick fix, you cannot reasonably expect someone who is being manipulated every day of the week for med's to make an exception for you because you are special.

So If I were being genuine, I would go back lay my cards on the Table, say: look Im worried that you've an assumption of me, etc etc, can you offer me an alternative to meds even because I really need help and am desperate etc.
If he doesnt help you and isnt empathetic, find somwhere to complain about him, politely give him the middle finger and find another Doc.

I had a difficult time in College too, so do empathise with what your going through.
Is there a support system at College that you can got to, while your taking time to sort things out?
Good luck
 
I have the same problem, except I have not admitted that I've abused drugs in the past. Nevertheless the doctor refuses to help me and throws SSRI's at me like they are candy. Doctor didn't offer therapy or even consider a class of drugs outside of SSRI's so after trying them and side effects being terrible, I am stuck.

One thing, alcohol and cannabis are terrible for anxiety, at least for me. If you are going to self-medicate i recommend anti-histamines, opiates and benzos. I used to skip the majority of my classes because of anxiety, try to get some help, keep trying new doctors, missing that much class fucked with my marks and alienated me.

Also IME, lying isn't going to help either, it seems some doctors are just more willing to prescribe proper meds than others, just keep trying to find one. I swear that no one will take me seriously until I either have a freak out in public or have an attempted suicide. Fucking doctors.
 
Hey TheDeceased, I had something similar happen recently. I have been seeing a counselor and when I saw the psychiatric nurse she referred me to the first time, she was okay with the pot use (what I admitted to, I don't really drink or use other drugs too frequently) so the second time I thought it would be okay to tell her I used it "one time during the week for pain" since I had reinjured myself...she ripped up the benzo prescription in front of me and said because I was using illegal drugs she was not going to give it to me. I seriously had the same thoughts you did, "so, should I lie to her from now on to get the help I need?" I was used to being scripted benzos even when totally honest to a regular doctor, and instead of appreciating my honesty she saw me as a drug seeker and told me I wouldn't be getting prescribed benzos any more (she gave me a small prescription the week prior). I'm also so anxious I can barely function, and instead she gave me a mood stabilizer, flipped the hell out when I wasn't taking an antipsychotic she gave me because well, I don't think I'm psychotic and it made me feel like hell, and a huge ass dose of trazodone even the pharmacist was a bit alarmed about when I filled it. Basically, she's willing to give me high doses of everything BUT benzos.

I don't really have advice for you, but I know what I'm going to say at my next appointment and it probably isn't going to be honest. I'm now officially marked as a drug user and drug seeker with her, because I told her I used cannabis for my back injury since I didn't wanna take the opiates and muscle relaxers I was prescribed previously. I think that's ridiculous that she would have still given me a prescription if I told her I'd been taking opiates for several days straight, but not for admitting to one time of cannabis use.

I recommend you go back and say you are interested in getting hooked up with some counseling and want to know alternate ways to handle your anxiety. My counselor also told me that "real drug seekers don't usually return" so going back shows them you really DO want their help, not just their prescription pad...I don't really have much advice, I just wanted to tell you I know EXACTLY HOW YOU FEEL. This happened to me this past Saturday. I thought honesty was the best policy, and I was very, very wrong.


EDIT: Someone is going to say "get a new doctor" and well, I had to wait several weeks to see her, since she was the only one that didn't have a 2 month or longer waiting list. Psychiatric practitioners are in high demand, and my health insurance will soon be no more...drugs like Seroquel don't have a generic, and are extremely expensive, and doctors seem to care VERY little if you tell them cost is really important, they think you should be willing to put your health before it, and I'm not willing to do that when I know by now how much the prescriptions cost and that I think she's trying to prescribe me the most expensive medications she can think of.
 
Hey man- I have the same problem with panic attacks and have tried almost everything to treat them. I kind of have them under control now. However, when I first started experiencing them they scared the living crap out of me. I can imagine how scared you must feel now, indeed I have experienced this and know all too well how it feels.

My first bit of advice would be to get checked out physically. Get you thyroid checked, get blood tests, EKG, etc. Get a full physical if you haven't had one in a while. This will also serve to help settle your mind, at least a little.

Things that have worked for me include:

1) SSRI's- yes they can indeed work but they can take a while to kick in. Why are you so adverse to this treatment? They can indeed help. In the end, they are a temporary solution

2)Daily physical exercise- I can't overstate the importance of this. Physical activity has been clinically proven to lower anxiety. This also may take a small amount of time until the benefits are fully felt- butg I'll bet you feel some relief after your first workout/run whatever.

3) Cognitive Behavioral therapy- this can work wonders and help you deal with the panic attacks.

If I were you- I'd really try to stay away from Benzo's. Maybe a short course just to settle you down but that's it. Benzo addiction is no joke, man and my addiction to opiates is enough to know I don't ever want to be addicted to anything else.

So: I'd suggest making an appointment with ANOTHER doctor to get a full physical. In the course of the physical, describe your problems with panic attacks. Whatever treatment he/she prescribes- give it an honest shot.

Start exercising ASAP

PM me if you have any questions. I know what you're going through.
 
Okay so I went to a different doctor and I cut off my hair, shaved and didn't mention the drug/alcohol problem this time. My right eye has been twitching for seven days.

I told him I wanted to go back on anti-anxiety meds and that I used to take serepax but it was too weak so I had to end up taking more than one a day (usually three-four). I asked for something stronger. He was very hesitant to give me a prescription for any benzos. He wanted to give me effexor. I convinced him otherwise. But he still only gave me one script (with no refills) for oxazepam - 1 pill (30mg) a day. That's like the lowest dosage imaginable. It's only going to last me two weeks, max.

So I also got an reference/appointment with a psychiatrist. I seriously need help. I'm fucking stressed out to the point that it is ruining my life. I've got to wait a couple of weeks for an appointment and then start over again with the shrink. By that time I will have run out of oxazepam. Hopefully the psychiatrist will have more sense and will give me a stronger benzo or a decent dose of serepax with a couple of refills.

I don't know why it's so fucking difficult to get the help I need. Benzos have helped me so much in the past. It is better for me to take them than it is to do what I'm doing.

Currently I'm getting panic attacks on a daily basis, sweating profusely from my hands, grinding my teeth, my eye has been twitching for seven days, I'm having trouble sleeping, having social issues, it's affecting my work, my studies. I just fucking need a pill to calm me down, to bring me down to a normal functional level so I don't have to fucking stress all day every day.

Why is that so god damned difficult?
 
You're making progress, Deceased. When you talk to your psych, make sure to let him/her know that the oxazepam is working better than anything else, and you're grateful for what little relief it has brought. However, make sure to convey that your anxiety and panic is still ever-present.
 
^Thanks for the advice, Cyc.

I find 90 mg of Oxazepam to be about right for the entire day. If I had that I don't think I would consume any other drugs whatsoever. But is a doc likely to actually prescribe that much? Cause that would be (for a one month prescription) like 90 pills (2700mg)?

(I don't know much about prescription drugs and there is contradictory evidence floating around on the internet.)

The doctor gave me 25 pills (750mg) but as I said that's only going to last me up to two weeks, probably less.

Should I say to him that one pill wasn't enough so I was taking 2-3 daily? or should I just say what you suggested - that I took 1 and it relieved the stress fractionally but I was still having panic attacks?

:)

tD
 
Maybe let slip that you had an anxiety attack and took an extra one, and found it helped a lot.
 
I have this same problem in school, it rears its ugly head from time to time. Not so much anymore though...it was a lot worse/more regular when I was an active drug addict. Then after I quit, shit even worse before it got better.

I have this mind numbing fear of public speaking (like a lot of people), but I couldn't read or present anything out loud to anyone without breaking down into a ball of shivering panic in front of the whole class. It was so fucking embarrassing. One time I had a teacher that had to give me a mini-therapy session in front of my peers because I broke down while giving a stupid 3 minute presentation that noone cared about anyway. It was horrible.

Like I said, the worst of it came back when I had just recently quit abusing drugs (heroin, mostly). I was self-medicating my anxiety with it so naturally when I stopped it increased ten fold for awhile. It seemed like forever but gradually over time it started to fade.

Don't get me wrong, I still feel like I'm going to have a heart attack whenever I'm expected to stand up in front of everyone. I just did a 5 minute powerpoint in front of one of my classes the other day and I thought I was going to piss myself. But I got through it just fine (and sober) and man, talk about a boost in confidence.

If you need to get on benzos or something to help for the time being then by all means do it, it's better than self-medicating and it's a hell of a lot better than having to suffer through a panic attack in public. Believe me, I know how it feels.

Practicing speaking in front of a trusted friend or two is what helped me, as well as trying to be more prepared when I know I'm going to have to perform/present something. I know it sounds cliche but I helps tons over time.

Things will get better as long as you're proactive about it (which it sounds like you are). Taking prescribed meds to help you when needed and doing some talk therapy will work no doubt, but it takes time. I was always taking one step forward then 10 steps backwards which is why I think it took me so long. Things are finally looking up though.

One things for sure...anxiety doesn't just dissapear on its own. You have to work through it and train yourself to deal with it properly.
 
Currently I'm getting panic attacks on a daily basis, sweating profusely from my hands, grinding my teeth, my eye has been twitching for seven days, I'm having trouble sleeping, having social issues, it's affecting my work, my studies. I just fucking need a pill to calm me down, to bring me down to a normal functional level so I don't have to fucking stress all day every day.

Why is that so god damned difficult?

Some doctors are really unfair and biased.

I would go to a psychiatrist who hasn't had any major complaints filed against them through your state's database. There's a way no matter what US state you live in, to be able to complain officially about doctors when they are not being good doctors. If you find a psychiatrist without any complaints, I would go to this one.

Some doctors also have a weird preconceived notion that some benzos are more addictive than others; and this is true. However some will still be willing to prescribe benzos but only like one or two of the most addictive physically/psychologically ones which doesn't make much sense to me - since there are less addictive alternatives that they are unwilling to look into. :\

Overall, you have already started having your anxiety treated medically. All you have to do is find a doctor willing to continue the treatment, and this is generally easier to do than finding a doctor to begin it. :)
 
To the original poster. I have had a somewhat similar experience as you, finding it hard to get the right medication.

I saw a doctor, for the first time in a while I must say. I was nervous, because I knew I needed something for anxiety, and in my experiences, Benzo's are the ONLY things that have ever helped me. So although I had legitimate intentions to get medication for my crippling anxiety, I was straight away intimidated by the fact that this doctor, who was completely new to me, would brand me as a drug seeker.

The results of my first visit with this doctor were VERY disappointing. When I was talking to him, my voice was getting quite shaky, I was starting to ramble uncontrollably, my hands started sweating and shaking quite badly. I told him, I NEED something strong for anxiety. Nothing I have tried can put me to sleep, I'm unable to socialize, scared to get a job AND that I have additionally seen Psychologists about a dozen times minimum, for ADD and Anxiety disorders. I told him specifically (trying to avoid getting an SSRI), "I am NOT depressed, but my anxiety solely is ruining my life.", "I am generally a very happy person." He said okay, and offered me "Anti-Anxiety Medication." Thinking I would get a Benzo, I quickly agreed, but I only ended up getting the SSRI Lexapro. He didn't even explain to me what it would do, but just said take it, and come see me in a week from now.

I ran with it, and actually trialled it. To this day, I'm still on it. It barely helps my anxiety, but I find I am less emotional when bad things happen to me, and indirectly, it helps me be a little less anxious. So 2/10 for General Anxiety relief, 0/10 for Acute Panic Attacks and 6-7/10 for "Depression" (or preventing me from feeling upset in generally provoking circumstances).

I saw him weekly for a month and a bit, and every time had the same circumstances, and literally every time he said that I have to give the Lexapro time to work. I asked for something to help me sleep in the meantime, and he gave me some weak Temazepam to help me sleep, but that was it. 10mg 1x Daily Before Bed. I'd have to eat 5+ to get mildly tired. A week later, after going through the whole script, purely trying to get to bed on it, I told him, I need 4+ of these to even feel like I could sleep before 3:00 in the morning. This isn't working at all. He was shocked that I could handle that much, and said that it's obviously not working on you, we'll try herbal stuff and Psychology. I told him, I have tried those things, and nothing works. I need something like Temazepam, but stronger.

He told me, this is the last time I'll script it to you. I'm worried you will get addicted. Don't take it for sleeping, but save it for Panic Attacks. And prescribed me something like 2 per day, at 10mg dose (the weakest) of Temazepam.

Promptly, I canceled my next appointment with that doctor. I got it changed to another doctor, who works at, and runs the practice of the doctor I just described, as I originally saw him about ADD 2 years earlier, and on the first visit, I got prescribed Kalma (Xanax), 4x daily, 0.5mg. I was completely honest with him, and said I had come to him because my last doctor would not prescribe me anything that worked as he was scared of me getting addicted. I also got re-referred to the Psychiatrist I used to see for ADD.

Life has never been better for me now. My Psychiatrist upped my Lexapro dose by 50%, and I'm on 4x 10mg Valium a day (as it's less addicting than Xanax they believe), plus the addition of taking Epilim. I barely get any anxiety at all now. Honestly, fuck doctors, see a Psychiatrist.
 
And prescribed me something like 2 per day, at 10mg dose (the weakest) of Temazepam.

Actually, they make a 7.5mg dosage of temazepam. They also make up to a 30mg dosage.

Temazepam has a larger therapeutic window, but is also quite potent and I find it just as potent if not more so than diazepam milligram per milligram. I think most people would find this to be true, or not (and only find temazepam to have half the strength of diazepam according to benzo equivalence charts).

I know this because I was on a 7.5mg dosage of temazepam for a while, and am now up to 15mg. I do not take it daily and I only rarely take it.

Honestly, fuck doctors, see a Psychiatrist.

I couldn't agree more.
 
Actually, they make a 7.5mg dosage of temazepam. They also make up to a 30mg dosage.

Temazepam has a larger therapeutic window, but is also quite potent and I find it just as potent if not more so than diazepam milligram per milligram. I think most people would find this to be true, or not (and only find temazepam to have half the strength of diazepam according to benzo equivalence charts).

I know this because I was on a 7.5mg dosage of temazepam for a while, and am now up to 15mg. I do not take it daily and I only rarely take it.



I couldn't agree more.

So people can actually feel less than 10mg? I never knew they made 7.5's, that's interesting.

Basically, Temazepam used to only be effective if I was blind drunk already, or at least heavily intoxicated. I started experimenting with it back in school. I know though, that what I would take (3-4 chewed 10mg Temazepam pills while really drunk) would have destroyed me back then had it been Diazepam.

They have such a different feel once you get to experience both thoroughly. Temazepam are much more disorientating, but Valium pack more power, it's just that it's more muscle relaxing, and harder to notice until you realize that you are actually meant to feel your head and body as one entity ;).

I am glad you agree with me about Doctors though. I mean General Practitioners by the way (for everyone else). Psychiatrists are always willing to give out medication from my experiences, and they specialize in doing so. You wont get bullshit excuses when you actually need something. Whether you abuse that privilege or not, is up to you. But from my experiences, they can read your body language fairly well, and mine even pick me up on things I haven't even realized myself.
 
Although I don't know how much these will help you you could try getting some of those natural anxiety herbs you can buy online. Some of these include Valerian root, skullcap, hops and some others. If you try all of them together they might aleve some of your symptoms. They've been praised for how good they are with withdrawal so they might do well with anxiety to. The best I can recommend though would we Kava. Kava binds to GABA just light benzos do and is an weak MAOI anti depressant.

Hope these help you at least a little.
 
Panic Attacks are hell.... cbt helps theres even a few youtube clips with people talking about it with advice,
I dont know what to do myself stupid me got my medication kalma that i only take when i get a bad panic attack because
its easy to take more than you need to then you get tolerant to it. thanks to me not locking my car, i cant get andymore
I called my boss today saying i had bad asthma because thats what i sounded like. Im worried im going to loose my job
I get them 1-2 times a week and they are on and off all day If i dont take the kalma today is ... theres no words for it. ssris...all that havent
worked for me some made me more anxious. I went back tot the dr said what happened.... now i feel like ive stuffed everything up because it
sounds ridiculous even though its true and filing a report saying my meds were stolen made me even more anxious basically
im under my bed cover today curled up in a ball with no efn idea what to do with myself its taken me 40 minutes to type becuase
im so shaky. it is tough when you tell the truth and it gets you nowhere fast i wish i could offer you some advice. cheaphighman is right valerian can help with chamomile tea (2 bags) relaxation music
ivee given them all a go spilt the tea everywhere shaky as hell.
do i see another dr? i dont want to loose my job because of these panic attacks 8)
 
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