Mental Health Severe cognitive impairment for 4-5 years. *GABA gone GAGA*

YimYam

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Oct 23, 2014
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15
Hey guys, I seriously need your help. For the TL;DR types, this will be worth your time, at the very least as a source of amusement, just because of how absurd my circumstances are.

(for some reason the writing software is spazzing out and merging some words together, I've tried to correct it but it reverts back..)

I have been told that my GABA receptors have been down regulated permanently from a combination of moderate cannabis use, a very short stint of Benzo use and chronic stress, mainly because of having poorly functioning GABA receptors in the first place due to poor genetics.


Everything I ingest sets off a stress response (you'll soon understand why GABA comes into this),the triggers of my stress response (SR) vary in severity in how strongly they set it off. The triggers are the following: Cigarettes, caffeine, marijuana (small doses are fine, high doses are the worst trigger), alcohol, low blood sugar, eating more than 10g of quick release glucose, exercise, all food, all herbal supplements and various random ones set it off. When the SR goes off it activates my nervous system and impairs my cognition. It takes me 1hr 15 mins toeat a standard 32g chocolate bar without SR going off....


I have had the SR go off about 5-10 times a day everyday for the past 4 years, one moment i'm barely functional, the next I'm completely dysfunctional, I'm sure you can see how this would affect my daily life in regards to work, socialising, maintaining relationships, personal development etc. As a consequence, because my HPA axis is being chronically activated so often, it has made my condition worse. As you'd expect from having something this bizarre and unheard of, my family and friends have slowly lets just say drifted away, despite me explaining things as eloquently as possible and showing an attitude of disbelief of just how mysterious and ridiculously bizarre this illness is, they have as you'd kind of expect grown tired of this BS and just think its psychosomatic.


My planning/reasoning, problems solving, working memory, memory recall and processing ability is completely kaput. I have blocked thoughts, unable toaccess them, my mind is dead space. Therefore consistently and unrelentingly I have no brain activity that Im aware of going on. I can't hold a thought in my mind AT ALL. I can't access my memory recall, as if there is a wall in the way. My thoughts or lack of are completely jumbled up rather than effortlessly systematic in flow. I guess this is what compounds my issues and people's perspective of it, is the fact that I look fine on the outside, just a bit slow, low on confidence, edgy and anxious. From a concoction of having poor cliquey friends and being unable to manage these symptoms, I have become socially withdrawn.


My processing ability is non existent, I can't process films, TV series, books, basically anything....I just can't follow the line of the story due to my lack of ability to process things. I can't learn anything either, I've hadpersonal development and countless self help/inspiring books just put on the back burner for months/years, its just insane, I can't even help myself by developing my self as a person or my work/life skills. Ican learn very basic things of course, such as changing a light bulb kinda thing.


I have had these issues everyday for the past 4 verging on 5 years. Before this I was a verysociable, witty, kind and friendly person, who was very ambitious. Now comes the odd part, I am still that person. I have had no changes in personality or behavioural changes, its just something has been turned off/down in my brain. If this switch turned back on I'd be back to my normal self. I've had no significant issues with anxiety or depression, I have emotional baggage just like everybody else, although I have been unable to process through it for the duration of this illness. Of recent, to my utter amazement and realisation that I've made no significant improvement in this time period, my stress levels and low grade (situational) depression have got significantlyworse.


Expanding on the 3rd sentence in the above paragraph, if you were to ask my family if I had had personality/behavioural changes, they would say I have. I will explain my defence and there defence in how I can see there view. This stress response is constantly activated, so when I get stressed my body is already in a stressed state so being in stressful situations, being arguments for example, I can lose my temper very quickly, what exacerbates this is the fact that I am unable to communicate my point or thoughts, which is EXTREMELY frustrating. I also come across as edgy and anxious when in conversation, this is because again I am constantly very stimulated because of the SR being activated and unable to fluently and effortlessly get my thoughts/opinions out. I'm just stuck in this CRH/stress vortex.


An incredibly intelligent health consultant I have been working with has explained that my issues stem from the fact that there has been a PERMANENT alteration in my HPA axis activity and stress response from chronic stressors, some people are predisposed to this due to genetics, and obviously Iam one of them.


The stress response is supposed to go off in all humans with behaviours such as eating, smoking and drinking caffeine/alcohol,but there's a control mechanism involved. One control mechanism is GABA receptors and the inhibition of CRH neurons in the paraventricular nucleus (PVN). CRH is released by the PVN, but GABA can inhibit its release and this is one of the main control mechanisms to stop the stress response. Because my receptors are damaged, my stress response is unable to be controlled effectively. As a result this it causes a cascade of symptoms such as chronic sinusitis, shortness of breath, hypertension, popping/gluey ears,hard eyeballs (??), head pressure, twitching/spasms, clicking/popping ankle & knee joints, constantly being on edge/feeling irritable and chronically cognitively impaired.



Therefore my day to day quality of life is about 15% of my normal ability to function.Throughout the day everyday I use my phone (which is an asbolute god send with this disorder) as a tool to to keep my mind occupied and distracted doing mindless things, quite the opposite of what I would like to be doing with my time, but I have no choice because the things I want to do I can't get absorbed into, simply due to my lack of ability to process them. My brain is compeletely brain dead, so if I didn't have my phone or some sort of multifunctional electrical media device I just wouldn't be able to cope. Boredom would just be too intolerable.


I have a shed load of devices and GABA agonist supplements which don't seem to cut themustard, there pretty good at suppressing an activated stress response but don't cause any significant improvements in cognition, quite possibly because the damage is so severe, obviously I hope not but as time goes by my hope is fading.


Benzo's are the only thing which has shut down the stress response, improved my glucose tolerance and kept me balanced. But ideally I wouldnt want to stay on them for the long term for various reasons. Baclofen which works on the GABAb receptor which has also been shown to inhibit the HPA axis looks like a much better option due its lower tolerance.


I get no sense of reward on a daily basis, so I continued to smoke MJ (now stopped) and eating an obscenely poor diet, instead what remains are these obscene eating habits and needing to be using my phone the whole time, otherwise its just insanely boring as I don't have thoughts/ideas to get lost in anything.


I clearly need some psychiatric help but have no idea on what to do. Help would be greatly appreciated.

Thankyou for taking the time to read my story.
:)
 
Your post makes you out to be very intelligent but troubled with hindersome neurotic thoughts and other ruminations. Inconsistency of mental state from habits including drugs like the described GABA agonists can wreak havoc on mental state and coordination. I mostly comment here because of experiencing very similar problems. The ups and downs can be surreal.

Yes, professional assistance could help, and possibly antidepressants or therapy. Until you stop using GABA agonists and MJ for a few months, it could be difficult to pin down any actual other issues going on.

Staying or becoming sharper mentally requires a level of challenge. I would recommend some sites online, but it's also very important to pursue personal goals and take note of what things are most important or desired in life.

Remeron can help relieve anxiety, sinusitis, and related head pressure. It also helps with sleep disturbances from gaba agonist withdrawals. One thing is does not help with is poor diet... quite the opposite!
 
Your post makes you out to be very intelligent but troubled with hindersome neurotic thoughts and other ruminations. Inconsistency of mental state from habits including drugs like the described GABA agonists can wreak havoc on mental state and coordination. I mostly comment here because of experiencing very similar problems. The ups and downs can be surreal.

Yes, professional assistance could help, and possibly antidepressants or therapy. Until you stop using GABA agonists and MJ for a few months, it could be difficult to pin down any actual other issues going on.

Staying or becoming sharper mentally requires a level of challenge. I would recommend some sites online, but it's also very important to pursue personal goals and take note of what things are most important or desired in life.

Remeron can help relieve anxiety, sinusitis, and related head pressure. It also helps with sleep disturbances from gaba agonist withdrawals. One thing is does not help with is poor diet... quite the opposite!

Thanks for the response. I am only using natural GABA agonists such as Hops, Valerian, L-theanine, glycine, inositol, magnesium, which are only having a very mild effect on my cognition, great for mood but cognition is hardly improved at all. How do you suggest I become sharper mentally? Good sleep patterns, healthy diet, exercise and meditation I guess. What sites do you recommend? And finally, how much of your cognition have you regained? Thanks.
 
Yeah, so I'm now falling into a pretty deep depression. Just lack of energy, feeling hopeless, helpless and have a very flat mood. I think it's pretty bloody justified considering my cognitive issues. I'm just in desperate need of advice. Please for the love of god, can someone help me.

I'm a strong character and have dealt with this really well over the years considering my circumstances, but this has just taken every last ounce of my life energy away and has become beyond the joke.
 
Well I had to deal with really bad cognitive impairment during my final years of graduation. At least I passed... But forgetting everything and being foggy-brained it was a total nighmare and I thought I would have permanent brain damage... With the years I accepted myself as the person I am, not sacrifizing myself for others. I confronted myself with my problems being kind of difficult. But in the end I could deal with my thoughts and sensibility.

I am a lot better now than I was before and I believe that depression might tell you to change your life. What helped me is to reduce my time in front of the TV and computer and going out. I don't know what your problems are, but it might be helpful to search somebody to talk to. Being in panic mode was the reason why I landed in psych ward. Medication helped me the first 2 weeks, but after that it only hindered me. I would only take medication during psychotherapy and in a no way out situation. Taking meds solo only helps you in the short run.

P.S.: I had been diagnosed with F33.3 (Major Depression with psychotic symptoms) and after being released out of the hospital 2 months ago, I am now diagnosed with F33.1. If I can do it you can do it, too.
 
Saw you posted in the longecity forum. Quite ironic, since I haven't looked on there in months and your post prompted me to do so! :)

Been through the ringer with trying different 'racetams, noopept, natural and synthetic GABA agonists, SSRI's, Stablon (SSRE), dopaminergic drugs such as wellbutrin, and to a lesser extent, deprenyl (MAOI). Also cerebrolysin, an array of herbal adaptogen supplements, and iboga root.

As for anxiolytic drugs which should ideally help with cognition, I found aniracetam to be mildly helpful and sustainable at conservative dosages. Ashwagandha and bacopa could be nice if they agree with you. The trick is introducing things slowly, of course. Bacopa honestly never made a noticeable difference for me, but this was no doubt a result of impatience with trying it. Would avoid piracetam, due to experiencing sinus inflammation (as others have, also), and recommend treading lightly with other 'racetams, peptides, and really any synthetic compounds. While not apparently addictive themselves, people have gone quite "off their rocker" from chasing mania perpetuated by high dosages. Long term positive changes are harder to tell, but they're also more sustainable, as with most things.

"Coming clean" is my main recommendation, even from supplements and vitamins, as they can build up levels harmful to the liver and kidneys, and also compete with, or otherwise deplete, other vitamin and mineral levels in the body. Perhaps a partial dose or conservative multivitamin, along with vitamin D is generally safe, unless there are known deficiencies. Blood work would be good to check periodically, say every year, to make sure hormone levels and markers for organ health are good. AFAIK, valarian root and kava kava extracts can be especially taxing on the liver.
Have found the examine.com website helpful with researching supplements lately.

And the things mentioned, yes - diet, sleep, exercise, stress management. Sunlight and fresh air can lift mood, with obvious attention to minimizing UV exposure. SAD lights can serve as a partial substitute for sun exposure when it's not available.

Hobbies and interests often become crutches or addictions, and should be reconsidered if they clash with responsibilities and cause stress.... procrastination is a bitch, and should be "avoided". Lol
Things like computer time, TV time, video games - some are more stimulating and engaging than others, but positive human interaction is a more critical component of well-being (so say the experts). If addictions are necessary, free media and games can be much preferred in terms of financial burden! Examples of websites I've found interesing include luminosity / other sites with brain games, stumbleupon, and pretty much any social media outlets which stimulates creativity. MBTI personality related sites are another area to explore.

Memory and mental sharpness can be difficult to subjectively ascertain. Would look into tests and games others use to keep track of changes. Dual-N-Back type games were highly regarded for practice and testing, last I recall, but there are countless ones out there. Since being on remeron 45mg, memory has improved relative to peers, although I haven't tested or practiced with it, and no supplements are currently in the mix.

It's highly unlikely that the things you've taken or experienced have caused any permanent damage.... Guess it's not often kosher to disagree with professional conclusions, but that much honestly sounds like quackery if you were told that permanent changes have been made. Coming up with further limiting judgments isn't the mark of a good psychiatrist or psychologist; in fact, it's the exact opposite of what they should be doing to help.

Hope things pick up quickly! Mental fogginess and tunnel vision are a mess, and I remember feeling like a walking zombie 24/7 with chronic sinusitis and seemingly no restful sleep.
 
Thanks for taking the time to write a response mb 909 and brink.

Brink, unfortunately I would say I'm about 90% sure I've done permanent damage. I will defintely do some brain tests and games to look for changes.

The issue I have is everyday my cognition is unable to remain balanced. My cognition on a daily basis is like a heart monitor, constantly going up down, up down, completely unable to remain balanced from the constant effects of blood sugar issues, food and activities such as walking up a flight of stairs setting off my stress response, it's completely mad. I can't find any other people on the internet with a very similar experience, it's just so bizarre.

I've defintely become more flat and emotionally blunted in the past couple of months but that could be due to IBS, which I've had since last week. Adding IBS into the mix just makes this whole situation just incredibly fucked up.

I seriously need help with finding suitable meds, but I literally just have no idea where to go. I'm currently on 1g of phenibut, which is incredibly relaxing but does not improve cognition as hoped.

If you or anyone knows of anyone on this forum who is an expert (or as close to as possible to one) to help offer advice on a selection of pharmaceutical drugs to experiment with for my particular situation I would hugely appreciate it.
 
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