I have seen a phycologist for a year but have life/death anxiety for 3 years now and still not welll
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Health/death anxiety returned in 2012, saw a phycologist in 2015, she ended treatment after 8 months as it was nhs based!!! Im in fact worse now. Have been on venlefaxine for a year now 300mg and quetapine 100mg. Phychartrist just weaned my off from amitriptyline in 4 weeks!! From 60mg to 10mg then nothing. I am now haveing sleepless nights. So am worse mentally and tired now. Help
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betsy0603 elisa23486
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I think your p-doc weaned you off the amitryptiline too fast. How are you feeling? Other than the sleepless nights, are you having other withdrawal symptoms? Withdrawal from ADs can cause insomnia. You could reinstate part of the amitryptiline to see if it helps your sleep, and then do a very slow taper once you have stabilized. Did the health anxiety get worse after the wean off amitryptiline or was that before?
It is very common for docs to prescribe mood stabilizers after diagnosing a patient bi-polar after going on antidepressants. Some patients start cycling through low and high moods on ADs, so it is caused by the meds but is mis-diagnosed.
I would first aim to get stabilized from the rapid cessation of amitryptiline. Have you told your doctor you are worse? They have a few choices. One is to switch you to another new med, which would not be good given you are destabilized by the rapid taper. Another is to reinstate part of the A to relieve symptoms and then do a slower taper, and third up your dosage of whatever meds you are on. You are already on a high dose of ven so upping that one would not be a good idea. I know my sleep deterirated on ven. A fourth option, which your doc would doubtfully recommend, is to reduce/taper you off these meds to see if your symptoms improve. Anxiety is a side effect of a lot of ADs, paradoxically, and the worsening health anxiety could be due to the cocktail and high ven.
CBT is very helpful with anxiety and depression, but is difficult when hamstrung by high drug levels which actually can impair one's ability to integrate the therapy.
What triggered your health anxiety? Is your current anxiety over the same issues or new ones?
elisa23486 betsy0603
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elisa23486
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betsy0603 elisa23486
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As I said, our thoughts create our suffering. If you can catch yourself beginning to have the troubling thoughts, "notice" them, don't judge them, but be with them and accept them, the anxiety often passes. Notice and "step out of" the thoughts; set them aside and remind yourself that these thoughtsj increase your suffering.
You've heard of mantras. Well, it is possible to break the wire in your brain that was laid down about the fear of death, which is now like a fat cable. You break the wire gradually by 1) noticing the thought that triggers the anxiety when it pops up and 2) reciting a mantra that negates the thought, something that your brain is willing to accept. It might be "At this moment I am fine." You repeat that phrase 50 times a day, even more. You can break it down into chunks. Recite your mantra with breakfast, 20 times or so. Do another 20 at lunch. When a scary thought pops up, recite the mantra as many times as it takes to start to feel calmer. Take deep breaths.
It takes about 3 weeks of reciting a mantra to rewire your brain. This works, but you have to do it! You might find another mantra that suits you better.
I wish I could say "try this drug, try that drug, it will fix you right up," but the drugs aren't going to cure you - they are a band-aid to give you a platform to then tackle this stuff. Hopefully they don't hinder you from being able to do the work.
The drugs don't break the wires that were encoded with these traumatic events; they work by making you not care as much.
Ultimately, relief will come when you decide that you have had enough and that you are willing to do the work to make the changes necessary to not have to be this way anymore.
So, what would you like to happen? Anxiety is not something that is happening to you, it is something created within you via your thoughts. I will say that withdrawal can cause chemical versions of anxiety and fear that just sort of happen, more a body feel than thought related, though thoughts can trigger it. You can still deal with it through self-care. Deep breathing, guided meditations, mantras, distraction through watching TV (comedies, anything NOT scary), listening to upbeat music, gardening, anything that you find calming. But you must catch the thoughts that feed the fear, and make an active decision to not entertain them. Following them worsens your anxiety.
Sorry this was rambling. This is not about "anti-drug," as that is not my purpose here. But there are times that the drugs can start to work against you with chronic use, just a fact. You see it all the time on these boards, people having their "disease" return even though they are on the drugs. So, they should be used for the shorter term to where they give you relief so that you have a toe-hold to do the work that will ultimately "fix" you.
I hope this helps!
elisa23486 betsy0603
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betsy0603 elisa23486
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There are lots of sources for free guided meditations on the web. I will private message you a couple of my favorites. Just switch the channel, as we say, when the anxiety pops up!
elisa23486 betsy0603
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betsy0603 elisa23486
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