Bagel-grams received in the Netherlands and...Canada. I'm not sure why it takes so damn long to get a letter to Canada, but there you go.
I have another round of stuff to send out, but I got sick, and now I'm just being lazy. It'll all go out soon!
Write me, get written to..send me a PM if you want to be penpals!
Anti-anxiety medication GAF - I could use some uplifting stories about how going on this medication has helped you.
I have a long history of being on medication; I still take Xanax occasionally when I fly, and most recently I was on Klonopin (clonazepam) for about 3 years. The withdrawal was horrible. That all ended about 2 years ago (and I had about 10+ years worth of messing with antidepressants as well.) I haven't been on meds (except stuff to help me sleep) or seen a psychiatrist since then.
Now, I'm seeing a nurse practitioner at a sleep clinic for my insomnia. I had been taking Trazodone and Ambien, but she's having me stop taking the Trazodone because she thinks it just makes me terribly drowsy the next day. I haven't been able to sleep since she stopped it, even with taking Ambien or Lunesta. I'm trying melatonin tonight but I don't have high hopes.
As a result, she wants me to come in to discuss being put on another benzodiazepene again to treat my underlying anxiety. I've been beating around the bush that it's my anxiety that's preventing me from sleeping because I really didn't want to go back on medicine, knowing what the withdrawal is like. I've tried meditation and mindfulness therapy, but neither have really worked for me.
I don't know what to do. I know I need to sleep, and I know that my anxiety is getting pretty out of control, but I'm nervous about going back on anti-anxiety meds. Therapy is a little tricky as my health insurance royally sucks and there aren't many therapists near me who actually take my health insurance.
Glad you're being smart about it - benzos are addictive both because they make you feel good and because you can become totally dependent on them for sleep. It pays to be cautious, as by all accounts the withdrawal can give heroin a run for its money.
They key points in making a drug addictive are (to simplify), aside from what receptors they hit and how potent they are, a) how fast they act (which is why people will break up their prescription painkillers and shoot or snort them) and b) how long acting they are. Short acting drugs are the worst. Xanax has a great/terrible reputation as a benzo because it acts very quickly and has a very short half-life. So you take it and you feel better, but you need another one right away. It's widely believed to be the most addictive benzo.
Klonopin and Ativan are a little better. The common benzos all have the same sorts of issues. There are super long-acting drugs, but then you run into the issue you have with trazadone - longer-acting drugs can leave you hung over the next day.
You might think about
Temazepam, US brand name Restoril. As the name suggests, it's preferred for the treatment of insomnia. It's an intermediate-acting benzo, like Klonopin and Ativan, but it edges them out by acting a little longer. Each drug hits the classic benzos effects differently. So Xanax seems to do most for anxiety, whereas Restoril is better at the sleep-promoting qualities.
Restoril abuse is rare in the US, but it honestly isn't prescribed much. It's way worse in the UK. Interestingly, I seem to recall that Temazepam abuse is a big deal in prison, specifically BECAUSE you can't get anything more fun and addictive, like Xanax, when you're a prisoner.
[forgot to add this part]
Valium (diazepam) is nice because it
is a long-acting benzo. Again, you may risk feeling a little hung-over the next day if taken for sleep, but it's the kind of thing you could possibly take a bit earlier in the evening to bring the anxiety down and then, by bedtime, it should still help you sleep. Valium has a reputation for having more muscle-relaxant properties, which may contribute to its abuse potential.
Just tread carefully. You can make things a bit better by choosing the right drug, but all benzos are going to be potentially addictive. There's variability, too, person to person, and depending on what other meds you take. My best buddy started with Klonopin and was moved to Xanax. She gets genuinely euphoric from the Xanax, which is a bit scary. She'll take it for her crazy anxiety, but then she'll just be high as fuck for the next hour. I did a short course of Xanax and I was like, "BUCKLE UP! OH SHIT, HERE WE GO!" and then fuck-all happened. Valium is the one that made me feel the best, but that's largely because my back often bothers me and it relaxed it right up. Klonopin is the worst for making me tell people I love them, Ativan is kind of in the middle, and Restoril did very little for me. YMMV. As I posted before, my ability to take these drugs is decidedly limited, as anything beyond a tiny dose gives me temporary amnesia, which scares the shit out of me. At least it dissuades me from taking them more, I guess.
For anxiety, have you talked about
Buspirone (Buspar) with your doc? It's a non-benzo anxiolytic. It's more like an SSRI - it won't necessarily have a huge effect immediately, but over time, it can help tamp down anxiety. Addiction isn't really a concern (although I have seen reports of abuse - then again, people abuse basically anything you can think of).
The goal is always to use the drugs as needed to break a cycle of anxiety so you can bring in CBT techniques and things. You don't want to entirely manage your anxiety with drugs - that's where the dependence sets in, but the drugs can help get you into a mindset where you can think more clearly about things you can do in your life to reduce your anxiety. Still, it's basically impossible to think yourself out of a panic attack, which is where the benzos are so helpful.
PM me if you want to talk more! I like this stuff way too much.