Need help severe anxiety crying that won’t stop/page 2 Do LLMDs typically treat it?

Guys, I have posted recently about my daughter’s thyroid and also her condition with Lyme.

Currently, she is in major anxiety, crying for hours, saying she feels she is going crazy. LLMD phone message says go to ER if needs arise over the weekend. I don’t know what to do! I am giving Buspar anxiety med to try to help (have done that often in the past month) but it’s not touching it. She can’t think, distract her mind, etc. just feels like she’s going crazy like she’s totally not herself.

How can I help her? Should we go to ER? What could they do? I know they don’t acknowledge Lyme here in AL. The physical aspect has been terrible but this emotional/mental thing is horrific.

Please help!

Post Edited (Blakeleysmom) : 11/18/2019 2:35:30 PM (GMT-7)

I've taken a small dose of Clonazepam (Klonopin) in the past to help me with anxiety. In my case, I think it was only 0.5 mg (1.0 mg at the most) that helped me, as I tend to be very sensitive to many things. For me, it worked rather quickly and really helped. But, we're all different.

Given what little has been shared about this situation, it sounds like your daughter is really spiraling. Is she eating? Sleeping? I'd try to get her to sleep, if at all possible. That might buy her some time and perhaps allow her to "reset," for lack of a better word.

Otherwise, if she's unable to begin calming down, it sounds like a trip to the Emergency Room may be warranted. You'd know better than us, if it's to that point. But, I wouldn't rule it out. If you do go, I see no need to mention Lyme, if you think that's just going to cause more problems. She has anxiety and that will be obvious.

Finally, I've been to the ER more times than I care to count. It's important to remember the purpose of an Emergency Room -- it's for acute care. They don't know your daughter, her personal history, or her medical issues. The doctors are there to assess what's wrong, stabilize people, and either admit them to the hospital or release them with the instruction to follow-up with their primary care doctor.

Obviously, you know this. But, I thought it was worth a reminder, so the proper expectations are set. On several occasions, I've been in the ER and tried to provide some of my lengthy medical history and even mentioned my tick bite and symptoms. Mostly, they've been nice and listened, but, again, that was outside of the scope of what they do. They're not LLMDs or Infectious Disease doctors.

Whatever path is taken, I wish your daughter the best.

Girlie, I had not thought about the extending possibilities of going to ER with psych symptoms. Thank you.
Also, you mentioned currently feeling similar...what do you contribute yours to? Bart? Thyroid? Etc.

Dude, I needed the reminder of the job of the ER. I think I would respond better if we go just with that knowledge. I don’t think I’m thinking clearly myself, as I am just struggling with the thoughts of what to do. Physically, she had two pretty decent days but this emotional crash started in bad yesterday.

Saraeli, thank you for talking me through a lot of this. Lots of ideas. My daughter is 17, oh, 18 as of yesterday. I plan to call LLMD Monday and we have our next appt Wednesday (thank God) so hopefully can get some help/answers. I don’t know why she suddenly took this mental spiral. Many many levels on recent lab work were off, including thyroid, cortisol, even lower CD57, etc. Hard to know what’s the cause...thyroid, infections, hormones???

What’s the best OTC for sleep/sedation that I could access on a weekend?

Not sure about cannabis here. I know CBD oil stores are popping up everywhere around here. Not sure if that’s the same thing. Would LLMD be open to that, I mean is that commonly used by them to help patients? I’m open to whatever is going to get us through this.

Do you have mold, water damage, or possible hidden leak somewhere? Mold exposure caused my CD57 levels to drop after they had improved, even though I was still treating. Also caused worse psych symptoms.

Just to update, She has calmed down a bit at the moment and is able to hold it back though always at the tipping point. hopefully some of these meds will cause her to sleep long and hard. (Never been a good sleeper).

I would get a script for klonopin as a couple of others have suggested to take if needed. Doctors don't like to give it out because too many people abuse it which is unfortunate for those who take it responsibly and truly benefit from it. It really can be a life saver.

Blakelysmom,

How is she this morning? If still bad, what about skipping the latest treatment that was added (if you think the latest treatment changes have stirred up trouble). Praying you both feel some relief today.🙏

Some other off the shelf products avail even at walmart that help:

Anxiety: passion flower, valerian root, Calm Magnesium mixing powder

Sleep: walmart equate sleep aid (diphenhyydramine hci liqui caps 25mg) under $3, its really benedryl which is used for alergies and sleep.

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look into:
24 hr 4 point saliva cortisol testing about $150- 175.

Conventional medicine has cortisol 24hr urine, and two blood tests, one AM and one early PM

The thing that made me the most sleepy was pyrantel pamoate. The first few times I took it, I think I was out like a light for several hours. It doesn't make me sleepy anymore, though, which is very strange..

Something that helped me sleep was this tea from Celestial Seasonings.

http://shop.celestialseasonings.com/Sleepytime-Throat-Tamer-Wellness-Tea/p/CEL-513701&c=CelestialSeasonings@HerbalWellness&utm_source=google&utm_medium=cpc&adtype=pla&kw=?gclid=EAIaIQobChMIh8fcjPrx5QIVpoNaBR1W6AfoEAQYAyABEgIMefD_BwE

I was given valium or something in the hospital only once, and I slept for about 24 hours straight, but I would strongly suggest not to take it more than once, because its a nightmare to get off of them (I've heard of other people who've had trouble).

A mold dog! Love it! Yes, unfortunately many mold problems do not involve visible mold.

You asked about the adrenal crash. When I had the adrenal crash that I mentioned before, I recently had gotten over a virus (or something that tanked my white blood cells, caused swollen glands, and caused a horrific sore throat for ten days) and my limbs nearly stopped working (diagnosed with post-viral myositis). It was like someone unplugged the power cord to my body. My whole body felt fuzzy and heavy and sore, and I was terrified all the time. I had been pushing myself hard for a while beforehand, and I think the virus pushed my body over the edge of what it could handle. I had HPA axis dysfunction anyway, so I know now to be more careful about not pushing too hard. (Not that knowing better always stops me, but still.) No one did any testing to diagnose an adrenal crash, but my Lyme specialist (functional medicine) and some other docs seemed to think that's what was happening based on my symptoms and recent events. My PCP thought it was an Epstein-Barr virus reactivation, though, so who knows?

The body is crafty about compensating, so testing is informative but not straightforward; for example, you could test with normal cortisol levels, but if your body is not making enough of a different hormone, then you might be using that cortisol to substitute, meaning cortisol is shirking its own duties. I know from long-term testing that I make almost no pituitary hormones and too much cortisol ... yet I have intense periods with estrogen dominance symptoms, and symptoms of low cortisol. It would have been bad to look only at my symptoms and treat to reduce pituitary hormones and increase cortisol! My point is that testing can be misleading for this stuff, but does have its place!

I saw improvement over the course of a few weeks using Dr Wilson's Adrenal Rebuilder, adaptogenic herbs (different ones work for different people), and nutrients that are precursors to hormones (DHA, selenium, etc.). But it's essential to lower stress levels.

Thanks, Girlie! Looks like I was misinformed.

Studies in babies that won't stop crying have shown they have a decrease in Lactobacillus and Bifidobacterium. These are two of the bacteria that become greatly decreased in Lyme patients. Studies in adults have shown that constant crying can actually increase oxytocin levels. Oxytocin does much more than just strengthen labor contractions but all of its actions are not yet known. It is known that oxytocin helps regulate serotonin levels and this is why I mention it this situation. I have a hypothesis that I call "Hypothesis 13." It is named after the Apollo 13 mission. After things went south in the Apollo 13 mission, an inventory of everything on board the module was taken because that is all the engineers could use to get those astronauts home. My hypothesis is that the body works the same way. It can only utilize what it has in it at the time to make sure the body survives. In the case of Lyme patients, it is deficient of multiple items that are needed so it must do the best it can. It has been shown that people with anxiety issues can have problems with tryptophan and tyrosine levels. It has also been shown that tyrosine is the preferred amino acid in position 2 on the oxytocin molecule. If the tyrosine in position 2 on oxytocin is replaced with a tryptophan, the activity of that oxytocin molecule drops to 0.1%. That's a 99.9% drop in oxytocin activity which tells me it will affect serotonin and anxiety levels. Tyrosine rich foods higher in fiber in addition to multiple daily doses of Lactobacillus would be my course of action if I were in this situation. A word of caution, tyrosine phosphorylated bacterial proteins are involved in disease development of many bacteria like Citrobacter, Helicobacter, Chlamydia, and maybe even the proinflammatory responses to Bartonella. Many other bacteria probably utilize tyrosine in evading our immune system and the body's reduction of tyrosine is just a way of helping itself. They just don't know. I do know that sources of tyrosine that aren't higher in fiber (like cheese or animal protein) will increase the number of bacteria that will increase inflammation and lessen immune capabilities.

Hi. I have Lyme in AL too. Feel free to email me if you have questions beyond this thread. You've been given some really good suggestions.I have been to several ERs for anxiety and depression. If it gets to that, I can tell you which hospitals have been the best for me. But they would likely admit her. That's what they did to me.