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Emotional Episodes

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Anxiety & Panic Disorders
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Posted 3/30/2021 10:32 PM (GMT 0)
I have been having emotional episodes recently that seem to stem from an overload of intrusive/suicidal thoughts. I was wondering if anyone else with panic disorder or an anxiety disorder dealt with this or if this sounds like something completely different? It seems like the only things that helps when I get this bad are half a Xanax or Clonazepam, which makes me think it’s anxiety induced but I’m not a doctor.
Posted 3/31/2021 12:40 AM (GMT 0)
Under treatment resistant panic disorder, one website said try the ssri’s etc, that you’ve tried, but start off at ½ regular dosage, and give it longer time to take effect.

Another website (Psychiatrictimes.com., Treatment-Resistant Panic Disorder, November 27, 2017), said:

“Switch to another antidepressant agent. Within-class switching may not be a high-yield intervention. However, switching to an agent with a different pharmacodynamic profile is a reasonable step. For example, one good option is imipramine, often overlooked because of its risk of cardiotoxicity in overdose; yet it is one of the most intensively studied antipanic agents available. MAOIs, also seldom used now, can be surprisingly helpful as well.”

And,

“Consider benzodiazepine monotherapy. While clinical guidelines tend to rank benzodiazepines as second- or third-line antipanic agents, this is primarily because of concerns about sedation, physiological dependence, psychological dependence, and the slight risk of benzodiazepine abuse/diversion, especially with longer-term use. In fact, benzodiazepines are similarly effective to antidepressants for panic disorder, and their panicolytic benefit is almost always sustained over the long term."

So, we're back to where we were, and where you are now: benzos. I take one, Ativan, for a physical condition. I'd rather not, but It keeps me functioning.
Posted 3/31/2021 1:58 AM (GMT 0)
Thank you, I’m mostly looking for other people with panic disorder and if they’ve had emotional episodes like this before. Antidepressants are not really an option for me anymore, based on my gene test results I just cannot take barely any of them and have tried the ones that are “approved” for me to only have adverse effects. I have also tried the starting off at 1/2 dosage for all but thank you for your input!
Posted 3/31/2021 1:59 AM (GMT 0)
Also the Klonopin is helping with panic but not really these new emotional symptoms! Just another piece of information
Posted 3/31/2021 5:13 PM (GMT 0)
The above website mentioned tricyclic anti-depressants for anxiety and depression.

Again above, he mentioned Imipramine, which net says is a tricyclic. I took Sinequan tricyclic.

You mentioned taking two others groups, SSRI (net says Zoloft and Prozac) and SNRI ( net says they are new anti-depressants such as Cymbalta) which you said don't work for you.

Have you tried any tricyclics, such as Imipramine?

Have you tried MAO Inhibitors?
Posted 3/31/2021 5:14 PM (GMT 0)
I can’t take any tricyclics. They are on my list of medications that will have adverse effects from my gene test. MAOIS, I have one approved that I can try!
Posted 3/31/2021 5:19 PM (GMT 0)
That's good. I hope we can stay positive, like I wasn't for many years.
Posted 3/31/2021 5:59 PM (GMT 0)
Definitely trying my best here smile some days are good, others are horrible.
Posted 3/31/2021 7:53 PM (GMT 0)
Glad to hear you are trying your best.

You must be going through it. Boy, if we can just get you on an anti-depressant I think things would very much improve.

Are you going to be talking with your psychiatrist soon?

What are the bad days like?
Posted 3/31/2021 7:54 PM (GMT 0)
Yeah lol. None have seemed to work for me so far! Wish I could find one that does. I’ve been talking with her regularly and have an emergency appointment this upcoming week.
Posted 3/31/2021 11:49 PM (GMT 0)
Good that you have been talking to her regularly and good that you are going to have an appointment with her this upcoming week.
Posted 4/2/2021 2:40 AM (GMT 0)
Have you tried cognitive behavioral therapy? Your therapist can probably recommend a book on it. It isn’t effective for me because my anxiety is derived and reinforced from a physical ailment so I can’t really reason myself out of it but it might be helpful for you. Also I hope you are trying meditation. I meditate every day and I think it has helped a lot.
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