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Need advice on anxiety meds for HF

Originally Posted by Jimmybob55
So you prefer the quick fix. How’s that working out for you?

Take it easy.

Easy? This young man seems to need help. I am sure doctors and therapists have told him and yet after what 7 years he has done nothing really to help himself? Depression is a very serious illness and it must be confronted. When the person himself knows he is suffering from it then he knows it must be treated and by a professional. He should be seeing a trained psychiatrist who can not only help him with mental therapy but also use the right combo of drugs to help him physically / mentally as well. Do you think going to a GP and just getting some Xanax will help him? He is wasting a life and that is terrible. Help him and that’s what I would like to do for him.

Originally Posted by Jimmybob55
Easy? This young man seems to need help. I am sure doctors and therapists have told him and yet after what 7 years he has done nothing really to help himself? Depression is a very serious illness and it must be confronted. When the person himself knows he is suffering from it then he knows it must be treated and by a professional. He should be seeing a trained psychiatrist who can not only help him with mental therapy but also use the right combo of drugs to help him physically / mentally as well. Do you think going to a GP and just getting some Xanax will help him? He is wasting a life and that is terrible. Help him and that’s what I would like to do for him.

Tropical94 - sorry, it’s starting to feel like we’re taking about you like you aren’t a part of this. I apologize.

Jimmybob55 - I think we’re on the same page. I found tropical94’s story very alarming. That’s why I’ve been continually posting on this thread, and I’m sure that’s why you have too. Right now, I see someone who is starting to open the window a crack. If realizing maybe trying a medication is enough to open that window a LITTLE bit more, I think that’s great news. If medication provides the clarity/equilibrium to begin regular therapy, then that will open the window that much more widely. Far more widely than medication alone will be able to provide.

I said it before, but I’ll gladly repeat my position for clarity’s sake: tropical94, I think you should speak to a doctor, honestly, about everything that has gone on in your life. I agree with Jimmybob55, I don’t think you should go into the doctor with a prescription you’ve basically written for yourself (“I want Xanax”) that you just need a doctor to sign for you (metaphorically speaking). The professional will make recommendations to you regarding any medications, therapeutic interventions, or a referral to a psychiatrist. Then, I think, you should follow those instructions in spirit of collaboration. If they suggest a med that is having effects you don’t like, say something. If you start seeing a therapist that doesn’t feel like a good fit, find a different therapist. Just keep putting one foot in front of the other.

Jimmybob55 - In my life, I’ve known a bi-polar individual, two schizophrenic guys, and three depressed people (not including myself), none of whom have EVER benefited from being “med-shamed.” So, I apologize jimmybob55, but when you wrote:

Originally Posted by Jimmybob55
So you prefer the quick fix. How’s that working out for you?

I felt my anger flare up, and I tried to respond in a non-inflammatory way. Let’s not forget tropical94 opened this thread by saying:

Originally Posted by tropical94
I’ve had anxiety and depression for 7 years now so its pretty much ingrained in my psyche, and I’ve been medication-less the whole time which has been pretty miserable to say the least.

He’s never tried a medication before at all, so I’m not sure it makes sense to ask him (sarcastically?) how the “easy fix” has been working. Finding the right medication is hardly an easy fix, and for many people it’s a critical step. Sometimes a critical FIRST step. That’s why I suggested you take it easy. No offense intended.

The class of medications he needs are very tricky. Most trained psychiatrists have trouble dealing with them. It is quite a bit of trial an error. Many of these drugs have differing times of efficacy; one drug man show signs of improvement after 2 weeks( if it works at all) but yet a better drug may take much longer but may help him more if he were to keep taking it. This must be done under strict supervision by a psychiatrist not a GP.

Without going to the proper doctor he will never get better. GP’s do treat depression but they shouldn’t.

Oh and about the easy fix thing; yes it was sarcastic but to make a point.It was either to be sarcastic or try to go through his monitor to kick him in the ass. When you waste life you never get it back and after 7 years it’s either time to go get fixed or resign yourself to the fact that this is the way you are going to be, the way you want to be, and then be quiet about it because you get what you choose.

Originally Posted by Jimmybob55
The class of medications he needs are very tricky. Most trained psychiatrists have trouble dealing with them. It is quite a bit of trial an error. Many of these drugs have differing times of efficacy; one drug man show signs of improvement after 2 weeks( if it works at all) but yet a better drug may take much longer but may help him more if he were to keep taking it. This must be done under strict supervision by a psychiatrist not a GP.

Without going to the proper doctor he will never get better. GP’s do treat depression but they shouldn’t.

Oh and about the easy fix thing; yes it was sarcastic but to make a point. It was either to be sarcastic or try to go through his monitor to kick him in the ass. When you waste life you never get it back and after 7 years it’s either time to go get fixed or resign yourself to the fact that this is the way you are going to be, the way you want to be, and then be quiet about it because you get what you choose.

I got to see what happened to a family last year after the father took his own life. I can tell you that it wasn’t because he didn’t have enough people “kicking him in the ass.” In fact, it made him really, really good about being quiet and “choosing” his own path. Which was a shame. Because he was sick.

The journey of a thousand miles starts with a single step.

Tropical94 - my absolutely sincere hope is that you: Take. A. Step. Discussion about whether it’s better to start off with your left foot or right foot is just static and that noise will do you no good. Please DM me whenever you want if you have any questions about what I went through. Our stories have a lot in common, and I’m happy to share. I know EXACTLY what you mean when you said:

Originally Posted by tropical94
Daunting concept particularly in regards to anything sexual

When I had that conversation, it was probably the most embarrassing moment of my entire life. But it didn’t kill me, and I’m glad it did it.

Depression is not just one disease.It is a myriad of diseases under a general heading. What one persons path is may not only not be helpful to another but may indeed be harmful. The internet gives us this wonderful opportunity to tell our story and yes try to be helpful to others. Yet when it comes to disease as helpful as we try to be we may never see the harm we can cause.

This young man will not get cured here. He may find things that have helped others yet he is not them. He is unique and his disease is unique to him. No matter how embarrassing or distasteful it may be to get the proper help without the proper help he will only get worse. I fail to see how anyone, good hearted and good intentioned as they may be would not simply say to this young man he needs to go get the correct type of professional help. You see he already knows he needs it; why give him a way out in the hopes that he may get the same results that you got, which hopefully are good? And if it doesn’t happen and he gets worse, well I guess it’s tough on him.

Originally Posted by Jimmybob55
Depression is not just one disease. It is a myriad of diseases under a general heading. What one persons path is may not only not be helpful to another but may indeed be harmful. The internet gives us this wonderful opportunity to tell our story and yes try to be helpful to others. Yet when it comes to disease as helpful as we try to be we may never see the harm we can cause.
This young man will not get cured here. He may find things that have helped others yet he is not them. He is unique and his disease is unique to him. No matter how embarrassing or distasteful it may be to get the proper help without the proper help he will only get worse. I fail to see how anyone, good hearted and good intentioned as they may be would not simply say to this young man he needs to go get the correct type of professional help. You see he already knows he needs it; why give him a way out in the hopes that he may get the same results that you got, which hopefully are good? And if it doesn’t happen and he gets worse, well I guess it’s tough on him.

Either we’ve just ended up in a dead-end here, or I haven’t made myself clear enough, or you haven’t been reading my posts, or I’m COMPLETELY misunderstanding you. But this is important enough that it’s worth another tilt.

You are 100% right, no one will find a psychiatric “fix” on this forum, or any other for that matter. He should see a doctor. I’m going to quote myself for convenience:

Originally Posted by improvement2017
Seven years is TOO long. Doctor, doctor, doctor. Make that appointment ASAP and tell him about the depression, the anxiety and the hard-flaccid.

I recommended he speak to a professional because I didn’t want to generalize my specific case to cover his case; and, I don’t think you should either. Particularly when you start a post with “What one persons path is may not only not be helpful to another but may indeed be harmful.” and then proceed to tell that same person what the “correct” path is.

I don’t think tropical94 should do what I say, I don’t think he should do what you say. I think he should do what HIS doctor says.

Originally Posted by improvement2017
So my suggestion to you is to understand you may need to try a variety of medications, as opposed to deciding on the “right” one BEFORE talking to your doc.

I was referring to the process. Personally I don’t know anyone who pre-selected their own medication (Xanax or Wellbutrin in my personal case), and then went on to have success with it. It looks like we’re in total agreement here:

Originally Posted by Jimmybob55
The class of medications he needs are very tricky. Most trained psychiatrists have trouble dealing with them. It is quite a bit of trial an error. Many of these drugs have differing times of efficacy; one drug man show signs of improvement after 2 weeks( if it works at all) but yet a better drug may take much longer but may help him more if he were to keep taking it. This must be done under strict supervision by a psychiatrist not a GP.

I was lucky. I had a lot of issues with insurance, but I had a great GP who worked really closely with me, made himself available, and had a great collaborative spirit. Will everyone else have the same experience I did? Maybe not. But like I said, maybe the UK is different:

Originally Posted by improvement2017
Not sure if the UK is different, but I worked with my usual general practice doctor. No specialist/psychiatrist meeting necessary. In fact, I think I actually just brought it up at my annual physical.

Maybe psychiatric appointments are very easy to get in his neck of the woods. That would be GREAT if that were the case! However, whatever the case may be, you may have forgotten this thread was specifically in reference to anxiety regarding a hard-flaccid. So, considering your GP should be consulted regarding that ANYWAY, why not mention all the potentially related issues (anxiety and 7 years of on-going depression) at the same time? A good GP will probably either talk about medication, or they’ll refer you to a specialist. Like a psychiatrist. I brought up my own experience because it hadn’t occurred to me that I could talk to a GP about mental issues: I really only brought it up conversationally to my doctor, and thank goodness I did.

If you think it would be BAD for tropical94 to talk about this with a GP, that to do so would, in and of itself, be dangerous or even actively harmful; I disagree. This needn’t be a secret, just for psychiatrist ears only.

Do I think talking to a psychiatrist would be better? Yeah. It probably would. But I believe that A step is better than NO step. It would appear you disagree. Unless I’m reading you wrong (and please clarify if I am) you seem to have very specific ideas about the right way to do this. I disagree. I think depression is serious enough, and the number of people who seek treatment is low enough, that WHATEVER gets you to start your own personal journey is cause for real happiness.

I’ll quote myself one last time:

Originally Posted by improvement2017
Personally; I needed the medication before the therapy. Really it WAS the medication that gave me the clarity needed for therapy. Medication was the “cloth that wiped the fog off the mirror.”

In dealing with my own depression, I wasn’t in a position to see all the ways in which it was casting a shadow over all my thinking. I didn’t think about therapy because I didn’t understand I was depressed. I thought I was just myself. Medication gave me the clarity to start seeing all the ways my thinking was toxic, and it was those meds that got me into therapy. That, plus having a good support network of friends and family to talk to about my issues (and all my experiences with the medications I tried) that got me to the point where I am today. Which why I made the same offer, which I’ll make again:

Tropical94 - if you need any support, brother. DM me.

Regardless of whether he takes me up on that, I hope I made it apparent by qualifying my statement with “personally” was that I was sharing a description, not offering a prescription.

Jimmybob55, would you mind sharing your own experience with depression/mental illness? I’d like to better understand where you’re coming from.


Last edited by improvement2017 : 02-13-2017 at .

What I tried to give this young man was a path as you say, a path to seek the proper treatment. What it appeared you were giving him is treatment. Sadly in todays’ society GP’s do tend to treat depression although they are not qualified to do so. What we have here is a young man on the net looking for drugs that he can take to cure a hard flaccid. I know quite a bit about medicine and if it were up to me and I was him my first call would be to a psychiatrist who as you know is a physician as well. Start the ball rolling there. If the psychs office says I need a referral then they will guide me through the process. It is sad to say that many unqualified GP’s treat depression and this will not help this guy.

If it looked like I was offering a treatment plan, let me be clear. I was not. Like I said, I’ve pretty consistently in all my posts referred to my PERSONAL experience.

I’m not certain it’s an open-and-shut case that GP’s have NO business treating depression. Here’s a quote and a link (pretty old, but this is only the result of 60 seconds of research) to consider:

Originally Posted by New York Times article
"Psychiatrists say the new findings should not be interpreted to mean that primary-care physicians are unqualified to treat depression. The notion that everybody with depression should be treated by a mental health professional is ridiculous,” said Dr. John Greden, a psychiatrist who is director of the Depression Center at the University of Michigan.

Dr. Greden said many general practitioners could effectively treat people with mild to moderate depression. But he added that mental health professionals agreed that severe or intractable depression should be referred to a psychiatrist or a psychologist.

”Just as you wouldn’t want a primary-care physician to do coronary bypass surgery, you wouldn’t want one to treat severe or complicated depression,” said Dr. Greden, who works with primary-care doctors in Michigan on ways to improve the diagnosis and treatment of depression.

http://www.nyti mes.com/2003/06 … t-the-best.html

Here’s a more recent one that follows a similar vein:

Originally Posted by mentalhealth.fitness website
For many patients, a primary care physician (PCP) provides regular care and coordinates the care delivered by specialists. PCPs may be general practitioners, family practitioners or internists. By whatever name, the PCP is in a good position to both assess your needs and work with you to develop a treatment plan. However, some patients may be in more regular contact and have a more familiar relationship with a specialist such as an obstetrician/gynecologist (OB/GYN), cardiologist or endocrinologist. These doctors are also qualified to hear and respond to your concerns. In some instances a patient may decide to schedule an appointment directly with a mental health specialist such as a psychiatrist. Regardless of which doctor you choose to discuss your concerns with, the sooner you reach out and start the conversation, the better.

http://mentalhe alth.fitness/br … out-depression/

Though, I gotta say, unless I’m misreading you, it does appear that you are offering a treatment. Can you elaborate on your medical knowledge?

I had a lot of problems in my life about self esteem, social anxiety and a lot of things that can stop you from living your life as you want.

Anyway I have never been to a doctor nor in therapy, I just started to try with all my will to stop the flow of consciousness the way it was going ( when you have those kind of problems your thoughts go in a circular way, I mean you will always end to the point you started).

It took a lot of time and have been a gradual process anyway now I’m way less inhibited than before, of course I probably had your kind of problems on a way lesser degree.

My point is, don’t consider taking anxiolytics or other drugs because they are never a cure but always a palliative , instead consider go to therapy, face to face with a serious psychologist who will listen your problems and help your mind to find the way out the circle you built, because after all it’s your brain and only you can help yourself with the aid of a specialist.

Get out of your head into your body.(also into your dick)

Try some PMR exercises from youtube.

Intentional aim for what you like and then be in your body. Keep it going everyday a bit more.

Thinking back and forth and reacting to your bodys aches is the devils cycle.

Meds only help you ignore it more but will keep it going underneath.

I’m going to have to agree with Jimmybob on this one. GP’s have an abundant knowledge of GENERAL medical health care, hence the term General Practitioner, but they will likely be the first to tell you that moderate to severe cases of (insert medical problem here) require the knowledge of an experienced specialist. It is not a bad thing for OP to discuss his problems with a GP but he will get better results from a person trained specifically for his kind of problem. For instance, if I was having issues with my penis, I would go to a GP who would likely refer me to a urologist if my symptoms were beyond his abilities. Unfortunately, doctors are human too and they miss things, especially so if they haven’t had the specialized training.

OP should seek professional help with a fully qualified psychiatrist and simply let his GP know that he is doing this.


Started: 01/01/2015 ~ BPEL: 7.2 inches. EG: 5.5 inches. [05/01/2015: BPEL: 7.6 X 5.5.] [08/06/2015: 7.75 X 5.5] Goal: Better EQ

All hard work brings a profit, but mere talk leads only to poverty. ~ Proverbs 14:23

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Yikes. Some dangerous advice starting to crop up. Most sources that I’m familiar with agree that the best way to "cure" depression (in those cases that aren’t treatment-resistant of course) is a combination of medication AND therapy, specifically CBT.

Here’s some reading to consider:

Originally Posted by www.verywell.com
The Primary Care Physicians’s Important Role
Keep in mind that you should not skip your primary care provider altogether. In fact, depending upon your insurance coverage, you may have to see him/her in order to get a referral. Your primary care provider does play a very important role, both in screening you for possible mood disorders and in screening for other illnesses that may mimic depression symptoms. Once it is determined that you are healthy and may possibly have a mood disorder, however, your doctor should give you a referral to a qualified specialist.

If your doctor does not offer to make this referral, insist upon it. After all, you are paying your doctor for a service. You have the right to expect care from a qualified expert.

What to Expect When Seeing a Doctor for Depression

Originally Posted by www.healthline.com
A good place to start is with your primary care physician.

Primary care physician - Your primary doctor will conduct a complete physical examination to determine if your symptoms are being caused by another condition. Symptoms of anxiety may be due to:

Hormone imbalance
Side effects of medications
Certain illnesses
Various other conditions

If your doctor rules out other conditions, your diagnosis may be an anxiety disorder. At that point, they may refer you to a mental health professional, such as a psychologist or psychiatrist. A referral is especially likely if your anxiety is severe or is accompanied by another mental health condition, such as depression.

Doctors Who Treat Anxiety: What to Say and Ask

Originally Posted by heretohelp.BC.ca
Family doctors or general practitioners (also called GPs) are medical doctors. They have general medical training, and may have experience in dealing with mental illnesses. They are often your first step in navigating the mental health system. Family doctors can diagnose depression, prescribe medication and refer you to specialized services, like the professionals listed below. Some family doctors even have training in talk therapies like cognitive-behavioural therapy.

Working With Your Doctor When You Have Depression | Here to Help

Originally Posted by Lawson Wulsin, M.D., professor of psychiatry and family medicine at the University of Cincinnati
“For most people, the warning signs of depression involve two weeks or more of feeling depressed, down or hopeless—and feeling little interest or pleasure in things you ordinarily enjoy,” explains Dr. Wulsin. “You may have trouble with sleep, appetite, concentration, memory and energy, as well as thoughts about death.” If you have these feelings, see your primary-care doctor or a mental-health specialist for an evaluation.

http://www.heal thcommunities.c … epression.shtml

These are just some sources that make the point, fairly explicitly, that HOW you start matters far less than whether or not you DO start.

There’s a few other points I could make, but in the interest of making sure I’m not preaching to a choir I’ll first ask: does anyone else have personal experience with depression themselves?

The depression is a pathology caused by imbalance of serotonin dopamin and norepinephrine that’s why are used medications that restore theirs Equilibrium.

Going to a path of therapy is to avoid those episode which we are referring to come again, I said episode because this is the pathology, the duration and the frequency of those episode can change.

Long term depression if untreated can lead in most cases to other and more severe mental pathology.

Anyway those episode are caused in most cases by thoughts and mindset from which you just can’t get over and with the help of a psychologist or psychiatrist ,as you prefer, could help you with.

Remember that the human brain has still a lot of unknown mechanisms and functions.

Originally Posted by improvement2017
Yikes. Some dangerous advice starting to crop up. Most sources that I’m familiar with agree that the best way to “cure” depression (in those cases that aren’t treatment-resistant of course) is a combination of medication AND therapy, specifically CBT.

Here’s some reading to consider:

These are just some sources that make the point, fairly explicitly, that HOW you start matters far less than whether or not you DO start.

There’s a few other points I could make, but in the interest of making sure I’m not preaching to a choir I’ll first ask: does anyone else have personal experience with depression themselves?

With depression all contexts are “infected”. You are in a bad moord eating ice. Depressed watching a comedy…
Medication can thus give the incentive to get into another position.
In the end changing the context that lead to the depression is one way to get out of the stranglehold. Optimaly all while at least developing one context you have some interest and “fun” in. Im truly depressed at work sometimes but I have several other contexts where Im happy and the “work depression” isnt affecting me at all.
Getting out of your head and into the body is one step that will enable one to break the devils cycle. Medication is tricky as it changes nothing but the hormonal makeup. Finding fun in something while on the meds might be easy but might not be replicable when you are off the meds. It can even get worse. In a way that is what happens with drugs. Everything is fun stoned and soon it cant be fun without beeing stoned lol.
Tapering them off while maintaining focus on good contexts might work.. A professional that knows what to do on several levels is then gold. The pros I came across are simply giving meds and dial them up or down. Keeps one functioning as long as they are tuned right but solves nothing and creates a kind of zombie.

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