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Does anxiety ever lead to psychosis?
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dazedtrucker posted:
I have struggled with GAD for over 16 years now. I have had success using xanax to control the worst of it off and on over this time. Recently, I have been slipping into the worst place I've ever been with this. I knew I had a problem coming on, but I do not have insurance right now, so I have tried to wait to get help. (BAD idea). I finally went to a clinic that I thought would help... not. A counselor talked to me, and informed me there was a 3 month wait to see a doctor, which is the only way I'm getting meds. Needless to say, I dont know what else to do. ( I have been off meds for a little over 8 months, and moved 400 miles from the previous Dr.) I am a total wreck. I am about to lose my job, my marriage, my whole life. I have gotten to the point I have done some really stupid wreckless things that is not at all like me. I've lost friends. I have periods of time I'm totally paranoid, times that I just shake all over (having a really hard time typing this), feel like things are crawling on me, I just feel completely out of control all the time. Oh, and the out of control diarreah, and severe fatigue for over a month now. I'm just wondering if this is a little more than anxiety... the hospital is $2000 a day, and I do not have insurance, or alot of money. Thoughts? Help? I'm really trying to hang on, but I just don't know how long I can do this. Thanks
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Patricia Farrell, PhD responded:
You certainly are contending with a number of things that are very upsetting including your job, your marriage, your friends and your feelings of anxiety.


Since you had been on medication for quite some time, even though you are off for over 8 months, your body may still be adjusting to the fact that you don't have it any longer. I know this sounds like it is highly improbable, but I have seen research which indicates that medication can take quite a bit of time to leave your body and return it to its more normal state.


I know that clinics have been stretched to the point where people are having to wait for a long time to see either a counselor or a physician. Since you do not have insurance, nor money to pay out-of-pocket, what did the mental health Center offer to you? Even though they have a 3 month wait list for the doctor, can they offer anything to you? I'm thinking of some type of group therapy for those who are on this waitlist. Often centers will do this in order to provide some support to people who really need it. You have made a case where I do believe you should be considered for this type of service.


In the meantime, you can always use some self-help techniques and we do have a number of these in our Tips column. Please review the relaxation breathing video tutorial and use that on a daily basis, several times a day.


Remember, if things get really bad, you can always go to the emergency room at the local hospital and they may be able to give you some medication which you can take for a short period of time. I don't know whether or not they would charge you for this, but many hospitals have what is known as "charity care." For this they receive funds from the state.


I know you're trying to hang on and each day that you do you can become stronger. Begin to think about the things where you can make some changes and where you will have some power over your life. One thing, of course, is to have good friends around you and you might want to begin to think how you can repair some of your friendships. You indicated that you had done some things which you regret and your friends may be understanding if you explain your situation to them.


Dr. Farrell
 
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dazedtrucker replied to Patricia Farrell, PhD's response:
Thank you for your help and suggestions. I went back to the clinic today. I have a therapy and med appointment for monday now. (thank god!) The worker I saw today was very helpful. She said what I am going thru sounds like PTSD more than anything (something about disassociation?). Maybe bipolar as well. I will learn more from the therapist starting monday. Things always seem a little better knowing help is not so far away....
 
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Patricia Farrell, PhD replied to dazedtrucker's response:
True. Nice to know there is help available.


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