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my anixety
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An_249328 posted:
hello, 22 female student here.

I've been suffering with anxiety since elementary school and got my official GAD diagnosis several years after that. I've been bounced around the (canadian) mental health system, from doctor to specialist throughout my province since I was a 18 and things got really out of hand for my mental health.

As it is, I have been on (some of these are the pharmaceutical names, most I can't recall) amitriptyline, citalopram, cirpalex, mirtazapine, seroquel, prozac, effexor, wellbutrin and of course, clonazepam - but that's the only benzo I've been on.

I know, the list isn't comprised of any particular anti-anxiety meds. I have clinical depression and every doctor I have been too has focused my 'treatment' on the depression side of my diagnosis in hopes that SSRI's would knock out the anxiety also.

But I am getting pretty fed up. I still have crippling anxiety and with that comes the lovely anxiety induced GI pain/diarrhea - this is probably my biggest issue with my current mental health state. I just want to have a normal week of bowel movements, is that too much to ask?

I thought I would ask you lovely folks if you had any suggestions of what I should come to my psychiatrist with next week during our monthly appointment when the inevitable Q comes up: how are your meds doing? ( I am currently on 30mg of citalopram (the only SSRI that seems to kind of work) with a supplemental script of clonazepam to take for acute anxiety symptoms (that I haven't really taken, as my father was recently addicted to ativan, so I'm not sure how a benzo and I will do).

any thoughts on meds or treatment would be useful. I don't want to be on meds for the rest of my life, I see a counsellor and our end goal is to get me into an anxiety group. Any tips in general would be greatly appreciated!
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Patricia Farrell, PhD responded:
Picking the right med is not an easy task for anyone because there is no way to know which will work and which won't. There are no medical tests which will indicate this.

I know you indicated that your father had a problem with Ativan and you are reluctant to try one. They can be effective if used sparingly and not to excess, but that is something for you and your prescriber to discuss.

Regarding your counseling, that's a very good idea and you do need to work with someone who is experienced and specializes in anxiety disorders. Relaxation techniques would also help and you may want to look at the video tutorial for relaxation breathing in our Tips column.


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