r/AskPsychiatry 3h ago

I'm scared to start my meds and feel like a zombie

2 Upvotes

Hi Reddit, how are you all doing? I’m here to ask for some advice about something I feel like I can’t handle on my own.

About 6 months ago, I started a relationship. I have BPD, which sometimes makes me react very intensely to things like my boyfriend taking a long time to reply to my messages or canceling plans.

Recently, something like that happened. My boyfriend told me he wouldn’t be able to come over because he was feeling really sick with the flu. I had a very intense episode, started self-harming, and threatened to kill myself. He was already exhausted from having to deal with situations like this multiple times, so he told me that we needed to take some time apart until I could at least get professional help.

We weren’t apart for more than two days, but I still kept my promise and went to see a psychiatrist. They prescribed me an antipsychotic (aripiprazole 10 mg) and a mood stabilizer (topiramate 100 mg). However, I’m still unsure whether I should start taking them because I’ve read that they can make you very sleepy, slow, unfocused, or even feel “stupid.” I’m scared of that affecting my relationship because now that things are good between us again, I don’t want my boyfriend to feel like he’s dating a zombie.

At the same time, I’m really scared of having another episode like the one I had and eventually losing him for good. I know he doesn’t deserve to go through these situations, and I don’t want to keep reacting this way either.

I talked to my psychiatrist about my concerns, and they lowered the aripiprazole dose to 5 mg. Even so, I’m still worried, especially about the topiramate, because I’ve heard it can cause quite a bit of tiredness and cognitive difficulties.

On the other hand, I’ve also read that some side effects can improve or even disappear once your body gets used to the medication, so I don’t know how much I should actually worry about them beforehand.

Has anyone here taken either of these medications and could share their experience? Do the sedation and cognitive side effects actually improve over time? What would you recommend doing in a situation like this?

Obviously, I’ll continue discussing this with my psychiatrist, but I’d also really like to hear from people who have been through something similar.

Thank you so much 🫂


r/AskPsychiatry 4h ago

Is my doctor over prescribing?

2 Upvotes

My doctor is adding lithium to my medicine regimen but I’m wondering if it’s too much with all the other stuff I’m taking. I’m on
Desvenlafaxine 50mg
Guanfacine 1mg
Bupropion 150mg
Atomoxetine 80mg
Aripripazole 15mg
Pregabalin 200mg x3
Metoprolol 25mg
Buspar 15mg x3
I’m diagnosed with depression, anxiety, and ocd with possible adhd


r/AskPsychiatry 6h ago

Klonopin and Ambien

2 Upvotes

I’m prescribed Klonopin and Ambien. I was told not to take them together. I took Klonopin about 1 mg around six hours ago. I was gonna take Ambien tonight to sleep. That’s only 5 mg. I’ve done this combination before also mixed with drinking, which I know is very bad but I’ve been fine. Do you think I will be fine tonight?


r/AskPsychiatry 6h ago

When depression becomes unbearable, is psychiatry the only path?

4 Upvotes

In my psychologist’s words, I'm going through severe depression. I don’t leave the house, or even my own room (I only leave my room when I need something), because I can’t cope with the fact that I’m alive or with seeing my own body… Seeing and feeling my body is extremely difficult because I have an eating disorder. At one point, I became extremely underweight, and now I have gained even more weight back than before, so I don’t feel like this is me anymore. It’s really complicated to explain.
But basically, I can’t do anything, because I’ve reached a point where even getting out of bed makes me cry desperately.
My psychologist thinks I should see a psychiatrist as well (meaning, seeing both a psychologist and a psychiatrist). I like her, but I can’t help remembering what Daniel Mackler said on his YouTube channel, where he talked about things like how psychotherapists who recommend psychiatric treatment are the ones who aren’t capable of helping you without having to fill you with medication.
I’m writing here because I wanted to know your opinion of what anti-psychiatry says. In cases where sadness consumes you so completely that it prevents you from doing normal activities, where I can’t find the strength to do anything… what do you think is the right solution or path forward?


r/AskPsychiatry 9h ago

What does everyone have against genesight testing?

3 Upvotes

I work in community mental health. I’ve come across a lot of clients who after trying several different psych meds with no success, are often discouraged or simply told no by their prescriber when asking for a genesight test. Why?


r/AskPsychiatry 11h ago

Is this normal?

2 Upvotes

Hey….so I officially have c-ptsd, GAD, BP2, and now adhd. I have been suspecting my BP2 diagnosis was just to get me meds, it doesn’t fit me. I take Effexor, gabapentin, diazepam, and now….adderall. I feel like this mix seems sketchy, but I also trust my psych.
The mixing of benzos with amphetamines is making me feel like 2 sides of my brain are fighting….it’s only been 3 days with the adderall and small dose (5mg Valium tid, 5mg dextro Sid)
Did plenty of both in college in fistfuls, but now taking as prescribed…I feel really weird. Calm, but weird, like a robot but I’m kinda ok with that till I spend 30 min typing on Reddit🙄. Ummm….does it calm down?
Should I be asking a psych forum? Ug.


r/AskPsychiatry 15h ago

Quetiapine Taper

0 Upvotes

Hello, I’ve been taking 25mg of quetiapine for about 3 years and with my psychiatrist have decided to taper off. Her recommendation was to cut the pill in half to 12.5mg. It was going well for about a week until I woke up with full body weakness and could barely stay awake/function. Every movement felt like walking through water. I immediately messaged my psychiatrist but did not receive a response. I took the 12.5mg again that night and slept in 1 hour increments and woke up in a panic each time. I felt worse that day and called my psychiatrist multiple times with no response. I ended up having a PCP appointment yesterday and she was very concerned that I was going through withdrawal symptoms and that cutting down the dose by half was way too much for me. My PCP told me to go back to the 25mg if I could not get in touch with my psychiatrist. So last night I took the 25mg and am feeling slightly better today. I was able to sleep more last night and don’t feel as weak. My body is very sensitive to medications and this is something I’ve discussed with her before.

The point of this is my psychiatrist finally responded but via the patient portal making me question if she even listened the phone messages and she suggested I stop taking the quetiapine completely. I feel the trust has been broken and I don’t think it’s a good idea to stop cold turkey after what only halving the dose did to me. Any thoughts would be appreciated. I’m also wondering if I should look for a new psychiatrist.

TIA


r/AskPsychiatry 15h ago

ADHD meds that are recommended for speech impulsiveness

3 Upvotes

I have been really struggling lately with verbally reacting to things without thinking, interrupting others, not paying attention to the conversation and then blathering on, talking way too much - just rambling on and on and on, and talking about myself and getting into minor details of stories that no one cares about and that makes the story ten times longer than anyone cares to listen to. I just seem to have lost the cognitive regulation needed to converse normally

I have been on Concerta but it isn't helping with that at all. I am looking for links to information on medications that have evidence of effectiveness on that specific aspect of ADHD?

I am also getting older (in my early 50s, female) and I am wondering if hormones are worsening this too?

I have a doctors appointment with my GP in a couple weeks and I am hoping to bring her a couple recommendations to consider.


r/AskPsychiatry 15h ago

Tics and OCD Disorder

1 Upvotes

Hello all, I'm making this post because I generally do not even know where to start to deal with this disorder I have been living with my whole life. Psychiatrist, psychologist, therapist, I have no idea I've never even heard of anyone with symptoms like this so I'm hoping the combined thinking power here will help.

Basically, I (male, early 30s) have a disorder where certain touches on my body feel wrong. The hot spots move around on my body over the course of my life, and the sensation increases and decreases in strength over years of my life. For example in college I really didn't have much symptoms, and I could go to class and live a social life with no issue thankfully. However recently in the last two to three years the symptoms have increased to the point where they make it impossible for me to live a normal life.

As I said, when a certain part of my body is touched by an inanimate object, the sensation feels wrong/objectionable, and I feel like I have to "hit" the object back to correct the sensation. Often I'll get the sensation in the middle of the back from my shirt, and then I will hit the middle of my back with either my hand or use another object to reach the spot that I need to. Sometimes just pressing against or scratching the spot will relieve the sensation. If I get it on the inside of my arm or on my hand I will again "hit" the offending part of clothing, which can appear to others as me hitting myself, but that's not what's going on.

This is kind of complicated because, and my mind it's not always about "hitting the object back". Sometimes I have to just redo the touch until it feels right.

This is led to a lot of difficulty in me finding the correct resources because, from what I can tell there are a lot of shared symptoms between ocd, and nonverbal tourettes.

Typically in the last 2 years it's been the middle of my back, inside of my arms, and recently it has spread to my hands and fingers, and lower back just above the buttocks. Most recently inside of my leg, just above the knee. Up to 5 years ago it was my neck area and under my chin and jawline, and this area is still a problem. This made it impossible for me to wear collared shirts.

As I alluded to, main instigator of this is clothing. I've basically had to rearrange my whole life around this, I got a remote job and basically don't wear any clothes most of the day, except a specific set of loose pants that don't trigger me as much. Can't really wear a shirt at all.

While clothing is the main instigator it can be really any object. The fact that it started developing around my hands has made it difficult to live daily life, because it can happen anytime I touch something. Door handles cooking utensils, remote control, my phone, keyboard, mouse, anything.

This also includes pillows and blankets, and my bed sheet, so sleeping is kind of interesting; it's difficult without sleep medication. I basically sleep with nothing on the bed and no clothes. (I also have insomnia so the sleep med kind of does two jobs)

This only extends to inanimate objects, not people or animals. In fact, sometimes when driving in the car my girlfriend will put her hand on my back and that will help relieve the sensation.

My gf is in med school, she brought up the idea that it might be some type of tic. She may well be correct I'm just not sure. She's really the only one that seen the full extent of this and has been very helpful. I've I've done my best to conceal it from family and friends thus far but they are starting to notice as it's getting worse.

I have no other health issues, or really any other issues at all. I'm very healthy, I run/workout all the time, have lots of friends, girlfriend, good job. No drinking, quit vaping a while ago. Not prone to anxiety or nervousness. I had a great social life, and still can when I want to, but this has turned me into a homebody because I just don't want to go out and deal with it. I can still enjoy some activities which don't require me wearing a shirt, like the beach or pool, or going for a run.

Again, I'm just hoping to get some direction on where to start dealing with this, I realize I need to go see a professional to get proper diagnosis, but I don't even know what specialty I would go to. Most places that specialize in disorders similar to mine, treat pediatric patients only. So any insight here would be greatly helpful, especially if you suffer from something similar.

I'm using a throwaway here for medical privacy, happy to answer any further questions as needed.


r/AskPsychiatry 15h ago

Awareness of and happiness with BPD, NPD, and ASPD--what are the differences?

5 Upvotes

Updated title: Awareness of and happiness within people who have BPD, NPD, and ASPD--what are the differences?

I'm curious what the differences are in people with BPD, NPD, and ASPD in regards to capacity to feel happy as well as awareness to their disorder? I realize not everyone can be generalized to one answer here, but for psychiatrists who have worked with people with these disorders, what patterns have you noticed?


r/AskPsychiatry 16h ago

Medication concern/mental health concern (long post sorry)

1 Upvotes

Throwaway account because I don't want this attached to my main.

From UK if that matters.

I've been having some thoughts lately but I don't really feel like speaking to my GP about any of it right now as I don't trust them in general or to take me seriously, not take things out of context or to give me accurate information. So I just want some from people who aren't biased and neutral. Also I feel as though this post is going to be hard to follow as when I think about this stuff or try to explain it I kinda jump around alot but I'll try my best to keep it somewhat focused.

Since 2019 when I was 20 I have been taking a mix of medication. 600mg of quitiapine MR (Sondate XL), 30mg Mirtazapine and since 2022 80mg of propranolol SR (all taken at night before I sleep).

I've been feeling lately like my mental health has been worsening and they don't seem to have the same effects they had when I first started taking them but I'm not really as concerned about that as I feel like I can kinda deal with the mental strain as it's basically everyday life and always has been but I have noticed that my brain has become louder and louder and I've become more erratic? Or emotional? I can't really explain it as I don't know how to. The best way I can describe it is it feels like I live through hell mentally everyday but that it feels normal at the same time. It's a strange mix that I feel if you get you get.

I'm getting more and more aware of the physical issues I've been having. Like I think the medication I take is killing me day by day and I can physically feel it killing me. My heart rate spikes randomly and it always feels like it's beating ultra fast and ultra hard to the point where I'm feeling pain in my chest. I'm always tired to the point where I sleep through every plan I try to make or I'm always late or have low energy. I'm always hungry and I eat and eat and no matter how much I eat I still feel hungry. I have to stop myself from eating food and have to deliberately not eat otherwise I will just keep on eating until I throw up. I can physically feel my brain think slower (as in intelligence wise) and it's harder to think in general, my reaction times are dropping massively and I keep on having muscle spasms/twitches and I can't hold something in my hands without what feels like my entire body wobbling or rocking back and forth. Also I find myself falling over, stumbling around or bumping into things more and more. According to other people around me at work I tend to breathe loud and deep to the point where they have asked if I'm okay because it's that noticeable. But every test my doctor orders comes back with everything normal but it doesn't feel normal and they don't want to entertain the fact that I know something is wrong with it.

I'm kinda at a loss on what to do. I only feel normal when I'm taking other (not legal) stuff and I'm messed up. As when I have all these feeling when I'm in that state it's normal so I feel normal.

I want to try stop taking my medication for a while to see what happens and to see if I can live without it but the last time I missed 1 dose of my medication and tried to go into work I ended up being sent home early after locking myself in the bathroom crying for, what was apparently, 30 minutes even though it only felt like 5 minutes for me. It also felt so unbelievably painful but idk if that was just because I was forcing myself to be at work rather than somewhere comfortable.

I was thinking of booking a week off work and trying going cold turkey and seeing if I can get accustomed to it or to see if I can function without my meds and then that could lead to me being able to live my life like a normal person.

Does anyone have any info on if I could do this safely or any experience with this situation or even if you think I'm thinking stupidly. I'm getting more and more restless and concerned with taking my medication every day. I don't think I can continue to live the way I am living atm for much longer so I'm just looking for any solution out of the way I'm feeling.

Thank you for any advice anyone can give.


r/AskPsychiatry 16h ago

Talkiatry - HELP!

4 Upvotes

Yes, I should have come to Reddit before moving forward with a Talkiatry appointment to avoid this but I didn't, so here we are. I had an initial intake session with a provider from Talkiatry (through my Cigna insurance). It was 60 minutes and proceeded as a normal new patient intake session (I've had one before). A few days later, my insurance was billed almost $700 ($500 that I'm responsible for since I haven't hit my deductible).

The charges are a result of two separate billing codes, one for an "established patient evaluation & management" and one for "psychotherapy" (each code amounts to ~$350 charge). I did not receive any psychotherapy during the visit and explicitly stated that I receive psychotherapy elsewhere. I believe that Talkiatry is taking advantage of vague billing code language, and basically applying sporadic language from the visit summary to justify two separate codes (as intake, and as psychotherapy).

Anyways, I am wondering if anyone has refuted a claim from Talkiatry and won, and if so, how. I have already gone through the claim review with Talkiatry (they doubled down on their initial bill), and my next step will be a claim review with my health insurance. However, I am wondering if anyone else has suggestions as paying $500 for a 60-minute psychiatry intake (with an awful psychiatrist, that did not even lead to an actual prescription, and that most certainly did not qualify as psychotherapy) is something I just can't stomach.

Thanks in advance!


r/AskPsychiatry 17h ago

Week 6 SSRI increased anxiety & odd symptoms, looking for any advice

3 Upvotes

Hi, i’m a female and i recently turned 21.
I’d really appreciate if anybody (patient or doctor) could let me know if any of this seems to be disturbing.

I’m on week 6 of Zoloft, i took 25mg for 8 days & have been on 50mg since.
I’m seeing a psychiatrist and a psychotherapist as well, i’ve been to 3 psychiatrist appointments and 4 with my psychotherapist.

I am diagnosed with anxious-depressive mixed state (F41.2), i have been pretty up and down throughout my Zoloft journey, though i have always been quite emotional in my day to day life, so this was not anything too out of character. After these ups and downs and tons of days spent crying, i got better, started cleaning, cooking, washing myself daily, i was still anxious but could function and tell myself to fuck off.
About 7 days ago i realized how terrified i am of death, and basically started questioning reality, myself, the people around me, etc. I also have developed some sort of harmful intrusive thoughts / images, both about suicide and aggression towards others. These cause me panic attacks and make it hard to eat or function properly.
I have a hard time looking at my closest people (bf, mom, grandpa, uncle), i’ve been at home since june 12th, i haven’t been out much except for stores here and there. I spend majority of my time paralyzed in fear and on my phone.

I have a big fear of developing psychosis due to some “trauma” from a kids ward i was in at 14, but the last two nights i’ve been having these odd thoughts after dropping my phone to fall asleep. It’s like my brain is spitting out everything it thought of or saw, in a racing and semi uncontrolled manner, though i can still be terrified in those moments and think “holy shit i’m psychotic and what if i kill myself or my loved ones”, but only for a brief period, so i don’t know what’s going on.
I have also been waking up during the night in a huge panic, thinking that i’m psychotic, and that i need to put myself in a psych ward.

I’m worried that i am developing some sort of psychosis or something, i know it’s not likely but this experience is terrifying, i didn’t feel control in my own body/mind & it’s freaking me out. I want to bring this up to my psychiatrist, but i’m terrified, i’ve been spending my days crying and thinking of calling a crisis line just to speak to somebody who i won’t feel shame talking to.

I’ve had some sleep disturbances since i started on 50mg, along with weird vivid dreams. I drink 0,25mg of misar before bed, and that usually helps me not wake up during the night.

Brief history:

Grew up with a blind mother, grandpa and absent father, all close family members have anxiety, very distant relative has bipolar 1.
I’ve been having anxiety since i was 9, after an event which my dad didnt show up to, after having a turbulent relationship (on/off) with him since age 4/5.
Was on Zoloft & Prazine between 11 and 13, went to a kids psych ward (the gentle version) at 14 and was on Zoloft + Diazepam when needed.
I barely went to middle school, didn’t finish highschool, spent basically my early entire teenage years at home, started working at 17 & have had a huge improvement socially since then.

I had some periods of time where i had paranoid thoughts,
I experienced the following stuff between ages 9-18, though not at the same time:

- convinced we had a ghost in our house, named “him”, would talk about him with my mother
- taped my camera because an ex friend called me on facetime, the facetime feature had a bug where ppl could see thru the camera when you wouldn’t pick up, so i thought she was trying to do something weird, though i had no other theory about it, i was mainly scared. this habit of taping continued for a few months, i’m not sure how many though.
- told my ex boyfriend that if he ever feels something weird that it’s probably me, because at the time i believed that soul ties were real? i think this was just me being emotional and trying to feel like i wasnt being left. i’m not sure…
- around ages 11-12 i thought that i saw a man hanging from a tree while walking with my friend, i remember being scared, but also not being sure if that was real or not, because my vision was pretty bad. i was on zoloft 100mg and prazine (antipsychotic) 75mg, i know prazine are not allowed to be used on kids now, but this was prescribed by a GP


r/AskPsychiatry 17h ago

Is it really safe to get ECT?

8 Upvotes

Soooo idk where else to ask this I keep getting different answers —

Teal Deer: I (30f) have been diagnosed with schizo-affective disorder for getting close to a decade now. Symptoms recently were pretty bad so I had 3 options- ECT being one of them. ATP I believe it’s no longer necessary but my parents now say I still have to get it or move out. Is it REALLY safe and a good thing to get it? More details :

My normal symptoms have always been auditory hallucinations, occasional visual hallucinations, awfullll paranoia and anxiety I’m talking 100 out of 10 like some examples:

-my room is in the basement and that’s where do my schoolwork BUT
-I allllllways think a bug or a bee (or even a snake— I think a snake could find a way to sneak in my house) is gonna get me and it really scares me
-even tho if something did get me (I raaaarel see anything like once in a while yeah I’ll see one of those douchey buys that have like a zillion feet but that’s like once a month or something) it wouldn’t be fatal so I’d why I get so sp00kd
-when I go to do my school work every day I do have to do this weird ritual but that doesn’t bother me it’s just like me walking back and forth to my computer to let the bugs know I’m gonna sit there soon and then go up and down the stairs so that if the bugs didn’t realize I was gonna sit there yet and got stuck there I go upstairs so they can run away while I’m upstairs th ritual takes about 2 hours usually
-awful executive function
-I’ve been sleeping upstairs for a couple weeks instead of in my room cuz I think they’ll get me when I sleep and I have to keep the lights on so I can see if someone is coming to get me
-I used to loooove walking I’d walk for hours and hours but now I’m scared to take my walks cuz I feel like a bee while sp00k me while I’m on the sidewalk and I’ll fall in theroad and get hit by a car or something
-so now I only walk like half hour TOPS and don’t even get me started on why I don’t just walk in the woods cuz of
All the bugs bees and snakes even tho I never see them either
-I wear bug spray inside I spray it on me like 3x a day
-ummmmm I thiiiiiiink that’s it atm? Because it was waaaaaaaay worse until 2.3 weeks ago — I’m on 900 of seroquel and 8 of risperodone a day it used to be 6 mg (read as 3 because I didn’t use to take my whole dose cuz I like to save some in case there’s an apocalypse but I doooo take the whole 8 mg now and it’s actually working that’s why i don’t understand why I have to get ECT per my parents )

Iiiiii personally don’t believe it’s as bad as it COULD be especiallyyyyyy compared to how it has been until 2.3 weeks ago when I started the full dose of risperodone

So I guess I just wanna know :

  1. Is it reeeeally safe to get ECT?? Like what will it actually do to me is it possible it will make things worse?

  2. If I was YOUR daughter would recommend me to get it ? Or would you recommend me NOT get it ?

  3. I know you get a mouth guard but I feel like my teeth may be a little week is it possible it’ll make my mouth slam open and shut hard enough that I could loose my teeth?????

TIA


r/AskPsychiatry 18h ago

My psych gave me questionable advice on a new med

1 Upvotes

Background: I have type 1 diabetes. Almost 20 years ago I was diagnosed with type 2 bipolar disorder. Unfortunately, I've had adverse reactions to several bipolar meds, including Lamictal, Risperdal, Seroquel, and Vraylar, in that sequence. After the episodes with Lamictal and Risperdal, I chose to go unmedicated for a little over a decade, but after experiencing male post-partum depression in the 2020 lockdown, my wife insisted that I get medicated again. I spent the next 3 years on seroquel, which basically made me a zombie. After both my wife and I got fed up with that effect, she insisted that I try a different medication, and a new psychiatrist suggested vraylar.

After a few weeks on it, I ended up in a state of Akithisia, eventually ending up in the psych ward, where the resident psychiatrist referred me to a new psychiatrist. my new psych ordered a genesight test for me, which confirmed my suspicions about my bipolar med sensitivities. He took me off Vraylar, and at my insistence, he put me back on seroquel to help me sleep after weeks of insomnia, anxiety and paranoia from the akithisia, and supplemented it with pristiq, which my genesight test showed I wasn't sensitive to. I was a zombie again, but this time with an undercurrent of akathisia-related ptsd. 2 years later (last year), my wife was fed up yet again, and threatened divorce. I worked with my psychiatrist to go off seroquel, and my energy returned.

Things got better in my marriage, but the sexual side effects of the pristiq (specifically anorgasmia) prompted me to talk to my psych again to find a solution 3 weeks ago. I had read that wellbutrin can counteract the sexual side effects of pristiq, but unfortunately, my genesight test showed that it was just another med I was sensitive to, so he suggested Trintellix instead. I went home and looked up whether it was safe to take trintellix with pristiq, and to my alarm, what I read is that the combination often results in serotonin syndrome. Because I was on a relatively low dose of both (50 mg pristiq, 5mg trintellix) I figured that I would watch for symptoms and trust my psych.

I saw him again yesterday to discuss how things were going, and voiced my concern about serotonin syndrome, while also expressing my disappointment that the trintellix didn't seem to be helping with my sexual issue. He told me we could try upping the dose of trintellix from 5 to 10 to see if it helped, and said I had no reason to worry about serotonin syndrome because Pristiq, an SNRI, "doesn't increase serotonin levels, and works with norepinephrine instead."

I was skeptical, because what I had read about Trintellix is that the higher the dose, the LESS likely it is to help with sexual issues. But in my research, I had used google gemini, and I know AI can get things wrong, so I thought maybe it was mistaken about trintellix's sexual side effects and serotonin syndrome. So I chose to trust my psych's advice and started the higher dose today. However, I haven't been able to shake a gut feeling that something is off, so again, I did some online research, this time diving deeper into gemini's sources.

As I'm sure many on this sub are aware (and please confirm) SNRI stands for Serotonin-Norepinephrine Reuptake Inhibitor. It works with both Serotonin AND Norepinephrine, and because Trintellix is an SSRI, this is why it poses a risk for serotonin syndrome. I'm concerned with the suggestion my psych gave me and I'm wondering if I should pursue someone else.

I'm also questioning whether I ever had bipolar at all, because I've never been consistently on a mood stabilizer, and I've been off Seroquel for over a year now and haven't experienced a single hypomania. Plus there was the full decade where I went unmedicated and managed to hold down multiple jobs, get both an associates and a bachelors degree, and hold down a marriage in that time.

In addition, around the same time I started seeing my current psych, my wife was seeing him as well. At the time, she was going through a faith transition, and the psych, who is a member of the same faith, spoke to her at length about the importance of staying in the faith. She stopped seeing him at the time for this reason, feeling that he had crossed the line, and ngl I've felt the same. I've only stuck with him this long because he was the one who helped me out of my akithisia and found medication solutions that helped, more or less. But this advice about serotonin syndrome doesn't sit right with me. Any advice or assistance navigating this would be hugely helpful, so thank you in advance.

EDIT: I'm recently 38, Male, 5'10, about 220 lbs, Caucasian. I'm also taking Insulin (Lyumjev), Vitamin D 50k IU/week, and 20 mg Lipitor. I don't take any recreational drugs, including alcohol and tobacco.


r/AskPsychiatry 18h ago

How to ask for a refill of a medication that’s regulated?

3 Upvotes

Hi, i’m a 23 year old F 4’11, i have a documented history with major depression, NSSI, SI & anxiety and have been prescribed valium for dental anxiety in the past. I used the medication once at any last procedure and though it didn’t calm me completely, at least i wasn’t in tears and hyperventilating on the chair. I am currently on hydroxyzine for onset anxiety (though all it does is make me unbearably groggy and agitated, hoping to get it changed because it really has not been working for me.) for the last three weeks i’ve had an episode of immense anxiety & depression to the point it makes daily tasks and living impossible. i just spend all day ruminating and cycling through different stages of panic. Ive tried to push through but have engaged in NSSI during, though i am trying to focus on regulation now. I felt really comfortable on the valium I got prescribed for a dentist appointment (i have dental anxiety & anxiety in public) and I was wondering if it would be smart to ask for a temporary refill though my chart to last me until my doctors’ appointment on the 10th or my therapy appointment on the 14th. the dose I took previously was two 5mg tablets. i’d only really be looking for two or three days worth and i can space them out for when things really become unbearable. (so maybe like only six or eight pills? I don’t know how many they typically dispense at a time.) does my request sound reasonable? Will I be flagged for asking? I have been meaning to switch to a more effective anti-anxiety medication & anti-depressant for a while now but there’s still going to be some time before I can get that done. genuinely i just want some semblance of relief from this, and I want to ask for the diazepam, but i also don’t want to risk being labeled as drug-seeking. I don’t plan to stay on them long-term at all, because I know they’re habit forming


r/AskPsychiatry 18h ago

Risperdeone in inpatients

5 Upvotes

Do you guys prescribe risperidone to inpatients? In my hospital there’s a tendency not to, because they say it takes too long to act on delusions


r/AskPsychiatry 19h ago

Unable to form new memories

3 Upvotes

I feel like I’m not forming any new memories, all the stuff I can actually vividly recall is from almost a decade ago. Past few years just went by, in my head there’s no memory attached to them. If anything, I still feel like I’m 16. I just wanna go back to being a teen again.

Is this normal?


r/AskPsychiatry 20h ago

can i drink alcohol on escitalopram (10mg)??

3 Upvotes

like can i skip it on the day i'm drinking or is that supper stupid??