Best antidepressants for anxiety? And about to begin a benzo taper

Posted by sears @sears, Nov 24, 2019

What are the best antidepressants for anxiety? I know everyone is different, looking for opinions and options. I’m about to begin a benzo taper. My doctor wants me to stabilize a little before starting.

@januaryjane

Im not feeling good. Not sleeping well. Im not sure why, just that for 2 days Ive been physically restless and cant get much relaxation. Even with my atavan. Im exhausted and starting to slip into a depression. Had a lot of stress lately, my cat had emergency then died. It hasnt been real yet, mostly numb. My grandma just passed last year. Family problems. Its just a lot. I am on meds and go to therapy but i deal with health issues that are not worked out yet.
It just seems so hopeless and everyday living is hard.
The loneliness is probably the most difficult, although its the one im most familiar with. Just tired, and dont know what to do when i cant find relief.

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@januaryjane What would help ease the loneliness? For each of us, it is different. Going to a concert, or a movie, or to a social club setting, a potluck, meeting with a like-minded group of some sort [hobby, interest, religious], volunteering somewhere that you feel comfortable, even simply sitting in a coffee shop doing a craft like knitting or artwork. Is there someone you can call and ask over? Have you contacted your mental health professional to ask for a need-now appointment? Please do not wait until you feel worse, because you might want to just stagnate and not get any assistance. We are glad you reached out here, and want you to let us know what you decided to do!
Ginger

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I realize I’m treading on tender turf, and I know you just lost a beloved pet, and that is difficult. Just throwing out for consideration that you find one or more kittens to which to give a home. It won’t be easy, given the recent loss, but having something(s) to love and to love you is a good tonic. A tonic, not a cure, but it could take an edge off while you get some medical/psychological attention. A lot of kittens need a home and love. So do you…Every blessing

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@suz55

I am so sorry you aren’t feeling well. It sounds like you are dealing with a lot lately. I have lost some beloved pets. I always have such a connection with my pets, They provide unconditional love and companionship. It is almost like or worse than loosing a family member because they are so dependent on us. Maybe you will consider getting another when you are ready. Grief takes time to heal but I want you to know there is hope just allow yourself some time. Depression can make us feel tired and ill. Just yesterday I said to my husband, I think I need to go to the doctor because I feel so lousy. I went for a walk and came home exhausted. Being winter, does not help. It is hard for me to tell if I have something else wrong or if it’s my depression but depression is an illness so either way I am not in a good place right now. Reaching out for help is hard for me to do also but you are not alone. I personally struggle with depression and anxiety even on meds. But there are always better days for me. Sorry for my rambling, I just want you to know you are not alone and there is hope. Trying to talk to an understanding person can help. Take care and say to yourself, “it Is ok to feel this way because of everything going on in my life, but I am going to be ok”.

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Thank you. Yes the loss just worsens everything. Fortunately i have other pets at home. So i have a few to keep me occupied. My "first" cat, i got in college, is turning 16, or 80 in human years soon. Its just been very frustrating not being able to begin my life. I just turned 34, am disabled, physically unwell a lot, and have these physical illness, looming. Not figuring things out, and a good possibility of a serious surgery that may help or not. I feel trapped and constantly a failure. Its just been a long run, and ive lost a lot. I saw my gyno today, shes pregnant. I thought i got over kids along time ago, but it subconsciously creeps in. I dont know how to make the best of things that just dont work.

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@cac

Trying Buspar 2 weeks now… not helping … side effects .., bloating stomach ache …. I have had the testing .. no SSRI or SNRI but they just keep pushing them … I told my PSYCHIATRIST was told just keep taking them give them a little longer .. then on to another one … at my wits end …. Mental healthcare I have is not the best .. rural South Dakota

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You ever try klonopin or atavan?

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@suz55

I am so sorry you aren’t feeling well. It sounds like you are dealing with a lot lately. I have lost some beloved pets. I always have such a connection with my pets, They provide unconditional love and companionship. It is almost like or worse than loosing a family member because they are so dependent on us. Maybe you will consider getting another when you are ready. Grief takes time to heal but I want you to know there is hope just allow yourself some time. Depression can make us feel tired and ill. Just yesterday I said to my husband, I think I need to go to the doctor because I feel so lousy. I went for a walk and came home exhausted. Being winter, does not help. It is hard for me to tell if I have something else wrong or if it’s my depression but depression is an illness so either way I am not in a good place right now. Reaching out for help is hard for me to do also but you are not alone. I personally struggle with depression and anxiety even on meds. But there are always better days for me. Sorry for my rambling, I just want you to know you are not alone and there is hope. Trying to talk to an understanding person can help. Take care and say to yourself, “it Is ok to feel this way because of everything going on in my life, but I am going to be ok”.

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Thank you

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@grandmaj5

That is a good question. I went to a Pharmacist and explained my tapering information. I asked him if there was anything over the counter I could take in Between. He was very interested and perplexed. We went to the over-the-counter medications and he said the only thing he could think of was the B-Complex vitamins. I did not ask him about an actual drug for anxiety though. I am wondering what Physicians are going to do with patients with anxiety after they are off benzos. They don't seem to mention that. If you have anxiety, do they think it is just going to end? What is the plan? That is why I know I need Clonazepam and I am willing to cut the dose only. Unless, I am told that there is another non-benzo miracle drug out there. I also wonder, if the drug companies are still making benzos for patients, why do they have to taper off? I know there is a big thing about opioids. I think they get worried sometimes that we are going to sell them on the street! I am also on Adderall (which is considered a controlled substance). One day I went to the office to get my "official paper signed by the Physician" to pick up Adderall. They told me that I first had to do a urine test (out of the blue). I took it and it showed I had the correct amount of Adderall in my body. I told them, did they do this to make sure I was taking it and not selling it?" I believe that was the reason. I read that even if you sold a drug like Adderall, the buyer would have to take quite a few to get high. When I take it, I can't tell. I actually get calmer and of course focus better. My sister asked her Physician if she could try Adderall, because she thought she had the same diagnosis as me (ADHD). She tried it and said she got very hyper and felt like she was climbing the walls. I am actually surprised he gave it to her (Psychiatrist). I was put on it after my Psychiatrist tested me for ADHD. I then realized that I probably have always had this. I had a hard time when I was young following directions and somehow got through school by not reading book assignments. I still have a hard time sitting down to read (unless it is very short or a magazine). If this is the case with Adderall being a controlled substance, why aren't the benzos considered a "controlled substance"?

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How does a doctor test for ADHD.
When I taught the doctors always asked us to gather behavioral data: time on task; time off task.
Some doctors would medicate from parents reporting.
There were often large discrepancies between teacher observations and parents’ (usually the mother) observations.

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Having had ADD (not ADHD) all my life, and I'm 79, I recall that it was not given a name until about 15 years ago (that I knew of). I think self-observing and self-reporting are the best and only ways it can be diagnosed. Until the patient learns about the diagnosis, checks in to verify or reject, you don't get an actual diagnosis.
Then the next step is: observe your own behavior over time, see if and where the (ADD or ADHD) problems lie and only THEN go to a psychiatrist to confirm or reject. Even then, unless symptoms sharply fit the diagnosis, you still don't know until you can observe over a long time.

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@helenfrances

How does a doctor test for ADHD.
When I taught the doctors always asked us to gather behavioral data: time on task; time off task.
Some doctors would medicate from parents reporting.
There were often large discrepancies between teacher observations and parents’ (usually the mother) observations.

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I believe that @mamacita also knows something about how doctors test for ADHD, @helenfrances.

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@helenfrances
Good evening! @lisalucier mentioned you were interested in how doctors test for ADD. I have a little bit of experience along those lines. I myself have ADD. It can mimic other things.

Which is one of the reasons doctors like to rule out other things such as hearing loss, severe allergies, and a host of other conditions.

There are several tests that are used. One that I personally was given had me sitting at a computer. I was instructed to press a certain key whenever I saw a particular word on the screen. It was to test for attentiveness. I failed miserably.

Lost keys, unfinished projects, not listening, forgetting to turn in assignments, not wanting to engage in anything that appears too difficult, not following instructions….the list goes on.

Inability to focus is a tricky one. A child with ADD can focus plenty on what he is actually interested in.

Teachers have a form they fill out to describe a student's level of ability in doing what is required on a daily basis. While this is not a definitive diagnosis by any means, it does give the doctor some indication of what is going on.

There are lots of good books on the subject. Let me know if you would like the names of some of them.

It is getting late so I will say goodnight for now. Hope I have removed some of the "mystery" surrounding ADD. It is definitely doable.

Love and light,
Mamacita Jane

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@Liane1

Lexapro has kept me on an even keel for several years, but I stopped taking it because when I learned that SSRI's can contribute to dementia. There is a strong history of Alzheimers in my family, and I am already having some memory issues. I am looking for an anti-anxiety med that is not associated with dementia. Someone told me SNRI's are good for older people. Does anyone have research about those?

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Many years!!after taking Clonazapam I read the script:
Can cause memory and mood issues.
Is the prize (no head tremor)worth the cost ( mild cognitive impairment)?

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@suz55

I am so sorry you aren’t feeling well. It sounds like you are dealing with a lot lately. I have lost some beloved pets. I always have such a connection with my pets, They provide unconditional love and companionship. It is almost like or worse than loosing a family member because they are so dependent on us. Maybe you will consider getting another when you are ready. Grief takes time to heal but I want you to know there is hope just allow yourself some time. Depression can make us feel tired and ill. Just yesterday I said to my husband, I think I need to go to the doctor because I feel so lousy. I went for a walk and came home exhausted. Being winter, does not help. It is hard for me to tell if I have something else wrong or if it’s my depression but depression is an illness so either way I am not in a good place right now. Reaching out for help is hard for me to do also but you are not alone. I personally struggle with depression and anxiety even on meds. But there are always better days for me. Sorry for my rambling, I just want you to know you are not alone and there is hope. Trying to talk to an understanding person can help. Take care and say to yourself, “it Is ok to feel this way because of everything going on in my life, but I am going to be ok”.

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Hi, @suz55 – thinking of you and wondering how you are doing lately?

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@lisalucier

I believe that @mamacita also knows something about how doctors test for ADHD, @helenfrances.

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Thank you… reading now

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