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jbyrd
@jbyrd

Posts: 15
Joined: Mar 23, 2016

What to do for socially phobic depression and anxiety & bipolar

Posted by @jbyrd, Mar 23, 2016

need help with both. I am bipolar I.

REPLY

Hi @jbyrd. Welcome to Connect! My husband and I both suffer from depression (he had a bipolar diagnosis at one point, but we weren’t sure it was accurate) and I also have anxiety, so I know what you are going through. We’ve both found that the right combination of meds and regular therapy helps a lot. Are you seeing a psychologist or psychiatrist? I know it sounds cliche but exercise really helps too. It’s so hard to make yourself do it when you are tired and depressed, but it always makes me feel better. I think a lot of it is learning your triggers, trying out various coping mechanisms (reading, exercise, yoga, meditation, etc.) to find out what works for you to help improve your mood. Meds help with the chemical side but that’s just half the battle. Tagging @mlemieux, @dhertenstein, @mikey155734 and @pj1959 who might be able to add to the conversation or offer some support.

I went through a rough depression/anxiety/panic attack period

I did the usual psycholigist sessions for 6 mos and wasn’t getting anywhere

I finally realized that only I could set my problems straight

I began to go outward and avoided going inward into my own trap

I turned my attention to humor about the things that triggered my turning inward

I began to share my feelings with similarly affected folks and found that i had very common maladies with others and recognized that there were others worse off than I

I now am able to overturn sinking regressive behavior int positive forward movement

Do not let your thoughts have tine to be negative

You can overpower and control your thoughts by addressing them

hope this helps

Ro

@twptrustrek

I went through a rough depression/anxiety/panic attack period

I did the usual psycholigist sessions for 6 mos and wasn’t getting anywhere

I finally realized that only I could set my problems straight

I began to go outward and avoided going inward into my own trap

I turned my attention to humor about the things that triggered my turning inward

I began to share my feelings with similarly affected folks and found that i had very common maladies with others and recognized that there were others worse off than I

I now am able to overturn sinking regressive behavior int positive forward movement

Do not let your thoughts have tine to be negative

You can overpower and control your thoughts by addressing them

hope this helps

Ro

Jump to this post

Thank you Ro for your reply, my depression is in my head but I believe
chemicals in my brain also play a part of it. I will try and keep your wise
words in mind.

Joanne

Hi @jbyrd,

I’m sorry you’re going through this. And please excuse my delay not responding sooner.

I know what you’re going through. Although I am not bi-polar, I too battled a long time ago with depression and anxiety. Most anti-depressant medications had little to no effect, but for anxiety, at the time I found Clonazapam 0.5mg worked for the social aspect since it had few side effects and started working within minutes. Now please don’t take my word, speak to a doctor (which I’m sure you have so many times).

In the end. A good diet, meditation once a day, changes in my behavior and a strong support system from my family and friends helped me to rebuild my life.

Diet:
Energy is essential

Meditation:
Learn to relax the mind and heart (outdoors / social events)

Support System:
Someone to talk to and who’s always there for you providing that boost needed daily.

I love what “Ro” @twptrustrek wrote. Small little things daily can help to turn your life around. It’s not an instant fix, it’s a long term solution to help change your historical thought mechanism. Just like habits, it takes some time and practice to help make true positive changes in our lives.

Take baby steps once a day. Write down all the “small” things that give you anxiety on a sheet of paper, also write down all the “thoughts” that initiate your depression. Knowing your triggers can help NOT to avoid them, but to do something positive to change the behavior.

For ex: Anxiety

Trigger:
Bus stop, silence, people

Reaction:
Nervous, sweating, panic attack

Things to try:
Read a book while waiting, keep yourself occupied with something, drink LOT’s of water, say hello to someone instead of silence, give someone a smile and say good day 🙂

Small things make a HUGE difference.

We here at the Mayo Clinic discussion group are all here for you. Please share and connect with us anytime you need someone to talk to. Click on our “names” and send private messages if necessary.

I hope you have a wonderful weekend.

Regards,
Martin R. Lemieux

— More info —

Here’s a link to the Mayo Clinic Anxiety Disorder Department:
http://www.mayoclinic.org/departments-centers/psychiatry/services/pediatric-anxiety-disorders-clinic

@mlemieux

Hi @jbyrd,

I’m sorry you’re going through this. And please excuse my delay not responding sooner.

I know what you’re going through. Although I am not bi-polar, I too battled a long time ago with depression and anxiety. Most anti-depressant medications had little to no effect, but for anxiety, at the time I found Clonazapam 0.5mg worked for the social aspect since it had few side effects and started working within minutes. Now please don’t take my word, speak to a doctor (which I’m sure you have so many times).

In the end. A good diet, meditation once a day, changes in my behavior and a strong support system from my family and friends helped me to rebuild my life.

Diet:
Energy is essential

Meditation:
Learn to relax the mind and heart (outdoors / social events)

Support System:
Someone to talk to and who’s always there for you providing that boost needed daily.

I love what “Ro” @twptrustrek wrote. Small little things daily can help to turn your life around. It’s not an instant fix, it’s a long term solution to help change your historical thought mechanism. Just like habits, it takes some time and practice to help make true positive changes in our lives.

Take baby steps once a day. Write down all the “small” things that give you anxiety on a sheet of paper, also write down all the “thoughts” that initiate your depression. Knowing your triggers can help NOT to avoid them, but to do something positive to change the behavior.

For ex: Anxiety

Trigger:
Bus stop, silence, people

Reaction:
Nervous, sweating, panic attack

Things to try:
Read a book while waiting, keep yourself occupied with something, drink LOT’s of water, say hello to someone instead of silence, give someone a smile and say good day 🙂

Small things make a HUGE difference.

We here at the Mayo Clinic discussion group are all here for you. Please share and connect with us anytime you need someone to talk to. Click on our “names” and send private messages if necessary.

I hope you have a wonderful weekend.

Regards,
Martin R. Lemieux

— More info —

Here’s a link to the Mayo Clinic Anxiety Disorder Department:
http://www.mayoclinic.org/departments-centers/psychiatry/services/pediatric-anxiety-disorders-clinic

Jump to this post

Thank you so much for your reply. I actually started treatment with a new
dr yesterday and I am very hopeful. I really like her. She is putting me on
Latuda which I haven’t tried before and allowed me an extra Klonopin for
those extra anxiety moments. My thinking is very positive today. I am going
out with a good friend to lunch and a movie. I always feel good around her.

I will save your post because there is a lot of good info in there.

Thanks again,

Joanne

I suggest that you get a second opinion before accepting the ‘bipolar I’ diagnosis. If your moods don’t cycle that diagnosis may be one of those ‘spectrum’ deals that psychiatrists are so enamored with these days. You want to be sure because the medication burden is, as you know, punitive. Clonazepam works for a lot of things but, as usual, there are side effects. Good luck to you.

I pretty much know my triggers & i actually do pretty well with my anxiety 2 weeks ago i went to the ER for chest pains & i had some pain in my left arm & left side of neck I have had chest pains occasionally for a long time & ive had several bouts of costochondritis, which is what i thought this was until the arm pain They did all the usual heart tests & i had a stress echo all was fine So i chalked it up to the costochondritis & the fact that i have several, 12, bulging or herniated discs in my spine & stenosis at all levels so i am thinking it has begun to affect my limbs. So when i went to my PCP thursday he asked me what was i doing when this started & i said watching Good Morning America & drinking a cup of hot tea He says aha thats it something on that show triggered a Panic Attack I said no i dont think so i was pretty calm & i know a panic attack when i have it So he said no thats it, classic symptoms of Panic Attack Im going to start you on this medicine will help with your anxiety & lack of sleep I never asked for help with my anxiety nor do i think it is needed &,i sure am not going to take a pill with this amount of horrible side effects when ive never been diagnosed with bi polar, mania, or schizophrenia Im sure he and i will not agree on this.

@missyb57

I pretty much know my triggers & i actually do pretty well with my anxiety 2 weeks ago i went to the ER for chest pains & i had some pain in my left arm & left side of neck I have had chest pains occasionally for a long time & ive had several bouts of costochondritis, which is what i thought this was until the arm pain They did all the usual heart tests & i had a stress echo all was fine So i chalked it up to the costochondritis & the fact that i have several, 12, bulging or herniated discs in my spine & stenosis at all levels so i am thinking it has begun to affect my limbs. So when i went to my PCP thursday he asked me what was i doing when this started & i said watching Good Morning America & drinking a cup of hot tea He says aha thats it something on that show triggered a Panic Attack I said no i dont think so i was pretty calm & i know a panic attack when i have it So he said no thats it, classic symptoms of Panic Attack Im going to start you on this medicine will help with your anxiety & lack of sleep I never asked for help with my anxiety nor do i think it is needed &,i sure am not going to take a pill with this amount of horrible side effects when ive never been diagnosed with bi polar, mania, or schizophrenia Im sure he and i will not agree on this.

Jump to this post

I agree with you. Everyone doesn’t need to be on meds for panic attack and
anxiety. Good for you for not following your dr’s advice blindly and being
a good advocate for yourself.

Joanne

It is hard when you are socially phobic and have anxiety. I started by visiting with trusted friends and made myself volunteer for an hour a week. Sounds like everyone has a different way of coping. Hope you feel better.

Ok by myself, nobody to see me acting differently. Stable on meds. Retired with my husband. He knows what my moods look like. Usually I don’t have any more moods. HAND tremors from somewhere. From inhaler which I use twice a week. Nasal Spray keeps me from using albuterol.. My doctor is helping tremors by getting me to wean myself from meds that cause tremor. I feel a great life emerging. My husband and our daughter help all of us every day. We have great support every day. I just am afraid to start something I can’t finish. I would rather sleep all dday. The only wat I can get out of bed in the morning is to tell God about it. Then I go to sleep and somehow my day just happens. I get up and do things.

Hi @rspaulling, I moved your message to this existing discussion on social anxiety, depression and bipolar so that you could meet the members who are talking about these. Please meet @missyb57 @jbyrd @book2075. I’m also tagging @trouble4343 @birdbear @lesbatts @lauriedr to join this discussion.

It sounds like you have a great support network at home. What meds are causing the hand tremors?

@colleenyoung

Hi @rspaulling, I moved your message to this existing discussion on social anxiety, depression and bipolar so that you could meet the members who are talking about these. Please meet @missyb57 @jbyrd @book2075. I’m also tagging @trouble4343 @birdbear @lesbatts @lauriedr to join this discussion.

It sounds like you have a great support network at home. What meds are causing the hand tremors?

Jump to this post

@rspaulling, I have essential tremor in my hands and chin; I am also on psychiatric meds that aggravate the condition: Cymbalta and Klonopin. Some of my migraine preventitives also increase the tremor. My psychiatrist prescribed Cogentin to use as needed when the tremor gets too bad. Have you tried this medicine? I find it helpful, especially with the tremor in my chin. I wish you all the best with your mental illness and tremor. There are many of us who deal with adverse side effects from much-needed medications. I used to take more psych meds, to even out the highs and lows, but dropped them due to the tremors. I was dropping dishes, pans of hot food, etc. You have to work with your doctor to find the best combination for you as a whole person. I recommend a pharmacological genetic test such as Assurex to see which meds your body can optimally handle; it helps avoid the trial and error. Google this test; it is fairly inexpensive due to their sliding fee scale if not covered by insurance; it is free for Medicare patients. In the meantime, ask your doctor about Cogentin. Good luck!

@colleenyoung

Hi @rspaulling, I moved your message to this existing discussion on social anxiety, depression and bipolar so that you could meet the members who are talking about these. Please meet @missyb57 @jbyrd @book2075. I’m also tagging @trouble4343 @birdbear @lesbatts @lauriedr to join this discussion.

It sounds like you have a great support network at home. What meds are causing the hand tremors?

Jump to this post

I am still working with my psychiatrist. I have dropped Depakote and went to 150 Wellbutrin. Next week I will see her and am trying to see what drug works. Lorazepam works for some shaking and dropping things. It helps me with social anxiety. I am using cognitive behavior therapy to change the way I think about being anxious. It is helping that am a grandmother and go shopping with our daughter and our granddaughter. Rob and i entertain her in the cart while my daughter shops. The hard part is I am still on a cane for a hip replacement. I did participate in a study to use yoga to help my hip recover. That definitely works. Thank you for taking the time to write. My tremor does not help with typing. I bet it is hard for you.

@colleenyoung

Hi @rspaulling, I moved your message to this existing discussion on social anxiety, depression and bipolar so that you could meet the members who are talking about these. Please meet @missyb57 @jbyrd @book2075. I’m also tagging @trouble4343 @birdbear @lesbatts @lauriedr to join this discussion.

It sounds like you have a great support network at home. What meds are causing the hand tremors?

Jump to this post

So far Depakote, which I stopped. Now I am remembering what talking fast feels like. Also my psychiatrist halved my Wellbutrin. When I see her again, we will try other drugs that work with mania that don’t have a side effect of tremors.
Thank you for sharing your friends. My daughter thinks I can slow my brIn down by willing to.

@colleenyoung

Hi @rspaulling, I moved your message to this existing discussion on social anxiety, depression and bipolar so that you could meet the members who are talking about these. Please meet @missyb57 @jbyrd @book2075. I’m also tagging @trouble4343 @birdbear @lesbatts @lauriedr to join this discussion.

It sounds like you have a great support network at home. What meds are causing the hand tremors?

Jump to this post

So good of you to join this conversation Laurie, and for mentioning the pharmacogenetics testing (PGx). Here is some information about the testing from Mayo Clinic http://mayocl.in/2dxcniz

Laurie did you do the testing? I know that @dawn_giacabazi and @kdubois have done the PGx test and benefitted from knowing their profile.

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