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Posts by fadedbear92

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Psychotropic medication discussion thread in Psychology & Therapy ·
restlesstrucker15 said:Indeed, those who can sleep on 5 mg of Valium are the truly fortunate ones. I struggle with insomnia myself, though I grew accustomed to these hypnotics quite some time ago. Earlier this year, my psychiatrist switched my Valium 10 mg over to Dormicum; while thank God I can actually fall asleep, I find myself waking up several times throughout the night and feeling completely exhausted by morning. It feels as though my mind simply won't shut off. I have heard it suggested that sleep patterns eventually stabilize, implying we will only achieve normal rest once we approach true "recovery." When I expressed these concerns to my doctor, she emphasized twice that the most critical factor is being able to stay asleep through the night. During particularly difficult periods, I have been tempted to take two Dormicum tablets at once, but I hesitate—not out of fear of a physical reaction, but because of the risk of dependency. I even consulted a friend of mine who is a psychiatrist to get her perspective, and I will quote her here: As a hypnotic, one could consider a small evening dose of Zyprexa (2.5 mg) or perhaps 25 mg of Prazosin (which helps lower blood pressure). This is merely a suggestion, however, as any actual treatment must be determined during an in-person consultation.

Yeah, they definitely knocked me sideways... now I find half a dose of Prazosin—so 12.5 mg—is more than enough to do the trick! My doctor made a good point, too; using low doses of antipsychotics for sleep can actually be quite effective...🙂
Psychotropic medication discussion thread in Psychology & Therapy ·
Here is some interesting data regarding benzos and antipsychotics...

Most commonly prescribed benzodiazepines in the US (in alphabetical order) and their characteristics

1. Medication /2. Approx. equivalent doses/ 3. Onset/ 4. Active metabolites /
5. Average half-life (hours)/6. Duration of action /7. Typical adult doses (mg) (mg/day)

alprazolam
- 0.5- medium- yes- 12- short- 0.5 - 6
bromazepam- 2.25- fast- yes- 17- short- 3 - 36
diazepam -5- fast- yes- 100- long- 2 - 40
flurazepam- 5- fast- yes- 100- long -15 - 30
klonazepam- 0.25- fast- no- 34 –long- 1.5 - 6
lorazepam- 1- medium- no- 15- short- 2 - 6
medazepam- 5- fast- yes- 8- short- 20 - 50
midazolam- 1.25 - 1.7 –fast- yes- 2.5- short- 7.5 - 15
nitrazepam- 5- fast- no- 15- short- 5 - 10
oxazepam- 15- slow- no- 8- short- 30 - 90
(Praxiten 15 mg)

BENZODIAZEPINES

_ Fat-soluble compounds

_ Can be administered orally, IV, or IM

_ Absorption after IM injection is unpredictable
They bind heavily to blood proteins _ (70-90%)

_ They distribute well into all organs


_ They are metabolized in the liver

_ Some of them have pharmacologically active metabolites

(diazepam, flurazepam, chlordiazepoxide,
bromazepam, medazepam, flunitrazepam,
mitrazepam)

- Benzodiazepines and their active metabolites, once
conjugated with glucuronic acid, turn into
inactive compounds, which are polarized and thus
easily excreted from the body


_ Only a very tiny fraction is excreted from the body as
unchanged compounds

_ Benzodiazepine accumulation in fatty tissue can occur
during long-term use


_ They bind to the chloride channel where the
GABA receptor is located

_ They potentiate the effect of GABA by increasing
the frequency of chloride channel opening

_ This allows chloride to enter the neuron along the
concentration gradient from extracellular fluid, causing
neuronal hyperpolarization and reduced excitability, i.e., inhibition

Differences among specific
benzodiazepines arise
from differences in which part of the brain they primarily target


_ Diazepam and chlordiazepoxide act equally on
receptors in the amygdaloid complex,
hippocampus, limbic system, and frontal cortex
Nitrazepam, acting on the pontobulbar reticular
formation, has a hypnotic effect

_ Medazepam acts on the intercalated neurons of the spinal cord,
causing a muscle relaxant effect

_ Oxazepam and lorazepam, acting on the rhinencephalon, have
anxiolytic effects


Fat-soluble compounds

_ They are well absorbed and distribute well throughout
the entire body

_ They are mostly metabolized in the liver

_ Because of this, IM doses should be lower than oral doses,
since the first-pass metabolism through the liver is avoided

ANTIPSYCHOTICS

_ The elimination half-life is usually between 12 and 24 hours,
though their pharmacological effect lasts significantly longer

_ There is no evidence of a correlation between concentration and therapeutic effect


_ They bind to various receptors:
1. dopamine
2. serotonin
3. adrenergic
4. histamine, etc.

By blocking dopaminergic receptors, hallucinations and delusions are controlled



_ Blocking noradrenergic receptors causes sedation

Third-generation antipsychotics (e.g., Risperdal) block
60% of 5-HT2 and about 50% of D2 receptors, having a weaker
affinity for α1 and α2 adrenergic receptors; therefore, they
are more effective and have fewer side effects..."
Psychotropic medication discussion thread in Psychology & Therapy ·
Kenneth Scott41 said:I consider myself quite well-versed in the world of benzos, though I have to admit—with a fair amount of self-awareness—that I’m practically enamored with them and can't seem to function without them. It’s a bit grim when you think about it; the very term "benzo" carries such a heavy connotation of toxicity. We essentially ingest poisons just to feel a little more human, I suppose. 🙂
I try to be careful about not taking Dormicum every single day because I'm terrified of spiraling into a full-blown dependency, but then my psychiatrist goes and writes me a prescription for two tablets to take at night. There are only ten in the whole pack, and considering what I have to pay out of pocket for this stuff, it feels like a bit of a losing game.

Don't you have supplemental insurance? Or does it not cover Dormicum? Only ten pills? Man, everything is just so expensive... you take them, and suddenly you're back at the pharmacy spending more money. It's a brilliant business model for Big Pharma, isn't it? 🙂
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:I really hope you aren't developing a habit with the Dormicum. You should probably take a moment to actually look into how benzodiazepines work—honestly, once you dig into the research, you'll see that pretty much all of them trigger tolerance and physical dependence. And let's be real, the psychological addiction side of things is just as prevalent.

Well, honestly, all benzos carry that risk of addiction. I found this excellent PDF article that includes tables detailing their onset times and metabolic half-lives—definitely worth a read...
"...The most frequent side effect
of these medications is daytime sedation, but the most problematic
issue is dependency, which can manifest in
many patients during chronic use. Discomfort caused by
subsequent withdrawal syndrome also presents
a significant challenge. Therefore, when prescribing benzodiazepines, one must be
very rational—meaning they should only be prescribed when absolutely
indicated, using the lowest possible dose for the shortest duration.
Treatment for anxiety disorders shouldn't extend beyond
4 weeks of continuous use, and insomnia treatment should be sporadic rather than daily..
.."

http://www.mayoclinic.org/search...
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:Lucky indeed. Honestly, I can't even get any sleep without 20 mg of Valium—and I've definitely gone up to 100 mg a few times in the past, though usually after 100 mg of Valium I'd spend the entire next day throwing up. But this current combo, 100 mg of Prazin plus 20 mg of Valium... it's been working wonders for me. Hey, fadedbear92, did you happen to catch my previous post? I was wondering if you had any thoughts on it, or if you've even brought up what I wrote there to your therapist?

Samsung Galaxy S series using Tapatalk

Of course I read it.😍
My therapist already mentioned that Valium stays in your system for just a few hours—she really knows her stuff when it comes to meds, so no need to worry... but still, you can never be 100% sure if Valium stays in the bloodstream for only three hours regardless of how much you take, you know?
Last night was the first time I took half of the Prazin as we originally planned, and while I woke up a few times, the sleep itself felt deep—so I'm hoping this half-dose does the trick. We'll see...
Psychotropic medication discussion thread in Psychology & Therapy ·
urbanskipper4 said:I'm doing alright, though. I've been on 5 mg of Valium for six months now and I'm hooked.
But I sleep peacefully through the night until morning. I usually head to bed around 10:30.

Lucky you! Not because of the dependency, but because you actually get a full night's sleep off just 5 mg!!!😲😲😲
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:Yeah, I take 100 mg of prazine just to get some shut-eye. You really have to time it right—I usually take mine around 8 PM if I’m planning to hit the hay by 11. Sometimes it works perfectly and knocks me right out, but other times? Not so much. Then I end up needing to add some Sanval to the mix. The only side effect I deal with is dry mouth. Honestly, I’m not even sure how much longer I can rely on prazine. My body just builds a tolerance to absolutely everything so fast; I’m constantly having to switch things up or layer medications just to feel anything. Still, prazine is a decent hypnotic, even if its primary job is being a neuroleptic.

The reason I even asked this is because I've used Prazina before, but I had a really scary situation happen yesterday—actually, it started brewing the night before.
Basically, I had been taking Sanval so regularly that they were basically like Tic Tacs to me—I was popping three 5 mg pills at once, so 15 mg just to get three hours of sleep, waking up, and then doing another three pills for another three hours. Naturally, when I told my doctor, she lost it! That's why she prescribed me Prazina 25 mg (or 50 mg if the 25 mg isn't enough). So, what happened? The day after all that Sanval, around 3:00 in the afternoon, I took a 25 mg Prazina—that yellow pill—and it wasn't until a few hours later, on my drive home from work, that I started feeling all "rubbery." Once I got home, I crawled into bed and was out for about two hours. Then I woke up, but I felt so incredibly lethargic that I didn't even dare touch my antidepressant or my mood stabilizer; I just fell back asleep and slept through the rest of the night (about five hours straight).
But the next morning? I couldn't wake up for the life of me. I tried splashing cold water on my face, nothing worked—I just drifted off again. I ended up calling the ER, and they just told me to drink some salt water and eat something salty. Anyway, I called my doctor, and she suggested there was probably a synergy happening between the leftover Sanval from two nights ago, the Prazina, and my regular meds. She told me to just take half a Prazina tonight—basically cutting that 25 mg dose in half. I didn't quite have the guts to do it, so I ended up being awake most of the night.
My doctor mentioned that she can't predict exactly how my brain will react; apparently, some people take much higher doses of Prazina along with other drugs and are totally fine. It's so individualistic that it's actually pretty terrifying... I'm supposed to take half a pill tonight... yikes... I don't know...😲
Psychotropic medication discussion thread in Psychology & Therapy ·
Is anyone else taking for sleep? I’m curious about what dosages people use—but specifically for that purpose—since, at its core, it’s actually an antipsychotic...
Psychotropic medication discussion thread in Psychology & Therapy ·
Jessica Grant5 said:I'm honestly a bit baffled—why is it that you can't find any Adderall or Adderall XR anywhere in the US, even though Pfizer is actually one of the world's largest producers of generic Adderall?!?

http://www.accessdata.fda.gov/drugsa...303s015lbl.pdf

How do you know Pfizer makes it?🤷
Psychotropic medication discussion thread in Psychology & Therapy ·
restlesstrucker15 said:I am aware there is already a dedicated thread regarding libido and antidepressants, but it feels like the discussion here tends to lean heavily toward the pharmacological side of things. I recently came across some information on various American forums suggesting that if you’re struggling with low libido due to your medication, adding a lower dose of Wellbutrin might help. Apparently, it works in about half of the cases people report. Has anyone here actually tried this approach? To be honest, I feel a bit awkward bringing this up with my psychiatrist; I have this nagging feeling that Wellbutrin might not be the best fit since my primary diagnosis is an anxiety disorder and Panic Disorder, rather than clinical depression. If any of you have navigated this personally, please share your experience. That said, I know that libido usually stabilizes after a month or two once the body adjusts, so it's likely just a matter of time.

Just be upfront with her—those side effects are real, unfortunately...

http://dl4.glitter-graphics.net/pub/...dv6irqorib.gif
Psychotropic medication discussion thread in Psychology & Therapy ·
Angela Morgan4 said:Does anyone have any firsthand experience using Lyft? I was recently transitioned from Fever over to their platform...

Yeah—mine was a bad experience—though that doesn't mean it won't work for you. For me, it just made me sleepy and killed my appetite, nothing else; I ended up switching back to my Fever and adding another stabilizer—Xanax—and honestly, things are pretty okay now!😍
redharbor9 said:Exactly. And nobody even bothers to mention one of the biggest rules for keeping a therapist sane: don't be a therapist 24/7. You need to step away from the job during your free time and actually live your life like a normal person...

From where I'm sitting, this whole discussion is heading toward a place where therapists aren't allowed to be human beings outside of their sessions...

It honestly fascinates me how people will tolerate some jerk acting like an idiot once he takes off his tie, but they expect mental health pros to maintain perfect professional behavior 24/7...

And regarding the billing... I haven't noticed anyone else being expected to work for free or pretend their job isn't their livelihood.

I think the real issue here is just pure frustration over prices. Hardly anyone understands the massive grind it takes to become a therapist, the cost of training, the endless continuing education, and just how hard the work actually is. But the ones complaining the loudest are usually the same people spending $133 on makeup or $833 on shoes, or taking out loans just to go on a ski trip, etc.

That’s why you do an intake interview at the start of therapy. You lay out the problem, get the lowdown on how the process works, what you want from them, and what they expect from you. Then, both sides decide if they actually want to work together.

And that’s all there is to it.🙂

Oh, please—that really comes down to them and their own ability to draw a line between work and life. It would actually be pretty tragic if they were expected to be "on" 24/7 for just one client; if that happened, nobody would actually benefit...

I think the real issue here is just pure frustration over the price tag. Very few people actually understand the grueling process a therapist goes through to get certified—the sheer cost of training, the endless continuing education, and how taxing this job truly is. But, in my experience, the loudest critics are usually the ones who spend $133 on designer makeup or $833 on high-end shoes, or even take out loans just to go on a luxury ski trip.

I'm with you there—the second money is involved, people get incredibly sensitive. Especially when it's for mental health! People act like paying for therapy is just throwing cash down the drain, which is honestly wild...🙄
"Quote:"
Kyle Lee7 said:I completely agree with you. I have nothing against someone practicing if they are truly qualified, but there has to be a set of criteria, specific prerequisites, and an authoritative governing body that officially certifies someone as a therapist. There also needs to be some level of oversight.

As things stand, you see people just deciding one day to write "I am a psychotherapist." We’ve even seen posts claiming, "I cured someone of psychosis and several other disorders after everyone else gave up on them." It’s the same kind of thing you see with those self-proclaimed miracle workers peddling snake oil. That's my take on it.

Come on now, Kyle Lee7—don't be like that! Some guy claims he can fix everything—including homosexuality.😂😂😂
placidwolf2 said:So here's my question: How is a mentally unstable client actually supposed to realistically assess a psychotherapist's values or level of openness?

For many therapists, if not most, intentionally provocative stances and creating friction can serve as a way to more quickly develop specific methods for handling certain clients. I know a colleague—a total authority and top-tier specialist in the US for specific disorders—who would say things like to his patients (even the less attractive 🙂 ones): "You're a total bombshell, what's wrong with your life?" Many experienced this as borderline workplace harassment and left immediately, even though I know for a fact he never crossed professional boundaries. Once many clients realized his method of working and his undeniable success rate—especially after being disappointed by other therapists—they tried to come back to him, but he simply couldn't take them anymore. Not because he didn't want to, but because he was just too busy.

I often hear from people deciding on therapy: "I clicked with my therapist right away." Or, "I didn't." But what does "clicking" even mean? You can "click" with the first new age guru you meet, a snake oil salesman, or some three-month graduate of a quasi-therapeutic course. But will they actually help us?

Recently, I briefly described how Schema therapy works regarding a certain personality disorder. Everyone was appalled and gave long-winded responses about how they'd never dream of trying "something like that." And yet, while Schema therapy shows success rates as high as 52% for that specific disorder, everyone would rather stick to psychoanalysis, spiritual healing, etc.—methods that have a success rate of zero percent for this condition—just because it's more comfortable. A terrifyingly large number of patients, when starting therapy, get the impression that their "ideal self" is far too distant from their "actual self," making everything feel futile, leading them to look for an excuse to quit (pre)emptively.

So, is psychotherapy merely serving as an excuse for many to claim their condition is unchangeable, just so they can preserve the status quo and a sense of relative comfort instead of truly wanting to change? Or am I mistaken?

It really depends on how ill or unstable they are... a therapist has to find their own way to reach the client. It doesn't always happen during that first session—though I know people who bail immediately—but ideally, they should research how a specific type of practice works beforehand...
Quincy Jones:
For many therapists—if not most—intentionally provocative stances or creating "incidents" serve as a way to more quickly develop methods for handling specific clients.
Sure, that happens, but that doesn't mean that kind of approach is actually going to work for the client...

Quincy Jones:
I know a colleague—a total authority and top-tier expert here in the States for certain disorders—who would tell female clients (even those who weren't exactly his type 🙂) things like, "Well, you're a total bombshell, what else could you possibly need in life?" Many women felt this was basically workplace harassment and left immediately, even though I know for a fact he never actually crossed any lines.
To me, that’s already crossing a major line, unless you've known them through therapy for a very long time, of course...

Quincy Jones:
I usually hear from people deciding on therapy: "I just clicked with my therapist right away." Or they didn't. But what does it even mean to "click"? You can "click" with the first new age guru you meet, some snake oil salesman, or someone who took a three-month course in some quasi-therapeutic school. But will they actually help us?
Okay, so what’s your alternative? That everyone just follows a cookie-cutter manual?

Quincy Jones:
So, has psychotherapy served as nothing more than an excuse for many to claim their condition is unchangeable, just so they can maintain the status quo and their relative comfort, without truly wanting to change? Or am I wrong?
It all comes down to how much the therapist makes you aware of your own toxic patterns, and whether you're actually willing to admit they're wrong and fix them. And yeah, that takes a lot of time... there's no such thing as an instant fix, at least not in my book...
Can I personally believe in God? Of course. But if I'm acting as a professional—an actual expert—am I going to force those beliefs onto my patient?!🙄
Dennis Jackson38 said:Are you referring to that same historical stretch where people insisted the Earth was a flat disc, thought leeches were the panacea for almost every ailment, or believed redheaded women were witches destined for the pyre? 😬

Upon further reflection, one could theoretically conceive of a brilliant robot designed to step into the role of a therapist—one capable of posing flawless logical inquiries and delivering impeccable logical responses and diagnoses. Why, then, would such a thing never succeed in the real world? Because a machine will never possess the single most vital element required to truly grasp the struggles of another human being: empathy.

Really? Seriousness? A therapist "views" it??? There hasn't been a "view" regarding this specific example since 1970. (I find it hard to believe that we still have to Wikipedia and copy-paste this stuff on this PDF 😁)

Since the 1970s, the consensus of the social sciences and health professions has moved to the belief that homosexuality is a normal variation of human sexual orientation, while there remain those who maintain that it is a disorder.[2] In 1973, the American Psychiatric Association declassified homosexuality as a mental disorder.

Listen to this... "influence the therapy." The only thing it will influence is his loss of medical licensure, because he's busy declaring a homosexual person to be sick.
Now, remind me about that little girl they kept locked away just for being a lesbian... chills....

If I had to choose a personal motto to live by, it would be:

"Not doing more than the average is what keeps the average down"

In an effort to extract the philosophical core from this topic and steer the conversation back toward its intended course, I’ll attempt to refocus the point 😉

It is perfectly reasonable to expect those who have dedicated their lives to mental health to possess a higher degree of insight, openness, and freedom from the primitive biases found in whatever "mental mainstream" you are referring to.
I am certainly not suggesting they need to be superhuman, far from it; however, they shouldn't be using their credentials as an excuse to implant their own prejudices into patients who come to them in good faith—especially those dealing with more complex issues.

Exactly... broad perspectives, zero prejudice, but above all, empathy—without that, the whole thing just falls apart. Thank goodness I actually have some...😉
redharbor9 said:The real question is: how much does finishing therapy actually guarantee that a therapist has done the work on themselves? That they’ve actually faced their own baggage? Sadly, I've seen plenty of cases where people didn't move an inch, even after grinding through full analysis...

Well, if that's the case—it's definitely bad news...
bluemason3 said:I’m not entirely convinced how much a therapist's own journey through therapy actually matters here. When you're dealing with topics like substance use, sexuality, or even more controversial issues, a lot of it is subjective and constantly shifting. It isn't really about labeling things as right or wrong—it's more about whether those things create internal conflict for the individual.

The goal is really just finding the right fit with the right professional. Though, even that's a bit complicated. For instance, imagine someone has a specific trait X and a problem Y. They want to fix problem Y without changing trait X, so they look for a therapist who fully accepts X so they can feel safe. But what happens if problem Y is actually caused by trait X?

Look, you really have to face your own demons first if you ever hope to be in a position to help someone else—it’s absolutely vital that anyone entering the psychotherapy field takes the time to truly understand themselves first...
redharbor9 said:Nah, only analytical therapists actually undergo psychoanalysis...

Quentin Tarantino:
Psychologists—I don't think they need it. I've never even heard of them having their own therapy... maybe some supervision, but that's it...
That has nothing to do with the profession itself. It's about the specific type of psychotherapy they're trained in... everyone hits the same requirements to get their degree... some programs make personal therapy mandatory, some don't, some make it optional...

Quentin Tarantino:
That's why people say the therapist's own personality is what does most of the healing. 😁
I also heard a solid concept recently: that a therapist heals themselves too... basically by learning something new from every single client, which helps them evolve into a more complete person along the way...

That’s definitely going to be a much tougher climb than just getting through one's own personal psychotherapy or psychoanalysis...
Schizophrenia - General Discussion in Psychology & Therapy ·
Kenneth Campbell said:Exactly.
And let me add this...
There is really no issue with taking medication for years, or even for a lifetime.
Some people ask, "How can I take psychiatric medication my whole life? I just can't." But it’s no different than someone taking pills for high blood pressure or something similar; there isn't a distinction in my view. Look at how many people, including doctors, have to or choose to take daily medication for various reasons. Take aspirin, for instance—almost everyone takes it, even healthy people, just as a preventative measure. It becomes a routine, a habit, so it isn't an issue. Similarly, someone managing a mental health condition who takes their prescribed pills or injections is doing themselves a massive favor...
When I saw a professional bodybuilder consuming the sheer volume of supplements and substances they take daily just to enhance training and muscle mass, what you're talking about seems trivial by comparison. And he doesn't find it difficult; he accepts it as a lifelong commitment.
Personally, I see no problem with long-term psychiatric medication for those who have been properly prescribed it. If used correctly, the benefits far outweigh any perceived drawbacks...

I'm with you on that. When I look at my own parents and how their medicine cabinets just keep growing with all sorts of prescriptions, I truly don't see the difference!🙄