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(Thread IKs: Josherino)
 
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LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

Dragomorph posted:

Somebody on my Plurk timeline mentioned their therapist telling them that the anxiety the rest of the world is currently feeling is the same level of anxiety that that person felt on a daily basis, and all I could think was "yeah that parses" given my increasingly relentless angling towards positive news in the light of all this.

I don't know what Plurk is, but that thought came to me independently and is giving me some mild comfort. If people just lived the way I've been doing for the past almost-decade, this disease would be contained in no time flat. I've been dealing with hardcore social anxiety for about ten years, and on March 1st decided that I was going to do something about it by forcing myself to socialize more and get out twice a week instead of just once. I made a plan and everything. Maybe subconsciously I knew that it would soon be out of my control?

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LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
I finally started looking for a therapist after a decade of suffering from crippling general/social anxiety, when the pandemic hit. The session was changed to a phone session. The first one went fine, though I couldn't get the doctor off the topic of money, which was just one of my concerns and one I couldn't exactly change in the middle of all this. Just had a second session, and he wouldn't stop praising Trump and saying how useless and unprepared New York was when the governor should have known better and prepared for a pandemic because of 9/11. Everything was about how great Trump was and how Trump was a no-nonsense businessman who would get this solved by May. Didn't expect that in a therapy session.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

thehandtruck posted:

You should definitely (if you feel up to it) file a complaint with whatever state you're in. These are actually taken really seriously by whatever the mental health governing body is. Now if he's a medical doctor governed by the APA....it's unlikely the complaint will amount to much. They are extremely lenient on their practitioners.

They collected money from me up front before my first session, and this one they called me back afterward and left a voicemail after requesting I call back and pay. I'm going to complain and try to get out of it. I'm not paying $90 to listen to a Trump ad. I don't know if I'll file an official complaint with NY though.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

Unsinkabear posted:

I'm having what feels like a hypomanic day, so I'm probably non-useless for the next 48 hours. Is it possible for me to scream at the NY state board for LifeLynx? Or does the complaint need to come from the actual in-state victim?

I appreciate it but I don't think you can since you weren't there (or as close to "there" as possible over the phone). I think he was actually trying to help in his misguided way. "Trusting the President" isn't a reason to be removed from whatever board of medical professionals that exists. It's a mass shared delusion that almost half the country shares. Thinking it's an undue burden for the Federal government to help its citizens during a country-wide crisis and it should all be left up to individual states to handle everything on their own is insane though. I'm mostly bothered because a portion of my anxiety is because Trump lies and actively tries to make things worse, and if I brought that up with this therapist it would just lead to an argument, and I could just go on Facebook if I wanted that.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
Just called the front desk, who got frustrated with me immediately and transferred me to billing after I brought up the bill, who said only the doctor had authority to contest the payment. Both were probably older women in their 60's? I was very polite, for the record, because I know it's not their fault, it's the doctor's. Then the billing woman said she was going to leave the doctor a message and then hung up on me. So I'm probably getting a bill in the mail that I have to contest, and they're telling me the only way to contest it is to talk to the doctor. I don't know what to do.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

Declan MacManus posted:

ayyyyy lmao i’ve never been to therapy before but i’m increasingly worried/concerned/relieved that i’ve been dealing with undiagnosed and untreated adhd/add for the past my entire life; i’ve read a lot of conflicting things on the internet but i was wondering if anyone knows if i do see a doctor online if they’d be able to prescribe me medication? i already work in food service so i try to limit my exposure to the outside world as much as possible, so i’d like to avoid seeing a therapist in person; i know getting a scrip filled would be almost impossible online for something like adderall but having to see a therapist every week seems... bad? and i assume most of them have switched to virtual counseling anyways?

Hey the same thing happened to me. Trouble concentrating and focusing for over two decades, and I thought it was just anxiety. The idea that I might have ADD/ADHD popped in my head two months ago, and last week I took pseudoephedrine for a minor sinus headache and I felt all my symptoms go away. I went to find the "official" ADD/ADHD checklist and I had all the symptoms, and info that many people self-medicate with pseudoephedrine. After calling around and trying to find a psychiatrist to get an assessment (because I didn't want to self-diagnose or self-medicate), I called my primary doctor. We talked for a bit and he ran through the questions (which were identical to the ones I found on add.org and other places) and he wrote me a prescription for Adderall XR. I have a good relationship with my primary doctor though, been seeing him since I was a kid, so ymmv. I need to make recurring appointments to check in because it's Adderall. Most psychiatrists I called said they were only doing virtual visits... but a specialist will cost a lot more. I think restrictions on prescribing medicine over the phone were relaxed in light of COVID, but it might vary from state to state.

I took my first dose two hours ago and I definitely feel a huge difference.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
Adderall is amazing. All my anxiety washes away or is at least heavily pounded into the dirt while it lasts.... which is unfortunately only about eight hours, give or take an hour. It's criminal that this stuff doesn't last longer. There are zero side effects for me that I can tell, I'm just calm, cool, and collected. The first two days I took it, I felt great all day. Even though it had worn off, I didn't realize it because my brain was all "Hey remember what feeling good feels like? Let's hold onto that a few more hours!" Now that I've recognized it wearing off, that's harder to hold onto and I feel back to my old miserable self at night. I called my primary doctor about the crash, but he wants to wait and see until I've almost finished the month's supply. I kind of think I need a slight boost on it, but it's only been six days so I also want to wait at least a little while longer for fear that a higher dose would make the crash worse. I've heard of people taking 10mg XR in the morning and then 5mg IR later in the day, which is something I'm going to ask in about two weeks.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

Tarnop posted:

In the UK, you can only be diagnosed by an ADHD specialist, so we're waiting for appointments with one of those who will then (assuming positive diagnosis) prescribe, monitor and titrate medication before handing back to your GP to continue the prescription.

I'm in the US and all I had to do was get frustrated with psychiatrists and then call my primary doctor. He asked me a checklist of questions and started me on Adderall 10mg XR. I just went up to 15mg XR yesterday and it's working much better. I wish it lasted longer, as right now I sort of have to balance it with a little bit of early morning and late afternoon caffeine, but it's better than I used to be. Maybe it's not so great that US doctors can toss around amphetamines (and painkillers, for that matter) so easily, but that sounds rough over there. If it's any consolation, if I wanted a real psychiatrist to deal with these things, it'd be a 4-6 week wait time and then a $250 initial visit fee with expensive insurance.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
I was having issues with terrible anxiety, and finally found a medication that works - buspirone. 7.5mg 2x/day has eliminated I'd say more than half of my anxiety. I can function, as in day to day stuff, mostly, but I'm still having trouble actually working. As a freelancer, that means I'm not making any money. I did all my freelance work for one company exclusively - out of convenience - but as my inability to work has gotten worse they've started to reassign my projects and probably won't work with me when I can't do simple things like "reply to an email". So now I'm at zero with degraded social skills from being cooped up inside for two years. My anxiety is much better (social anxiety probably worse), but my self-sabotaging behavior (hey if you procrastinate doing Task X, then Person Y will be disappointed in you and validate how you feel about yourself!) is still there. I don't think medicine is going to fix that, maybe cognitive behavioral therapy? I keep trying therapists but it's hard to keep up with it when I don't want to talk to them, or have trouble opening up, which is kind of the point of it all? My family is supportive as long as I'm trying to get help, but I've hid a lot of it fairly well.

Do those 10000Lux light therapy lamps really work? I've got a prescription for Vitamin D that I forgot about because I was getting out more in the summer, but I will start taking again. But I'm stuck inside every day and seasonal depression is getting to me and it's about to get a lot worse.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
Got a new therapist finally, with an agency. She's extremely new, but also easier to talk to than the last one... but she's trained in CBT, which makes me hesitant.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer

Toph Bei Fong posted:

A medical patent expiring, allowing the medicine to go generic, should make the price go down, because there are now competing vendors each creating the same product, right?

Not so, for some reason. Viibyrd was $7 last month. Generic vilazodone is now $70. Thankfully, I'm in a much safer financial situation than I was years back, so this is just "unpleasant" rather than "no groceries this week", but still, a 900% increase in price?

So now, I have to ask my prescriber for a DAW and hope that getting the name brand stuff is less expensive. For reasons unbeknownst to me, I can't price check this beforehand. gently caress the insurance companies, and their price gouging.

Have you tried free discount plans like GoodRX or even going to a different pharmacy nearby? Both of those things have saved me so much money. My one medicine was $72 at CVS but $9 at my grocery store pharmacy, it makes no sense.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
I hate therapy. I had one amazing therapist after failed attempts over the years, but she left to go do non-profit work, which I can't blame her for at all; it's what I want to do also. I've had a few non-starters since then - a therapist who would just stare blankly and say "Yeah, some people feel that way" to everything; another who was a born-again Christian who said she kept her beliefs separate but kept subtly suggesting prayer and whose desk and office were littered with Jesus memorabilia; a therapist who straight-up forgot what I said the sessions before to the point where I swear she was confusing me with another patient (I transferred from her to the new one and apparently she told the new one that one of my core issues was "relationship troubles" which I don't have and never talked about, my relationship is the best thing in my life and keeps me going); and others. My new one is okay I guess but I'm so burnt out that my therapy sessions are easily the worst part of my week and completely ruin the days they happen on. I'm so busy dreading them beforehand and so exhausted afterwards that the entire day is a waste. I need a therapist who specializes in helping me get through other therapy sessions.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
Therapy continues to be the worst part of my week. My Mondays are completely ruined because of my afternoon appointment. People I talk to about it say I must be doing something wrong, and I can't "jump from therapist to therapist" but isn't shopping for a good one a good thing, rather than wasting mine and their time with something that obviously isn't working? I'm on Medicaid so it's not even like it costs me anything to try someone new as long as they take my insurance.

Jorge Bell posted:

I am going through a massive existential crisis and one of the most comfortable and easy jobs I've worked in the past decade was delivering pizzas for Domino's. It also paid more than when I did white collar QA at a tech company, by almost double. Strongly encourage ppl to become pizza heroes if "regular jobs" are getting to them. Once you get over whatever internal shame you have of moving "down" it's way way better imo.

I've been considering doing UberEats or something where I can just pick up food, drop it off contact-less, and be free of this job search bullshit. I've been trying for a web design job for six months with only one prospect to show for it, and I don't think I could even handle getting a new job, but I desperately need one.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
New year is a good time to work on myself. I don't like New Year's Resolutions, but another way to look at it is that November to December is such a horrible time to make self-improvement that January is the earliest I can expect to do anything. Family life between Thanksgiving and NYE is so busy, it's impossible to get doctor appointments as everyone's on vacation, etc. I really need to get my meds settled so I don't feel 10 out of 10 anxious literally all the time for no reason, and be able to focus on things for more than ten minutes.

LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
Getting mental help is impossible. I finally lucked into getting a good therapist, but they mostly say that I can't really make progress until I get my medication sorted. I've been on mostly the same medications for around 20 years, and every time I tell someone what they are, they're confused why I was prescribed them for depression/anxiety. Great, so all I need is a psychiatrist appointment, right? Not so fast!

- Around a year ago, more or less, I called a bunch of places. No one had an opening within three months, so I gave up.

- No place I call now will even answer my call, and if I leave a voicemail, they don't call me back.

- I finally got through to one place. They're a new practice and they said they shouldn't have been on the insurance website list yet because they're not officially open. I talked to the guy running it and he said he was going to see what he could do for me. After weeks of message tag with them, they finally said they won't have anything for a month or more from now, but they're having trouble setting up insurance so they can't even give me a definitive date or put me on the books so I have something to look forward to this year.

- I called the local crisis hotline. There's just an automated message saying all their agents are busy, and then it hangs up.

- I tried the Suicide Crisis Hotline, even though I'm not suicidal. All they do is go on to my insurance company's website and read me a list of psychiatrists in my area that take my insurance, even if I tell them I've tried this. Managed Medicaid plans suck and I don't have the money to pay out of pocket.

This mirrors my job search, where I get nowhere, or go through weeks of an interview process with companies I have to chase down to get a response from until finally I get rejected. It's discouraging as hell and makes me believe no one in the world even wants to help anyone else.

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LifeLynx
Feb 27, 2001

Dang so this is like looking over his shoulder in real-time
Grimey Drawer
My primary doctor prescribed Adderall for ADHD. I took 5 mg ER, upped to 10, and I think 15 before I felt too anxious and went back down in reverse. No problem getting off it after about six to eight months total. Afterwards I kind of realized that the anxiety wasn't even from the Adderall, just experiences, but I got an appointment with a psychiatrist who gave me Qelbree. I felt AWFUL on it and decided I'd go back on the Adderall. The psychiatrist said that'd be fine. I have some fear of medication from terrible experiences with SSRIs as a teenager, which the Qelbree experience brought back.

What's the difference between addictive and non-addictive medicine? I was told the withdrawal from Qelbree (and others I'm on) is some of the worst effects imaginable, so how's that different than a scheduled drug like Adderall? I'm glad Qelbree didn't work out, because it's hard to get - I have to order from a mail-order pharmacy - so if I ran out I'd be in deep poo poo and couldn't just run out to Walgreens or CVS for a refill.

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