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Mental Health Questions

Navigating Clonazepam Withdrawal at Four Weeks: Is it Time to Reconsider Medication?

At 28 years old, I experienced a surge of anxiety that first struck in December 2024. Initially, I hoped it would subside, particularly after a planned family visit. Seeking clarity, I consulted both a cardiologist and a general practitioner. The cardiologist reassured me that my heart was fine, while the general practitioner diagnosed me with Mixed Anxiety Disorder (MAD) and prescribed SSRIs. I adhered to this treatment for just over two months. Currently, I have been off Clonazepam (0.5 mg) and Escitalopram (5 mg) for nearly 26 days, following a tapering process that wasn't perfectly structured. After approximately three months of daily use, I began to space out my doses, extending the time between each until I ultimately stopped after a five-day break. I won’t sugarcoat it—this withdrawal experience has been incredibly challenging. The initial two weeks were somewhat bearable, but as I progressed, the intensity of my symptoms escalated. Now, I'm struggling with insomnia, managing only 4 to 5 hours of restless sleep while grappling with palpitations, pressure in my head, numbness, dizziness, and other distressing sensations. My primary physician has suggested reinstating the medication, but I'm torn. I've come this far—almost four weeks without the drugs—and I'm concerned that going back on them might hinder my ability to quit in the future. Yet, at the same time, I am uncertain about how much longer I can endure these overwhelming symptoms; it feels as if my body is completely out of sorts. I would appreciate insights from anyone who has faced similar challenges or any advice regarding my situation. Should I persist with abstaining from medication or revert to it? Would resuming the meds allow me to regain a sense of stability, paving the way for a gradual taper in the future? Additionally, I wonder if tapering off after this ordeal would present difficulties, or if it might be a smoother process. Ultimately, I'm contemplating whether it's safest to endure the upcoming weeks and fully disengage from the medication, despite the daunting nature of my current symptoms. Is my decision potentially life-threatening?

InsomniaAnxietyDepression
Male25-34
3 hours ago

Seeking Guidance on Persistent Health Issues: High Blood Pressure, Nausea, Jaw Discomfort, and Frequent Palpitations

Greetings, I am a 25-year-old male. Recently, on November 28, 2024, I experienced an intense panic attack that resulted in various physical symptoms and complications. Following this episode, I was diagnosed with anxiety and panic disorder, particularly focusing on health-related concerns. I have undergone a series of blood tests, all of which returned normal results. Notably, my high-sensitivity troponin I levels have consistently been within acceptable limits; however, I did have a slight elevation of high-sensitivity troponin T to 28, which was positive. After one hour, this figure decreased to 23 but remained positive, leading my doctor to conclude that it indicates heart stress rather than a pathology. As for my cardiovascular examinations: - A CT scan showed no abnormalities. - A 24-hour Holter monitor revealed normal findings aside from five brief instances of inverted T waves lasting five seconds, which my physician deemed inconsequential. - I have undergone four echocardiograms, three of which were normal. The final echocardiogram revealed mild enlargement of the left atrium (34.7) and a potential patent foramen ovale (PFO), exacerbating my existing cardiophobia. Currently, I am facing frequent episodes of elevated blood pressure (peaking at 150/95), nausea, and persistent palpitations. During these episodes, I also experience jaw spasms and a sensation of pressure beneath my ears. Additionally, I have bloating, though I am unsure if it pertains to my stomach or bowel. My heart rate fluctuates between 55 and 70 beats per minute, occasionally rising to 90 even during these episodes, characterized by strong beats rather than rapid ones. I can feel my pulse distinctly throughout my body. These symptoms have severely impacted my daily functioning, preventing me from living a normal life. I find myself visiting the emergency room on a weekly basis, where the medical team continues to attribute my experiences to somatic symptoms. I have undergone over 40 ECGs in the past seven months, all of which have been reported as normal, albeit sometimes indicating borderline results or T-wave abnormalities, which have been dismissed by my doctors. In terms of treatment, I am currently taking Zoloft at a dosage of 75mg. My physician has also prescribed Xanax for situational use, but I feel apprehensive about utilizing it. Additionally, I am supplementing with magnesium and vitamin B6. I was born with G6PD deficiency, which is another factor to consider in my health. I would greatly appreciate any insights or suggestions on how to proceed. I am earnestly seeking to comprehend what I am dealing with. 😔

PTSDAnxietyDepression
Male25-34
6 hours ago

Bleeding Open Wound on the Vulva

I am an 18-year-old female, entirely certain I am not pregnant and have no sexually transmitted infections (I am a virgin). I don’t take any medications, do not smoke, and rarely consume alcohol. I also haven't sustained any injuries in the genital area (no falls or impacts). Recently, I discovered a painful, red bump located on my right labia towards the top. Initially, I thought it was just an unfortunate pimple, but the discomfort has intensified. Walking has become painful due to the irritation caused by clothing. I examined the bump closely (though I prefer not to share images) and it resembles a small, almost superficial wound—there is no active bleeding, but it is noticeably red and painful to the touch, with a slight itch that I try to ignore. Should I be concerned about this issue? Clearly, this does not seem normal, but I'm uncertain whether to wait it out or seek medical advice. I shave infrequently—just once a month prior to my period, and even then, I only trim the upper part instead of removing all the hair. The last time I shaved was June 2nd, and I noticed this bump on June 13th. As a quick update: A few hours later, I noticed some blood on the liner I was wearing—two small dried spots appeared close to the bump. I put on the liner to alleviate friction and the associated pain. It appears that the wound is now open, and I must admit, it's quite unsettling to look at. I’m unsure if this is a sign of an ingrown hair, and whether it’s typical for them to manifest like this before resolving. Is this a situation where things tend to worsen before they improve? Unfortunately, I can't visit the doctor until between the 17th and 20th of the month, so any home remedy suggestions would be greatly appreciated. I’m taking photos for reference in case I need to show them to the doctor instead of diving right into an examination. I find discussing this uncomfortable, but I am genuinely anxious about it. I plan to continue wearing the liners to minimize irritation and discomfort.

InsomniaAnxietyDepression
Male25-34
9 hours ago

Evaluating the Effectiveness of My Psychiatric Medication

**Disclaimer:** I recognize that providing a definitive assessment without a thorough understanding of my personal circumstances and medical background is challenging. My intent is simply to explore whether I should consider alternative treatments or continue with my current regimen. I am a 31-year-old female who has struggled with depression since I was 18. Along this journey, I have also been diagnosed with Borderline Personality Disorder (BPD). This experience has been quite challenging, leading to my college dropout—a situation I hope to rectify in the near future. My mental health issues have deeply affected my relationships, weight (which tends to fluctuate dramatically in alignment with my emotional state), and overall family dynamics, casting a shadow over nearly every key aspect of my life. Throughout my time seeking appropriate care and understanding my conditions, I have developed a significant frustration toward healthcare providers, even to the point of being apprehensive about hospital visits. Hence, I am turning to this platform for guidance regarding my medication before approaching my doctor, as it feels like a daunting emotional endeavor. **Other Health Issues:** - I was diagnosed with lactose intolerance at 17, a condition that took its time to identify. Now, with the help of lactase supplements, my life has improved drastically. - I was diagnosed with polycystic ovarian syndrome last year. - I found out I have endometriosis two years ago after an MRI and a thorough clinical assessment—but I believe the definitive diagnosis requires a laparoscopy, am I correct? - Back in 2018 or 2019, I experienced pulmonary thrombosis shortly after beginning birth control pills. It later came to my attention that I have an elevated factor VIII, although I don’t think I have a significant risk for thrombophilia. **Current Medication Regimen:** - Luvox 200 mg - Venlafaxine (Effexor XR) 300 mg - Bupropion 300 mg - Amato 100 mg - Propranolol 40 mg (to manage hand tremors) - Metformin 500 mg - Spironolactone 100 mg (for acne and hair thinning) - Lactase For several years, my psychiatric medication has remained relatively stable, with few adjustments. I am finding it increasingly difficult to discuss my medication with my current psychiatrist, though I do appreciate her growing emphasis on therapy. **Challenges I'm Facing:** - I constantly feel exhausted to an extent that feels abnormal. This goes beyond typical fatigue; it’s a level of lethargy that makes even basic tasks, like getting out of bed to use the bathroom, feel insurmountable. I dread the possibility that my tiredness could be related to my menstrual cycle, but it's a stark contrast to how I recall feeling in the past. Watching others thrive only reinforces my sense of abnormality in this experience. - When I’m off my medications, I transform into a person I despise—filled with anger and regret. This medication has been beneficial, yet I wish it could do even more. While I know perfection is unattainable, my concern for potentially exhibiting behavior I would regret profoundly lingers. I am innately quiet and reserved, so my outbursts catch others by surprise. - My sexual drive has diminished, which I personally find acceptable. However, I contend with excessively dry skin and eyes, and occasionally, my mouth feels parched. This irritating symptom feels very real—it’s not in my head! I experience periods of severe dryness that make my skin excessively itchy; it's a frustrating issue. After showering, my skin sometimes burns, prompting me to use specialized soap that has improved my condition but hasn't resolved it completely. Additionally, at night, I sometimes experience uncomfortable sensations in my legs that are difficult to articulate. I can't help but ponder if my medications are contributing to this. Nevertheless, the primary concern remains my persistent fatigue. This debilitating exhaustion has persisted since it first emerged, and I remember the distressing consequences of once discontinuing my medication—resulting in a seven-month period of isolation within my apartment. This experience solidified my understanding that my medication is indeed beneficial, but the level of support it provides does not meet my expectations. 🙏🏻

Bipolar DisorderTherapyDepression
Male25-34
9 hours ago

Questioning a Mysterious Illness After a Public Pool Visit

Recently, I (31F, otherwise healthy) enjoyed a swim with a friend at a local public swimming pool on Thursday evening. The place was quite crowded, filled mostly with children splashing around. I felt perfectly fine and healthy at that time. After about an hour in the water, I noticed a slight dizziness and figured it was best to exit the pool. Within just five minutes of sitting back at our table in the sweltering 90-degree heat, a shivering sensation overtook me, and it felt as though every nerve in my body was ignited. I can hardly articulate the discomfort; it was as if my entire body was in a state of tension and I was freezing. We decided to leave. By the time I arrived home, I felt incredibly weak and was moving at a snail's pace. I was experiencing a fever of 101.3 degrees and my heart rate was significantly elevated—normally at 65 but peaking at 116 while resting. In addition, I had a mild sore throat, which I attributed to potential chlorine irritation from the pool. At the emergency room, I unfortunately threw up during the triage process. I continued to battle intense nausea, fever, and an increased heart rate for several hours. Although all tests came back negative, it was noted that my white blood cell count was high. They administered fluids, prescribed an antibiotic, and I was sent home. Fast forward to Saturday, day two on antibiotics, and aside from the sore throat, which has now escalated to severe, I'm thankfully symptom-free. My throat, while devoid of pus and not strep, appears extremely red, and the lymph nodes are swollen, leading to a tightness in my jaw that radiates to my ears. Does anyone have insights into what might be going on? The ER physician was unable to determine the cause of my symptoms and speculated it might be some sort of infection. They were particularly puzzled as to why my heart rate remained elevated even after my fever had decreased for a few hours. While she observed some redness in my throat, it's evident that the condition has worsened since then. Any thoughts or suggestions would be greatly appreciated.

InsomniaAnxietyDepression
Male25-34
11 hours ago

Assessing Concerns About Rheumatic Fever

In recent days, my husband and I have experienced some health issues that have led us to consider whether we should be worried about rheumatic fever. First, a bit about us: - **Myself:** 41 years old, female, standing 5 feet tall with a weight of 160 pounds, and I identify as Caucasian. - **My Husband:** 44 years old, male, 5 feet 6 inches tall, weighing 180 pounds, also Caucasian. Last weekend marked the beginning of my husband’s illness when he came down with a fever fluctuating between 100°F and 102°F. Alongside the fever, he experienced body aches and chills, but notably, he exhibited no other symptoms such as a sore throat, nasal congestion, or coughing. By the third day of grappling with his fever, he visited our local pharmacy that conducts strep throat tests. To our surprise, the results returned with a faint positive indication for strep bacteria. The pharmacist prescribed amoxicillin, which he promptly commenced on Monday; by Tuesday, his fever had finally diminished. On Thursday morning, I inexplicably woke with severe pain in my wrist and shoulder, initially attributing it to an uncomfortable sleeping position. However, by late morning, I noticed an itchy sensation accompanied by a widespread rash. Being someone with sensitive skin, I typically deal with rashes occasionally, yet this instance felt peculiar. As the hours passed, I noticed an increase in joint pain, and by evening, my hands and wrists were nearly incapacitated due to discomfort. This was completely uncharacteristic for me, as I rarely experience joint pain apart from specific injuries. Notably, I was without a fever at this time. The following morning, I awoke feeling slightly stiff but otherwise manageable, dismissing the events as an odd occurrence. However, as the day progressed, my husband shared that he too was experiencing significant pain in his joints, particularly in his wrists and fingers, which he described as quite severe. This set of circumstances feels rather strange and spontaneous to me, raising concerns about how we might be perceived should we seek medical attention. Would we be dismissed by an urgent care clinic or emergency room? Should I regard this as just an atypical viral infection that triggers joint discomfort, or do the circumstances necessitate vigilance regarding rheumatic fever following his strep diagnosis? If we determine that this is indeed a real concern, what is the best approach to communicate our symptoms effectively to a triage nurse or physician, ensuring they grasp the seriousness of the situation? At present, neither of us is in acute distress; we both are experiencing only mild lingering aches. My rash, although still present, is not severely bothersome. Thank you for taking the time to read about our situation!

PTSDPsychologyDepression
Male25-34
12 hours ago

Communicating Effectively with Healthcare Professionals

Hello, I desperately seek guidance! My father, aged 56, underwent brain surgery last October due to a subdural hematoma that was discovered when he visited the emergency room. Prior to that, he had seen his family physician three times after a box struck his head, suffering from severe headaches. Additionally, there were moments when he coughed intensely to the point of losing consciousness, which he reported to his doctor. Unfortunately, he was advised that his symptoms were merely due to anxiety. A few days later, his coworker had to call an ambulance as he showed signs of unusual gait and weakness on his left side. As a first-year nursing student, I hold immense admiration for healthcare professionals. I've heard numerous accounts of mistreatment by patients and the overwhelming burnout faced by many in the field. My experience is limited at this stage, so I apologize if my thoughts offend anyone; that’s not my aim. However, I cannot shake the feeling that my father is not being taken seriously by his family doctor. In such circumstances, wouldn't it be prudent for him to have been recommended to seek urgent medical attention? My father struggles with English and tends to be non-assertive in these situations. Currently, he's once again dealing with severe coughing spells, and I can see that it exhausts him. He visited the same family physician just yesterday, receiving reassurance that there is nothing alarming about his symptoms. Yet, this cough seems grave—it doesn't resemble a typical cold. After his coughing episodes, he visibly turns red, and his surgeon indicated that his fainting episodes were associated with the subdural hematoma. What steps should we take next? Should I genuinely be concerned about this situation?

PsychiatryAnxietyDepression
Male25-34
13 hours ago