How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rossi Your Own Question

Dr. Rossi
Dr. Rossi, Psychotherapist
Category: Mental Health
Satisfied Customers: 4627
Experience:  PsyD, LPC, CHt
19260254
Type Your Mental Health Question Here...
Dr. Rossi is online now
A new question is answered every 9 seconds

Ive had an alcohol problem of and on for 3 yrs. Im 34 yrs.old

Customer Question

I've had an alcohol problem of and on for 3 yrs. I'm 34 yrs.old and started drinking due to social anxiety and secondary depression. I also went through a divorce and was laid off from my job...this caused my drinking to become worse. I have found that I need to drink to be in social situations, if I don't I will have panic attacks. This has affected my life to the point where I don't really even want to leave my house. I've never had a DUI, done anything to endanger others or ever used alcohol at work. I been to Dr's, had bloodwork, xray's, prescribed anti-depressants and xanax. My anxiety has only worsened and I've found that I have a hard time making eye contact with people with out my head shaking rapidly in a no-no tremor. This has made me very depressed and self-conscious. I see a psychiatrist one a month and a counselor once a week. I've had several med changes but nothing has seemed to work!! The xanax does help control the symptoms, but only at high doses. I don't drink everyday and even went 3 months without any alcohol and my symptoms never got any better. The only thing that seems to help is having a few beers to relax me and the anxiety stops completely. I know this is not a good long-term solution! I am very desperate for any kind of answers or suggestions as to what is going on. I've had social anxiety my entire life but never to this extreme. Any ideas as to what could be causing this?
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr. Rossi replied 2 years ago.

Hi,

 

Anxiety and depression are in most cases caused by neurochemistry (unless you are making a connection b/w the events - divorce/laid off) after which you notice a worsening of your symptoms. The latter would be seen as psychological and emotional triggers (even suppressed ones) affecting your well being. Something else to look into would be a sleep study to rule out nocturnal seizures, sleep conditions i.e. REM sleep disorder and sleep apnea as these can cause neurological changes and affect your mood/anxiety level during the day. Many antidepressants suppress one's REM sleep cycle and you're on multiple different ones.

 

**Psychotropic meds that work on the norepinephrine levels can also cause increase in the dopamine levels which relates to the fight or flight response. In that case, you may perceive an increase in anxiety/irritability/agitation and difficulties sleeping.

 

You've mentioned that your anxiety responds to a higher dosage of the medication and a question for your prescribing psychiatrist would be if you've reached a threshold where the medication at the current dosages is not effective. You may want to speak with your MD about what your base line is according to him/her.

 

In addition to medication and talk therapy, other therapeutic modalities to look into would be biofeedback/neurofeedback and hypnotherapy.

 

 

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education