Have Mental Health Questions? Ask a Psychiatrist Online
Hi! I'll be glad to help you with this issue.
Is the problem that your doctor does not want to prescribe the Xanax again?
my neurologist says I need it to stay calm b/c it impacts the healing on my brain. due to court order therapy b/c of disability b/c they took my car, job, ability to drive and all my freedom, I have to go see him. The therapist says it is too addictive but I have tried everything and it is the only thing that gets rid of my headaches and my irritability
I see. First of all, is therapy helping? I see you're typing, so I'll wait.
I don't know if it is a battle of what doctor knows best but I have been with the doctor that says yes for 3 years and the doctor that says no since Nov.
yes therapy is helping to an extent. I worked for 12 years and was very independent. it is a very hard adjustment
I can imagine how frustrating this situation must be for you.
The most effective treatment for anxiety in recent years were the benzodiazepines (Xanax, Ativan, Klonopin). Problem: they have also become the most widely abused prescription drug on the street, called benzos. The DEA (Drug Enforcement Agency) has taken notice. They're now keeping track of prescriptions: which pharmacies and doctors are prescribing them a lot. Some pharmacies have been closed and some doctors investigated. So all doctors are now very, very cautious. For good reason. So this makes everyone very suspect when coming in wanting meds for anxiety.
It sounds as though you are truly being helped by the Xanax, though.
Your previous neurologist says no. Is there a way to return to your previous doctor?
I am and I dont abuse them.. I have a daughter. It doesnt make me out of it. just calm and ready to handle to task at hand without breaking down
My neuro who gave them to me for 3 years so I have to get them from the therapist now and he says no
Yes, and it sounds as though you may be experiencing some withdrawal symptoms as well.
Am I correct that you don't have access to any other doctor?
I dont feel any different....maybe just a little iritable
bc of my disability I see these 2 doctors and I am trying to start up some hobbies to get ot of the house
You're actually doing a fantastic job. I'm not just saying that. I've worked in therapy with people who had to discontinue a benzodiazepine and
it was very difficult for them. You're really doing great. Is therapy an option for you?
Because your neurologist is really being very prudent here. I can explain that if you like.
no I am in thereapy
therapy....i can spell I promise!
That's funny. I believe you...
but yes what do you mean he is being prudent
Benzodiazepines as we've said are addictive. But the problem is that the longer you stay with them
the chances of needing higher dosages begin to increase.
In other words, after a certain number of years, the same dosage no longer gives the same effect. That's one problem.
The second is that we have no way to predict with each person when this will occur for a particular individual.
so what should I do? I dont wat to end up on the 6 o clok news bc I get overly frustrated
bad joke......I just dont want to feel frustrated or have the headaches
You have a wonderful sense of humor. I think that alone will keep you out of the news...Then there is the problem that with prolonged use, the chance of withdrawal symptoms also
increase. Are you having headaches now and feeling frustrated as you've stopped the Xanax?
Also, is your therapy focused on giving you techniques for helping you with anxiety so that you can get used to not having the Xanax if you need to continue not using it?
I always have headaches but it hasnt increased
This is excellent. You are actually tolerating benzodiazepine withdrawal extremely well.
I feel like I am being stopped colld turkey....shouldnt there be a ween down time
Yes. I was going to ask you about this. Your doctor seems very harsh here. It is standard procedure to wean off benzodiazepines. Have you and he/she talked about this?
yes ut he is set in his ways it seems....he said I should be fine
You're right, he's very old school. You should discuss with him that you are feeling irritable and unsettled and you believe these to be symptoms of the Xanax withdrawal and that you would like to wean off more slowly from the drug. Here's a common procedure.
You reduce your normal dosage by 25% for 3-5 days; you then go down to approximately 50% of original dosage for another 5 days. Then 75%. If at any time
you feel a little shaky, then back up to the previous lowered dose for another 3-5 days.
ok. he already told me no. thanks for all your help. I will just try to ride it out I guess
I see, he's really very hard headed. So,
Is it time to try a new doctor?
I am going to have to to. I just dont know what to do in the eantime
I assume the current doctor would not allow you to use a different medication to help in the withdrawal. Some people use low dosage of Prozac to help with the symptoms. You're not actually feeling symptoms, though. So, my real question is if your therapist has been working with you on behavioral techniques to help with anxiety, because Xanax is really for anxiety and panic?
I do understand that but after my head injury xanax seemed to be the only thing to lighten my headaches and I tried everything. I guess back to square one
thank you for chatting with me
I feel like you're giving up a bit on this and that you are feeling very bad about your headaches. I can only imagine. have you tried alternative therapies for headaches? Acupuncture, for example?
I have tried everything
nobody seems to either want to or cant help
Okay. So are we agreed then that Xanax is the long term solution? You need to find a new doctor and get back on Xanax? And that the need now then is for what to do to make the interim bearable?
Thanks for sticking with this. You're a good person and I'm glad we're getting further. So, then,
we can't get rid of the headaches in the meantime, right? What, then, are the main problem behaviors that the headaches make you have?
We can't stop the headaches until you get a new doctor. But what are we trying to make better for you until you find a new doctor?
that would be wonderful
I agree. What area are we trying to improve? Are you snapping at your daughter? Or are there other things we are trying to improve? By the way, have you learned meditation to help with your headaches?
I do I go into my room for quite tie to read a book or go for a walk. I dont snap at her because I bottle it all up inside in trn giving me a bigger headache
You are truly (I mean this sincerely) a first class person. You're going through chronic headaches and yet you have the presence of mind to leave and not be in the situation with your daughter. First, when you're in your room, mindfulness meditation is the help I'd like you to give yourself while we're in this "Xanax pause moment".
The psychologist who brought mindfulness meditation into psychology more than any other person is Jon Kabat-Zinn. His first book is the one I want you to look at: Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Pain, Stress, and Illness. Here's the Amazon page for it and you can look at some of his others there as well:
I want you to look at this video of him. If you stay with the video and listen carefully, I think you will hear much that will feel relevant for you:
His most popular book is Wherever You Go, There You Are. It's a true classic; I think they just did an anniversary edition of it. So, enjoy getting to know Kabat-Zinn and learning to not fight against your racing thoughts but, instead, feeling more in harmony with your mind and being able to slow down your thoughts naturally.
I would then like you to use the mindfulness meditation as a way to focus on your feelings that are all bottled up and use the moment of focusing on them to release them, to let them go. Might that work for you?
it is worth a try. my head aches are so bad it is hard to see. and i am frustrated. thanks for your help
I wish you the very best!
My goal is for you to feel like you've gotten Great Service from me and the site. If we need to continue the discussion for that to happen, then please feel free to reply and we'll continue working on this. If the answer has given you the help you need, please remember to give a rating of 5 (Great Service) or 4 (Informative and helpful), or even 3 (Got the job done) button. This will make sure that I am credited for the answer and you are not charged anything more than the deposit you already made by pressing any of these buttons. Bonuses are always appreciated! If I can be of further help with any issue now or in the future, just put "For Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, ***** *****
I just dont see why i cant get a smell perscription since I have been on it until I can get to my new reg doc and it is impossible
You can get a prescription if you can get to a doctor who will write a prescription for you. Do you have a family doctor or a primary care physician you can can talk with?
Hi, the system says that the chat is about to close. But I see you are still in the chat. Would you like to continue? If yes, please do so. I'm still here.
If not, I would be very appreciative if you would first give a positive rating before leaving. Thanks, ***** *****
its ok I cant get any help here