For how long has this been going on?
about 2 years on and of
Can you tell me what kind of counseling you had? (Or was it just general)?
Can you tell me the name(s) of the medication(s) you used?
For how long did you stay on that/those medications?
just general counselling.
Do you have any other medical problems?
Do you take any medication?
Am currently on Seroxat and Quetiapine been back on them just over a month
was previously on many others, tried betahistine too
have you been cleared of any medical reasons for these feelings?
The doc says its all anxiety related causing my symptons
While that sounds likely, did he do any tests?
The fact that you're worried about going out too far makes it sound more like anxiety too - but first any medical problems need to be addressed.
Have you been on any other SSRIs?
Ive had ECG and Blood pressure and it was slighty high
Have you ever been on any medications like Clonazepam?
Have you had blood pressure first lying down then standing up?
I take diazepam
How much of each medication do you take and how often?
What other medications do you take?
No just sitting in chair but not visited GP for
25mg twice a day Quetiapine and 20mg of Seroxat in mornings
You need to have the test laying down then sitting up. That will tell your doctor if your blood pressure is a problem (called postural hypotention)
How often for the diazepam?
every now and again, sometime daily
It sounds to me like you need to be on a low level of a longer acting benzodiazepine instead of only the occasional diazepam.
oh ok. Im worried I read something about dizziness and in the paper person had labyrinthitis, could it be that?
I do m
I do feel more light headed when anxious tho
It doesn't sound like that. If it was then the betahistine would have helped it.
I would think you should be on a low dose clonazepam (it has a half life of 30 hours which makes it much less addictive)
No betahistine did nothing
clonazepam rather than diazepam?
oh ok. Can diazepam makeme dizzy then?
diazepam is much shorter acting, and works better for when suddenly you need it, as opposed to clonazepam which has a longer time for it to maintain a steady amount of antianxiety
Diazepam does have the ability to make you dizzy, but it wouldn't stay that way.
oh I see now
Could I collapse if it is anxiety causing the dizziness?
Also, it sounds like you are developing agorophobia (fear of the outside). That is a condition that worsens without help. You need to find a therapist who will work with you specifically on that problem, and who will physically go out with you for some walks in order to help you not develop it further.
You won't collapse from that.
I believe I am, just getting to town is real struggle
Even in the case that someone faints from bad news (which is similar to your case) by the time they land on the floor they wake up.
Is there some way you can get to a therapist who specializes in this?
I wish I could give you names, but I am in the US
Im having appointments with an EFT specalist
I'm not sure what EFT specialist is. Is that someone who might be able to help you specifically with this?
its Emotional freedom technique, tapping different parts of the body. Saw hypnotherapist too
maybe the dizziness is caused as have constant fears my heart will just stop
Having that fear certainly can cause an anxiety attac.
It sounds to me like you are young and healthy. Is there any reason your have that fear?
..and its with me all day as thinking all the time
Ive read about it a long time ago that fit and healthy people just dropped dead
That is true, but it is exceedingly uncommon. The percentage of people that happens to is lower than the percentage of people dying from cancer, accidents, falls, suicides etc.
While it is a true fact, it is unreasonable to think about it constantly. This is where your diagnosis of anxiety kicks in. A person who did not have extra anxiety wouldn't worry about this.... because, as in your case, it can be crippling and isolating :(
oh I just assume it can just happen just like that to anyone and had ECGs etc but still doesn't reassure me
maybe sitting in all the time thinking negatively makes it worse
I understand. To be quite honest I also get into this kind of terrifying thinking sometimes, and what I do is find something to focus on very carefully.
Definitely thinking about it all the time makes it worse.
hard to think of positive things
Until you find someone to work with you one on one about this problem you can try to do some complicated math problems, try maybe crossword puzzles etc. Something that will pull your mind away from that bad place.
It is hard when you are feeling anxious to think of good things - that is why I try to focus on something else.
Does this help?
I do a lot of puzzles and play games on my phone
Just to summarize (and we can keep chatting also).1. Talk to your doctor about Clonazepam2. Find a therapist to work with you on your developing agoraphobia3. Try to turn your mind to something else when it is going to bad places.
Games on your phone don't really make you think too much.
If you can actually sit down with a pen and paper that works much better.
There is also a kind of therapy that is called CBT cognitive behavioral therapy - that teaches you effective ways to keep your mind away from those issues.
I saw such a group run with people who had PTSD from being near the World Trade Center 9/11/01 - when they came crashing down.
Worked properly it can be very effective.
oh cool, ill try keeping myself busier
CBT doesn't really work for me
Another thing I've found (you can decide to try this, or not), try to get involved with people who need help. When you are helping someone else with their problems (even physical problems --- someone needs something moved and can't do it alone, someone needs a ride somewhere etc) it often helps your own problems be somewhat diminished.
and you forget your own problems?
need to ort my diet out too
You don't forget them, but your mind is busy with someone else's problems so at that time you don't think about your own.
Definitely should have a healthy diet
need to drink more as well hardly drink much
Certainly that is important as well.
So while you stay physically healthy, you need to get mentally healthy as weel.
whoops -- as well
only seem to drink in evenings
You can make a chart for yourself with 8 check boxes. As soon as you get up take a drink and check off the first text box. Throughout the day keep checking boxes any time you can get a drink and that way you will hopefully be more successful at getting the full amount that you should (8 cups of water per day)
If it is easier to drink something flavored then you can either use some of the flavor drops, or you can water down whatever sweet drink you like - but water it down significantly.
Caffeine doesn't count towards the 8 cups
ok and maybe that will help the dizziness
oh caffeine doesn't count?
If you remember the test I mentioned closer to the beginning of this conversation -- blood pressure laying down then sitting up -- one of the things that helps tell you is if you are dehydrated.
Caffeine is a diuretic. Anything you drink with caffeine causes you to urinate, leaving less water in the body.
maybe im having too much caffeine
that could certainly be causing some of your symptoms.
Is there any way you can cut it out of your diet?
I could do. I do eat too many cakes and crisps too
Is there some way you can make an appointment with a nutritionist?
I could try to or dietician?
(Sorry it is taking time -- my computer keeps jumping me over to a window for payment)
I think seeing a dietician would help you with some things. Once you decide on a diet with someone, and know you will be answering to them if you are keeping to it or not, that is very motivating.
Ok ill try and get appointment with dietician
That sounds like a good idea. Along with the other three I listed earlier.
ok ill give that a try
Was there anything else you wanted to ask?
Have you been happy with my service?
am guessing if I have another medical question need to ask it again from beginning?
Depending on what.
I also want you to realize that I only get paid once you accept the answer and rate me (hopefully excellent service), so I'd appreciate if you would do that.
Yeah definitely ill do that
Thank you :)
thank you for your help
Happy to be of help.
Would you like to ask your other question?
If you find it helpful you can always add a tip to the cost of the original question.
was just going to mention a bloodshot eye; should I be concerned?
Can you tell me more about it?
woke up this morning and the side of the eye is bloodshot
is it pink or bloody
Does it itch or hurt?
no doesn't itch or hurt
In that case I wouldn't worry about it.
oh ok it will go on its own then?
Try to make sure not to be rubbing it.
If you develop any pain at all it will need to be examined.
ok cool thanks
Is it bloody like it looks as if blood is going to drip out?
Is there any chance you had any trauma to your eye? Banged it?
no doesn't look like blood will drip out
no didn't bang it.
Okay... then it should be okay. Watch for any changes - but if there aren't any then it should heal by itself. If it gets itchy or painful then it can also be something contagious so it would need to be seen.
Have a great day
please feel free to come back with any other questions.