I have bpd and I take venlafaxine 375mg and the only time I feel right is when I take tramadol. Is tramadol ever used as a last ditch resort to treat depression? Thanks for any advice.

Was on Vyvanse 50mg and Lamotrigine 200mg. They were both too high, so I went down to 40mg Vyvanse, and 150mg Vyvanse. Since then the tachycardia I had been experiencing previously got way worse. What is the explanation for this?

I have slow comt which prevents dopamine being broken down in the PFC. Stimulants do not help me. Strattera worked ok but too many side effects. Guanfacine worked for emotional regulation but not my severe executive dysfunction. Wellbutrin was good for energy and motivation but not much else. It was recommended i try selegiline the medication for Parkinson’s at a low dose. I also was told am amantadine or methyl blue to add tho this. What are your thoughts of my treatement resistant adhd and hoping to at least get partial help from these meds I just mentioned.

I have some what severe adhd, iv also had tbi and still suffer from its after math.. im on a few meds.. but the one that give me the most problems are the adhd meds. I have been on pretty much all them.. I currently take zenzedi 40 mg as needed through out the day. I realize it’s one of the strongest stimulants available, but it seems like the effectiveness and duration just seems very every other day. Some days a dose will last 4 hours and work pretty good and an other day a dose will last maybe 2.5 hours with minimal effectiveness. Although I have these issues the medication has been the most effective for my delayed processing and constant spacyness .. so I’m taking advice

Hi I am on 7 drugs and have been really sensitive to sunburn and I got a really terrible sunburn on my hands and arms recently (Australian Summer). I am on cariprazine quetiapine guanfacine Lithium then for side effects I’m on Propranolol Metformin and most recently benztropine. I looked on drugs.com and couldn’t find anything about photosensitivity.

I know you’re busy and offering your expertise for free, so I’ll keep this as short as possible. If you need more info feel free to ask.

Our 30 year old son has developed a scary, full blown, paranoid delusion that began as a rational observation about 3 years ago. ballooned into a potentially life destroying obsession. he now perceives literally everything that happens to him or his girlfriend - as proof that he’s being spied on and persecuted. The connections he makes between random events and the “conspiracy” are simply not reality. He sees a psychologist but now believes they are part of this “conspiracy.”

Do you have any suggestions or even names of someone who can support and advise my husband and I in how to help him? We are not on the same page but acknowledge that we’re out of our depth, and every effort thus far has come to naught. I am scared and deeply saddened for our son, and worried about our future as a family. Cost is not a variable right now.

Thank you.

I am currently on 37.5 mg of the IR. I initially tried the 75 mg but the side effects were too much for me so I started cutting the pills in half. At the moment, I feel like the pills aren't working anymore. I feel okay for the first 2-3 hours after taking the half tablet and then I go back to being depressed and suicidal amd I have really rough nights. I'm wanting to try the SR but my concern is that the lowest dose of it is the 100 mg tablet and you can't cut them. Thoughts?

Asking here because my current psych does not engage in much discussion during appointments.

Dx: MDD (severe), moderate trauma history

Medications I’ve tried, all were for 6+ weeks unless I had a bad reaction:

SSRIs: Fluoxetine(Prozac), Sertraline(Zoloft)

SNRI: Duloxetine(Cymbalta)

Mood stabilizers: Aripiprozole(Abilify), Lamotrigine(Lamictal), Lithium

Stimulants: Modafinil, Dextroamphetamine

Others: Bupropion(Wellbutrin), Vorioxetine(Trintillex), Mirtazapine, Nortryptaline, Hydroxyzine

Therapy: 1 month DBT IOP, 2 week DBT PHP, 2.5 years talk therapy with a very good therapist

Misc: 3 sessions of TMS (bad reaction), Tried psilocybin in a clinical trial, exercise, meditation, diet changes, adopted cats.

I had 0 reaction to most of these. I am still on dextroamphetamine because it keeps me functional enough to stay in school. I had a moderate positive reaction to nortryptaline but it gave my significant heart problems at the lowest dose. After all of this I am still suicidal most of the time and depressed all of the time.

What are my options

I’m looking into tapering down & eventually off one of my medications with of course my doctor knowing but I’m looking to see while tapering down some kind of natural supplement that can help with my moods. I know when tapering they’re gonna be all over the place. I’m mainly worried about my ups they call it mania.

Thinking About Dropping Vyvanse – Trintellix Changed Everything?

I’ve been on 10mg Trintellix for almost four weeks now, and something interesting has happened—I finally wake up peaceful and content. This is a big deal because, before Trintellix, I was on Wellbutrin and Prozac, and my mornings were depressing as hell. I relied on Vyvanse (50mg) to kick in just to function.

Vyvanse helped with focus and anhedonia, but it’s inconsistent. Some days, I feel great. Other days, I feel like a zombie. I originally got on it for ADHD and binge eating disorder (BED). When I first started Vyvanse + Wellbutrin, I felt invincible—so happy, so confident, so motivated. But after two months, that feeling wore off, and I started chasing the high, which just increased my anxiety. At some point, I realized I was addicted to Wellbutrin, and later, I recognized I was addicted to Vyvanse just to feel happy or alive.

But Trintellix feels different. Unlike everything else I’ve tried, it doesn’t make me manic, numb, or overexcited—it just makes me feel calm, stable, and normal. And I’ve noticed something huge: my ADHD feels better in the morning before I even take Vyvanse. I can finally form complex sentences, interpret ideas better, and express my thoughts clearly—which is crucial because I’m a software engineer and struggled a lot with translating ideas into words before.

Today, I woke up calm and content and actually enjoyed music for the first time in months. Then Vyvanse kicked in, and suddenly, I felt anxious and zombified again. It’s like the roles have reversed.

I never thought I’d say this, but... do I even need Vyvanse anymore? I always assumed I’d be on it for life, but now I’m thinking about getting off it completely. That idea used to scare me, but now I’d actually be glad to drop it.

The only concern is my BED—Vyvanse helps control it, and I don’t want to spiral out of control again. But if Trintellix is actually solving my ADHD by managing my anxiety and depression, maybe I don’t need Vyvanse at all?

I’m also considering switching to Modafinil instead, if I feel I still need some cognitive boost. I hear it’s more subtle and doesn’t mess with emotions as much. Has anyone made this switch before? How was it?

Before Vyvanse, I used to work out twice a day, was super creative, and hyperactive—but also anxiety-ridden and depressed. Now, I work out once a day, and while I miss some of that old energy, I feel like I can finally do things I actually like, rather than just chasing dopamine all the time.

Would love to hear from anyone who has been in the same boat!

I take max dose sertraline for many years. Depression worsened and was put on 200mg quetiapine XR as well. Am on it nearly 2 months and am not really feeling any better. The only plus is my sleep is now good. I previously tried mirtazapine but did not react well to it. I feel I'm running out of options. Perhaps dosage could be increased or maybe a different adjunct could work? Any commentary appreciated.

I’m a 26yo diagnosed with PTSD/GAD and ADHD-PI. It’s been a number of years (about 8) since taking ADHD meds (Vyvanse) and figured I should get back on, with school starting in a few days (career change).

For some odd reason, my new doc is suggesting Modafinil or Bupropion before trying any stimulants on me. I told him that anxiety is a concern with any possible meds (maybe this is why he’s trying to avoid stimulants?).

I don’t have depression. I feel like Wellbutrin is an odd choice. Should I push for stimulant medication or just give the Wellbutrin a fair chance? I know that there’s a stimulant shortage right now anyways.

Thanks.

I feel bad because I cannot play violin and also I use abilify and concetra 54 mg

Hey,

22 years old male

I'm 3rd month on Lexapro 10 mg. I'm afraid I may have a lot of diarrhea from this meds, but I read it occurs mainly in the beginning of the treatment.

I've excluded gluten intolerance, caffeine sensitivity, lacotse intolerance, stress. I've tried probiotics. I take also 20 mg buspirone a day, but it has much less % of causing diarrhea.

Is it possible to have diarrhea from escitalopram after such long time? Maybe it's because I've taken many different antidepressants since 15yo (I'm 22yo male)?

I can't tell if diarrhea started with treatment tbh, I don't remember.

I have diarrhea 1-4 times a day (it varies). No bleeding, no pain, no vomitting. Just bloating and diarrhea.

I want to preface this by saying that I plan to speak with my psychiatrist as well, but wanted to get some extra insight first.

Going to try to make this as concise as I can without holding back any important details

- had been on anxiety meds for a few years

- several months back I had been speaking with a therapist about an issue that was unrelated to my anxiety, over the course of our sessions she suggested it was likely I had adhd after asking some questions

- PCP prescribed Vyvanse after I went to her with this new diagnosis. I did not do well on that medication, felt very anxious and jittery. PCP prescribed 40mg of Straterra and also referred me to a PMHNP

- PMHNP met with me and upped the Straterra dosage to 80mg. It worked and it worked well.(This was after several weeks) I was getting things done, I was motivated, I felt like a new and better person. I was taking charge of my health and my life in general and it was great. Unfortunately, I would lie awake at night not being able to sleep.

-PMHNP took me off Straterra and I started Quelbree for several weeks. Did not work at all.

- Looking back, I realized that how I felt on Straterra was life changing for me. I realized that the reason I was probably awake at night was because I was actually getting enough sleep for the first time in my life and therefore wasn't as tired. I requested to be put back on the Straterra. Here's where I think the issue comes in. The PMHNP started me back at 40mg (which was not the dose that had worked originally). She finally upped it to 80mg, but after about 4 weeks it still hadn't made any difference. I personally feel like maybe I should have given it more time, it did take at least 6 weeks last time it worked.

-I was then put on Concerta 18mg. Didn't do anything so we upped to 36mg. Still nothing, so we raised it again to 54mg. This was worse than the experience with Vyvanse. My anxiety and agitation was crippling. I couldn't focus on anything. I felt on the verge of a panic attack. This was yesterday. I decided I'm not taking any more Concerta. I obviously cannot do any stimulants.

- My questions now: Should I request to go back on the Straterra at 80mg or more again? Would it also be ok for me to request to speak with both the PMHNP along with one of the MD psychiatrists at the office, or would that be offensive? Any suggestions?

Hi all,

For over five years I have struggled with severe anxiety that has over time focused more and more on food, to the point that the only thing that triggers my anxiety anymore is food/social eating. Please read previous posts on my account if you want a detailed description.

I have been prescribed Mirtazapine and sertraline separately, but haven’t started taking either, because my symptoms are cyclic. Some months I eat fine, other months I have a panic attack over most meals.

My GP and parents want me to try sertraline first, but I personally can’t help but feel Mirtazapine would attack the problem more head on. I don’t think I’d have any anxiety issues at all if it wasn’t for the fact that I am a tall male who needs to eat a lot, even when I don’t want to.

Any advice would be hugely appreciated, and if you are interested in my situation there’s a detailed description I posted a few months ago on this account.

Thanks 😁

hi i am a 33F and i am wanting to know a few things about mania

1. can you be manic if you are sleeping normally if you are on sleeping pills but have a lot of the other symptoms of mania?

2. is it bad to be manic and can it permanently affect your brain/mind?

3. what to do if you have two psychiatrists that believe you have bipolar 1 but your local community mental health team and the hospitals put it down to you just having complex post traumatic stress disorder is there a way to get them to listen and do something about it or are you stuffed as they have made their minds up?

3.what medications would be more likely to help as i have tried a lot of mood stabilizers which results in me having really bad side effects same with a lot of antipsychotics that also have side effects?

4. if i am manic will my psychiatrist notice it and do something as i don't know what he can legally do if it helps I'm in south Australia when it comes to what is and isn't legal or what the system allows i see him privately but it is bulk bulled through medicare

6.will he think anything is up if i cancel my appointment i don't really want to go as i am anxious and i don't really like him but he is the only one available to me not to mention sitting still is a problem at the moment and he is always late.

7. if i have to see him will taking a Lorazepam be an idea to keep me calm and will it mask it?

8.if mania is medication induced will it last as long as the person is on the medication causing it or will they eventually go into a depressive episode or mixed episode despite staying on the medication that is causing?

9.can tricyclic antidepressants induce mania or is that more with serotonin reuptake inhibitors?

if anyone could answer my questions i would really appreciate it

26m dx’d w/ PTSD, ADHD, and GAD. I probably have OCD and social anxiety/panic disorder as well, but they haven’t been formally diagnosed.

I’m currently on Clonidine 0.3mg/day for my ptsd and adhd and I’ve been taking to my psych about adding another med for better adhd control.

He mentioned bupropion and even modafinil. He said that he’d rather I try one of those before I try a stimulant med like concerta or vyvanse. Does this seem reasonable or should I ask him if I can skip the non stims and jump right onto a low dose stimulant?

I’m assuming that he wants to try a non stim since it has a lower risk of increasing anxiety?

adhd, cptsd/generalized anxiety. Im interested in looking for psychiatric help. Ive called several through insurance and on psychology today we site but its been hard to just schedule an appointment with someone. They are either no longer in service, booked, or extremely expensive (300-400/sessions).

Ive seen several psychologists. Its been mainly talk therapy. Also, when it comes to workplace medical documentation, they have been hesitant to help with this

Hello, I'm a 16M.

I'd appreciate any guidance/counseling for this- I have been looking for months and I am just completely lost at this point. Just redirecting my question elsewhere could still help me a ton.

A friend of mine recently attempted suicide last fall. Ever since, I have been looking for suicide hotlines that would be willing to take me as a volunteer. Most hotlines only accept 18+, but a couple accept 16 and above, here's a few examples:
https://calyouth.org/cycl/
https://www.teenlink.org/get-involved/#VolunteerorIntern
https://www.teenline.org/get-involved
https://samaritanshope.org/our-services/hey-sam/volunteer-with-hey-sam/

The issue with most of these though is that they don't accept online work/training. The only ones I'm able to apply to are samaritans hope and cal youth, but even then both of these seem to have long(months!) waitlists.

I am bilingual(french/english) so I can also work in Canada, although I have not found organisations that worked there. I am also turning 17 in march, if that makes a difference.

Are there any other organisations in the US/Canada that I could apply for?

Just a few questions if you don't mind! :) Trying to find the information online but was having a hard time. If this is too medical for rule #2, I apologize! Please take down my post if so!

1. For patients who experience suicidal thoughts resulting from starting SSRI, are they more likely to have this experience with other SSRIs? Or is it usually more specific to the individual SSRI?
2. Do thoughts typically subside if the patient remains on the medication long enough? Or are they likely to continue unless stopped?

I recognize that this could be different patient to patient so no worries if there is no hard and fast answer. Just curious if there was a more likely outcome for most patients. Thanks!

I have been battling many chronic illnesses both mental and physical for most of my life. I have reached a point after trying almost every psychiatric medication that is safe for me to try and no relief. I express to my psychiatrist and therapist that at this point I don’t think things are possible to get better as this society is a major driving factor to my mental illness but it can’t be fixed. So many wellness checks and no one wants me to harm myself but there is no real solution or way out of this. I am in constant fear everyday of loosing my disability benefits which I need so that is so much chronic stress that I can’t escape, all the stress of spending hours every month fighting the insurance companies for medication coverage, playing phone tag with doctors office and pharmacy and being told something different by each one, then being in constant poverty and not enough money to provide for everything I need so I have to resort to selling my body for money. I hate how this society functions as far as overall valuing profits over people and community. It is a dystopian society that I don’t want to be part of, I’m so tired of fighting. I have been on soooo many medications since I was about 10 years old and I’m now 28. Even if my mental health was to some how magically improve I would still be stuck in poverty because of all my chronic health conditions I can’t afford medical care without significant support as between medications and medical treatments I would estimate it is averaging 100-120k a year just my best educated guess. I don’t have any desire to be exploited by a company, the only thing I can see myself doing is working for a non profit which I currently offer peer support to help others struggling but even if I had a job doing that it isn’t enough to afford to pay for all my basic needs. I am trapped in a nasty horrible trap with no way out and at this point I have close to 20 diagnosis between mental and physical and it is so distressing and I wonder if it even makes sense to destroy my body with my pharmaceuticals when I there isn’t a logical or possible attainable option for a meaningful fulfilling life that isn’t full of chronic stress in fight or flight mode because I’m. Just trying to survive with so many threats like SSDI listing my case as medical improvement expected with reviews every 2 years and the threat of loosing my much needed benefits. They used me going for some walks against me and denied me for that, so it’s an extremely real threat and possibly, If I loose that I don’t think I can keep myself safe after that. I already dealt with trying to make it through 3 years of appeals and being so poor and not able to afford my medications that insurance wouldn’t cover so one of my health conditions worsened and progressed because I didn’t have the basic access to a medication. I am battling Schizoaffective disorder depressive type,several personality disorders including (paranoid,negativistic,schizotypal,schizoid)adhd,ptsd,anxiety,sleep apnea,hypnopompic hallucinations of spiders dropping on my head as I wake up,dream enactment behavior,Tourettes syndrome,high blood pressure,high cholesterol,binge eating disorder,memory loss,heart arrhythmia,chronic migraines,chronic venous insufficiency,neuropathy,IBS, some type of issue with my blood that doctors haven’t been able to find out bone marrow releasing white blood cells too earlyimmature granulocytes,….like idk what to do and I don’t know if it’s even worth taking psychiatric meds anymore. I’m working with my provider to go off of medications at this point to get a baseline as I haven’t seen any improvement after at least 60 different psych meds at this point to treat all different contains to the point I have even taken a MAOI, I’ve done TMS too. Many hospitalizations, PHP,IOP,Residential, ongoing outpatient therapy and medication management since around the time I was tortured as a child which was around 6-7 years old. I’m horrified that if I go off of my medications because they aren’t helping, that the SSA will take away my disability saying I’m not complying with treatment or something like that. But honestly I don’t see the meds making any meaningful change in my life, I have tried and tired and it’s just more side effects with no benefits from the medication. Just feeling really lost and don’t know what to do. I’m constantly fighting so hard everyday and trying not to give up but I don’t have the tools and environment I need to live a meaningful lower stress existence….

I have never been to my nurse practitioner’s office since she works remotely, but needed to drop something off the other day

I knew beforehand my NP works from home and her secretary has an office space, but when I got there, to my complete surprise, she didn’t have an office.

it was a huge, open coworking space.

Everyone sits around one big table with their laptops and phones. (I didn’t know this beforehand because she always just calls me, she doesn’t FaceTime me so I never knew that her “office” was a coworking space

Am I paranoid to feel uncomfortable? My nurse NP’s secretary does symptom scales and asks about suicidality. Am i overreacting to think I’m not really crazy about my sensitive information being spoken about in an open concept layout co working space?

Thank you

I recently learned that I was misdiagnosed with bipolar disorder. I am now diagnosed with ADHD. At one point I was on about 400mg of quetiapine. I am now down to 125mg.

When I first started taking quetiapine, my brain was quiet for the first time. For my whole life, people were telling me “you need to think before you speak”. I did not even understand the concept before medication.

Every time I try to decrease past 125mg I feel extremely tired and I also lose more things (last week I had to spend over $100 and several hours unravelling a mistake that was a result of forgetting key items. Another time when I tried to decrease this, I lost my car for like 5 hours which sounds wild, but is unfortunately true)

When I look into withdrawal symptoms, this doesn’t seem to align. I’m still sleeping 8 hours a night.

I can see that there is some research emerging about quetiapine being helpful for ADHD. But it’s obviously not clear.

Could this be withdrawal symptoms that I should push through? Or should I just accept that for whatever reason, this medication helps me?

I would really like to avoid being on antipsychotics. It definitely impacts my gut. I am worried about the effects of prolonged use.

I have been on the medication for 10 years. My current taper is by 12.5mg.

I have recently noticed I have two inner monologues. The best way I can describe it is like when the in cartoons they have the angel and devil on their shoulders. I have my normal inner monologue that I hear as whatever voice I currently hear it in, but sometimes when I'm thinking about something bad I've done or making a decision that might not be the best I have this other monologue that tries to string me along. I know this sounds ridiculous, but does it mean anything or am I just weird.

I don't know if this matters but I feel should add I have been diagnosed with:

ADHD Autism Anxiety

I was at a psychiatrist regarding adhd medication and he asked me about my parents relationship, I told him that in a few cases fights escalate and physical violence was being used, I specified it a bit more, too; the thing is, my father works in a similar field, Neurology and I asked my father today if he knew the psychiatrist and he told me yes, they worked at the same facility for a few days together; the other thing is, the town we live in isn't big and I have a surname that is very unique in germany and especially in that town - now I really fear that the psychiatrist recignizes our kinship and could tell others in this field who also know my father or work with him about this and that my father's reputation or worse is in danger - I haven't told my father yet, I only told him that I went to this psychistrist and I feel so bad right now, I was very flustered when the psychiatrist asked this and I tried to explain it in as few words as possible so I also fear that I have painted my dad in a worse light than it is actually the cade - so I wanted to aks if things like this are being discussed among colleagues, especially if orher people they know are being involved? Especially in germany?

Hi everyone,

I’m conducting research on interdisciplinary collaboration in the management of traumatic brain injury (TBI) as part of my Extended Project Qualification (EPQ). I’m particularly interested in how specialists—neurologists, psychiatrists, neurosurgeons, rehabilitation specialists, emergency medicine doctors, and others—work together in treating TBI patients.

I’ve put together a short questionnaire focused on how different specialties coordinate care, communicate, and address challenges in interdisciplinary management which is linked below.
https://forms.gle/3rh46rxhbYvg1nLY9

Thank you for your time :)

Patient has been taking Adderall for a couple years now for ADHD. Patient states Adderall helped him focus, gave him energy, and made him feel that he could takle problems which otherwise he felt helpless to overcome. This medication worked well, but did not cover all symptoms. Now patient reports being depressed and being unable to shake negative thoughts and feeling hopeless. Patient reports low energy and apathy.

Previously patient has had issues with vasoconstriction and coldness in hands and feet with adderall, vyvanse, and focalin. Caffiene intake would worsen the effects. At times when the initial dose of adderall/vyvnase was a little high, blood vessel would be dilated and patient would report being sweaty. After several days to weeks at new dose patient's body would adjust to the dose the cold feeling would return. Now, Wellbutrin has been added to mix. Patient reports when he takes the Wellbutrin with the Adderall, he gets the same dilated blood vessels/sweaty combo for about an hour or two.

Also, when taking the Wellbutrin, about an hour after taking it, he reports feeling completely useless. It completely negates the Adderall, and this feeling last for about 5 hours. From 6;00am to noon. After lunch, and his adderall booster, the afternoon is much more productive. Patient has been on wellbutrin 150xr for two weeks, but states there has been improvement in mood, but not work productivity, and his sleep is not as good. Is there a better timing solution than taking Adderall and Wellbutrin at the same time?

Additionally, patient was prevously prescribed buspar with adderall. Pateint reported the buspar would cause signifigant vasodilation and leave him almost unable to walk and he did not have any motionvation to accomplish any task. If taking the Adderall 4ish hours after the Buspar, then Adderall worked the best is ever been.

The long and short of it is too much vasoconstriction = too much anxiety and depression - too much vasodilation = happy but lethargic, and no motivation. Patient is trying to understand how to time medications and what mechanism is being triggered and by doing so he is trying to stay in the goldilocks zone of feeling good and being productive.

All information patient has been able to find indicate Wellbutrin and Adderall or both vasoconstrictors. Thus, the above vasodilating effects are confusing.

i started lamotrigine and propranolol 3 days ago. lamotrigine for my bpd, and propranolol for my anxiety (as needed). i was previously on zoloft before starting these new meds (still am) and im not going to lie, i took my zoloft on and off because i get really lazy. but i have been doing good sense i started the other 2 meds. last night i discovered my right lymph node under my jaw was swollen and a little painful, i woke up today with a stuffed nose. i think im placebo effecting a sore throat because sometimes i feel as if its sore and then it instantly goes away (im a hypochondriac) but i absolutely hate doctors and i feel as if they disregard things too much. i will mention that i have an irritated gauge on my right ear and an irritated spot on the right side of my gauged septum from getting hit in the nose, i don’t know if that’s what’s causing it, so i figured id get everyone’s opinions. is it the medicine or am i overthinking it too much? im on 25mg of lamotrigine, 10 mg of propran, and 50 mg of zoloft, my psych upped my dose to 100 but it made me feel awful so i just started taking my 50s again, i haven’t let her know because i can’t get in touch with her. but i don’t think that has anything to do with this.