I wish they would’ve given me that warning when they prescribed me 3mg Xanax daily, 13 years ago. Tapering this med and going through benzo withdrawal is inhumane suffering!
@michaelthau100711 ай бұрын
Thank you Dr for your wonderful presentation. I was placed on klonopin for panic disorder and health anxiety. 0.75mg for 18 months and 1mg for 6months. Did a 6 month taper and been off for 19 months. Since coming off it has left me with chronic insomnia, brain fog, and overall not myself. I wish my Dr would of told me about side effects and potential of long term effects. I truly don't believe i will ever be myself again at age 54. Thank you
@kalliaslands993811 ай бұрын
That was an interesting case at the end. Leaves me wondering what could be done though for stress intolerance/dysregulation after the standard treatments have failed. I guess DBT but that can be hard to find and requires a lot of commitment. Mood stabilizers maybe?
@smooth_pursuit11 ай бұрын
Somatic methods. Yoga, breathing retraining, trauma work… you have to address the nervous system. Learning to calm the breath alone can prevent panic attacks. We need to teach people real physiological self-regulation skills
@benzapp111 ай бұрын
Carbamazepine and Quetiapine are the only things I've found that have some clinical evidence. Lamotrigine too, though I don't remember reading about that.
@smooth_pursuit11 ай бұрын
I’m shocked at the numbers. KZbin is full of people describing how benzos (taken as prescribed) have destroyed their lives
@aquious95311 ай бұрын
I found getting involved with a psychiatrist was an error on my part.
@DanielSRosehill11 ай бұрын
Loved the quick takedown of GABA sups! I mean, if it worked, as you say, there'd also presumably be a withdrawal epidemic due to people self medicating with it. I'm not from the US but visit somewhat regularly and every time I step into a CVS I'm baffled to see more OTC "relaxation" supps with GABA as the supposed active. Crazy!
@Complexanxiety11 ай бұрын
Can you please do a video on why anxiety makes you vomit? And any medication or tips to stop it?
@braddishv31468 ай бұрын
^^^ This... I suffered from this for years. I hope you get help - I don't want to presume how to help in your situation, but there are medications and therapy (if it is situation specific) that can be a life saver; it was for me. I hope he sees this.
@DanielSRosehill11 ай бұрын
Amazing overview. Thank you, sir!
@DanielSRosehill11 ай бұрын
Nice diagram with the different affinities for GABA sub receptors. Couldn't help but notice BZDs and zolpidem were at the same site. Makes me wonder how different they really are!
@Mach15-2011 ай бұрын
Hi doctor. Does escitalopram 5mg have therapeutic effect? I’m finding 10mg to be to much for me.
@shawnaford554011 ай бұрын
Definitely like the end point of actually finding out what is going on and customizing the treatment. I use Klonapin a few times a year for anxiety. If I have poor sleep a few days in a row I take .25 at bedtime. Or if during the day I end up shaky tired, it will give me energy. To just push through when the other techniques are not working can intensify my depression. Early in my depression I was on 1mg twice a day and eventually I decided try the less is more.
@stormzamboni615711 ай бұрын
sometimes when you get patients with benzos long term, its very tricky to taper down and case by case whether they do better based on individual factors... although some data would say they should do better
@safy236311 ай бұрын
Intelligent presentation thanks
@AG-ey6ds11 ай бұрын
Very informative. Thank you. Any suggestions on nutrional support? I keep thinking there was a video in the past but cant find it. Please repost for me? Wondering if 5-HTP OTC be helpful for anxiety? I just recently tried an off label medication for anxiety. I felt the results were not equal to the cost, (after insurance approval, after documented failure of an SSRI.)
@debbiemilam220411 ай бұрын
Thanks Doc.
@dereks184811 ай бұрын
I've been on clonazepam & benzos in general for about 20 years. Now currently on 3mg per day of clonazepam. Tolerance plays a huge issue with these meds and you will eventually get used to your dose. I really wish i never started them due to addiction issues etc. I will say my antidepressant is more effective than these benzos over time. Benzos should really only be used as a prn for a couple weeks.
@Marc00111 ай бұрын
Along with treating panic disorder, Klonopin is also an excellent soporific. I've coped with awful insomnia for many years, yet a 2mg dose of klonopin almost always puts me to sleep and helps me feel refreshed the following morning.
@michaelthau100711 ай бұрын
Glad it works for you. Have you ever tried anything else for chronic insomnia? Coming off that medication the insomnia is brutal Many blessings
@Marc00111 ай бұрын
@@michaelthau1007 I've tried supplements like L-Theanine (which calms the mind but doesn't act as a soporific) and low dose Seroquel (what an awful medication, incidentally). There're just some people like myself who require benzos and hypnotics to sleep at night. The best solution for us I think is to rotate these medications so as not to develop a tolerance to any one of them.
@naphisa34011 ай бұрын
Its not meant for long term use.
@sabrinacarter836211 ай бұрын
Is it also possible that if taking Xanax three times a day the client is in an endless state of withdrawal every 4-6 hours? Thus believing their anxiety is spiking when it's really the symptoms of withdrawal. As providers, we leave the discussion of withdrawal out of the equation when it comes to Benzos being dosed multiple times a day. Thank you. I always learn a lot by watching your videos.
@Dave-if5qj10 ай бұрын
Wish that there was an antianxiety medication As effective as benzos With out the addiction and tolerance issues Buspur hydroxyzine And drugs used off label For anxiety are not effective For me
@janisjansons570711 ай бұрын
What hapened to Silexan ???
@AcmePhoto11 ай бұрын
Does Picamilon (nicotinoyl-gaba) cross the BBB?
@timothyayers85966 ай бұрын
So Doc, how many weeks were the SSRIs studied for ?? Yeah they weren’t studied past several weeks either. Do you really want to go there with that argument ? Let’s look at all the psych drugs then …
@gts44711 ай бұрын
Thanks doc, I was on clonazepam and diazepam fir 10 years, mirtazapine plus ssri has allowed me to sleep without benzodiazepines. Anyway thoughts on taking magnesium citrate or glycinate daily for brain and mood health?
@travisn3464 ай бұрын
Magnesium has never alleviated my anxiety. I've taken glycinate for years.
@gts4474 ай бұрын
@@travisn346 I’m inclined to agree, but then I don’t notice the effects of any supplements really
@travisn3464 ай бұрын
@@gts447 the usual lifestyle changes (rest, exercise, diet) really don't address anxiety either because they don't reach the subconscious mind which is creating the risk assessments.
@veronicaladd582111 ай бұрын
What does it care What you are are on . If it suits you why not carry on. Wh