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84779943

Member
Mar 21, 2022
18
I feel like I'm too far gone at this point. I don't trust psychiatrists and I'm so tired of trying to explain what the hell is going on in my head when I don't understand it myself. I'm so paranoid about people and no longer speak to anyone or go outside. I don't want to admit the extent of my plans to ctb but I don't know what else to say.

Any tips?
 
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DisillusionedDragon

DisillusionedDragon

Pessimist/Antinatalist
Nov 25, 2020
172
Hm. I don't know you, so I can't really give you tips. But I'd consider being honest, as far as you are comfortable. Be aware of the things that could end up with you getting admitted, is that's something you absolutely do not want to happen. But I don't know, maybe it's worth a shot and being honest could help in some way. It seems like you feel like you don't have much to loose.
But, like I said, I don't know you or your previous experiences with psychiatrists, so I really don't know what to say. But I hope it goes well.
 
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Ethereal Knight

Ethereal Knight

Seja um bom soldado, morra onde você caiu.
Jan 10, 2022
817
I don't know. they are basically drug dealers. they're gonna give you a prescription for something.
what do you want a prescription
for? do you know why you don't speak to anyone or go outside? is it depression, schizophrenia or what?

if it is schizophrenia, then sorry but you wouldn't know it. if you see things, hear things and some strange things happen to you, then trust him and try the meds, you'll feel better.

if you isolate because of depression, they probably can't help you much, as the mainstream depression treatment using drugs is a global failure and more and more people are getting depressed despite a huge rise in antidepressant usage globally. in this case, I'd recommend therapy/counseling with a good psychologist, heavy physical activity, social support etc.

if you don't know why you're paranoid, then just tell him everything and he may help you understand. and then he'll give drugs anyway because that's what they do.
Be aware of the things that could end up with you getting admitted, is that's something you absolutely do not want to happen.
unfortunately I have to agree with this sentence very strongly. being involuntarily confined to a psychiatric yard can be extremely traumatizing.
been there, done that, it traumatized and damaged me profoundly... forever.
 
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batcountry

batcountry

Member
Mar 22, 2022
22
As far as tips go, something that helps me not get admitted is always being adamant that I have no plans to commit suicide and don't have access to anything dangerous, which is usually a lie but I have been to psych wards 11 times and it has never helped obviously. I know not every psychiatrist is the same so I can't guarantee you'll have the same result, but what has helped me the most is being honest about most of everything going on with me but as mentioned always insisting I don't actually want to kill myself, I just have suicidal thoughts. Best of luck to you, I really hope you find your session helpful.
 
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84779943

Member
Mar 21, 2022
18
if you don't know why you're paranoid, then just tell him everything and he may help you understand. and then he'll give drugs anyway because that's what they do
I'm isolating because of depression. I'm already medicated. SNRI's which helped depression but exacerbated a health condition caused by long Covid. I have ADHD which is somewhat helped by ritalin. I was sectioned for a week nearly a year ago after hanging myself. Got cut down by police. Then they prescribed lorazepam and zopiclone. Also i'm dealing with the aftermath of domestic abuse and other trauma. I'm paranoid because my abuser works in the mental health trust. I'm paranoid because I don't know how to tell anymore who to trust and because depression means that I can't hide how pathetic and useless I am.
As far as tips go, something that helps me not get admitted is always being adamant that I have no plans to commit suicide and don't have access to anything dangerous, which is usually a lie but I have been to psych wards 11 times and it has never helped obviously. I know not every psychiatrist is the same so I can't guarantee you'll have the same result, but what has helped me the most is being honest about most of everything going on with me but as mentioned always insisting I don't actually want to kill myself, I just have suicidal thoughts. Best of luck to you, I really hope you find your session helpful.
The problem is I don't know if I can lie about it. I may not intend to right this second but I have a plan, a method and my only focus right now is getting my affairs in order and organising and disposing of my possessions. I'm not entirely sure I want to be helped at this point. I have done the therapy, taken the meds, I achieved things. But if it always comes back to this. If trauma is always lurking. Well I don't have the energy anymore.
 
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Someone123

Illuminated
Oct 19, 2021
3,876
if it is schizophrenia, then sorry but you wouldn't know it. if you see things, hear things and some strange things happen to you, then trust him and try the meds, you'll feel better.
That's actually not true that a person wouldn't know if they have schizphrenia- I knew someone who had it, and bizarre halluciations, etc. are a big clue. A schizophrenic person is often lucid and clear-thinking much of the time, so they can have some understanding about their hallucinations, depending on how bad their case is.
 
batcountry

batcountry

Member
Mar 22, 2022
22
I'm isolating because of depression. I'm already medicated. SNRI's which helped depression but exacerbated a health condition caused by long Covid. I have ADHD which is somewhat helped by ritalin. I was sectioned for a week nearly a year ago after hanging myself. Got cut down by police. Then they prescribed lorazepam and zopiclone. Also i'm dealing with the aftermath of domestic abuse and other trauma. I'm paranoid because my abuser works in the mental health trust. I'm paranoid because I don't know how to tell anymore who to trust and because depression means that I can't hide how pathetic and useless I am.

The problem is I don't know if I can lie about it. I may not intend to right this second but I have a plan, a method and my only focus right now is getting my affairs in order and organising and disposing of my possessions. I'm not entirely sure I want to be helped at this point. I have done the therapy, taken the meds, I achieved things. But if it always comes back to this. If trauma is always lurking. Well I don't have the energy anymore.
I understand. Feeling tired and not wanting to have to deal with the trauma for the rest of my life is a large part of the reason I want to ctb as well. Is there anything holding you back/any reason you would not want to go through with your plans?
 
Ethereal Knight

Ethereal Knight

Seja um bom soldado, morra onde você caiu.
Jan 10, 2022
817
it's predictable that the doctor will either increase your dosages or add a new drug to the mix. if the new prescription is gonna help or not, I don't know. all I know is that, although pills definitely can help, it's unlikely that they have everything you need. they're just pills and your problems are too complex to be solved in any overly-simplistic ways.
 
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UpandDownPrincess

UpandDownPrincess

Elementalist
Dec 31, 2019
833
IME, they usually have plenty of questions on your first visit.

As far as plans/attempts go, I'd try to answer the questions the same way I would have answered them before your attempt a year ago. That way you can talk about feelings without going into your current situation.

Good luck - a great psychiatrist is worth their weight in lithium, LOL.
 
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Smart No More

Visionary
May 5, 2021
2,734
I've used the same meds as you for insomnia and even a week of use followed by abstenance left me feeling horrendous. Luckily it's only taken a few days to get over what seems ro be the worst of it but it makes me aware of how much worse it could be if on them for longer. If you're concerned about similar issues with your meds I'd say voice them. It gives you something to talk about other than your suicidal ideation. Mwds do apparently work for some so I nore any of us can tell you what to do on that front. I do think quite strongly that some caution is healthy.

I don't want to encourage you to give up. It's so hars to decide what the right move is when in the thick of it and having to fend for your own best interests because the people there to help are not inclined to get invested to the extent needed to decipher everything. Perhaps a starter would be opening up about having an abuser in the system (without actually saying who) and explain your reluctance to talk on the subject. You don't need to say a lot. Just enough so you don't have to open up about the over arching issues it presents. Maybe just a small step or putting out the feelers for what kind of response you'll get will give you tiny bit of breathing room. Sometimes those small things end up being bigger sources of relief when addressed by the right person. There's no way of knowing if it's the right person without putting it out there a little. Unless of course you already have experience with this psychiatrist. Really wish I could offer some better advice.
 
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8

84779943

Member
Mar 21, 2022
18
I understand. Feeling tired and not wanting to have to deal with the trauma for the rest of my life is a large part of the reason I want to ctb as well. Is there anything holding you back/any reason you would not want to go through with your plans?
I think fear is holding me back. My attempt was painful and scary. The body's SI kicks in and it took so much to fight through it and yet by extreme chance I was prevented from completing. Guilt for my mother. Not wanting people to think I went through with it because I didn't love them. It's because I can't love them the way they deserve. Depression takes away any ability to do the basic things which make us human, to love, to cooperate, to help, to trust, to contribute. But most of all the thing that's stopping me from going right now is that I'm determined to sort all my paperwork and dispose my belongings so that my mother doesn't have to deal with cleaning up the remnants of my life. And while depressed and physically limited by long Covid it's a slow and tedious process.
I've used the same meds as you for insomnia and even a week of use followed by abstenance left me feeling horrendous. Luckily it's only taken a few days to get over what seems ro be the worst of it but it makes me aware of how much worse it could be if on them for longer. If you're concerned about similar issues with your meds I'd say voice them. It gives you something to talk about other than your suicidal ideation. Mwds do apparently work for some so I nore any of us can tell you what to do on that front. I do think quite strongly that some caution is healthy.

I don't want to encourage you to give up. It's so hars to decide what the right move is when in the thick of it and having to fend for your own best interests because the people there to help are not inclined to get invested to the extent needed to decipher everything. Perhaps a starter would be opening up about having an abuser in the system (without actually saying who) and explain your reluctance to talk on the subject. You don't need to say a lot. Just enough so you don't have to open up about the over arching issues it presents. Maybe just a small step or putting out the feelers for what kind of response you'll get will give you tiny bit of breathing room. Sometimes those small things end up being bigger sources of relief when addressed by the right person. There's no way of knowing if it's the right person without putting it out there a little. Unless of course you already have experience with this psychiatrist. Really wish I could offer some better advice.
I've been using them sporadically to deal with ptsd anxiety which has helped with panic. As my depression has become worse my nightmares are returning so despite constant exhaustion I'm needing the zopiclone to help with the fear I have of going to sleep. I have very low doses and use them responsibly so don't have issues with withdrawal or rebound anxiety. I don't drink, take drugs, use caffeine so they really just replace what I might otherwise use to self-medicate. On the one hand they help stop ruminating or enduring the constant pain of air hunger and panic of anxiety attacks. On the other hand they prevent me thinking clearly enough to solve any problems or start processing trauma.
 
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Someone123

Illuminated
Oct 19, 2021
3,876
I would avoid anti-depressants, honestly, because they prescribe them for profit, they usually don't work because they are not treating the underlying problems (such as money problems, issues with people- relationships, family, and family,or physicl health problems, among other things), and becaujse side effects they tell you are temporary, such asd ringing in the ears, are often permanent. If it was a psychologist there would be more chance to help, but with psychiatrists they tell you this b.s. about chemical imbalance, which they can never prove, and then try to get you addicted to meds that you don't need and that actually harm you.
 
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batcountry

batcountry

Member
Mar 22, 2022
22
I think fear is holding me back. My attempt was painful and scary. The body's SI kicks in and it took so much to fight through it and yet by extreme chance I was prevented from completing. Guilt for my mother. Not wanting people to think I went through with it because I didn't love them. It's because I can't love them the way they deserve. Depression takes away any ability to do the basic things which make us human, to love, to cooperate, to help, to trust, to contribute. But most of all the thing that's stopping me from going right now is that I'm determined to sort all my paperwork and dispose my belongings so that my mother doesn't have to deal with cleaning up the remnants of my life. And while depressed and physically limited by long Covid it's a slow and tedious process.

I've been using them sporadically to deal with ptsd anxiety which has helped with panic. As my depression has become worse my nightmares are returning so despite constant exhaustion I'm needing the zopiclone to help with the fear I have of going to sleep. I have very low doses and use them responsibly so don't have issues with withdrawal or rebound anxiety. I don't drink, take drugs, use caffeine so they really just replace what I might otherwise use to self-medicate. On the one hand they help stop ruminating or enduring the constant pain of air hunger and panic of anxiety attacks. On the other hand they prevent me thinking clearly enough to solve any problems or start processing trauma.
I can't guarantee that you'll have the same experiences I did, but when I was unmedicated my depression also took away my ability to feel the things required for being human. It took a while to find a medication combination that worked for me but eventually I did and I'm actually functioning in a way I wasn't able to before. I'm not trying to sell you on this or anything, I know it doesn't work for everyone, and I think it's ultimately up to you if these reasons you've listed here are enough to decide whether or not to go on. But if you do feel like these reasons are enough to give "recovery" another shot,, I think it might be worth trying it to see if it works. At worst, you'll have wasted time but you can always ctb later, but there's a chance it might work out. I am not sure if your nightmares are caused by PTSD, but I used to have really awful trauma nightmares every single night, I tried all of the non-medical cures I could find like exercise and cognitive restructuring, the only thing that actually worked for helping me with them was getting prescribed prazosin. Again this is ultimately your decision and I am not trying to pressure you either way, but I think it's good to know as much information as possible before making a choice this important. I've had a lot of horrible experiences with people working in psych but there are people who genuinely care out there as well. I hope you're able to find peace.
 
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Ethereal Knight

Ethereal Knight

Seja um bom soldado, morra onde você caiu.
Jan 10, 2022
817
"tomorrow" came. so how it went?
 
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ConstantBattle

ConstantBattle

Member
Dec 1, 2021
12
I'm not sure if its the same where you live, but heres my experience. Initially when I finally realised something is wrong and im not just lazy and useless. Basically i realised it might be depression.

My first visit to a psychiatrist, I was honest to him about everything, he perscribed me anti depressants, cipralex and later on wellbutrin aswell, it helped to a degree, but later on, my honesty to him made things worse.

I found out he blamed my condition on drug abuse, (i used to smoke a lot of weed). Turned out he was also the head doctor at a drug rehab clinic, so when i was finally starting to get my life in order a bit, he refused to help me get started on my drivers license untill i got clean, which even after almost a year of abstinence from weed his tests showed me positive, so i gave up and started smoking again but later decided to get tested elsewhere, turns out just abstaining for a week got me a negative test at a different clinic.
Ended up leaving that psych and went to a different one, told him i want to get off the anti depressants, he tried to keep me on them but i did not give in and he finally waned me off. At the same time i had the opportunity to visit a psychologist and realised that was what i needed in the first place!

Basically the psychiatrist only listened and perscribed me pills, while the psychologist listened and helped me sort things out, well, hes still helping me and in my last visit i finally told him about my childhood trauma, he told me that we will definitely be able to work on my trauma without the need of drugs.

Gave me a bit of hope, but i'll admit i still have a lot of shitty days that make me want to ctb but thanks to him, instead of ctbing in january i have now moved my schedule to ctb to the end of the year, and will postpone it again if i atleast see some progress in my mental health by then, but man, its so fucking hard sometimes to keep going but having an actual date to ctb helps me from doing it when im at my lowest.

sorry for the wall of text, you can probably tell that im conversation deprived and just want to get it all out.
Hope this does not seem like hijacking your thread. if it does, mods please tell me and i'll shorten this down.

In short, perhaps what you need is a psychologist and not a psychiatrist.
 
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84779943

Member
Mar 21, 2022
18
Thank you everyone for your thoughts and perspectives. I had the appointment and I have mixed feelings about it.

I hate the dynamic of these appointments and as I type this I realise that its because it brings up the fear and panic of being judged as though someone else is the expert on you and your life. Growing up with undiagnosed ADHD in a troubled family I was always misunderstood and invalidated at every turn. It was overall a good appointment as far as psychiatrists go. He was kind and more patient than I deserved. I talk too much. He suggested adding a new antidepressant to the one I'm already taking but listened to my concerns about over medication, side effects and interactions. In the past I would have just accepted whatever at face value and then blamed myself if it didn't work. I stubbornly believe that my depression stems from a character flaw rather than being an illness. (This is probably not entirely true but it's the one thing that lets me feel somewhat in control).

So we talked through the options and I'm trying to decide what to try.

1. Add mirtazapine to my duloxetine (I don't want to continue on duloxetine as it affects my dysautonomia, also I don't think that I need the sedation of mirtazapine as when my depression is controlled I sleep alright)
2. Try an SSRI again, sertraline (I think SSRI's have too many side effects I can't tolerate but also it didn't seem to help with depression but instead numbed me to everything)
3. Try Vortioxetine aka Trintellix. A much newer drug and seems to be the least bad option.

After the appointment I am still in the mindset that I would rather ctb than continue to limp along struggling, suffering and isolated but propped up with medication. However, I have also now got more help available to me if I should want it. Financial, practical, and therapeutic. For now I have regular contact with a mental health nurse. I'm taking it day by day. I'm slightly less sceptical of the possibility of being able to achieve a life that I can see as worth living. I need help but I don't want it. I hate that it makes me sound ungrateful. I'm very lucky. But I'm also very very very tired.

I think I'll give the Vortioxetine a go and accept that for now at least, I have to tolerate the intolerable.
 
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