When I say “jittery mood” I mean that for the past three days or so I’ve felt so needlessly keyed up that I only feel normal at the end of the day when I’ve had a few drinks
I don’t mean that in a jokey “doesn’t alcohol make you feel good and right” way, I really mean that (this state) + (2 drinks) = (normal baseline)
This might have to do with decreasing my Ativan dosage now that I have less to do, though I’m still taking a fair amount of Ativan since I want to taper slowly, so I dunno
Between this and the extent to which Ativan helped me with work last week, I’m starting to take the role of anxiety in my life more seriously. I should probably seek out an SSRI (or another long-term anxiety fix if one exists) next time, because I can’t take Ativan all the time. (My psychiatrist brought up this idea last spring but then never did it because he thought I could just take Ativan when needed — but the anxiety is always a problem and I just happen to define “needed” as “when the spiral has progressed so far that I realize I can’t just do it by willpower alone,” and an ideal intervention would take place earlier than than, or just continuously)
SSRIs are among the most common treatments for anxiety. SNRIs are another common treatment; I’m currently on Effexor, and it’s the only thing besides benzos that has actually helped. People also occasionally get put on milder, longer-term benzodiazepines like Klonopin. There are also various more obscure medications, like Buspirone, and Tricyclic and Tetracyclic antidepressants, but the aforementioned seem to be the most prevalent.
Honestly, Ativan seems like kind of a weird prescription for what you have. From your description, you seem to have more in the way of severe generalized anxiety, whereas Ativan is usually indicated in the treatment of panic attacks, mania, psychosis, and seizures. It’s much more a rescue medication than the sort of thing that doctors generally prescribe for chronic anxiety.
Ativan was originally prescribed to me when I came in complaining of anxiety that was preventing me from studying for my oral qualifying exams, which at that point were four weeks away. My psychiatrist seemed very interested in using an SSRI later on, but starting up with one didn’t seem like a good idea because of the short timeframe.
Ativan worked extremely well for me at that time, and when I mentioned SSRIs to him later on he dismissed the idea as probably unnecessary because I could just come in and get Ativan during intense stress periods. At the time I had framed things as “anxiety isn’t a problem for me except when associated with major tests, deadlines, etc.”, which I suppose is true, but what I’m now realizing is that there is always another such beast ahead of you in academia, and that I’m still experiencing anxiety when these things are far off, it just isn’t as much of an obvious practical problem.
Part of the worry here is that I’m almost too good at turning “daily functioning” into a kind of Pyrrhic victory: I ignore how difficult everyday tasks can be, because ultimately I can do them, and it’s only when some extraordinary duty arrives that I admit to myself what I burden I was carrying all along. (At which point I am given Ativan to solve the problem temporarily, after which the cycle begins again.) Metaphorically, if you have a very heavy weight tied to your leg, you may feel proud of yourself for being able to hobble to the bathroom (“just like normal people can!”), but you should maybe still look into getting the weight removed if possble.
(via dagny-hashtaggart)
