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Is It Possible To Succeed Without Medication?

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Staying off meds is not necessarily a matter of strength. Everyone's mind and body have a different response to PTSD.

Given your family history, I don't blame you for being scared. If you haven't already made your doctors fully aware of A) your fears and B) the extent of your family's addictions, you'll want to do so in that meeting.

Also, you can extensively research whatever drugs are being considered. In my mind knowledge is power, and things get a lot less scary when I understand what is truly happening. Find out what each drug does - which parts of the brain does it affect, and how? What are common side effects to look out for? How long does it generally take to start working? What signs can you watch for to demonstrate it is helping? How does one typically end use of the medication? (eg gradually lowered dosages over x period of time)
 
I avoided meds for a long time but finally cried uncle and found them very helpful. I take celexa for mild depression/anxiety, xanax for break through anxiety and lunesta for sleep. I am going to see about adding something or switching for anxiety I am struggling with still. I know they don't really impact my PTSD, but they help me cope with many of the symptoms and take away quite a bit of the things that make therapy harder.
 
Is it possible to get through it without taking meds? They make me really nervous and I am scared. I don't want to be like them.
Medication is personal preference, however; you also must factor in the reality of the situation.

Yes, you can get through therapy without medication. If you aren't coping though and you're not even in trauma therapy, then maybe you should try small dosage medication... whilst I can't really say which will work for you, just have your eyes open and do not accept being dismissed by your psychiatrist if you are being negatively affected by a medication they put you on... giving the same old, same old statement, it will get better after a month or two.

Nonsense, it normally doesn't get better, you still have issues, they just become less pronounced.

Your best bet is to try a medication, if you aren't experiencing any side effects that are making you ill, more depressed or such within the first week, then chances are you are on a medication that will work for you. You then focus on the improvement aspects as to whether it is the right medication or not.

It is all bullshit though trying to continue a medication that is making you ill in the first week, when a psychiatrist is telling you it will get better after your body gets used to it. Nonsense. Your body doesn't ever get used to it and you will endup with further issues compounding through its use.

Don't be afraid to standup to your doctor and adopt a trial and error approach on a week by week basis. SSRI's and SNRI's will take 6 - 8 weeks to stabilise in your system, however; they shouldn't actually make you sick or worse in the first week or two, or at any stage. That is an immediate sign they are not the right med for you and to stop immediately. Most doctors approach is to up the dosage, until they zonk you out so much that you just stop complaining.

Meds have purpose when going through the worst of your trauma therapy. Use them I say... but enter it with caution and a strong attitude to say no and tell them to change them if you get sick... there are endless types they can try. SSRI's work for some, not for others. SNRI's the same, benzo's and other categories the same. Sometimes they have to use older meds or off-label to find one that works for you.

Just don't be a puppet during the process. Eyes wide open and acknowledge what you feel when taking and trialling medication. Sometimes you find something first time round, sometimes it may take you trialling 5+ medication types before finding something you don't have massive side effects to, or something that is making you more depressed, not less, etc.
 
I would be careful with what medications they prescribe you. You can always look up the medication and observe if you are having any of its serious side effects. If you encounter any serious side effects than consult your psychiatrist. I was in your situation and they continued putting me on and off new medications. I found St Johns Wort herbal medicine, that treated my symptoms with zero side effects.
 
OK...now I am going to ask a stupid question. But I don't really know anything about any of the medications.

Are all medications for PTSD/Depression drugs of addiction, ie. can I get addicted to all of them or some more so than others?
 
Addiction is different to dependence, which your body will habitually become on any medication used to treat anxiety / depression. There will always be a withdrawal requirement with withdrawal effects.

Some are more easily to become dependent upon than others, yes. Benzo's are open to addiction if you take them to feel the euphoria of dosage. It is like drinking alcohol, you can either drink a few and then no further, or you can't, because you need the next hit to get that euphoric feeling from.

Addiction has genetic aspects, but addiction is primarily behavioural, not genetic based.
 
Addiction has genetic aspects, but addiction is primarily behavioural, not genetic based.

I am getting the feeling that my Psychologist is not going to start Trauma Therapy with me until I have seen the Psychiatrist. She is hoping that he will discuss the concerns and fears about the medication with me and that he will be able to get me to take some meds to stabilise before she starts anything with me.

I am trying to get prepared for the Psychiatrist appointment in a couple of weeks and am going to try to go in with an open mind, as somehow I now don't know how much of a choice I have anymore. Something needs to change. I am really scared about the whole addiction thing and I realise that is something that I need to work on - just wished I could have done it on my own. But not going to happen in my current state.

Thanks everyone for all of your advice.
 
I would be careful with what medications they prescribe you. You can always look up the medication and observe if you are having any of its serious side effects. If you encounter any serious side effects than consult your psychiatrist. I was in your situation and they continued putting me on and off new medications. I found St Johns Wort herbal medicine, that treated my symptoms with zero side effects.
I would be very careful about using St. Johns Wort with ANY RX med without speaking to a pharmacist or DR first . St Johns is one of the higher interacting naturals to have interaction with RX meds. Just a caution.
 
Wishing you the best possible outcome as you go thru this experience. You just got out of the hospital. Meds are good to ake the edge off and help to allievate the worst systems. If you are determined to go without meds, than so be it. I am on meds. they are helping me. The anxiety is'nt as bad as it was. I hate taking pills and my pshychiatrist is working with me. I am having anxiety, the pills help. They are none addictive. Mabe that is one option you can check into, taking the non addictive drugs. You will find what best works for you. Trust in your instincts. Go with what makes you feel comfortable.

If it is a chemical imbalance then meds would definately help. You have to take good care of yourself. There have been alot of wise words and suggestions. i encourage you to find the way that best works for your sense of safety and security. .
 
Like many people have said, medication is highly personal. I was forced to take medication when I was in inpatient (and outpatient) therapy. They felt that I couldn't function without it. There were so many things they were not aware of that could have helped me a LOT more ... but that was just me, and can't speak for anyone else.

So many things, for me, could have helped had they realized my extreme introversion status. Things they were doing for me (I was underage, so their point of view as adults was all there was) were more geared to people with a more extrovert nature. They were trying to help me be more normal -- but the 'normal' in my body (or should say acceptable behavior and reactions) doesn't match up to the normal version of regular society. MY normal is much quieter, into reading, learning, internalizing information before I express it outwardly.

If you find you are more introverted, I can give you a list of things I do now that I am the adult and in charge of my life ... and they might help you too. Here are some unconventional things I do to help my body & chemical stability (my mind & thoughts are altogether different, & handle them differently):

1. B-complex vitamin 1 to 2 times a day – this helps stabilize my focus and motivation. It helps the ‘I don’t care’ attitude reduce to a more manageable level.

2. When my empathy for others fades, I chew a piece of ‘Stay Alert’ gum by Wrigley. Yep, I know it sounds weird, but I don’t have a natural empathy for others. This might be due to how I was treated as a kid (and again as a young adult); plus, because a lot of the ptsd symptoms makes me grouchy, I may be unable to produce that chemical that is needed for empathy.

I came upon this by accident. I was searching for all kinds of ways to help me through school. Caffeine is a common thing to use as a college student, and I was looking for it in any form I could manage. I found this gum, because espresso had bad side effects. The caffeine molecule in espresso beans is different than regular coffee beans. It gave me horrible headaches and huge withdraw issues. I couldn’t drink a lot of coffee because I have ibs and was hurting my stomach & intestinal lining.

Anyway, when I started using the gum I noticed that I had developed a strange liking for others – along the lines of deep compassion. I’m not a psycho, and don’t go around wanting to hurt people. However, I’m not a love-bug either. This gum gives me feelings somewhere in between – what may be a normal kind of compassion for others (I think?), which ALSO shifts my internal focus from myself outward. Having this compassion for others actually helps me less focused on my internal struggles.

This gum actually made me see that my natural feelings about other people were not normal at all ... that I was really lacking something essential to normal human functioning. It was a strange kind of liberation that I can not explain to anyone, except people here who might know what I’m taking about. I don’t have a normal love for others. I do care about others and don’t want to see anyone suffer (but if someone falls down a flight of stairs my first reaction will be to laugh before I go help them up).

You have to be careful though; only chew one per day (no more than 3 times a week), and only chew it less than 5 minutes to get it into your system, AND only when necessary, or there will be a caffeine withdraw headache afterward.

Yep, sounds crazy and maybe I’m only imagining this effect. Try it and let me know if this has the same effect on you (that is, if you do feel mostly indifferent towards others – won’t help if you have a natural affection for people).

3. Exercise – this is kind of obvious, but I can understand why this can be a trigger – heart starts beating fast, triggering panicky feelings. Cardio should be last on your list if you have this issue. Yoga, meditative walking; my favorite is using the Gazelle Edge. It isn’t very cardio inducing, but gets you off the couch – you can use it watching tv or listening to music.

It is like a swing on each foot, self powered, keeps you moving, but there is no resistance. It is fun, keeps you up, isn’t hard, and is better than just sitting still. I’ve also taken to turning it backward, placing a small piece of plywood on the foot pedals and pillow on top of that, making it a seat. I sit and swing watching tv. It works my ab & chest muscles. I am a small person, so might be cumbersome to sit & swing if you are bigger.

4. With autoimmune issues that effect my skin, I have to take regular soaking baths in warm salt water. This is still an on going problem, because I can fall into that ‘I don’t care’ pit and go days without bathing. That has improved from going weeks without, so any improvement is a good one. Bathing is essential to keeping the skin issue manageable. I can’t keep it all in remission, because I can’t eliminate the stress effect part of it – I can only manage the physical hygiene part.

The problem use to be that I just didn’t remember when the last bath was – if I don’t write it down I will forget. So, I have a small white board in the bathroom and write down the date of the last bath (and other things). I have to take one at least every 3 days. I do wash my face whenever I leave the house, but not when I’m just at home, like on weekends. It is one of those things I struggle with – feeling like ‘what’s the point?’

The point is trying to stay as healthy-looking as possible, but there are so many things I HAVE to always do and keep up with; taking a break from those things like grooming can feel like a nice vacation. I hate grooming. I do feel better afterward, but it takes so much time and energy.

The good part about doing it regularly, it reduces the time I have to spend and improves the quality of my appearance. When I let it get out of hand and fall behind, there isn’t any amount of time I can spend to make me look less like a leper. I have to allow for healing time before I look relatively normal again. Keeping up with it all decreases my shame and reduces the need to isolate.

Hope I helped, even in a small way. Cheers.
--{@
 
After seeing the Psychiatrist - he decided that I am not being adequately treated. He doubled my Zoloft dosage (steadily) and would like me to start taking Quetiapine to help with anxiety and sleeping. I have not started the Quetiapine yet as the Psychiatrist had to refer me to another PTSD specialist because he is closing his private practice. So my Psychologist and Doctor are going to wait until I see the new Psychiatrist before they change too much.

Thank you all for your advice and support.
 
I was put on quetiapine (seroquel) once my paxil and wellbutrin where upped. I found I needed it for a short time because other anti depressants would make my heart rate increase and difficulty sleeping.

All in all it was the most comfortable of all the prescription meds I was taking. It really did improve my mood or at least help resist negative thoughts, and it was easy enough to discontinue as I mostly took as needed.
 
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