Prescription Creep

2 pointsposted 5 hours ago
by bookofjoe

3 Comments

PaulHoule

5 hours ago

That’s a really strange case. Getting one benzodiazepine for anxiety is pretty normal but to be getting more than one seems like malpractice since the side effects are serious.

bookofjoe

5 hours ago

It's not unusual, "strange" as it may appear to you. Malpractice? No. Bad practice? Yes. No lawyer would take such a case. Source: I served an an expert medical witness in over 100 cases, plaintiff and defense, between 1985 and 2015.

PaulHoule

7 minutes ago

The SSRI is not unusual, in fact it is supposed to be the first line for anxiety. Propranolol is normal for performance anxiety that manifests physically.

Myself I had terrible anxiety when I was younger that came out of my schizotypy. I lost it somehow in the last decade and I am not sure why. I did do a long course of SSRIs when I was trying to develop/sell something that was a decade ahead of its time. My psychiatric NP added Gabapentin because she thought it would help me make sales calls and I can say back then I didn't have the slightest fear of cold calls. I stopped the SSRI but have stayed on the Gabapentin.

I also had a kind of midlife crisis circa 2021 that changed things for me and more recently had a more complete awakening. I "go out" as a character who screams "this is a person who couldn't possible feel embarrassed." Part of that awakening was the development of intense autonomic control that brings up my parasympathetic nervous system in such a way that I have a soft inviting smile on my face even when I am wrestling with devilish problems inside. Maybe it helps that I've been on Nebivolol, another beta blocker.