Just like yesterday was a big day in therapy, today was a big day in medication management. I met my new psychiatrist today. We had a good session, I talked both about how I got to the point that I’m at and also my more recent successes over my anxiety. He pointed out that my anxiety seems to be more social, with the exception of driving, and that makes sense. It’s not the laundry room that causes panic, it’s the thought that I might be in there with a stranger who’ll judge me. It’s not the store itself that I have a hard time with, it’s the people that fill it. With the exception of my issue with driving, almost every one of my anxieties can be traced back to being in a social situation. So we’re going with a diagnosis of social anxiety rather than generalized anxiety disorder.
He also took me off the medication that I was taking for anxiety, at least, on a regular basis. He explained that the effects of the medication in question only last about four hours, so it’s not designed to be used as a preventative. He likened it to taking Tylenol to keep you from getting a headache. He also mentioned that long-term use of that medication seems to have a tie to dementia, something that runs in my family and that I would prefer to avoid if at all possible. So I’m now only taking that medication when I actively feel anxious.
In its place, he put me on a new-to-me antidepressant that’s indicated for anxiety maintenance. As is typical with antidepressants, I’m starting with half the target dose for a week and then ramping up to the full dose after that. I hope that it’s going to help with the anxiety. Because of how I was taking it, I never really felt anything from my current anxiety medication, and I hope that this changes once the medication has been in my system for about a month.
I’m due back in his office in five weeks – four weeks after the full dose has started. We’ll take it from there and see where we go.
And I’d like to close by pointing out that seeing a male psychiatrist is a huge step for me because of my PTSD. I got a bad case of dry mouth because of the anxiety of being in his office and my blood pressure reflected my nervousness. I hope that gets easier as time goes on.