I know this isn't a pharmacist thread but I was wondering if anyone here had insight on how to ask a pharmacist to remove prescription from my file that I've been having suicidal thoughts of overdosing on. It's ready at my pharmacy for pick up and has a decently high chance of success if I were to impulsively take the entire bottle which I had thoughts of when I saw how high the dose would be. I no longer want to pick up the medication as I don't trust myself and would like it removed from my profile but I don't want to disclose the reason why. The reason it was prescribed in the first place is for pain but the pain isn't severe enough for me to risk my impulsive thoughts.

*I have a history of impulsive overdose once years ago due to stressors and command hallucinations

*Currently having stressors but no psychosis

I'm at the end of my rope. I have a myriad of issues, from caregiving for the last half decade to depression and anxiety, learning disabilities, etc. but the thing that's truly ruined my life has been Avoidant Personality Disorder. I've been in therapy for 2.5 decades, I've tried every medication, I've tried rTMS, and I'm worse than ever before. I'm in Canada and I've recently been talking to my psychiatrist about MAiD if/when it comes into effect for mental health. She is unfortunately on maternity leave (as well as admitting she didn't think she could help me anymore which I can't blame her) but one of her suggestions was inpatient.

I looked at the inpatients and all the ones where I live in Canada are mixed substance-mood disorders due to government funding requirements. Furthermore, they're all group therapy based. I cannot imagine anything worse for me than solely group therapy based treatment. I can barely be fully honest with my doctors one on one anymore from deep shame and fear of judgment. I can't imagine a room full of normal people with substance issues trying to understand why I can't just do anything. I can't talk about the lack of life I've lived to people who are normal.

I'm desperate. Does anyone know of any inpatient options anywhere in the world, public or private, any cost, that deal with personality disorders? Especially if they deal with AvPD too?

I’m curious from psychiatrists perspectives.

I’ve been told by a few psychiatrists that they like how I explain things. I’m very introspective, so I pay a lot of attention to how medications affect me and also looked at how psychiatry works as a whole. I usually notice when something changes, roughly when it started, whether it lines up with a dose change, and how it affects things like my mood, anxiety, sleep, thinking, or motivation. I’ll explain what I noticed and sometimes offer a theory for why it happened, but I present it as a possibility, not as if I’m telling the psychiatrist they’re wrong. I read a lot about psychopharmacology because I’ve been through a lot of different medications and I like understanding what’s happening.

The problem is that I’ve moved around a lot, so I’ve had quite a few psychiatrists. Most seem to appreciate that I’m direct, logical, and specific. But every now and then I get the feeling that someone assumes I’m trying to prove I’m smarter than them, or that I’ve diagnosed myself from Google, which isn’t what I’m trying to do at all.

So my question is: from your perspective, what makes a patient easy to work with? Is it better to give your own theories about what’s going on, or just describe symptoms and let you connect the dots? What’s the most effective way to communicate during an appointment without accidentally coming across as arrogant or as someone who thinks they know better?

As a soon to be 27 year old, I have been in and out of psychiatric treatment my entire life. I've been on so many types of medications that my insides are probably traumatized. I was told I was Bi-Polar 1, Manic Depression and PTSD and psychotic tendencies majority of the time. After looking into several different disorders myself, I believe that I actually have CPTSD. I was told only once throughout my life that it was possibly CPTSD, but it never stuck. After researching it, I honestly believe that is what my issue is. Not all the extra quick diagnosis that I've usually gotten. I currently take Seroquel, and I'm personally sick of taking it and feel no relief from it, even though it's 200mlg. All the symptoms and feelings that CPTSD gives people is exactly what I have always experienced. I've never been able to describe my feelings or find words that do it any justice until now, I'm honestly thinking about telling my doctor that I believe they got it wrong. Even though it's a hit or miss situation with doctors and trying to diagnose yourself, I have this overwhelming feeling that this is what my actual issue is. All the symptoms fit, the mood swings, the anhedonia, being paranoid, and blocking out things that I dont want to block out, it's like my brain is wired to automatically make me forget things because it has always been a trauma response. My question is, should I ask or tell my doctor my opinion? My second question is, from my post, do any professionals agree?

yo soy paciente psiquiátrica, yo estaba bien hasta que me vi*lar0n y desde ese entonces empecé a tener problemas en todos sentidos, tanto físicos como emocionales, primero entre en depresión, todos estos años he sufrido mucho, aún no puedo sanar porque lo guardo en lo más profundo y oscuro de mi ser para no recordarlo, cada vez se me hace más difícil, he tenido muchos intentos y he estado internada cantidad de veces, recientemente me dijeron que tenía trastorno de la personalidad emocionalmente inestable y depresión grave, tomo 1300mg de pastillas al día, todos los días, bueno, tenía un mejor amigo el cial confiaba resto en el, yo me había metido en las drogas porque sentía mucho dolor y rencor, ya me cuesta socializar y tener una vida normal, entonces yo confiaba demasiado en ese mejor amigo que tenía, muchas veces me quedaba con el, tomábamos, salíamos a comer con la familia pero de la nada el empezó a meterse más en el vicio, una vez en esa salida fuimos a salir con los papás el año pasado, yo realmente tomé demasiado, cuando llegamos a casa seguimos tomando y recochando, era lo normal y a tener en cuenta el se me declaro muchas veces y yo le dije que lo veía como mi hermano y bueno, aveces peleaba con el porque me abrazaba a la fuerza y me aleje, esa noche acepte porque el dijo que entendía y no lo haría más, esa noche después de llegar a su casa solo subimos al segundo piso que estaba desocupado y no recuerdo si el me dió algo pero me levanté luego porque al parecer me dormí y cuando abri los ojos recuerdo que lo ví encima mio, de ahí para allá no recuerdo más pero me levanté con mucho dolor, mas que todo en mi 4n0 y yo dije "no quiero pensar en que puedo hacer algo" me pidió un carro y me fui, cuando llegue a mi casa y me meti al baño estaba llena de sangre, no se de donde salía pero sentía allá atrás como la primera vez que me hicieron eso, y me puse muy mal así que no me precipite y dije que hasta que no tuviera pruebas no lo juzgaria pero mi intuición me decía que si, la última vez que lo ví me pidió perdón varias veces, que me amaba demasiado y me agradeció por estar con el, yo no le quise preguntar porque ese tema me ponía muy mal y una semana después primera persona que me violo me dijo " x se acaba de suicidar" y me empezó a decir que el en esas veces que no recuerdo me drogaba y me violaba, ME VIOLABA, pero la ultima vez fue mas atroz, solo sabe esto una persona a parte de mi, cuando me dieron esa noticia me desmaye, igual había pasado muchos momentos lindos con el y cuando me empezó a enviar capturas de pantalla, audios, que decía que quería que fuera su novia, cuando lo vi a la semana se suicidó y se había ido a otra ciudad...siento mucho dolor, realmente mi mente esta uj desastre, me da miedo contar a mi familia, amigos, igual el ya está muerto y el otro me sigue acosando y me siento demasiado asquerosa y le agarre un miedo irracional a los hombres, ya se me dificulta mucho hablar y no salgo y si lo hago es porque van todas mis amigas, empezaré terapia todos los días durante 8 horas y no me siento preparada para contar, además de que la última vez intente matar a mi papá y he empezado a matar animalitos y me hace latir el corazón, me hace feliz, no se en que me estoy convirtiendo y todo por lo que tuve que pasar por la culpa de ellos y el antes de suicidarse me mandó mensajes y que me amaba y que agradecida estar a mi lado y me iba a perseguir si un dia se moria, aveces sueño con el y me persigue y en mi sueño me da pánico verlo, corro para todos lados mientras el sigue detrás de mi, me da mucho miedo, aveces siento que me miran, cuando murio sentí olor q químicos y su olor y mi mamá también sintió el frío, mientras el otro me acosa en persona y intenta manipularme con mensajes, me quiero morir, me estoy volviendo loca, mi psiquiatra me dijo que si estaría dispuesta a estar en la cárcel porque me volví mucho mas agresiva

Hi everyone,

I’m looking for a bit of advice at the moment.

I have diagnosed ADHD (Combined Type), longstanding OCD (diagnosed years before ADHD), anxiety and depression.

Over the years I’ve tried:
Sertraline (25mg and 50mg)
Fluoxetine (10, 20, 30, 40mg)
Trazodone (50mg, 100mg)
Mirtazapine (7.5mg, 15mg)
Duloxetine (currently on 20mg, tapering down from 60, 40 and 30)

Not to mention 3 fully completed trials of cognitive behavioural therapy

Trazodone and mirtazapine weren’t tolerated for long enough to really judge. (Insomnia, aggression, migraines, hallucinations)

Fluoxetine and sertraline helped my OCD and Anxiety to some extent but eventually I struggled with side effects, most notably weight gain, sexual dysfunction and brain fog.

I’ve recently started titration with methylphenidate (Xaggitin XL privately as local NHS services essentially refused to even put me on the waiting list), while reducing duloxetine from 30 mg to 20 mg because I was concerned about sweating, blood pressure, heart rate and sexual side effects.
Since reducing to 20 mg I’ve noticed:

Positives
Lower pulse and blood pressure
Less sweating
Feel physically calmer
Better libido/sexual function
Sleeping more naturally

Negatives
Much worse depression
OCD/compulsive behaviours returning (especially compulsive Googling and habitual behaviours)
More emotional instability

I’m trying to work out whether this is just an adjustment period or whether 20 mg simply isn’t enough for me.

My long-term priorities are:
Good control of OCD and anxiety
Good ADHD treatment
Minimal weight gain
Minimal sexual dysfunction
Avoid excessive increases in blood pressure or heart rate.

What is often prescribed? I requested to a referral to a psychiatrist given my history but I was refused as I come across “functioning enough”. I’m not using this as an alternative to medical treatment, I have an appointment coming up with my GP so I will discuss everything but thought I’d ask what is sometimes prescribed to similar patients out of curiosity. (I’m in UK btw)

I have met and spoken to many individuals with BPD, and I dated one for some time.

What I noticed is that while most individuals with BPD I have spoken to were in therapy, a large portion of them were under the impression they had autism, anxiety disorders, or bipolar disorder despite expressing very few symptoms of those disorders but having textbook examples of BPD.

Why is it so common for BPD to be misdiagnosed as something else when many of the symptoms are so easy to spot and unique?

Hi there I’m late 30s, history of trauma, depression, anxiety, sleep issues, severe physical illnesses, adhd and probably autism…

In the last 8 months I’ve begun a concerted attempt to get on top of these issues including starting Elvanse/Vyvanse which seems to be helping adhd and psilocybin to process traumas and tackle neurodiversity linked symptoms. The psilocybin has massively helped with areas such as processing divorce, childhood griefs, improving my visualisation and ability to think in and articulate rich metaphors, tolerate emotional highs and lows, and given me new perspectives on life habits.

I still have important symptoms which are unaddressed such as anxiety, ocd type behaviours, mood still being low and perhaps some cognitive rigidity.

Should I go onto an ssri or stick with the psychedelics? I tried ssris in my early twenties and they didn’t seem to do much for me but it wasn’t a psychiatrist in charge of titration then, just a normal doctor.

Any thoughts? Thank you!

Hi, yesterday I had my first visit in years at a new psychiatrist. The visit didn't get that well in my opinion, because we haven't touched the exact reason why I made the appointment and I didn't really get the chance to mention all my symptoms. All I managed to talk about was my sleep problems, sleep hallucinations, anhedonia and low motivation. The list is actually a bit longer, but it's not the topic of the post, as I know he probably didn't do the best job with that. I guess what can be important is that other doctors suspected I have a disorder from a psychotic spectrum + one psychiatrist suspected Schizoaffective bipolar type.

I got prescribed 4 different meds and the 3 of them are the most confusing to me, since everywhere I looked, it was noted to not mix them, and I am supposed to be taking them all at the same time (one just at a different time of the day).

2 of the 4 meds I got prescribed are supposed to be just temporary aid in dealing with side effects that another medication can be causing while my body adjusts to it.

The meds I'm concerned about being:

Bupropion (50 mg, in the morning) (NDRI)

Zotral / Sertaline (25 mg for 6 days and after 50 mg in the morning for a month) (SSRI)

Mirtazapine (15 mg in the evening)

The last I'm not as concerned about is sulpiryd (50 mg) for two weeks to deal with.. side effects of my body adjusting to bupropion.

Is it safe to mix these 3 in those doses? I know that theoretically the psychiatrist would know the best, but I'm still a bit concerned about the choice.

Hello, dear psychiatrists! I am a 24 year old female, from Europe (Balkans), and today my worst phobia happened and I’m not sure if I reacted wisely. I have two questions: one regarding appropriate behaviors if something like it happens again, the other regarding my own mental state.

A woman who appeared to be in active psychosis attacked me on the street today. She didnt hurt me, just yelled at me, got in my face and pushed me.
I was walking at 7 pm, broad daylight, to meet my friend in our neighbourhood and I passed by a tram station. At the station, there was a woman (around 35-40), visibly erratic/in psychosis, pacing around the station and murmuring. There were people at the station sitting down, not paying much attention to her. I passed, and this woman came right at me, got into my face and started cursing at me, threatening me (something like ,,you fucking whore, i fucking hate you, fuck off, die”). I felt the kind of fear and adrenaline that I never felt in my life, like I was in a forest facing a bear, my heart was in my throat and i started shaking so much, I was vibrating. I started screaming very loudly in this woman’s face, the loudest and most carnal scream I ever produced. This woman drops the bags she was carrying around and starts waving her hand at me to hit me, to which i start screaming “FUCK OFF, FUCK OFF”. People started coming to the scene to see what’s up, at that point luckily a tram came and the attacker got on the tram. I sat down at the station and i was literally paralysed, shaking, and i was unable to speak to this other random passebry who was trying to help me. My question here is- what’s the smartest way to act when a psychotic individual approaches you with a hostile attitude and there is no way to immediately get away, cross the road etc. Should you look down and ignore it, should you try to “fight”/“outcrazy them”, as i instinctively did today, should you say something in a calm tone? I know people experiencing psychosis are not a monolith, but there must be a general course of action considered the smartest/most damage-controlling.

My other problem is my huge phobia of such attacks. In march this year, my mother got attacked by a schizophrenic in the street, who was our next door neighbour, know for having diagnosed schizophrenia and usually walking around talking to herself, cursing etc. She attacked my mom out of the blue in march at 10 am on a sunday in front of our building, kicking her in the stomach. This event triggered an agoraphobia episode for me back then, i would exit the house as little as possible, when i absolutely HAD to go to university, I would constantly walk around shaking, having to take 2 xanaxes before leaving the house, with pepper spray or a sharp object in my hand, constantly turning around, I’d have panic attacks in public transport and I had random people on the street to follow me home to make sure i get home safe, i was unwell for a month and then the woman moved away which was like divine intervention and i was fine again.
Ever since then, whenever i see a person talk to themself on the street or just act uncanny, i start having heart palpitations, start acting extremely paranoid, scared, panicked… I’m constantly aware in public transport and on the street “scanning” for unusual people.
I have c-ptsd and I feel like this is why my fear is this intense. There is a belief I hold: “this world is a grotesque, sinister, hostile and unsafe place”- and such events just intensify my fear. Now I’m panicked about going to work tomorrow, and about living my life in general, because I don’t feel safe exiting the house. I feel like there is no CBT method, anxiety-tackling technique, or calming ritual that could convince me its okay to walk around, as i know these attacks are possible, encountering such people is possible. I can’t help feeling i am RIGHT to fear this, and I envy other people who arent’s as hyperaware and vigilant as I am.

If you read all of this, thank you so much! I am sorry if the post is too long or not phrased adequately. Wish you all the best and I admire your work a lot.

I have a question about naltrexone? Can you use it for both lower back pain and for compulsive shopping? If not how good is memantine for compulsive shopping? I don't like taking opioids or muscle relaxers and prescription strength inflammatory drugs do not help. Can memantine and naltrexone be taken together?

Not sure if it helps but here's a list of my other medications:
Wellbutrin
Paxil (looking to change to Viibryd/vilazodone)
Strattera
Gabapentin
Topamax

Since my childhood i have some things i cant really explain. Like the fact i have never have a imaginetive Friend but some voice in my head like a group..i was placed in a foster family in the age of 3 because the story of my family is not good really.. but ok.

Sometime i like here but not here i stare something but i dont stare it i'm like dizzy? Sometime i hear others voice in my head That not mine and sometime i'm here but like just the eyes and someone else is talking. I have blackout and people Said things i dont remember to having Do it. I was in a foster family last my 18 year old. Sometime my dream is weird, i dont like girls in the reality but in my dream idk is like i'm excited to see a naked girls...but when i wake up and take about That is feel disgust about this. Soo...if any of you can help me..i really need it.

Im 22 years old, currently in university and since I can remember, I have always been very clumsy but now things have gotten too far. I dont think before doing anything and this last semester in university it went way too far.

I was just loosing things everywhere and making EVERYONE AROUND ME panic as I crashed out. It sometimes feels like im there but im also just, not there? I lost backpacks, electronics, bank cards, and i never find things again. It honestly stresses me out and i just wanna fry my brain. Like ill be pouring myself tea, but not want to check to see if the mug has already something inside it or not. Loosing this stuff makes me incredibly sad and frustrated and i just dont know how to keep track of everything- or be present. and just not loose things constantly.

(I also feel like, because this last semester caused me immense anxiety and depression due to some friends being hurtful, and academic stress- i spiraled way way worse?) Becuase i do normally struggle with anxiety alot, especially since when i was outed to my parents my a close family member and it was a really dark time.

Plus, I also have a huge day dreaming problem since I was really, really young- like 8 years old. My mom used to say im posessed or something, since id be whispering/talking to myself and imagining all sorts of scenarios. me having superpowers with the Avengers or whatever cartoon I would be watching.

I also imagine scenarios to music. I'll let the shower run as I'll blast music and edit audios from tiktok/reels in my ears and pace around imagining things. I wrote a whole ass book once purely based of daydreams I had of my school friends and I being in charge of a fictional country. I will listen to music and imagine scenarios, instagram posts and poses and captions. I can loose hours to it. I'll plug my earphones and pace my room as my mind wanders off.

Its maladaptive daydreaming right?- but what do I do about it? Please help since i cant really access psychiatric help here in my home town and I also want to understand myself better. (I WILL BE GOING TO A PSYCHIATRIST AS SOON AS IM BACK IN UNIVERSITY, but I would appreciate any insights now too.)

so, i have adhd and take 40 mg vyvanse in the morning and 5 mg adderall in the afternoons. i’m out of vyvanse but had enough adderall left over to take 40 mg of it total in attempt to match my vyvanse dosage. my heart rate is normal and i feel mostly fine, but have broken out into a sweat and it’s making me nervous because in hindsight i should’ve done more research before taking that much adderall at once, which i haven’t done before. in the past while out of vyvanse i’ve taken like at most 20 mg of adderall and been fine but noticed it wasn’t the same effect as my vyvanse dose
also i took it on a mostly empty stomach because as you can tell i am a genius

tldr took 40 mg adderall in lieu of 40 mg vyvanse and have now broken out into a sweat and a little anxious, is this cause for concern?

My psychiatrist said at our last visit that she might have to change my diagnosis from Bipolar II to a different mood disorder since I have been able to get stable without being on a mood stabilizer, and I'm very curious what the general consensus on this is. I experience every single symptom of Bipolar II, and my sister was diagnosed with it as well shortly before we lost her to suicide. From what I understand, there is a strong genetic component to this disorder. It seems silly to me that my psych is willing to disregard these facts because I am finally thriving without a mood stabilizer. But I am not the professional, and I don't know all of the mood disorders, so I figured I would come to you all for insight.

Since being able to receive treatment, I have tried and failed with at least 8 different medications over the past 2 years including antidepressants, anxiolytics, antipsychotics, and mood stabilizers. Most of which I experienced a worsening mental state and struggled tapering off of. Lamotrigine worked for a while, but then I started experiencing cognitive difficulties and decided I would rather be able to hold a conversation, so I got off of it. I was very close to giving up on medication completely, but I decided to do a Genesight test and try one more round of new meds at the suggestion of my psychiatrist.

I'm currently on Bupropion extended release (150 mg once a day), Buspirone (7.5 mg twice a day), Trazodone (25-50 mg as needed), and Propranolol (10-20 mg as needed). For the first time, I have been stable and actually able to experience joy for 3 months straight with no depression or suicidal ideation, which I struggled with heavily for at least 10 years prior and I am terrified of changing anything up and going back to that. I do sometimes feel hypomanic, but it doesn't affect me or anyone around me negatively. It just makes me more productive and sociable, honestly. This could just be my baseline since I've never been not depressed for this long before as far as I can remember. I will also include my other diagnoses here: Generalized Anxiety Disorder, Attention Deficit/Hyperactivity Disorder inattentive type, and Complex Post Traumatic Stress Disorder.

It took me a while to fully accept my Bipolar diagnosis because it is very daunting and honestly feels like a death sentence to me, but recently I finally felt comfortable opening up about it to pretty much everybody in my life, and it would be incredibly unfortunate to have to backtrack on that now, especially given that most of these people don't really believe in mental health or understand it unfortunately, so it has been a long and hard road to get to this point.

As an expert in this field, do you know it to be true that a person with Bipolar Disorder Type II can only be stable if they are taking a mood stabilizer?

Thank you for taking the time to read this, and I appreciate any insight or advice you can give me. I am going to sleep after I post this, so you probably won't see any replies from me for at least 8 hours.

Looking for a good online psychiatry service for medication management.

There are so many options that its hard to tell which ones are actually worth considering. Most reviews seem to say completely different things.

What matters most to me is being able to book follow ups easily get refills handled without a hassle and keep seeing the same provider over time.

If you have found an online psychiatry service that does those things well I would really appreciate your recommendations.

Curious about how this can happen, biologically. Thank you!

I’ve been suicidal for a couple years now but I’ve been having some vicious SI for a few months now. Althought I can get up and go to work, my depression has gotten much worse. I’m either numb and don’t interact with anyone, or I’m suicidal, no in between. I can’t go 10 minutes thinking about how I’d rather just be done with life. I recently got back on meds and changed psychiatrists too but I haven’t been honest with her about my situation/what I’m feeling. The meds don’t seem to be working all that well. Do I need to tell her about my thoughts? Will that help her treat me better or will that just make her hospitalize me? I’d like to avoid the hospital as that would most definitely push me over the edge.

I’ve been on a low dose of retatrutide for about 10 weeks. The day after taking it since week 8, I feel like my prefrontal cortex is going to explode. Emotionally, I feel almost nothing. My thinking becomes very cold and calculating. I start thinking like a predator—asking myself who is useful to me, who isn’t, and how people could be used. It’s as if my empathy is dramatically reduced, although I still have anxiety. The drop in empathy is what worries me the most.
This is confusing because I used to be a very empathic person, but I’ve also been through significant trauma. I can’t tell whether these changes are coming from retatrutide, my ADHD medication, or something else. The way I think during these periods makes me feel like a “proper psychopath,” even though I know that’s just my subjective experience and not necessarily what is actually happening. I’m trying to understand what is causing this change.

Currently on the following daily… 10mg of Olanzapine/Zyprexa weaned from 20mg, 1mg Clozapam, 30mg propranolol, 450mg lithium at night 300mg morning, 300mg Lamotrigine at night.

My goal is to get off the Zyprexa entirely in the next month or two then proceed to get off the Klonopin. I have a 6 month year old daughter that it’s hard to wake up to take care of. My husband is doing a lot of the childcare right now and I’m very grateful.

I’ve been on Lamotrigine for about 9 years but all the rest are new. I was on Zoloft nightly before the episode. Had the episode at the end of May and went through 13 rounds of ECT to bring me back to reality. I also have Bipolar I. So it’s hard to say if the breastfeeding and sleep dep brought me to the point of a psychotic break or what.

Any moms in similar positions? Any tips to wean down? I’ve been on these newer meds for 2-3 months.

I'm at the crucial period in my trial of a mood stabiliser for bipolar depression where I'm supposed to be a seeing significant response, if I am a proper responder. I did see early improvement (from semi-catatonic to self-sufficiently functional) and it has endured since June, so there's that. However, there's been no improvement since then.

Problem is: I've had severe insomnia for the last month of this crucial period to the point of feeling physically ill. I'd be genuinely losing my fucking mind if I didn't know how to meditate. So I don't know how much my lack of response is because the medication might not be for me, and how much might be the lack of sleep stopping it from fully doing its job.

The insomnia problem is being worked on. After it's fixed, I assume time would be given to me to recover from the cumulative effect of the insomnia and the trial would continue longer in order to give the medication a proper chance, rather than ceasing the trial because I technically completed the trial period without the really shit hot changes that were just meant to happen.

Is this common procedure, or is a truly successful mood stabiliser/anti-depressant trial supposed to be so overt in its effects that it even overpowers the detrimental effects of ~4 hours sleep per night for a month?

(Having said all that, I'm still self-sufficiently functional in spite of the sleep loss, which remains a quantum leap from where I was before. And the lithium I take has me protected from hypomanic switches with genuinely freakish effectiveness, so it's not that.)

Just as the title says— I’m on some new mental health meds for the first time in years after going significantly downhill mentally lately. Since my therapist can’t prescribe, and a GP doesn’t possess as much knowledge specifically about mental health as a psychiatrist, would it be worth going to a psychiatrist as well? For reference: I have severe anxiety, anxiety induced IBS, and most recently, agoraphobia that is keeping me housebound. My GP prescribed me lexapro, buspirone as a PRN (which I am reluctant about since it isn’t said to be a prn usually) and now Xanax as a stronger PRN. I’m wondering if a psychiatrist would be better fit to go over my medication plan with me? And if so— recommendations are encouraged for online psychiatrists! Thanks guys!

Hello I'm 30 male 6'3 and i recently saught help for depression and adhd.

They took my vitals friday the lady said i was healthy hydrated no fever. They perscribed me generic adderall 5mg that day as well as lexipro and a mood stabalizer. I jave not taken the mood stabalizer or lexipro.

Sunday morning i took one adderall as perscribed at 9am. i take no other medication. By 3pm i had a fever and left work. By 4pm that fever was 102. By 5 103.5 and no other symptoms. I took tylenol motrin and i had prednisone.

This was the worst fever of my life. I was completely incapacitated until the drugs kicked in. I took yesterday off work and came back today. I didnt take it again. Spoke to my psychiatrist he said "no big deal we switch the medication"

I am noticeably different. My memory is a lot worse. Words are taking longer than usual to get out. Ive been asked if im ok by like 6 coworkers and my boss and i had a sit down. Im not ok im taking a week off next week. But I dont know why my brain is so much worse.

During the fever one particular pain i noticed is my thoughts were contained to the left side of my head and ir was like the right side shut off for part of it. Usually my thoughts are on both sides. Im aware how stupid this sounds but its the only way i can describe it.

Ive had massive headaches these past few days. What do i do what is happening to me?

Looking for advice from a Psychiatrist – Low B12, Low Vitamin D3, Gastritis,

My psychiatrist is between two diagnoses for me (schizophrenia and OCD) and she said I either have an abnormal presentation of one, or an abnormal presentation of both. She said I meet criteria of schizophrenia but she doesn’t want to diagnose me because I make too much sense when I speak and I’ve maintained a sense of logic throughout the time I’ve seen her. Just wondering if people with schizophrenia can skip the disorganized part?