Posted by yznhymer on September 30, 2004, at 3:51:14
In reply to CBT and clonazepam » jonh kimble, posted by Kon on September 30, 2004, at 1:30:36
> >I ive tried cbt and clono. together, it doesnt work. I end up having inacurate definitions of the work I did when sometimes Im medicated and sometimes not. I end up thinking I can only do whatever it is while on the drug so it doesnt work.
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> List your anxiety-provoking situations from least to most. Do not take clonazepam for the less anxiety-promoting situations. Use clonazepam only for your higher anxiety-promoting situations. Work CBT with exposure and no clonazepam for less anxiety-promoting situations. As you are able to handle the lower anxiety-promoting situations without drugs, work your way up to higher anxiety situations and omit the clonazepam and use CBT with exposure until you are able to handle that new situation drug-free. Repeat and continually eliminate clonazepam from more and more situations until you only need clonazepam for a few situations. Repeat pattern until hopefully , you don't require any clonazepam for any situation. If it doesn't work, then just use clonazepam on a few occassions where CBT did not seem effective.
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>Hmm. There is a certain appealing logic to your suggestion, but I'm doubtful it can be implemented. Unfortunately, we don't often get to choose the timing of anxiety-provoking situations, nor do they present themselves in ascending order of stressfulness. What would you do if you had a high anxiety-producing situation in the morning, but two hours later had only a mildly stressful situation. You couldn't remove the klonipin fom your system to handle the situation without it. When you take the benzo, you've got it for the day. High anxiety- and lower anxiety-producing situations are gonna come at ya on their own schedule and in random order. I think his answers probably lay elsewhere.
poster:yznhymer
thread:397047
URL: http://www.dr-bob.org/babble/20040927/msgs/397144.html