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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by utopizen on December 12, 2002, at 11:03:43
Hey,
Going to see a psychopharma, so apparently I'll be likely to get scripted Klonopin if I want it (there is a God). But I was thinking, is there actually a benefit in a mentally stable person that takes an antipsychotic for anxiety beyond that which Klonopin can accomplish? For instance, is remission possible? Is cognitive effect still as bad as it was back in the day (which I've heard was pretty foggy stuff)?
thanks
oh, and anyone get more social or anything? I've only got social anxiety, that's it.
Posted by linkadge on December 12, 2002, at 11:37:33
In reply to Is there a benefit of going on antipsychotic?, posted by utopizen on December 12, 2002, at 11:03:43
My mom is bipolar who had anxiety
with more of a component of abject
fear to it. She says that the AP takes
care of the abject fear. It really depends
on the nature of your anxiety. If it is linked
to things like fear of terrorist attacks,
sences of impending doom etc, you might respond.As far as the sociability goes, it tends
to make my mom less opinionated and dogmatic,
which helps conversations go smoother, but
if that is not a stumling block for you
it may not help.Ask any more if you want
Linkadge
Posted by biovsenvio? on December 13, 2002, at 1:23:05
In reply to Re: Is there a benefit of going on antipsychotic?, posted by linkadge on December 12, 2002, at 11:37:33
also... has she gained weight from it?
Posted by linkadge on December 13, 2002, at 7:58:59
In reply to Re: link.. what anti psych. is your mom on? , posted by biovsenvio? on December 13, 2002, at 1:23:05
She is on Thioridazine (thats what its called here) but I'm thinking about prompting a change as this one can cause some bad side effects.
It generally tends to be more sedating and anxiety relieving.She has gained weight but we think that most of that is from lithium.
Linkadge
Posted by ItsHowdyDudyTime on December 13, 2002, at 20:57:37
In reply to Is there a benefit of going on antipsychotic?, posted by utopizen on December 12, 2002, at 11:03:43
> Hey,
>
> Going to see a psychopharma, so apparently I'll be likely to get scripted Klonopin if I want it (there is a God). But I was thinking, is there actually a benefit in a mentally stable person that takes an antipsychotic for anxiety beyond that which Klonopin can accomplish? For instance, is remission possible? Is cognitive effect still as bad as it was back in the day (which I've heard was pretty foggy stuff)?
>
> thanks
>
> oh, and anyone get more social or anything? I've only got social anxiety, that's it.
Using low dose atypical anti-psychotics for non psychotic anxiety is actually quite common these days, unfortunately. However its a totally inappropriate use of neuroleptic drugs. Its a practice being pushed by the drug companies. The newer atypicals are very expensive drugs (none are generic yet) and they are very profitable. If drug companies can talk doctors into prescribing low dose atypicals for routine anxiety on a large scale, they make a lot more money.But the problem is you are the one who gets screwed in the long run. Ever had a bad case of EPS? Taking neuroleptics when youre not psychotic increases your chances of someday developing parkinsons disease or getting some other nasty movement disorder. Also, if you screw with dopamine too much, you might wake up one day and find out your antidepressants dont activate good anymore.
Id recommend AGAINST using atypicals for non psychotic anxiety. Suck it up, increase your klonopin dosage, try an MAOI like Nardil, take a beta blocker...there are tons of strategies to fight severe anxiety without resorting to neuroleptics. Also, Cognitive Behavioral Therapy is supposed to be effective for anxiety disorders to include panic and OCD.
Id suck it up and just live with it before Id resort to doing what youre talking about doing. Too high of a risk. EPS aint no fun.
Howdy Doody
Posted by linkadge on December 14, 2002, at 8:44:07
In reply to Re: Is there a benefit of going on antipsychotic?, posted by ItsHowdyDudyTime on December 13, 2002, at 20:57:37
My mother had very specific symptoms resmpling
psychotic anxiety. She would be paranoid, force us to read the bible for extended periods of time - believe god was going to return the next day. Go into panic because she thought she had commited the 'unforgivable sin'. Really strange stuff. I don't believe Klonpin would not have changed the thought process like the AP has.
Linkadge
Posted by Kari on December 14, 2002, at 9:34:18
In reply to Re: Is there a benefit of going on antipsychotic?, posted by ItsHowdyDudyTime on December 13, 2002, at 20:57:37
> Taking neuroleptics when youre not psychotic increases your chances of someday developing parkinsons disease>
Do you know if this has been proven?
Thanks.
Posted by utopizen on December 14, 2002, at 14:28:44
In reply to Re: Is there a benefit of going on antipsychotic?, posted by ItsHowdyDudyTime on December 13, 2002, at 20:57:37
Oh, .5mg of Klonopin is fine, 1mg is super-duper. I was just curious. My p-doc won't prescribe Klonopin beyond prn, so I'm going to see a psychopharma for daily .5mg scripts. He thinks I'll be a Klono junkie.
Posted by ItsHowdyDudyTime on December 14, 2002, at 14:39:52
In reply to We're not talking non-psychotic anxiety, posted by linkadge on December 14, 2002, at 8:44:07
> My mother had very specific symptoms resmpling
> psychotic anxiety. She would be paranoid, force us to read the bible for extended periods of time - believe god was going to return the next day. Go into panic because she thought she had commited the 'unforgivable sin'. Really strange stuff. I don't believe Klonpin would not have changed the thought process like the AP has.What you are describing is NOT anxiety. What you are describing if classic psychosis, for which APs are designated. You should be more specific in what you define as "anxiety" in your posts. Psychosis is not anxiety.
Howdy Doody
>
> Linkadge
Posted by ItsHowdyDudyTime on December 14, 2002, at 14:44:58
In reply to Re: Is there a benefit of going on antipsychotic? » ItsHowdyDudyTime, posted by Kari on December 14, 2002, at 9:34:18
> > Taking neuroleptics when youre not psychotic increases your chances of someday developing parkinsons disease>
>
> Do you know if this has been proven?
> Thanks.Yes, its a hard fact. Its a known fact that non psychotic individuals who take neuroleptics develop movement disorders such as TD and EPS more easily and more quickly than do schizophrenics. EPS is nothing more than a form of mild pseudu-parkinsons. Having EPS at some point in your life increases the odds you will develop motor control problems in older age, as youve screwed around with your dopamine receptors in a negative way.
Neuroleptics cause parkinsons...period. In non psychotics this increases ten fold.
Howdy Doody
Posted by linkadge on December 15, 2002, at 9:45:34
In reply to Re: Is there a benefit of going on antipsychotic?, posted by ItsHowdyDudyTime on December 14, 2002, at 14:44:58
I wouldn't say period. There are many
people who have lived and died on
AP's without experienceing any signs
of parkinsons disease.Parkinsons disease is when there is dammage
to the brain, and certain parts stop producing
dopamine all-together. AP's block certain receptors and in doing so can produce parkinson
like syptoms, but 99% of the time this is reversed
with removing the drug.Another thing to keep in mind, is that as AP's
get more selective to the D2 receptors there is
less chance of movement disorders, and actually
it may improve Parkinsons (by blocking a receptor you leave more dopamine for other receptors)Linkadge
Linkadge
This is the end of the thread.
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