Postings from July 1-31, 2005
Date: July 23-24, 2005
Hello Doc, I have been on Amisulpride 100mg tablets (twice a day) since February of this year and before this I was on a course of Risperdal injections since October 2003. This was due to me suffering a drug induced psychosis from Cannabis, which has now been diagnosed as Schizophrenia. I have been told that I will be off the medication (if everything goes according to plan) in a years time. I am 20. I was wondering whether it is possible for me to take other drugs for recreational purposes. I wish to try laughing gas at a party I will be attending soon. Failing this I get extremely anxious at times and I was wondering whether taking some form of anti-anxiety tablet would not only calm me down but also give me something to enjoy. Is there anything available on the market? Do you have any ideas of anything else? I don't want to have any kind of relapse and the only drug that I have taken since falling with illness has been alcohol. Please help as I need something to give me some kind of 'up'. Thank you for your time and I am sorry to bother you with something so trivial but any result from this would make my life a lot more livable. Thank you, D*** Dear D***, Amisulpride which is the drug I think you were referring to is not FDA approved in the United States and I am not as familiar with it as I am other anti-psychotic medications. I can tell you this though. If the use of Cannabis induced a psychosis, you must be extremely sensitive to medications and must only take them under the care and supervision of a psychiatrist. Alcohol and recreation drugs are really dangerous for you and could make your condition worse. I do understand that you suffer from non-psychotic symptoms such as anxiety and/or depression. This is something you need to discuss with your psychiatrist who may be able to prescribe a medication that will not interact adversely with your current medication but give you the relief you desire. I would also recommend your seeing a psychotherapist so that you can deal with how you got to where you are now and how you can move to a healthier place psychologically. I think there is a good chance you have addictive personality features if not a full blown disorder. You notion of taking a pill to make you feel "up" or calm you down is part of your problem. As long as you think that drugs are the answer to feeling good, you will continue to suffer. The answer to feeling good is being productive in your work and having loving people in your life. That's what you need to focus on. When you can do that, saying goodbye to recreational drugs will not be so difficult. I urge you to seek help through psychotherapy and support groups that will help you to get high on life and not on drugs. Good luck and let me know what you think. happy(gettinghighwithalittlehelpfrommyfriends)shrink Dear Happy, I've moved into this sublet for the summer, and I'm beginning to have some questions about my roommate. He's reasonably normal when I talk to him, but I hear him laughing like all the frickin time in his room, sometimes when he's watching tv, and sometimes when he's listening to his loud, obnoxious music (which, mind you, is all anti-drug rap). Also, sometimes I hear him through the walls saying things as if he's talking to another person, but his speech is too sporadic to be part of a phone conversation. I've also heard him laugh and talk like this in the shower. This raises questions to me. The other day, he was in the bathroom for at least an hour and forty-five minutes. Would any sane person be in the bathroom for that long? I am annoyed that he is an annoying roommate, but does it seem possible that he's slightly out there, so to speak? Elf Dear Elf, He does sound a bit weird but my question is, can you live with him through the summer without him making you miserable? Whether he is crazy or just idiosyncratic, you must decide how difficult his behavior is on you. If his behavior is something you can ignore, I would just let him work out his own issues. If it is really bothersome, look for another place to live. You might also want to talk to him about things he does that upset you but that won't guarantee that he will be receptive to your concerns. It might be worth a try before you get ready to pack your bags. Let me know what happens. happy(can'tlivewithsomeonewhohogsthebathroom)shrink Here are a few more billboards to watch out for while you go on summer outings:
Date: July 19, 2005 Bonus Edition
Dear Happyshrink, My 13 year old seems to be enjoying her parenting time with her dad less than usual. I am not sure what to do. She sent the following: PLEASE!!! I WANT TO COME HOME NOW! Any recommendations? She and her sister have 3 more weeks of parenting time left to endure. Sincerely, Judi(?)blueye Dear Judi,
I would first ask her what is making her so unhappy. She may miss being with friends or be bored...or there may be something more serious going on. Find out what it is. I know you don't have the greatest relationship with your ex, but unless you think he's being abusive, it would help if you involved him in the process. Four weeks is a long time to be away from home. One of my step kids loves the idea of being away for a month, while the other is more than happy to see her dad for a week (or less). It's not necessarily about parenting. It's about kids. Maybe you could work out a compromise if it's just a matter of her enjoying herself.
happy(couldshecomebackinaweek?)shrink
And for a little bit of comic relief, be sure to notice some of these billboards during your next road trip:
Date: July 9-10, 2005
Hello HappyShrink, My girlfriend and I recently had a discussion about how she deals with life. Apparently, she has suicidal thoughts regularly, and gets though her days by waking up, and saying she chose not to take her life that day. She also proceeded to tell me that she has tried to commit suicide twice in her life time(she is 25). She tells me that she deals with her feelings by wanting to be everything for everyone. She is always super-accommodating to me and others, she often feels that if she is not needed, she feels little to no self worth. A little family background, her Dad was very loving, but only around 6 months a year due to his job. Her mother raised her, but was quite cold-hearted, teaching her how to be manipulative, telling her she wasn't perfect enough, etc. All of this came to a head in one afternoon. She recently switched jobs, from being in charge of a lot of college girls, to being a 9 to 5er in a "regular" job. She suddenly isn't getting phone calls constantly, and is greatly bothered by her sudden lack of things to do during the day. Anyway, long story short, I betrayed her trust by saying a guy thing while we were getting all of this out in the open (my ex g/f was bi-polar). I asked her why she didn't tell me about her problems before. She immediately said great, now my boyfriend thinks I have mental problems. I know, I put my foot in my mouth, and probably made her not want to tell me anything. I apologized, but in my heart I know all of the things she told me indicated some sort of mental illness/problem/disorder/whatever word. I am strictly worried for her wellbeing, and want only for her to feel good about life again. Is there anything I can do for this woman? I love her with all of my heart, I have never loved another as much. I'm just scared for her now, when I wasn't before. Any advice would be extremely appreciated. Sincerely, A concerned boyfriend Dear concerned boyfriend, You can start off by telling her what you told me; that you love her with all your heart and you have never loved another as much. Make it clear to her that you are concerned for her well being and as a significant person in her life you want to be part of her journey to becoming healthier. Many women who suffer from the symptoms you have described your girl friend as having are often worried about how sharing their most intimate secrets will scare people away. Your statement of "Why haven't you told me about your problems before?" could have been interpreted as, "Why didn't you warned me about your problems before we got so involved?" Perhaps there is a bit of that in your "guy" comment. So my advice to you is to first look deep into your own heart and decide if you really want to go further with this relationship. If you do, then you need to tell her that and then you need to ask for her help in letting you know more about her condition and what you can do to be supportive. I would hope that your girlfriend is in therapy and if your participation will help, then offer to participate. Even just offering to drive her to and from her appointments may be all she needs to feel your love and support. Ask her to help you to give her what she needs. She has more answers than I do concerned boyfriend. All you need to do is ask. happy(itneverhurtstoask)shrink Dear Happyshrink,
I have been seeing various therapist since the age of six. I suffer from depression, insomnia, paranoia, and extreme emotions. I suppress until it explodes. My dad called one night when I was six ending my parent’s marriage. My brother has always been my main father figure, and the only man I trust. When my mother remarried I silently shrieked in terror. My step-dad (Monty) seems to be a good man. Then again, most strangers seem good at first. Through their six-year marriage they had two major fights, which lead to Monty driving away for the night and mom rambling about divorce both of which disappeared within weeks without so much as an apology. My main problem with Monty is my mistrust of him, along with the majority of males. Even after living in the same house as him, I avoid being in the same room as him or speaking to him. This has given me the title “stealth girl”. It is not that men scare me. I just feel awkward around them. Monty, however, does scare me. My fear of him stems from a memory, which might or might not have been a dream. One night, when I was ten, my blood sugar went super-low (FYI- I have juvenile diabetes). I often have bad lows and become disoriented and cannot distinguish reality from dreams. During these lows, I have often hit and thrown thing at my mom and brother hurting them badly. This particular night I could feel my body going shaky and the usual symptoms, so I dragged myself to Mom and Monty’s room. I heard yelling from inside so cautiously cracked open the door. This is the part I hope my mind was playing tricks on me. I saw Monty hitting my mom slapping her and pushing her. I thought he might kill her then me. I quickly shut the door and returned to my room to fall on the floor. By this time, I was unable to speak or think, but I needed attention before I went into a comma. I was too scared of my step-dad to try to yell or open their door. Instead, I tapped on the wall that was sided by my stepsister’s room. It didn’t work and I went in to a comma. When I came back the next morning Mom told me my stepsister had found me. Other than some bruises on her wrist (probably from me), she appeared unharmed. Ever since that night, I have built up nightmares about Monty. Sometimes I go and listen by their door. I haven’t heard yelling since. Sometimes my mom jokes about him slapping her. She says it as if she is teasing not like it's true. I do not know what is true. If there is any way, please help.
Grateful,
Seasick Dear Seasick, I can't tell you for sure what kind of guy Monty is, nor can I tell you what kind of marriage he and your mother have. It's pretty normal for husbands and wives to fight and it's not always possible to conceal those fights from children, especially if there is yelling or someone leaves the house in anger. I can understand your mistrust of Monty even if your recollection is faulty. He came into your life because your mom married him. You didn't have any say in the matter even though it has affected your life so much. It's unfair but then, life is sometimes unfair. It's not easy becoming part of a reconstituted family Seasick. I can tell you this as the parent of a 14 year old step-daughter and a 16 year old step-son. It's always a struggle to know how hard you should try to show your love as well as not make your step children feel you are trying too hard. It's impossible not to make mistakes. I have worked hard on being a good parent and I succeed most of the time. Sometimes I make mistakes but it's never out of malice. As far as seeking the truth about what you thought you saw, the best thing to do is speak to your mom. Tell her what you think you saw and see how she reacts. I can't guarantee you will get the truth, but her reaction will tell you something. Another option is trying to work things out in family therapy. If you are already seeing a therapist, it might be a good idea to have some sessions with your mom and your step-father. Perhaps this would give you the opportunity to get to know Monty better in a safe environment. I don't know your exact age but it sounds to me like you will be at home for at least a few more years. Don't spend that time in fear or uncertainty. Work out your differences so you can feel better. Let me know what you think Seasick. Good luck. happy(andsometimesalittledizzyfromparenting)shrink Dear Happyshrink, I have a question. Can anal sex cause a chemical imbalance? I love anal sex with my boyfriend. But the thing is, when I leave his house to go home I have a panic attack. I Love Him so much and I feel physical pain when I am not with him. I am not crazy (well I am about him), but is it possible that by having anal sex that it could cause a chemical imbalance. I really hope not cause I wont give up having anal sex but I need to know why I feel so much pain when we are not together. I have never loved anyone as much as I love Him. His job takes him out of town a lot and we are getting married in 2 years when I finish school. Because in 2 years I will be an RN and his job will allow him to pick any state in the US to move to and settle down. That is why we are waiting the 2 years before we get married. We only get to see each other about 4 times a year but we talk on the phone every day that we are not together. He has a government job and that's all I can say about that. What do you think? Please let me know. GL Dear GL, You have no idea how tempted I am to treat your letter as a joke and answer it in an amusing way. Maybe Edna or JeWitch can make fun of your letter next week but for now, I will try to answer it seriously. Your panic attacks may be more a function of the little time you spend with your boyfriend and the uncertainty of the future. If his government work is that much of a secret, then perhaps you fear that your plans for when you get out of school may not work out. Panic attacks do often have a chemical component to them, but I have never heard of anal sex increasing or decreasing such chemicals as serotonin, dopamine or cortisol. These chemicals are often associated with depression and/or anxiety. While all sexual activity increases the heart rate and the flow of blood, the brain usually regulates the amount of hormones and chemicals it produces. Imbalances can occur in some people and no one really knows why. There is a hereditary factor, but not all the time. My hunch is that your 4 time a year opportunity for intimacy is very stressful and is more likely the cause of your panic attacks. If they become more frequent or more difficult, I suggest you see a psychiatrist who can assess and treat the condition. Let me know what you think happy(thereIdidit!)shrink
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