/ratanon/ - Rationalists Anonymous

Remember when /ratanon/ was good?


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In the past I have been diagnosed with general anxiety disorder and more specifically social anxiety disorder.
It was so bad I couldn't even look people in the eye and I would start shaking whenever I feel like I am looked at, I would run out of classrooms at university because of anxiety attacks.
I can't remember what I was on back at the time.

I have now started a new course ( which basically guranatees a job ) and it's back. It's more under control because I am more mature and have learned to breathe, try to calm myself and distract myself but it still doesn't let me function as a human being. ( + )

I am too poor to afford therapy but my cousin works as a nurse. I have access to: paroxetine, citalopram, sertraline, venlafaxine, regabalin, tradozone and alprazolam.

( + ) I'm currently anticipating social situations and taking 0.50 of xanax ahead with like half or 3 quarters of an hour but this will not last me long because I'm developing resilience to the drug ( I used to take 0.25 ).

I exercise using the bodyweight fitness app whenever I can. I do not drink coffee, alcohol or energy drinks. I used to drink tea but at some point I realised black tea unsettles me and I kind of stopped.

My concerns are anhedonia and gaining weight because this happened last time.
I plan on informing myself for a few weeks first and I am seeking help.
If you can and want please share this post to communities which you think might me knowledgeable.
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Psychiatric drugs are one step removed from witchcraft in terms of reliable efficiacy. The variation from person to person makes advice difficult.

As a starting point, you could try sertraline - it killed my crippling anxiety stone dead and replaced it with mild depression. Not a bad tradeoff.

Make sure you read the dosage suggestions for everything you try - I doubt dosing only in advance of social situations will do you any good in the long term. Again, side effects and effectiveness vary wildly from person to person, so perhaps do a trial with each medication you have access to and see what works best?

Note that I am not a psychiatrist, and am in fact only barely more qualified to talk on this subject than a neurotypical layman. For better advice (or at least a second opinion), I recommend r/slatestarcodex's weekly "Wednesday Wellness.

It's a cold world out there, anon. Good luck!



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