5 ms·
Great article. I suffer from PTSD, GAD and mild depression. Having been involved in a fairly violent street gang in high school, I had seen a lot of violence
by jawngee 18y ago
Great article.
I suffer from PTSD, GAD and mild depression. Having been involved in a fairly violent street gang in high school, I had seen a lot of violence and just plain f*cked up stuff. People getting shot in front of me, a lot of situations that forced me to confront my own mortality, etc.
It really didn't hit me until about 10 years ago. I was getting off the F train at 23rd street and had an overwhelming feeling I was going to pass out, which I then interpreted as my imminent death. It was frightening because it was so out of the blue and so intense. Who wants to pass out on a subway platform? Or worse, die on a subway platform?
For the next two years I tried to find a medical reason behind that first massive panic attack, but never found one despite spending several tens of thousands of dollars on medical bills. I finally had to accept that I had these certain mental conditions.
I used to reign it in through a variety of meds; anti-depressants, klonopin, ativan, xanax. I went to a cognitive behavioral therapist to figure out how to change my thinking and learn to control it.
These days I don't take any meds and though I still have massive panic attacks now and again, they mostly don't phase me as they're so common place now and you sort of grow to accept that these things aren't going away and it's your lot in life.
The most damning aspects of anxiety disorder aren't the panic attacks, by the way. It's all the passive shit that comes with it. Hyper-vigilance and derealization have to be the worst. Hyper-vigilance means that you are so focused on your physical well being that the slightest pain, discomfort, etc. gets misinterpreted as a major medical calamity. A cough becomes lung cancer, a mild pain in your armpit becomes non-hodgkin's lymphoma, etc. With derealization, you'll have entire spans of time where nothing seems real to you at all, familiar things become unfamiliar, etc. If you've read anything by Camus, you'll have some understanding what derealization is all about. It's pretty scary shit.
But despite all of that, I have what I consider a fairly successful career. I believe that is partially due to the CBT therapy, and part to my stubbornness to not be a victim.
I do think depression and anxiety are endemic to this current generation of technologists (late 20's and up). This new generation, seems more balanced though, so maybe it's a generational thing? Not sure.
One controversial thing that has helped me, as well as hurt me, is marijuana. Most times it helps me to get out of my head, specifically on days when the anxiety is thickest. On the flip side, sometimes imbuing too much brings the anxiety like nothing else. But most times, it's been more helpful than harmful.
- gabrielroth 18y agoI'm not sure why you gave up on prescribed psychotropics under medical supervision but you're still self-medicating with mariajuana. Is the latter more effective? Having a (capable, attentive) doctor monitoring your treatment can be a big advantage, and it's worth putting some effort into finding such a person.
- jawngee 18y agoA variety of reasons. First and foremost, the side effects were typically worse than the benefits. For example, I was on Effexor XR for a year. The side effects from that included a lovely bubble sensation in your brain, sort of a cranial pressure that literally feels like your brain is growing too large for the skull it's contained in. The worst side effect, though, hits when you forget to take it. You get these things called "brain shivers" where moving your eyeballs causes an electric shock sensation in your brain. The more days you miss, the worse this gets, to the point that you are unable to get out of your bed because the slightest movement of your head results in a mildly painful shock. Zoloft, on the other hand, is much more mild, but didn't really put a dent in it. The benzo's were helpful, but are highly addictive. I still carry Klonopin around with me for those times when it's real thick, but I only use it as a last resort. The most beneficial thing, for anyone suffering from anxiety, is CBT therapy as it teaches you a set of tools for navigating the anxiety and minimizing the impact of panic attacks. To me, that's far more sustainable than being a guinea pig for Pfizer. With CBT, you learn how to tackle it head on and come out on top. It takes some time, but it's doable. For anxiety, in general, I see the AD's being used until you get to a point with CBT that you can handle it without. The long term impact of AD's are still unknowns, and their efficacy is constantly challenged. If you can get control without that dependancy, the better off you'll be. That's just my opinion though. As for the marijuana, it took some trial and error to discover what worked there. In the last six months or so, I smoke significantly less than I used to, in fact I haven't smoked probably in the last three months, save a few times at parties or hanging with friends and playing Killzone 2. It has it's own set of problems though, but in contrast to all the other medications I've been on, it's been the most effective with the least side effects.
- bprater 18y ago