Panic Attacks and Medication
Age: 26
Race: White
Gender: Male
Height/Weight: 6’4” 198 lbs
Diagnoses: Bipolar II, ASPD, ADHD, Panic Disorder, General Anxiety and Depression, therapist believes I’m OCD and I agree but haven’t been diagnosed by psych
Duration of complaint: not really sure what this refers to (how long I’ve been diagnosed? Then it’s been a few years) but if it has to do with the length of my post I’m sorry.
If this is the wrong place to post this I’m sorry and I would appreciate being directed to the right place.
I am on my second psychiatrist and he’s good and was highly recommended. The only issue is the office isn’t great about communicating but that’s not really the point of this post. I have severe panic attacks 3-4 times a week. They’re anywhere from 15 mins to 45 mins long. I have been in therapy for 3 years and I love it but it hasn’t help my panic attacks. I currently take lithium, caplyta, lamotrigine, and vyvanse daily, and I have hydroxizine pam for the onset of a panic attack.
My general mood improved when I started the caplyta/lithium combo so I believe that worked. Lamictal was added later and I didn’t feel any different I’ve also been on it before and didn’t feel a difference. Other onset medications I have tried are buspar, regular hydroxizine, klonopin, etc. I might be missing a few. Nothing helps. The H-Pam is the only thing that has some sort of difference but it just puts me to sleep in 30 mins; by then I’ve been in mental hell for 30 mins so all I get is an unnecessary nap.
Vyvanse has probably been the most beneficial to my panic attacks. I used to get them at work so I’d have to back myself into the bathroom stall til I felt like I could function at my desk without causing a scene. Basically when my mind wanders panic attacks happen and the vyvanse has kept me so focused at work that I haven’t had one there since I started taking it. But my panic attacks when I’m home are the absolute worst. They’re mostly at night but I have been thrown into one the minute I wake up. Im scheduled to see my psych but the earliest he had is three weeks from now and on top of that he told me to stop taking vyvanse until the attacks are under control. It’s been the only medication I can say 100% helped me and I don’t want to stop taking it.
With my two psychiatrists I’ve communicated that I need something to take when I can feel a panic attack coming on. I keep getting medications that don’t work and I can’t seem to get them to prescribe me one that does. My doctor even suggested exposure therapy; he wants me to talk/think myself into a panic attack so I can learn how to talk myself out of it. I’ve been having these for years before I even knew what they were. I try talking myself out of it every time I’ve tried it all I’m not thrilled about putting myself into a position I know I can’t get out of. I understand benzos are a serious drug class but I’m not a recreational drug user and I have bo criminal record. I definitely got the vibe that my last psych didn’t want to prescribe me benzos and am wondering if this one thinks something similar. idk what to do I just want these panic attacks under control. Bottom line I can’t live with these anymore. Sorry if this was too long I’m just looking for advice.
EDIT: added OCD