I’m going to talk to my doctor about my lifelong anxiety for the first time. Should I mention my self medication ?
Hello! I (26F) have been an anxious person for as long as I can remember. As a kid, I had severe separation anxiety from my mom, was extremely quiet, and refused to talk in class. As an adult, I have no friends because social interaction makes me extremely anxious, and I’ve had panic/anxiety breakdowns.
I’ve never really known what life without constant anxiety feels like. Since my mom and siblings also struggle with similar things, I always assumed it was just part of life and that I needed to suck it up.
I finally feel like I need to talk to a professional, but I’m really nervous about it. I’m worried my doctor won’t take me seriously since I’ve never mentioned it before, or that they’ll just recommend things I’ve already tried. I’m also scared of being dismissed.
There’s another thing I’m particularly worried about: since I was around 20, I’ve occasionally self-medicated with opioids. Usually one pill, sometimes two, when my anxiety became overwhelming and I felt like I needed something to get through the day.
Should I tell my doctor about this?
I know I probably should, but I’m worried they’ll assume I’m drug-seeking or have a substance abuse problem and be less willing to prescribe anxiety medication.
Has anyone been in a similar situation? How did you approach the conversation with your doctor?
**TL;DR:** I’m 26F and have struggled with severe anxiety my entire life. Meditation, therapy, and lifestyle changes haven’t been enough, so I’m finally going to talk to my doctor. I’m worried about being dismissed, and I’m also unsure whether I should disclose that I’ve occasionally self-medicated with opioids because I’m afraid it could affect my treatment.