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Re: forgot to ask..... » obsidian

Posted by yxibow on June 24, 2008, at 22:36:09

In reply to forgot to ask..... » dayandnight, posted by obsidian on June 24, 2008, at 22:08:22

> why not use a benzodiazepine like ativan or klonopin for anxiety??
> why seroquel?
> maybe you're just so freaking tired you don't have the energy to be other than complacent??
> that's part of my personal theory
> sleepy people usually aren't too much trouble, they're usually too tired to care

Oh... I would highly disagree about sleep. It is interlocked and intertwined with depression and anxiety. I don't know if one causes the other for me but I have a bad sleep disorder.

For others, sleep as you note, may just be a sign of apathy. But then apathy can be a sign of depression, so we're back where we started, because apathy causes retreat.

Benzodiazepines have their place, and if they work for people that's fine -- personally (yes, projection), I am dealing with possible habituation of using a benzodiazepine too long. Yet it also has a subtle use still in my treatment, that's another story.

That's why going into therapeutic use with benzodiazepine should be with the caveat that it may down the road not be as effective as possible. Its personally why I don't advocate the use of short half life benzodiazepines because I think they're the most likely to loose their "zing" when anxiety roars its head and someone needs Ativan. I am not of the anti-benzodiazepine side at all, though.

Sometimes serious anxiety situations require more than a benzodiazepine, especially for long term use. This, is informed consent of course, and is the choice of the patient, as noted previously.

An antihistamine like benadryl, atarax, etc can be a depressant, so they're not necessarily the best choice for long term use. As they say, your miles may vary

-- tidings

Jay

 

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