Asking your PCP about anxiety isues?

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Date Joined Dec 2008
Total Posts : 4961
   Posted 10/18/2009 2:29 AM (GMT -6)   
Hi all-
I was told during a week stay at the local hospital recently I have a oretty sever anxiety issue. And should be taking ?Adivan(sp). Anyway. I mentioned what was said to my PCP and he prescibed me atenolol once a day, Now it was helped a ton with my BP, but I still have the axiety issues and seem just little goofy thig will set me off and my heart is racing again and can;t concentrate or sleep. I understand the Ativan can be very addicting, but is there something similar that could be tried to help wit this? I am begiing to drive my self nuts but also my wife too. She really has enough to deal with between all my problems and appointments to have to deal with my goofy anxieties also.
What is the best way to bring this up with the PCP and how do you come out and say you think you need some help without sounding too pushy. I did tell him the nurse staff at the hospital recommended I should be on Adivan for a while and see how things weent. He said 3 days was long enouh=gh and wanted to try Atenolol instead. It has brought my BP way down, but I still have the really strange tendencies, like make it to the work oarking lot and the begin to think" what if tohight I dump a buch of n=meat on the floof-r and it is over 1000lbs, I then get drug tested and y-it showes I have prescribed Lorocet in my system? Well this company has a zero polocy and I will get walked out and have to go throough 2 weeks of rehab to get my job back As this runs through my head I manage to talk my self into heading home and not risking the embarrasement if something should happen. I need to lorocet to keep te rib pain a bay so I can do the maintenance work I have ried just tramadol and it doen;t last at all.
So I am begging for some advice or directionhere on what I should do. Keep doind the very unproductio=ve nights, take a chance, or find a way to comunicate with my PCP about this?''

Take care,
bill devil

Regular Member

Date Joined Jun 2009
Total Posts : 215
   Posted 10/18/2009 9:46 AM (GMT -6)   
Can u go see a psychiatrist?

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Date Joined Apr 2007
Total Posts : 32602
   Posted 10/18/2009 1:43 PM (GMT -6)   

Dear Bill,

I am sorry you are having high anxiety but I think it is well earned in your case.  You have had so much going on. 

Atenolol is a good drug if you have performance anxiety for instance if you were going to give a speech or something else that would kick up your adrenalin surge. 
It feels to me more like you have developed what is know as GAD. Living with generalized anxiety disorder can be a long-term challenge. In many cases, it occurs along with other anxiety or mood disorders. In most cases, generalized anxiety disorder improves with medications or psychotherapy. Making lifestyle changes, learning coping skills and using relaxation techniques also can help.
This is what your Doctor has to understand that you are now a person with anxiety and in order to do your activities of daily living you need help.
The causes of  generalized anxiety disorder are not fully understood.  It's likely that the condition has several causes that may include genetics, your environment and stress. A big event or a buildup of smaller stressful life situations may trigger excessive anxiety.  You have had more then your share of both of these factors.
To answer your question because there's often a lot of ground to cover during your initial appointment, it's a good idea to be well prepared for you Doctor visit. Here's some information to help you get ready, and what to expect from your doctor or mental health provider.
  • A list of your symptoms. Include when they occur and whether anything seems to make them better or worse. Also note how much they affect your day-to-day activities such as work, family  or relationships.
  • What's caused you stress. Include any major life changes or stressful events you've dealt with recently. Also write down any traumatic experiences you've had in the past or as a child.
  • Any other health problems you have. Include both physical conditions and mental health issues.
  • A list of all medications you're taking. Be sure to write down the doses, and include any vitamins or supplements you take.

Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out.

Several different types of medications are used to treat generalized anxiety disorder:

  • Antidepressants. These medications influence the activity of brain chemicals (neurotransmitters) thought to play a role in anxiety disorders. Examples of antidepressants used to treat generalized anxiety disorder include fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro), sertaline (Zoloft), venlafaxine (Effexor) and imipramine (Tofranil).
  • Buspirone (BuSpar). This anti-anxiety medication may be used on an ongoing basis. As with most antidepressants, it typically takes up to several weeks to become fully effective. A common side effect of buspirone is a feeling of lightheadedness shortly after taking it. Less common side effects include headaches, nausea, nervousness and insomnia.
  • Benzodiazepines. In limited circumstances your doctor may prescribe one of these sedatives for short-term relief of anxiety symptoms. Examples include clonazepam (Klonopin), lorazepam (Ativan), diazepam (Valium), chlordiazepoxide (Librium) and alprazolam (Xanax). Benzodiazepines are generally only used for relieving acute anxiety on a short-term basis.

I hope this gives you some ideas.  As for drug testing, if you are using a medication prescribed for you legally and are not having notable side effects you should be OK.  You do not have to tell anyone what meds you are on unless it would show up in your drug test and then you would divulge the medication. If this worries you please do talk to your Occupational nurse or Doctor at your work.

Take care and stick with us.  Lots of good members here in this forum.




~~ Kitt ~~
Moderator: Osteoarthritis, GERD/Heartburn  &
*~* *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
"I am not a mental health professional, nor do I play one on TV, I just kind of talk like one!"

Post Edited (stkitt) : 10/18/2009 12:46:15 PM (GMT-6)

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