The Psych Collective is a RU-vid Channel, Website, Facebook and Instagram collaborative of Dr Al Griskaitis (Psychiatrist) and Jess O'Garr (Clinical Psychologist) based in Australia.
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This was a nail hit squarely on the head moment for me - ex-army medic with combat experience (multiple) and a betrayal story. It so fits it feels like you’re talking about me! Currently going through Schema therapy in Wales.
I don't know if you read or respond to these comments but if you do I have a question I am hoping you can help me with: I've suffered for 20 years with depression. Recently started on Effexor and for a very short amount of time (at about week 8) I felt good, for the first time in forever. After about a week it wore off. I started stepping down on dose since I thought it didnt work but found out that 225mg wasnt max so went up quickly to 300mg and after a few days I actually felt good again just like before. But it wore off again after about 1-1.5 weeks. Could this be that I just develop resistance to it quickly? (I do to all other meds as well like sleeping pills, taking 2 days in a row the 2nd one dont work). I'm really on my last legs here and I dont know how to proceed.
Interestingly, SSRIs like escitalopram and fluoxetine also relieve depression in mice lacking the serotonin transporter. In fact, they are just as effective in mice without serotonin transporters. Although hard to believe, serotonin reuptake inhibition may have nothing to do with the antidepressant effect of SSRIs. All SSRIs bind to TRK-B (as does ketamine). Fast acting antidepressants like ketamine and psilocybin, activate this receptor quickly. Slower acting antidepressants take a few weeks to produce conformal changes in the receptor to make it more responsive to BDNF.
I am looking to get off zoloft myself at the moment. I've mainly stuck to 25mg and it has helped my anxiety, but I have gained 10kg and feel like I have difficulty concentrating and apathy. Have been on for 16 months. I will be starting to see a psychologist at the end of this month.
Absolutely the best example I’ve seen. Thank you. I’m a Correctional officer with 24 years in the service however I’ve recently been diagnosed with PTSD. For me the betrayal was the final straw. I thought I was resilient and strong, however they broke me. I was diagnosed with Alcohol disorder and spent time in hospital for medical detox assistance. In hospital I heard of Moral injury. For me this also offered more comfort I was going mad. After two years being fearful and anxious leaving the house I can start to use the tools you mentioned. Thank you again.
This video is excellent. I'm wondering perhaps if there is a video in the works for the 'written layered trauma analysis' - i'd be very keen to learn about this. Thank you
Curious if you would want pro or anti dopanergic medicines for this. Would dopamine enhancing meds such as buroprion, MAOIs, or psychostimulants be better for true anhedonia or the avolition and anergia? In severe cases what about a tried and true pleasure pathway with something like buprenorphine?
my new psych nurse was gaslighting me about my medications and eventually my diagnoses. she called me an addict for taking clonazepam for panic disorder, which has so far been the only medication to treat it effectively (and i've tried over ten other meds for it), despite not increasing my dose for the last nine months when i started it 11 months ago. she now wants to cut me off of it because "the FDA is cracking down on it" and "it only got approved because of one 2-week study", so I looked into it and found that prescribing rates haven't changed much according to a recent study from JAMA, and the FDA label for it shows it had two studies done for its efficacy in panic disorder, one being a 9-week double blind randomized placebo controlled trial of various doses, and the other being a 6-week study on its efficacy at different doses. she also said that it'll give me dementia even though i'm not planning on taking it for very long and i don't care if i get dementia as long as i've lived a good life before that happens, plus the other medication i was taking, hydroxyzine, would be more likely to cause dementia, and so would the quetiapine that she replaced it with. the thing about quetiapine for sleep is that i might not live long enough to get dementia if i take it because of my family history of cardiovascular issues and diabetes. she saw my bipolar diagnosis and immediately wanted me to start chronic antipsychotic treatment even though my anticonvulsant mood stabilizer works just fine, is much safer, and has kept me mostly stable for three years now without making me feel numb. she knows i'm not going to take the quetiapine for sleep and will use that as justification to prescribe me non-generic antipsychotics by marking it as ineffective for my bipolar disorder, even though she prescribed it off-label for sleep. she told me this herself during our first appointment, and made sure to remind me of her 40 years of experience (she's been a pmhnp for six years) when i expressed concern about this. it's been stressing me out a lot because i don't know if she even sent in my clonazepam prescription, which, if she didn't, then i will face potentially fatal withdrawals. she is trying to manipulate me and her greed could land me in a hospital or an early grave. i don't know what to do about this. she's entirely unprepared to manage my very complicated case consisting of five diagnoses, yet very prepared to label me as an addict so that i can't get medications that have been working very well for me.
Good cards and great explanation. But I think the colors are a bit off. I think the greens should be red and the purple/magenta ones should be green. ( Schemas = bad = red. Solution = fix = green ) Just my thoughts. Also would be great if there was a pdf version available for a lower price for print outs.
Having a list of what keeps us awake and puts us to sleep might be handy to understand what is creating the sleep / awake pattern we have now. Think of the push and pull of magnets on a piece of steel. If we just introduce one more magnet to move the steel in the desired direction, we need to use more force to overcome the forces of other magnets. It might be easier to just direct a magnet already affecting the steel.
Try not speaking over each other all the time like you are at the pub and you will get your point over more effectively. When using Diazepam for alcohol withdrawal (usually a taper off, of 4-5- days) how long then does it take GABA/GLUTAMATE to return to normal levels.
I have horrible severe physical anhedonia . I can’t enjoy touch, sex , eating , bathing or socialising . I can’t be in a relationship due to the sexual dysfunction. I’m also having trouble being sexually harassed and abused by certain men . This makes the anhedonia worse and makes it even more difficult to enjoy consensual sex . I am so distracted I can’t work or do anything productive because of how bad the bullying is
I have said loads of times I don’t want to have sex , I’m angry and upset that people won’t listen to me . I am repulsed by men and sex currently due to the abusive behaviour of men. I don’t want to have sex with anyone , this was true even before the anhedonia
I kinda have the same, but I'm not raped by anyone. I've been this way nearly all my life. And I'm also autistic. Behaviorism won't work for my case, SSRIs are a scam, I feel like there is no way to fix myself in this world. Life feels like a job where I have to work all the time to keep myself alive but never get the salary no matter what I do.
Sometimes I drink too much as well because I find the anhedonia so uncomfortable and distressing . I can’t even have baths now because the hot water hurts my scalp and causes intense itchy neuropathic pain
@@Emu-lb4wc I can't say when exactly it started, I feel like it has always been this way, so it's a minimum of 10 years. I have documented making a comment 8 years ago in which I said that I don't experience any pleasure in my life so I'm not delusional about it.
The problem with benzos is people use them to AVOID the anxiety. The more you avoid anxiety, the worse it gets. You need to learn how to face and accept the anxiety and let it run it's course. The teachings of Claire Weekes have helped many people completely recover from anxiety problems. It's not easy, but it's much better in the long run. If you are already on these drugs, NEVER stop cold turkey. Always taper off slowly at the advice of a medical professional.
My Anxiety is 1000 % worse since I've added 1.5. MG of Ativan to the daily equation. Instead of an intermittent bouts of panic, they are now an every day certainty. Life is now a constant battle to not feel dread.
No, it was kind of progressive. I started taking it about a year ago, one .5 Mg. ..once or twice a week. After about 5 or 6 months , I found that taking 2 was much more effective, and thought I'd found the " sweet spot," so to speak. I haven't increased the dosage, but two days turned to three ...four....and suddenly anxiety began to creep it's way in every day. I'm currently in the process of trying to get away with halfing the dose, which I'm able to do sucessfully some of the time(I don't know why)...but other days(most) the anxiety requires the full 2 pills or I feel like I'm losing my mind.
@scrap8930 there’s info out there on slow down titration, that’s what is often needed. Self care is crucial to stack things in your favour. Timing matters too, delay may be needed if there’s a crisis on. Best wishes
A bunch of violent domestics… I see those every night. Suicides? Yep been to more of those than I can count, being shot at numerous times, yep! Mass shootings? I’ve survived 3 of those. My brain is fucked. I haven’t been able To sleep a full night on 2 years. It’s like a raging river of all my bad thoughts at once, flowing through my mind and screaming at me. I fucking hate it. If you’re feeling this, please get help, because I’m just about done.
After taking dexamphetamine, I still catch whats going on and what people are talking about or explaining even tho im not paying attention at all. it is quite fascinating...
Im almost 5 months sober and have been taking seroquel for sleep for almost 3 years. It works great for sleep with me, but i am going to talk to my doctor about weening off slowly. Excited but scared to take this leap and dont want it to mess with my sobriety, but ive quit nicotine and started fasting 5 days a week so i know i can do this. But one small step at a time. Im currently taking 75mg a night. Im going to drop down to 50mg for a month or more and so on
from 6:20 onwards is very essential information. : overcontrolling of emotions , no visible behavioural problem, actually getting REINFORCED by "society". this makes me wanna think about what other copings strategies are actually getting reinforced (!) as compared to others getting corrected by society ...
I am dealing with eating disorder (overeating until physically unwell and then eating some more) for the past few decades which has lead to me being overweight, even obese with my BMI being over 35. I have been prescribed Sertralin due to depression and I am on my second day: I am in the phase when I have little to no hunger during the day and not even thinking about eating, which is surprising knowing that the majority of my days are usually spent either eating or planning the next meal, what it should be, when I can finally eat it, when should I start preparing it, etc. I am obviously freaking out that after a few weeks on Sertralin it might get back to my usual behavior towards food or even more out of control. I can’t afford to gain more weight, so I am desperately hoping for a little miracle from this medication and hoping to end up with the appetite suppressing effect in the long term 🤞🏻
Effexor not only doesn't work for me but just the smallest dose makes me very sick & worsens my depression, very scary dark depression inducing chemical. For a few days makes me feel like I took some kind of poison & must kill myself. I recommend buying just a few capsules of lowest dose to see how one's body & mind reacts to this scary chemical. Doctors try to push it for huge numbers of capsules right from start probably financially motivated. Never taken just lowest dose of something so toxic ! I'm surprised Effexor helps some people, very strange they get good results !
very helpful, and interesting nuance : I suddenly realized I skipped the step actually "accepting" my emotions yes, I acknowledged them, yes I allowed them. But really accepting (& understanding) them apparantly makes the difference. by doing that - all of a sudden I felt a big sense of relief in my body. as if a part of me could finally relax now I accepted the emotions :) makes sense. I guess I usually still judge that I feel the way I feel, below the surface
It would of been great if any of the dozens of medical professionals who prescribed quetiapine/seroquel to me over the last 15 years (I'm 33) for sleep and non-psychosis issues explained any of these issues to me. No mention of dopamine, mood blunting or affecting reward system. What are they teaching psychiatrists? What happened to informing patients, all I'm left with is feeling betrayed by those I'm told to trust, now I don't know what professionals I can rely on when I am needing help and guidance. It's frustrating
How many people know those words "If you don't stop crying I will give you something to cry about" How much better a place could the world be if no one has experienced of those words. It was a good video.
