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*Dreamer*

Member Since 18 Feb 2014
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In Topic: Tinnitus?

16 June 2015 - 04:48 PM

Hey guys,

did any of you have problem with tinnitus? Is it related to anxiety/depression? I asked my doctor she was like maybe it's just me tripping. But it's not stoping,mostly when im laying and trying to sleep. I have dp/dr and tinnitus too and on some forumes i saw its typical for psychosis,so now im more nervous.. And dp is pretty bad these days so it's scary,i can't relax.. Hope someone will relate to this

Firstly, I'm not sure why you say due to tripping ... have you taken rec drugs?
Also, this is not a sign of psychosis.

inferential police gave some great links.
There has been a long term debate over DP/DR being related to some form of vestibular disorder.

I can tell you now, when under stress my entire life since childhood, I have had balance problems.
As I have gotten older I have had severe tinnitus clearly related to stress.
Now for the past month I had horrible vertigo.  During that time I had tinnitus come and go.

My tinnitus is basically ringing, not some of the other dramtic symptoms others experience.
I would say at minium it can be related to anxiety.

Here is another great article.  I am going for tests re: my vertigo on Thurdsay.  I want to give this info to my ENT, but before I do I want him to NOT be aware of my anxiety, DP/DR.  I DO have a problem, most likely BPPV that individuals can develop with age.  I'm 56.  I am literally hoping it is not "of unknown cause" which means there is little treatment. I would rather it be a benign tumor or something!

Here is another interesting article. I can't find the link.  You are NOT psychotic however. And it may be as simple as the a possiblity that you just have tinnitus.  People without any issues have it as well.  I volunteer with a woman who has vertigo and tinnitus and no emotional disorders at all.
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J Nerv Ment Dis. 2013 Jul;201(7):629-35. doi: 10.1097/NMD.0b013e3182982995.
Depersonalization experiences are strongly associated with dizziness and vertigo symptoms leading to increased health care consumption in the German general population.
Tschan R, Wiltink J, Adler J, Beutel ME, Michal M.

Source
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

Abstract
This study investigated the association of depersonalization (DP) experiences with dizziness and its impact on subjective impairment and health care use.

Trained interviewers surveyed a representative sample of 1287 persons using standardized self-rating questionnaires on dizziness, DP, and mental distress. Symptoms of dizziness were reported by 15.8% (n = 201). Thereof, 62.7% endorsed at least one symptom of DP, 40% reported impairment by symptoms of DP, and 8.5% reported clinically significant DP.

Regression analyses identified DP as a significant, independent predictor for dizziness symptom severity, health care use, and impairment by dizziness. With regard to the Vertigo Symptom Scale, DP explained 34.1% (p < 0.001) of the variance for severity of symptoms of dysfunction in the balance system. In conclusion, symptoms of DP, highly prevalent in patients complaining of dizziness and vertigo, were independently associated with increased impairment and health care use.

The presence of DP symptoms should actively be explored in patients complaining of dizziness.

PMID:
23817161
[PubMed - indexed for MEDLINE]

----------------------------

When this board was first established in 1997, DP/DR and vestibular disorders were being discussed.  So this has been resaerched on and off for almost 20 years.  I wish they could figure this stuff out.  And again, I see a neurological component regardless of how this started.
I had a severly dysfuncitonal family where I was under stress all the time.  Most of the time.
It's amazing I'm still around, LOL.
Hang in.


In Topic: Nitrous Oxide AKA Laughing Gas

26 May 2015 - 10:12 AM

I told my dentist (even past dentists) that I have DP and DR.  They know what that is, or what "dissociation" is as they give drugs that cause you to dissociate.  Surgeons also know about this as they may give ketamine during surgery.

I will never let a dentist give me "twilight sleep" ... or any procedure that requires that ... say cataract removal.

You can ask for a short acting benzo if you tolerate it, but I also ask for lidocaine -- local anesthetic.

Granted the oldy good part of my body is my teeth, LOL.  I have had only one crown, and cavities filled.

IMHO.  I have heard people say when they wake up from dental work, "Is this the real world?" -- there is a video (which I find rather mean) of a father capturing his son's experience after dental work where "twightlight sleep" was used.  Granted kids squirm all over the place.

The kid was carrying on for a while, and I know he was briefly experiencing DP.  Thing is for him it passed.

Anyone who has a greater tendency to dissociate -- I woulld ask for local numbing stuff -- it really works.  Don't feel any pain, but you hear sounds, etc.  I'll take that any day.

  If there is something major you need done -- such as wisdom teeth they will knock you out cold -- propafol these days I think.

Take Care.


In Topic: Use Stress to Your Advantage

22 May 2015 - 10:11 AM

Sunjet, I appreciate the struggles you've been through, and it's terrifying to say that the Mental Health Care system in the US is very bad and we have similar problems.  Mainly the problem is, "mental illness isn't real" ... something you say below. 

 

I just stayed strong, avoided all drugs and get over this shit, even if it was severe.

 

PS : I'm not talking about real mental illnesses like schizo, bipolar, manias and others real serious mental disorders, i'm talking about idiophatic/psychogenic anxiety/DPDR any degree.

 

More and more research worldwide has proven that extreme anxiety is a medical condition.  It is disabling.  It can be treated many ways - and obviously the first choice would to be to go without medications and try all sorts of alternatives.
If these things fail, it is up to the individual to decide if they wish to take meds or not.

So we can't agree that SEVERE anxiety and DP/DR are medical conditions.  In your case with a panic disorder ... I believe that is a medical condition and DP/DR is  KNOWN listed secondary syndrome.  I have friends who know DP/DR as they have had panic attacks.

Some friends were given short courses of meds, then tapered off and have never had an episode again.  One friend with OCD as well as panic attacks has been on an SSRI for years now.  The panic attacks stopped as did the DP/DR episodes, but her OCD is controlled -- very well.   When she was pregnant she went off the SSRI.  During both of her pregnancies all of her symptoms came back in full force.  During her last pregnancy it was suggested even by her OB/GYN that she stay on an SSRI (the child is fine) as she was in such agony with all of her psychiatric symptoms.

Again I don't see you showing compassion.  I fear you would say to a patient with an anxiety disorder as "weak."  You would apply only YOUR experience, "Well I got over it.  Snap out of it!  You are weak."

It's interesting that this is indeed what many doctors believe.

Also, I despise the word "schizo" and your description of the inpatients you saw as "veggies" ... that shows a lack of compassion and empathy.

I really hope you are planning to become a surgeon and not work in any field of internal medicine.

I'm glad you are better, but please don't judge others here or any other people in your life.  You said, no one believed you. So you would repeat this with a friend or patient in the future?

Unfortuante, but that is the nature of our world.  So many do not believe even in schizohrenia.  Or they are afraid to talk about it.  You are adding to the probelm and not the solution and you plan to be a doctor.  That really terrifies me.

But I'm glad you are doing so much better.


 


In Topic: Use Stress to Your Advantage

20 May 2015 - 03:13 PM

NB: this is at the University of Michigan. Since 2004 I have been through about 11 M.D. psychiatric residents, and I ask them the same questions. Some are happy to learn from me.  Others become defensive and then abusive -- and I ask for another -- some are fired thank God.  Amazing the differece in the attitude of the excellent doctors.


In Topic: Use Stress to Your Advantage

20 May 2015 - 03:06 PM

sunjet, on 14 May 2015 - 03:52 AM, said:snapback.png -- this was in response to a questoin about IV resperidone.

I made a rotation through psychward for 1-2 weeks and all patients who had Risperidone where just some veggies that don't care about anything. It's just numbs you totally and you are like a walking zombie.

 

My thought that this med is good for those with intrusive hallucinations, strong psychotic outbreak and who are really going mad.

 

I wouldn't recommend taking it for DPDR no matter how severe is. Better find a good anxiolytic or/and antidepressant.

First, to answer the OP's question, I also would be hesitant to go with IV vs. attempting to take this orally.  It could very well help, but my experience with old antipsychotics has been a horrible increase in my DP/DR.

And to Sunjet, your description as a medical student on rotation through a psych ward is unbelievably cruel, especially for someone who has some form of brain disorder.  I know (my parents were physicians, and I've heard this from medical residents) that doctors in all specialties, on the whole, look down with disdain on psychiatric patients, without compassion, and don't seem to understand that such individuals can be terribly sick and yet go into remission and be highly funcioning members of society.

I know indiviuals who have been hospitalized for psychosis (schizophrenia, schizoaffective, etc.) and have been given all manner of such medications.  Yes, they may feel doped up and LOOK doped up.  That doesn't mean they aren't sad, terrified, anxious, lonely, and deserve respect.

It is painful to hear that you have no empathy with your OWN experience.

Yes, this medication could really dope you out, but you aren't a vegetable, not knowing what's going on. You are a human being who has been given a drug to help you (all that is available now) that also makes you feel terrible.  That's true of chemotherapy.  Would you have no sympathy for someone undergoing therapy who is so zonked out they can't see straight?

There is a human being inside every person with mental illness.

One friend of mine, who works full time, and better than I do, took 12 years to fight a psychotic break.  In the hospital, drugged to the hilt, she was still aware of what was going on.  She wanted to die as she was so frightened, so frightend the medication wouldn't work.  She was even discharged one time when her ability to hold her bag of belongings in her arms and take a cab home was virtually impossible.  She couldn't tell the taxi driver where she lived even though she knew she had forgotten, and it was due to her being loaded up with meds and discharged because the doctors needed to empty the ward for another patient -- before she was ready to leave.

 

Oh, forgot to mention, when said friend was "let go" in a few days she attempted suicide.  She would have been dead had someone not looked for her 24 hours later.  She doesn't know how she survived. When she went BACK into the hospital one doctor told her, "What a foolish thing to do."  She shouldn't be alive, and she is thank God.  She is an inspiration to so many.

Don't judge someone without walking in his/her shoes.

To add to this.  A rotation of 1-2 weeks through psychiatry is NOTHING.  I have found brilliant young residents in psychiatry, and some true idiots that everyone was happy to see leave and move on.  My current psychiatrist knows about DP/DR.  She is 28 or so.  She is working her clinical residency and has worked with inpatients as well.  She would NEVER talk the way you do. Her specialty is psychiatry and she wishes to go on into geriatrci psychiatry.

Fellowship and further study.

I have found the therapists  from MSW to ACSW who hang around a long time, and the nurses have tremendous compassion. They spend TIME with patients ... a lot of time.  And you base this on a "1-2 week rotation?"

I doubt you plan to go into psychiatry.  But I hope whatever specialty you choose you don't treat individuals with mental illness like crap.
End of lecture.  I have seen and heard to much about this.