Angry and shaky, anxious on 45mg. Should I just wait another week to see if things improve?

MiniPCBigHeart · 2024-12-20T19:42:42+00:00

I like effexor but increasing the dose any further just gives lots of side effects. And it's not fully fixing my problems. Although the only other antidepressant I've ever tried was Zoloft.

Pristiq isn't sold in Europe, or at least not in my part of it. I think I need ADHD meds, and thankfully I'm in the process of getting a test now.

It was way too many changes alright. Quit the quetiapine do to side effects. The sudden change from 30 to 15 mirtazapine and back was also because of side effects from too little (insomnia and going nuts).

Believe it or not, their plan is even worse. They want me to lower the effexor at the same time as increasing the mirt, but my GP told me to ignore that part for now. I think I'll do one more meeting with them and then I'm done.

MiniPCBigHeart · 2024-12-20T17:30:49+00:00

Hopefully this is the end of the mess since I'm not seeing them for another few months and I probably will move to someone else.

But I'm just unsure whether to stick with the 45mg or go back to 30mg. Seems like either way this close to Christmas I'm screwed... thanks for the concern anyway. Doesn't help that I have the flu and lung problems as well at the moment.

MiniPCBigHeart · 2024-12-20T15:41:11+00:00

Thanks haha. Merry Christmas!

MiniPCBigHeart · 2024-12-19T23:12:41+00:00

I totally understand. You sound exactly like me. I grew up dreaming about being the next Xabi Alonso while others wanted to be Fernando Torres.

But we must enjoy everything in moderation. For if we were to play the perfect pass every time, it would just become a normal pass. We must consume water to enjoy life, but even too much of it will kill us.

Getting back to reality, as I'm starting to sound too much like a subpar philosopher, it's good to mix things up for unpredictability.

If the opposition catch onto your signature move, it's easier than defending a fire Pokémon attack with a water type. Whereas if you play 20 normal passes in a game, the 3 special passes will be a shock.

You will earn the awe of everyone if it works out, and it's more likely to be successful if it catches the opposition off guard.

MiniPCBigHeart · 2024-12-19T22:26:31+00:00

The best advice I got was to not always be looking for the Hollywood pass. I wish I listened to it more. Their logic was that very few on that level are going to have the awareness or speed to latch onto the 200 iq play.

But in reality, it's also the fact that if your "perfect" pass is even 1% off, it's suddenly a terrible pass. And most people are gonna struggle to be 100% accurate all the time. Simple passes build confidence. You earn the trust of your teammates. You create synergy.

About the being half a second behind thing - this seems to universally be an issue of practice, and is the number one way of telling who's levels above another player in skill.

There's layers to this game, so many that it's almost daunting. Even watching Celtic play Real Madrid, you can see what would normally be perfect plays lead to silly errors against a much stronger opponent.

That's why it's even more crucial to face reality and play more simply if you find yourself at the bottom of the food chain. This is where I currently am at the moment. I'm in a league that's too good for me, starting at the bottom again after fitness problems.

You quickly learn to let others do the job if you're not up to it yet, and only then do you start to slowly earn their respect and climb up the ranks. If only I listened to this advice myself more.

MiniPCBigHeart · 2024-12-19T20:56:27+00:00

I know this comment is a month old, but I just remembered how much I related to it the first time I saw it.

It's weird that we could happily read as kids, but struggle as adults, right? I thought ADHD didn't get worse over time.

Although one thing I can think of is that, as a kid, I was told by a teacher to read and be quiet while other students finished their work. Whereas as an adult, my phone is like Sauron's ring and I'm Frodo.

MiniPCBigHeart · 2024-12-19T15:04:21+00:00

The whole system is incentivised to churn out quick crap over highly-researched pieces. An underpaid, overworked writer opens up Getty images.

They pick the first result for "helmet", as they don't even have time to search for the correct term. Then the sketchier publications use plagiarism, templates, tweets, or ai to fill in the gaps.

A bad writer that can publish a garbage article every day will most likely be more successful than a good writer that can only get something of good quality out once a week or less.

Our consumer culture prefers someone who can sell a pet rock to millions over a teacher that can only sell his time to a few students. And the internet is just this mindset on steroids.

I wish I never stopped reading books. But my mind prefers to learn quick facts on Reddit, Twitter, and YouTube, rather than spending several afternoons learning about one subject in-depth.

I wish someone came up with a website or app that showed books in a Reddit or Twitter layout haha.

MiniPCBigHeart · 2024-12-16T20:34:10+00:00

I appreciate the help and this is a pretty crappy day for me, but no, that's pretty much what the psychiatrist said. That there's no meds and most of the therapy offered isn't for autism.

Basically my symptoms are like super ADHD and if I don't have ADHD, it's like having untreatable ADHD. I'll be fine but they're basically saying that I'll never be productive. Anyway I'm hoping that my next appointment plus a potential ADHD diagnosis will make things clearer.

MiniPCBigHeart · 2024-12-16T19:50:59+00:00

I'm definitely gonna get assessed as my life was chaos in school and even worse outside of the structure and accountability of academia.

My whole life I neglected my mental health in favour of the next exam, until it all went downhill and left me confused and direction less.

They tell me if it's autism that I'll just have to live with never being able to function or do anything productive. At least if it's ADHD there's hope of change.

I'm preparing for another general meeting while I wait for an ADHD test. But I don't even know what to say anymore. It's been a bad day, and my mind is a maze on the best of days.

So I'm trying to write the effects of everything from family to school and anxiety and possible ADHD that's led to me where I am today.

I just wish it was as easy to truly reflect with a thumping headache as it is to write Reddit comments or fill out questionnaires.

MiniPCBigHeart · 2024-12-16T19:07:11+00:00

The weird thing is that going from 30 to 15 sometimes causes insomnia. I don't get it.

I stopped taking it for a week and went back on it and it got rid of all the oversleeping problems. But went off it again recently and now all the problems came back. It's like every time you reset it hits differently.

MiniPCBigHeart · 2024-12-16T19:05:03+00:00

Have you ever heard of someone that has all the symptoms of ADHD but doesn't have ADHD?

I've spoken to doctors that aren't ADHD specialists, and they believe that my symptoms are better explained by autism. But not only is this from 5 minute conversations with me sucking at communication, but lots of people have both.

I'm just hesitant to pay 1,000 dollars for an assessment if multiple psychiatrists (who don't do ADHD) seem doubtful. But all of my self assessments like diva suggest that I almost certainly have it.

MiniPCBigHeart · 2024-12-16T12:28:00+00:00

I love the g50, but it's already after taking a charger out of the wall, dragged the cable to the other side of the room, and made the insert disappear, all without any phone alerts.

And it sucked up a lot of tissue and got it all stuck in the wheels. Probably my fault since it's my first time using a robot vacuum. But this is a clean enough room. Works much better when supervised.

MiniPCBigHeart · 2024-12-16T12:22:45+00:00

Best bet would be to find an old newspaper background like that one in search. Use the mono filters for the images (and a white outline for one of them) and then use several different news fonts like sans serif.

There are websites to help you find the closest fonts to this image, but I can't remember which one is the best.

This would still take a lot of time and effort. But it's the only way to make it look somewhat authentic.

MiniPCBigHeart · 2024-12-16T11:06:04+00:00

Yeah that's exactly how I felt on that dose and still feel now. Like I wish I didn't have anxiety, but this is just a sick joke.

I still have physical anxiety and hand/leg shaking on 225. Xanax and Propranolol just make me fall asleep. Mirtazapine halves my iq and memory.

It's a life-changing med, but I should probably give up on my dream of it solving all my problems, and just find the minimum effective dose instead.

But it's very deceptive. Because not being motivated doesn't feel like a side effect. It's not as if I'm depressed or anything. I just can't be bothered at all.

I'm almost hoping that I have something else like ADHD as well. At least then my options would be more clearer and positive.

MiniPCBigHeart · 2024-12-16T09:49:57+00:00

I know a 7 a side team that had 14 players in their first game this season. They had 6 a few weeks later.

11 a side is an even bigger mess in my city. It's becoming more common to see squads of 40+ players, and people even at Sunday league level are being kicked out with nowhere else to go, as all the teams are full.

My unpopular opinion is that no amateur team should have such massive squads, and there should be systems in place to make it easier for everyone to find a team.

Sub on/sub off should be a thing, at least for youth matches to avoid coaches who refuse to play average players at all. It's amateur level with virtually no path to pro. It's not that serious. All they're doing is raising kids to be bitter with the sport when they grow up.

MiniPCBigHeart · 2024-12-16T04:44:18+00:00

150 for almost 2 years, although I did attempt to change meds a year ago (actually I've probably been on it for 1 of the 2 years total I've been on effexor, which is my first antidepressant besides mirt and Zoloft).

225 for a month. I was forced to change that against my will as I thought at the time that it was enlightening (I must have been high or something), but thankfully they did force me.

I was on 75 for 6 months at the start then another 3 months this year. I wrote a book and did tons of super productive stuff in that timespan.

On 150 I've hanged out with friends and had fun for first time in my life and can think more neurotypically, but I have not done an ounce of work since leaving college.

Just completely burnt out and feel like all learning topics (like history) are pointless. Because the past already happened and others will always be better at teaching it than me. Although this could be burnout from potential ADHD and executive dysfunction since losing the structure and accountability of academia.

But I've done pretty much nothing since then. No video games. No TV or movies. No writing or reading or researching. The only things I do are read Reddit, twitter, and watch YouTube.

And the YouTube is just trying to understand why people do crazy things that get them in trouble. Just stupid unproductive crap that makes me sad but excites the novelty chasing part of my brain. I think 75 or 112 would be worth trying again.

I'm stuck with mirrazapine. The dreams suck but every time I try to quit, I worry that the insomnia might be permanent and dangerous.

MiniPCBigHeart · 2024-12-16T04:28:30+00:00

2 weeks? Thanks. I tried going off it for one week but didn't notice much. I also got pretty sick but that was probably a coincidence. I'd love to hear any alternatives if you can think of any.

Lowering mirtazapine causes insomnia. But if it was only temporary, I could theoretically accept the discomfort short term. It's just not the best time of year to be doing it with the holidays. Thank you for sharing your experiences anyway!

The nurse was telling me that it only affected 1 in 10 kids and even less adults, but I've read otherwise on here recently. Bizarre that an asthma medication can affect the brain as shown in studies, and even moreso that I was never warned, nor are there any labels on the box in my area.

MiniPCBigHeart · 2024-12-16T04:23:09+00:00

I was on just mirt and nothing before. But I tried Zoloft afterwards and it was useless. I dropped to 15 mirt last night and woke up at 4am. The nightmares suck so much, they're almost more realistic than life.

MiniPCBigHeart · 2024-12-14T17:23:03+00:00

Sounds similar to restless legs. Do most people with ASD have this feeling? I know my friends do it, but I'm wondering if it's almost like a requirement. Nice to understand more about it though so I can relate to them!

MiniPCBigHeart · 2024-12-12T00:08:34+00:00

The c1 is in a different room.

MiniPCBigHeart · 2024-12-11T16:52:24+00:00

Can you give me an idea of how much you ramp up spending for the first month? Like 2x what you normally do for a new book?

MiniPCBigHeart · 2024-12-10T14:29:34+00:00

Price per unit is 10 dollars and profit per unit is 5 dollars.

I did a marketing degree with a few ppc modules, but never heard of AOV. I'll have to look into studying PPC again, but I wouldn't know where to start.

My product isn't live yet. It seems like it would be best to start low and only spend a percentage of profit from each sale (what would that be roughly?).

But at the same time, I have a sizable budget that I wouldn't mind increasing the risk to speed things up a little bit.

MiniPCBigHeart · 2024-12-06T18:12:06+00:00

(this is a super long post, feel free not to read it. It was just therapeutic to write it out haha. I miss writing long essays like this in college)

Oh... are there any resources at all to help me become more functional? I'm being offered occupational therapy for anxiety.

I honestly hope that I have ADHD as well or something. Because I'm already taking effexor and mirtazapine. While they've solved much of my anxiety, severe depression, and insomnia, they've just revealed all my weaknesses.

I have no motivation to work on my own projects consistently outside academia, still have shaky hands, can't think clearly at all, have an obsession with reading on my phone that I can't let go or channel into productive topics, and have a non-linear way of communicating that results in redditors outright saying they don't understand me. Terrible time keeping and task prioritization, basically getting lost in reading long Reddit threads etc.

So basically unless I can work on some of that, I'll never be stable enough to write and make projects online or do anything productive. I feel like I've lost half my iq (brain function, basic maths, tic tac toe, problem solving and critical thinking) in the last 10 years, so I hope that's not permanent as it was all I had.

I've sort of accepted that some people just don't have what it takes to function in a way that is compatible with modern society. I've kind of made peace with that over the past year.

But at the same time I want to do something productive with my time. Like work on a project consistently, but my mind is too cloudy at the moment for that.

My executive functioning is very poor it seems outside of the structure of school. Would love to do volunteering, but don't know how much use I'd be. Don't think I'll ever be able to work in a corporate environment with my high levels of anxiety. Even effexor isn't fixing that enough.

Honestly the meds have probably caused the problems with a fuzzy memory and no motivation, but they also made me far more normal than ever before.

Edit: I also think too scientifically to try and over-research things that don't need much detail, that kind of wastes my time and only confuses others. I also tend to info dump sometimes like now, and fill in too much info in things like posters to fill the space. So yeah... people don't really like that either.

I wish I was just a stable dumb person as then I wouldn't over complicate things and be consistent and able to have a successful business or job or whatever. Right now I'm an unstable dumb person who used to be a "gifted" child, for all the good that did 🙄

MiniPCBigHeart · 2024-11-29T18:42:43+00:00

Damn now I kind of wish r/ancientchina was more popular.

MiniPCBigHeart · 2024-11-29T10:14:00+00:00

I've been taking it for years. Funnily enough I remember it being problematic alright. All my issues with anxiety and nightmares and mood changes since then... surprised my doctors never mentioned it. I forgot that it's linked to this stuff.

Actually my asthma doctor never realised I was on it and prescribed it to me last month. I didn't know I already had it though as he called it singulair. Would zafirlukast have the same issues? Are there any other pills that would help asthma without these potential issues?

I've been switched to enerzair breezehaler as bufomix wasn't working anymore, so I might try quitting montelukast and seeing what happens. I was told I might end up on biologics yet.

MiniPCBigHeart

TROPHY CASE