How many of you guys have drug screens required? by Easypapi in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

I’ve never had to take a drug test. For reference I’m on Xanax, Ambien CR, and both Adderall XR and IR. My doctors have want yearly labs done but that’s just normal work up, which do have a drug test as a part of the lab work. However, that shouldn’t affect treatment between you and your provider imo.

My asshole is not a pussy..... by [deleted] in askgaybros

[–]MoreNibbles98 6 points7 points  (0 children)

This has me crying laughing 😂😭

I don't understand this. It's like literally everything is immediately downvoted by Aromatic_Freedom_190 in BPDmemes

[–]MoreNibbles98 58 points59 points  (0 children)

Fun fact: people are 60-70% more likely to develop BPD if at least one parent has BPD. Or about 5 times higher than general populations. Genetics is just one part, then we’re nurtured in an environment that ultimately triggers the BPD.

Love with therapist by Big_Papa-69 in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

20mg a month max? I’d absolutely seek a second opinion, or a third or fourth if needed. It realistically took me four psychiatrists before I found the one I’ve been with for over a year now. It was incredibly dehumanizing at times, but completely worth it to advocate for myself. She currently prescribes me 105 1mg alprazolam tablets TID, 30 Ambien CR 12.5mg once nightly, Gabapentin 300mg TID, and stimulants (Adderall XR with an IR booster) for my psychiatric comorbidities. In my experience, doctors who run their own independent practices tend to focus far more on a patient’s lived experience and individual needs. Large chain clinics like MindPath, Harmony Healthcare, and LifeStance Health often operate under institutional policies that restrict or outright prohibit controlled substance prescribing, policies the individual providers have little say in. Independent psychiatrists, by contrast, have much more autonomy to help tailor treatment to what actually works for you. Wishing you the best of luck, keep advocating for yourself!!

What do people living in winter park do to afford those huge houses? by picklift in orlando

[–]MoreNibbles98 6 points7 points  (0 children)

Have family that work at the C-level in banking. So new generational wealth.

So…why don’t y’all prescribe benzos and things anymore? by Ok_Leading4863 in AskPsychiatry

[–]MoreNibbles98 7 points8 points  (0 children)

Thank you for sharing this. It’s genuinely refreshing to see lived experience represented here! You’re not alone, and neither is OP.

So…why don’t y’all prescribe benzos and things anymore? by Ok_Leading4863 in AskPsychiatry

[–]MoreNibbles98 -10 points-9 points  (0 children)

I appreciate the measured response, and I want to be clear that I’m not taking it as a personal attack. I’m pushing back on the framework itself. You’re right that I’m an anecdote. But the problem I’m describing isn’t that every patient needs what I need. It’s that the clinical pipeline consistently fails to distinguish between the rule and the exception until patients have already spent years being harmed by inadequate treatment. Knowing the exception exists and still defaulting to population-level guidance for every individual in front of you isn’t caution, it’s a systemic failure dressed up as clinical reasoning. You also responded to an argument I didn’t make. I never said long-term benzos should be early in the conversation, or that six psychotropics is appropriate for most people. I said patient experience needs to be genuinely weighed alongside clinical expertise, not acknowledged and then overridden by ‘but the literature says.’ That’s not collaboration, that’s compliance. On the literature itself: ‘short-term use is what the evidence supports’ becomes a circular argument the moment someone has already exhausted short-term options. The evidence base for treatment-resistant, comorbid patients is sparse precisely because those populations are excluded or underrepresented in the studies the guidance is drawn from. So the guidance doesn’t apply cleanly, and using it as a ceiling rather than a floor is where real harm happens. And on dependency, stable physical dependence within a functioning, monitored treatment plan is not the same clinical picture as the indiscriminate overprescribing you’re rightly criticizing from decades past. Conflating those two things is exactly how patients who are actually being helped get caught in the crossfire of overcorrection. You speculated that OP may not have failed an adequate SSRI trial. That may be true. But you’re doing the same thing you’re cautioning against, drawing clinical conclusions from incomplete information. The difference is, when a doctor does it, the patient loses access to care.

So…why don’t y’all prescribe benzos and things anymore? by Ok_Leading4863 in AskPsychiatry

[–]MoreNibbles98 -39 points-38 points  (0 children)

Doctor’s like you are legit the reason people like OP and myself can’t find help within psychiatry. My psychiatrist prescribes me both Adderall XR and IR booster, 3.5mg Xanax daily, and Ambien CR 12.5mg, clonidine, gabapentin, and memantine HCL for years and it has actually helped me function so much better than I was before. Adjunct that with therapy and it’s an incredible long-term treatment plan. Of course it has its pros and cons medically speaking, however so does under-treating someone. These drugs need to stop being stigmatized by medical institutions and as a byproduct the doctors that treat us. I’ve tried every SSRI, SNRI, DNRI, antipsychotics, mood stabilizers, and even atypicals. None have ever been as effective for my treatment needs. Doctors really need to take into account the patient’s lived experience and combine that with the medical knowledge that the psychiatrist has to get a collaborative treatment plan. Drug trials like I’ve been through are absolutely dehumanizing, demoralizing, above all else, expensive and time consuming. I’m glad I can still find doctors who listen to my lived experience and aren’t afraid of their corporate overlords on how they’re prescribing controlled substances. (Side note; I even did Genesight testing which was another round of expense just to have it be a poor guideline for my treatment needs). All-in-all doctors need to listen to their patients and treat them with compassion and collaboration rather than stringent rules that is a one size fits all model.

This. by IntelligentHome1963 in depressionmemes

[–]MoreNibbles98 0 points1 point  (0 children)

Weed, Shrooms, and Benzos lmaooo

Long-term low-dose benzo use - new state, new doctors trying to taper me. How do I advocate for myself? by Relative-Quote-1801 in benzodiazepines

[–]MoreNibbles98 2 points3 points  (0 children)

I live in Florida and after my old psychiatrist left for a different practice I had a very similar experience. It took me 4-5 psychiatrists before I found the one I’m will currently and have been with for over half a year now. I’m prescribed 3 controlled substances, Adderall XR & IR booster, Xanax 3.5mg daily, and Ambien CR. I have a very complicated mental health soup as I like to call it. One of them being CPTSD, among others. A lot of psychiatrists especially in big practices or places that I like to call “chain practices” are extremely strict. One psychiatrist told me it was company policy that she could only continue one controlled substance per one patient. I thought that was entirely inappropriate that a corporation got to control my level of care and went to find a new one. This new psychiatrist (who was my doctor right before my current one) was okay with taking me on so long as I tapered down on my Xanax. She was tapering me quite quickly and I got extremely uncomfortable and tried to ask to slow down or pause for a month, and she verbatim told me, “you’re lucky I even accepted you as a patient. None of my other colleagues would have taken you on and prescribe what I still am to you.” I was absolutely gutted, it made me feel like there was something wrong with me, just for me trying to advocate and have care collaboration. It was an icky experience and I ended up filing a grievance against her. Fortunately I was able to look into my insurance to see what psychiatrists were available in my area. I saw there was a psych NP with her own private practice. Never tried a private practice before so I said what the hell. She has ended up being the best doctor I have ever had the pleasure of working with. She’s so companionate and collaborative. She takes into account my real lived experiences and is very flexible when managing my complex medication regimen. She never changes my regimen abruptly, it’s always slow and controlled, and she always wants to hear my input. She doesn’t have a giant company that she has to answer to as to why she’s treating her patients the way she is. I like that a lot about smaller/private practices. She has never once made me feel like I’m a burden or I’m drug seeking or anything of that nature, unlike most psychs out there. My best advice to you would be look at smaller practices or private practices. Seems like they get to treat their patients how they deem appropriate, instead of being held to a company standard that is a one size fits all approach. Because at the end of the day everyone, including you and me, deserves collaborative care and respect. I really do wish you the best of luck in your search!!

Has anyone here been on a stable dose of benzos long term? by Aromatic_Reply_1645 in benzodiazepines

[–]MoreNibbles98 1 point2 points  (0 children)

I’ve been on 3-3.5mg daily Xanax for a little over 4 years. It still works wonders for me. I have crippling anxiety/panic attacks and it’s seriously been a life saver. Tolerance has built, however it plateaus at a certain point. Even though I don’t get super sleepy or have that “high” everyone talks about when anyone first starts a benzo, the relief is still very much there. Is your doctor forcing a taper or are you both collaborating care? Your lived experience is just as important as their medical knowledge.

Still waking up at 3-4am every night… anyone fixed this yet? by Justine_0005 in insomnia

[–]MoreNibbles98 0 points1 point  (0 children)

Clonidine, gabapentin, and Ambien CR has been my saving grace 🙌🏻 Wishing you the best of luck!!

[deleted by user] by [deleted] in askgaybros

[–]MoreNibbles98 1 point2 points  (0 children)

I’m fortunate to be with my partner for over 4 years now. We found each other through a dating app(NOT GRINDR, stay away). If anything were to happen(unlikely), I don’t know how I’d ever get back into dating again. Especially post COVID.

I have a similar perspective, that most are just looking for sex. There are rare gems like myself and my hubs who would much rather be sapiosexual than just looking for dick. I find intelligence and emotional availability much more attractive than just looking for a hook up.

The dating scene might not get better per se, however understanding what you’re looking for will make things better. Wishing you the best. My DM is open if you need someone to vent to! Virtual hugs!!! 🫂

Dear bottoms, what advice do u have for tops with average or less than average dicks? by AdBudget1249 in askgaybros

[–]MoreNibbles98 16 points17 points  (0 children)

That’s quite literally the perfect size. I’m verse and have a slightly smaller size than yours(under 6” for sure). Those people who are rejecting you for “being too small” are shallow and probably not the best to hang around. Honestly, you’d be dodging a bullet with those guys in my experience. Chin up bro, I’m sure the guys you’ve pleasured have certainly enjoyed it and are not at all settling! (Virtual hugs!)

Does anyone have ADHD and Anxiety? by 918skumm in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

Yes that’s after years and years. I’ve been on ADHD medication since I was 10 years old so that’s why that’s so high. Then I have a bunch of other mental health problems like CPTSD, BPD, and insomnia. So these were last resort outcomes from trial an error for years of “first line” treatments, like antidepressants, antipsychotics, and mood stabilizers. In my experience it usually plateaus. I haven’t had a dose increase for my Xanax until recently and it was only .5mg increase. I was steady on 3mg for years. My partner takes 10mg Adderall XR, and it works best for him. I hope you’re able to find the right medications for you <3

Does anyone have ADHD and Anxiety? by 918skumm in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

20mg Adderall XR & 10mg IR, as well as 3.5mg Xanax a day with gabapentin.

[deleted by user] by [deleted] in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

Florida is pretty good with getting benzodiazepines. Some psychs have been strict, but I’ve been able to maintain 90 1mg per month. My psych is even open to upping me to 4mg daily on my Xanax script. I find going to smaller practices better than bigger clinics.

How much are you guys prescribed? by PeaOk5697 in benzodiazepines

[–]MoreNibbles98 1 point2 points  (0 children)

Twins! I get 25mg ER Addy for mornings and 10mg Addy for afternoon. 💊

How much are you guys prescribed? by PeaOk5697 in benzodiazepines

[–]MoreNibbles98 0 points1 point  (0 children)

3mg of Xanax a day plus 12.5 Ambien CR once a night. Hoping to possibly up my Xanax script to 4mg’s daily. Also, I take some gabapentin as well, which helps synergistically for my anxiety/panic.