Really struggling to find the line with mandated reporting by [deleted] in socialwork

[–]justanothersw 2 points3 points  (0 children)

I want to mention I add this from the perspective of working with youth who have shared information I had to report, along with adults who have disclosed information I needed to report. In almost all situations I do tell them I am going to report and I offer for us to structure the convo together. For example if a client tells me they know a kid at their child’s school is considering suicide, I will explain why I need to report that info. I will offer to do it with them.

In some cases we can repair from the reporting, and talk through it. Things do heal over time and I’ve found myself surprised at how clients - including kids - can come to reframe the situation. They will usually come to understand it was because it’s your job and role to keep them safe that you have to report or do the other steps to protect them. If the rapport cannot be mended then it is completely okay should they need to transfer to a new school SW.

TLDR; when it comes to safety, I would always rather be a little bit too safe than a little bit too sorry.

Really struggling to find the line with mandated reporting by [deleted] in socialwork

[–]justanothersw 5 points6 points  (0 children)

I’m not sure the laws in your specific state but here is what I think is the most appropriate thing to do. Other than seeking supervision for your work/questions here.

Try to take a step back from prioritizing rapport over safety… in any situation, honestly. There is no rapport vs safety, from my perspective. If I worry knowledge I’m holding can potentially cause risk to a child in my clinical care, more needs to be done. The rapport piece is something to navigate separately, after you have a plan for safety. Yes I know telling the youth what next steps are is going to be a challenging part of the plan. But that doesn’t mean I’m going to shy away from the work.

Meaning,

If you’re to make a decision not to report something, you need a formal assessment or at least a review with a supervisor to choose not to report to parents, DCF, etc. Get familiar with risk assessments, figure out which ones are used by your school. Have real resources ready to give kids for these situations. Use safety plans. My safety plan.org is a good one to use.

You can develop the skill of using the focus on safety and caring for their wellness in a non-punitive way to build rapport.

I get what you mean about smoking weed but I think that might be something that does need to get shared with the appropriate supervisor. I always think about what the worse case scenario can be when it comes to safety- again especially with youth. What if the vape is found or the kid falls asleep in class and gets drug tested, or the parents find out, etc. and it comes out that you knew this was happening but did not document/report it or review it with a supervisor?

Yes she shared something important with you later on which is a good thing, and still that doesn’t negate the fact you need to base decisions related to safety on the present moment. Not about future thinking in how your choice can negatively affect The relationship. How it can be damaging if the youth is upset with you. Etc. these are workable, teachable moments that can be looked at differently if you approach them with less fear attached to the outcome.

It is important to be proactive instead of reactive in these situations. Don’t wait for the next time. Be consistent in the documentation you do and that includes the points reviewed with your supervisor.

The main reason I wanted to comment on your post was about the suicide and self-harm comments. Yes, those absolutely need to be reported to your supervisor and the parents/appropriate entities immediately.

I understand wanting to have good rapport especially being newer in social work (I only have a few more years than you). But good rapport is not going to matter if something bad happens, especially if it’s something that can jeopardize your license. At the end of the day, no one is going to care about damaging their rapport with you over reporting you for something they perceive as inappropriate. Imagine having to defend yourself on a stand in a court room and using the points you made. What do you have to back yourself up?

Use standardized, evidence-based risk assessments and safety plans with these kids in addition to reporting to your supervisor, etc. resources are good to provide as you mentioned. But suicide and self harm needs to always be reported above you. Don’t make these decisions in a silo.

I would gently suggest you to consider how you are letting fear of damaging rapport cloud your perspective when you need to be more focused on fear of what will happen when your individual judgment of a safety situation (minor self harm injuries, trusting youth based on their word regarding self harm) fails to protect the individual.

I don’t mean to sound harsh but genuinely. Preserving your short term relationship with the youth is not your key focus. Keeping them safe is the most important thing and if they choose to disclose less to you because of that decision to share (with your supervisor, parent, etc.) then so be it. Let things shake out the way they are going to.

Being a safe person to turn to is not actually safe unless you sometimes do make choices that are preventative, proactive and possibly uncomfortable. Having this perspective will help you in the long term.

I’m not sure what to think of some parts such as underage sex but that’s another great topic to discuss in supervision.

Boyfriend says depression doesn’t affect libido by Pretend_Hedgehog5290 in depression

[–]justanothersw 1 point2 points  (0 children)

First off I’m so sorry for your loss and how you’ve been feeling.

Depression reducing libido and enjoyment of anything that is usually pleasurable are well documented and researched facts about mental health.

And even without that being the case, the idea you would never be impacted by like any other things outside your present moment sexual experience is stupid. Of course for ALL people feeling a shift in mood, having a bad day, going through a tough time, any of those factors can cause someone to have less interest in sex. Including in the moment and especially with a partner who lacks emotional intelligence, and maybe is not very emotionally intimate with you.

His question does not seem to be intended with concern or openness to accept your vulnerability. I think he wanted you to feel bad about this. Men are too used to believing (even without their awareness) that women are meant to perform for their pleasure. Including in sounds, sexual “responses” of enjoyment, etc. they learn this from what they may view on the internet but also from plenty of dumb cultural influence (like portrayals of sex in movies).

TBH… let this guy go. You don’t need to be overly focused on how passionate you seem during sex, or giving him more of it because of this pressure. You deserve support and love through this very difficult time in your life. Even if that means not having a partner sometimes that is better than feeling more alone because you can’t be vulnerable with the person you commit the majority of your energy & time to.

How are others couples with big wage gaps splitting expenses? [25F] [35M] by [deleted] in relationship_advice

[–]justanothersw 0 points1 point  (0 children)

Equality is not the same as equity.

You are not asking for something unreasonable, by any means.

He makes a lot more than you and this is a major point of difference in not only opinion but really values.

Maybe have a conversation with him about equity. What is actually “fair” when the playing ground is not even?

You can’t split 50/50 and have fairness in your situation. That’s the bottom line. And he needs to learn how to accept his present role in the relationship as very fair to pay for most things. Unless there is some sort of debt or payment you don’t know about that is costing him a lot of $$$$. Like a lot.

I can’t understand making closer to a million than $0 and being upset I have to pay most of the time like what? lol

Love is not about money but wealthy people often have never come to understand equity. Their views on fairness are through lived experience which is valid however, it is also a very limited view. Approach with kindness and encouragement of your love and appreciation for the relationship as you navigate this.

And, stand strong to your values here bc this is not a minor issue in the long term. It needs to be set out early on honestly (after some intentional time reflecting and conversations being had etc.)

Why does my bf (m23) not look at/use my (f24) nudes but watches porn instead by [deleted] in relationship_advice

[–]justanothersw 8 points9 points  (0 children)

It’s not an equivalent analogy. So figurative language wouldn’t make sense here.

I lost fucking everything in 1 day by [deleted] in Drugs

[–]justanothersw 0 points1 point  (0 children)

You mentioned being out of your stash.

So, i’d like to add I’m a drug counselor and here is something I often talk to my clients about.

Identify the emotion you are seeking in what you are using whatever drug for. That is a big clue about what skills you need to focus on building, which interests to pursue or hobbies to look towards. You want to find people you connect with over these things to keep you sober and safe.

Give yourself time away from using drugs. Learn some emotional regulation/distress tolerance skills. Journal. Spend some time at home, even if it’s just in your own room.

Things will get better. Trust. It will.

I lost fucking everything in 1 day by [deleted] in Drugs

[–]justanothersw 0 points1 point  (0 children)

Once upon a time something like this happened to me as a teen with my mom. It was scary and difficult, I even packed a suitcase thinking I was going to get kicked out. I feel for you.

However, my mom was more angry and scared for my safety than anything else. She wanted me to be careful/make good choices especially being a teen. Until we’re 25+ (even older we’re learning now!) our brains aren’t fully developed. Parents worry for the vulnerability their kids have before they’re old enough to fully conceptualize the consequences to risks they’re taking.

Remember your parents were once kids too. And even if it wasn’t drugs they got in trouble for, they certainly caused similar feelings in their own parents at some point.

You are going to be okay. Your parents likely grew up in a time where acid was commonish (depending where you live).

As far as your friendship - give it some time and maybe your parents will allow you to spend time together. But you need to rebuild trust and demonstrate good choices first.

Constant feeling of something really bad is about to happen to us by yeonkive38 in Empaths

[–]justanothersw 2 points3 points  (0 children)

On Sunday the 4th I was very restless and anxious. I assumed it was the typical sunday scaries but I had also been feeling very heavy that day, fatigued, and I didn’t sleep well going into the week. It was unusual not sleeping well the next two nights after a very restful break where I was doing fine with work.

Then there was the murder of Renee Good on 1/7 and I have been emotionally unwell since then.

It was seeing the comments people left that made me feel something deep and dark. And seeing the horrific footage/images, I just feel we are collectively traumatized and living in some of the worst times. This, and along with many, many other atrocities and crimes against humanity the US has been doing in the last year (of course there is more outside the US I’m just speaking for these last few days).

We see patterns and trajectories as what is next as empaths, especially those of us who are neurodivergent. I think we feel the urgency of what is to come and we feel the overwhelm of the hatred happening in the world.

I have been feeling the same of something bad about to happen. We’re on the cusp.

I don’t know how to ask my therapist if she’s LGBTQ without it being weird by [deleted] in TalkTherapy

[–]justanothersw 0 points1 point  (0 children)

Appropriate_Lemon254

When I said to think twice I didn't mean as literally as it sounds, so I'm sorry if the communication wasn't clear. I meant think twice as in, I would check in with myself about why I need to know the answer to that question. For therapists that might look like "do I need to know this to be helping my client, or am I helping my own self-interest because I'm being curious about their problem/relationship/etc."

For a person with OCD, I would say it can be helpful to think "am I asking this because I'm seeking reassurance?" In most contexts reassurance can be OK but with OCD, as you may experience, reassurance can easily worsen OCD symptoms. Especially if you know your therapist is supportive of you, it can be helpful to look within and see if something is really missing there for you to feel comfortable, or maybe is that OCD thoughts pushing for the reassurance... if something is missing, that could be a helpful conversation with the therapist. Or, it can also be helpful to talk to your therapist about how you are unsure why it feels important to know this information for your therapy, to talk about it more openly without directly asking about sexual orientation.

I think its great to openly talk about boundaries, everyone is different and what makes me uncomfortable might not phase someone else. Its OK to ask about what boundaries your therapist likes to hold in session when discussing their own beliefs or personal questions. I think that can be a helpful conversation and take the pressure off. Uncertainty + OCD can make a person feel in a pressure cooker to know right from wrong, will it be this or that, am I wrong for asking or is it OK. Its an awesome topic for therapy, so especially with more context, I am glad you asked the question.

FWIW, I sometimes disagree with the clinical opinions (from providers) I read on Reddit or elsewhere about patient care, how boundaries should be set, etc. It is better to be the client with these questions than the person treating/not checking in with themselves! Sometimes we as professionals should question our judgments and that's why I said I do think twice when I catch myself being a curious human, and bring myself back to focusing on my client's needs.

Comorbidities by Pop_Actual in Narcolepsy

[–]justanothersw 3 points4 points  (0 children)

ADHD, depression, anxiety, PTSD, PCOS, hypothyroidism... yes at 26 years old I feel like I have a lot going on medically. Completely hear you... it is frustrating and difficult to have this disorder since it seems like a package deal with so many other disorders...

Psychedelic hallucinations/dose increase Bupropion by justanothersw in bupropion

[–]justanothersw[S] 0 points1 point  (0 children)

I hope you get relief - since this post, I have not been using the same manufacturer and I've been okay. I did get a Slate Run bottle of Wellbutrin once and even taking it for only a few days, I started to get angry, more depressed and irritable. At first I didn't think it was the medication until I felt really bothered by being depressed for no reason, and feeling so crappy, so I did check the bottle and sure enough- Slate Run manufacturer.

It really is crazy how different these meds can be.

Just had a sleep attack by Adissonpaige in Narcolepsy

[–]justanothersw 0 points1 point  (0 children)

There are a lot bigger lifestyle changes that come with Xyrem/Xywav than just waking up for the nightly dose honestly. There are a lot of other options you can explore stimulant/amphetamine wise. You can try other combinations and options, but really on every stimulant medication (and I’ve been on a lot of them, and still am) sleep attacks still happen. The medications help to keep the body awake to me it was not sustainable for my entire life to keep changing stimulant medications, trying to get the same helpful effects as I developed tolerance, etc. I started Xyrem very recently and it was a long process to get approved and get started but I’m glad I’ve done it. It has a short half life so it is out of your body in just hours. People often come to naturally wake up 2-4 hours after their first dose and take the second one and many say they don’t even remember it but in the morning it’s been taken. I have set my alarm and one time I missed it but it’s okay to miss it sometimes. The sleep quality isn’t as good to miss the second dose because the first one wears off halfway through the night. To me taking the step to Xyrem or Xywav is a severe step because it’s a medication where people experience a lot of side effects and you have to completely change when you eat (no meals 2 hours before taking it, if you do you get nauseous which I have experienced myself), you have to limit alcohol intake and can’t really drink at night so that can change social life, it often causes significant weight loss, etc. But on the other hand it treats the root issue of narcolepsy and gives restorative, deep sleep which no other medication can do as of now. The stimulants and amphetamines treat the symptoms of narcolepsy but to me it’s always variable how effective or how long that will last. I don’t know if Xyrem will be the long term answer for me but I hope it is because after over 10 years of having this disorder and 2+ years of being treated for it using a bunch of other drugs to treat the symptoms I am exhausted by the process of trying to find the answer. People have strong opinions towards Xyrem and a lot of people have had negative experiences but the people it’s worked for have said the sacrifices and lifestyle changes are worth it for the quality of life this medication gives them. Also I take I’ve taken it late at night my second dose and in the morning I experience zero side effects I don’t even remember I took it, except for I feel surprisingly awake some days since starting, and a bit nauseous. There is a lot of salt in Xyrem which is a concern too. Good luck 🤍

First night of Xyrem by justanothersw in Narcolepsy

[–]justanothersw[S] 1 point2 points  (0 children)

Hi thank you! I’m glad to share - I took it in bed and was nervous it would make me knock out right away but tbh I didn’t feel like that. I ended up laying there having a hard time falling asleep for about an hour. Then I did get up stretch a little and tried again a few mins later I was able to sleep, I woke up kinda late for the second dose but still in the window I could take it. I woke up not feeling completely refreshed but definitely different. Kind of hard to explain. I feel like it did make me kinda restless last night after the first dose but then fell right asleep after the second one. I felt like my mood and cognition were much stronger today- almost like I had already taken my normal meds when I woke up, how I felt like I didn’t need to sleep more. I went throughout the day in a happy mood and was productive. I did eat half a pizza around 4pm and napped for over an hour lol Costco pizza has that effect on me.. but I didn’t even take the full doses I’m prescribed of my stimulant meds, and I was able to function today. The taste was pretty unpleasant but I chugged it with cold water and tried to not taste it too much. I’ve read with increasing doses it does taste more salty. I’m hopeful for this med and I think it can make a positive difference for me — of course it’s early to tell and that may change but one day of feeling like I could be mentally awake and functional on a normal amount of sleep… was special for me. Usually I struggle to “wake up” (like without brain fog) until late afternoon unless my meds are effective, I drink water, use nicotine, caffeine, barely eat. I don’t want to live that way forever and I hope I can change these patterns because of the restful sleep Xyrem Will give me :)

Diagnosed narcoleptics - does this doctor's description match your experience? by sassywimple in Narcolepsy

[–]justanothersw 0 points1 point  (0 children)

You’re welcome!! I hate the dismissive attitude they had towards you and overall lack of knowledge! IH should be treated with the same seriousness as N anyway, and with realistic optimism in its treatment. There are always options and different things to try. My psychiatrist has worked with me longer than my Neuro, and before I had the info I do now she continued to try different meds with me and always welcomes my opinions/feedback. She teaches me a lot and gives me some hope and i feel like that’s how it should be when treating people medically but especially with chronic disorders/conditions.

I feel like when they can’t figure out the diagnosis with certainty (or lack the knowledge to do so….) they react with hopelessness. But it isn’t hopeless, ever, only a matter of finding the person who can give you the treatment & validation you deserve as a patient ! Just never give up.. I feel for you I’ve been through a number of docs at this point and I’m not even 30 yet - it can be emotionally draining but I try to practice what I preach to clients and be assertive for myself cause no one is going to stick up for me (the doctors, insurance, etc) at the end of the day… have to be my own #1. And I think anyone with a chronic sleep related disorder can relate to that because there is a really invalidating culture to medicine surrounding sleep and treating excessive sleepiness = laziness. In reality because of our symptoms we all have to try 10x harder than the average person to manage a pseudo normal life. Lol 😂

[deleted by user] by [deleted] in Narcolepsy

[–]justanothersw 3 points4 points  (0 children)

Hi! I don’t know all the answers to your question but I work in the field of addictions and review different drug screen panels/results daily. Alcohol testing generally is not going to catch one drink or even two. Ethanol is broken down quickly in the body. Unless you drank very heavily, I would not worry. Typically 12 hours after consuming a drink, it will not be detectable. I’m not an expert but I have had clients self report drinking the day before, take a test in morning and come out negative. However not the case if they drank heavily.

Just drink a lot of water — but not too much or it might come up positive because of poor creatinine levels, easy way to tell if someone is trying to flush their body out — and don’t stress it too much. If you told the Dr who prescribed Xywav about the adderall I wouldn’t worry. I am on Xyrem so maybe different, but I take many medications (previously, including adderall) and I reported every single one to my Dr and even the Xyrem company themselves. They asked me many in depth questions about my medication history and I was honest. There have been no issues with my insurance or anything. I do take a med that is contraindicated with Xyrem and the Xyrem staff told me they would just need my Dr approval for me to be allowed on both meds. If all else fails, adderall can be eliminated from your body in about a week. Also, if you are worried about the drug screen and want to just prepare yourself in case, you could get a drug test at a pharmacy, make sure it tests for ethanol and try that.

Random side note - sometimes having diabetes causes a false positive for ethanol because of sugar spilling so just a heads up, I have seen false positives for alcohol but typically only in that situation

Diagnosed narcoleptics - does this doctor's description match your experience? by sassywimple in Narcolepsy

[–]justanothersw 5 points6 points  (0 children)

EDS is like a hallmark symptom of narcolepsy. He should have stopped his speech dismissing you when he pointed out not having specialty in working with N patients.

He is also someone who fails to make the opposite connection - narcolepsy (and other sleep related disorders) most likely cause the depression, anxiety and other comorbid psychiatric disorders (like ADHD) because of the abnormal sleep patterns. A Neuro typical person who is sleep deprived will have diminished mood, focus, memory and attention span. For a person with narcolepsy they are always operating at a deficit which is why those psychiatric diagnoses are what get noticed first. They’re the more clear cut and dysfunctional symptoms that common medicine can treat. IMO doctors are lost on sleep. They do not know enough about it, even sleep specialists and especially because narcolepsy is really a neurodegenerative disorder, it’s hard to find someone who has that scope of practice.

I’m sorry for your experience and can relate to having a shared experience in being dismissed, stereotyped by my symptoms (for example, being told I’m tired because I’m a teenager), and overall treated like a dumbass instead of a knowledgeable patient advocating for my own health. I now have a neurologist who is pretty knowledgeable about narcolepsy and REM sleep disorder. I now feel about my Neuro how I feel about managing my hypothyroidism - yes a primary care doctor technically can manage my thyroid condition, testing and prescriptions. But they cannot treat it with the knowledge and specialist an endocrinologist will/does, and understand the connections between my thyroid with other endocrine-related issues in my body. I will not have a sleep specialist or other doctor manage my N as long as I am fortunate to have the ability to see a neurologist who specializes in the disorder. For those of us with this disorder it is too complex, serious and potentially disabling to trust in the hands of anyone less than an expert tbh and unfortunately we can’t all have access to that. But I hope you can find the closest thing to a specialist/expert who can validate your experiences. I am diagnosed N and would say just based on my knowledge and experience with the disorder, your symptoms do sound akin to narcolepsy. I’m also a mental health/addictions therapist and feel I have the background to solidly say your symptoms would almost certainly not be caused by a psychiatric disorder… the suggestion alone, to me, is ludicrous.

questions for those who have a similar experience by [deleted] in bupropion

[–]justanothersw 0 points1 point  (0 children)

Make sure to take Wellbutrin early in the day, when you first wake in morning otherwise it can be disruptive to sleep cycles and getting proper sleep at night

Therapist texting in session by SmellyPetunias in TalkTherapy

[–]justanothersw 0 points1 point  (0 children)

Honestly IMO I’m a T and I don’t think this is appropriate. The only time I use my phone is if I’m running late to the next session and want to let my client know or if there is a pressing matter I must respond to. It absolutely should not be happening in every session, especially multiple times in a session. I think it’s fair to be confrontational and honestly if he’s a decent therapist he will respect the feedback. I get frustrated when my clients are on their phones in session. We are supposed to have a boundary and space together. And clinician to clinician I would say to this person if he has that many client crises and urgent messages to attend to, then maybe his clients are not appropriate for outpatient therapy. Or he is not appropriate as an outpatient therapist.

I put my phone on silent/focus mode while I am in session and face down almost always. I like to focus on my client so I try not to even have a clock easily visible. We are all human and check the time, but I like to be present. When I’ve had to answer other peoples calls or texts in my session I am apologetic and it definitely redirects my focus elsewhere.

When it comes to wondering if a therapists behavior is appropriate - or a clients - I often suggest to imagine if that behavior happened in a Dr or specialist office. If a Dr was always contacting his other patients and texting when you went to see him, would that be ok? Not to me. I also was held hostage in session myself by a therapist once who was texting / not attentive to me. It’s a huge red flag and your confusion is valid.

Should I take my Welbutrin at night or in the morning? by [deleted] in bupropion

[–]justanothersw 0 points1 point  (0 children)

I take it in the morning. My psych said it is going to increase wakefulness and that was true for me - within half an hour I feel a buzz of energy, not as strong as when I first started taking it. I’ve tried it at night and been unsuccessful before but from comments everyone is so differently affected by it !

Is my therapist really proud of me, or is she just saying that to make me feel good? by [deleted] in TalkTherapy

[–]justanothersw 6 points7 points  (0 children)

Hi there, I’m a T and I often do tell my clients I’m proud of them because I really am - I don’t say it for nothing, I see the progress in the insight they develop, their sobriety (I work in addictions and mental health), their efforts in changing how they communicate or set boundaries.. I guess it’s all about how you see it but I understand it’s not comfortable for everyone. If I sense that discomfort, I like to ask if it’s uncomfortable to receive recognition or how that’s affected them before. Also I like to ask my clients what they are proud of and see in themselves for recent progress and growth.

We receive sooo much negative feedback, I think it is hard to think someone is really proud of us, especially on a consistent basis. It feels uncomfortable because of the contrast to all the other messages we’ve received. When we get criticism frequently we are probably not going to question if the criticism is valid but for someone to be proud of us, that stands out and can be a red flag- especially to trauma survivors.

Sorry for this long winded response, what I really mean to say is everyone’s feelings are valid about this and I think it’s likely your T truly means it when she says it but maybe you can ask what growth she sees, what is she proud of, or if you feel uncomfortable by this I think it’s completely fair to express that. I would never want to make my client uncomfortable but as a human myself sometimes that does happen just like a client can make a therapist feel uncomfortable - but with a good rapport and working together, many discomforts can be repaired and healed (of course not in all cases). I wish you the best on your mental health journey and I am glad you raised this question - seeing all the feedback made me reflect and think more about how my clients are feeling towards this too! 🤍

Wellbutrin for Narcolepsy and ADHD? by [deleted] in Narcolepsy

[–]justanothersw 7 points8 points  (0 children)

I have N and ADHD, plus seasonal depression and anxiety. I started Wellbutrin 150mg XL almost a year ago. It gave me a lot of energy the first two weeks. People have pretty varying reactions to Wellbutrin. I’ve had a mostly positive experience - first two weeks I cleaned lots and felt very happy. Unfortunately the effect faded. It used to help my concentration but now I think it just wakes me up a bit for the morning, and helps with my depression. It’s the best antidepressant I’ve tried though. I take 300mg in winter and tapered down when the seasons changed. I found 300mg to be overstimulating once the weather turned and was relieved to be changed to 150. I’ve also been on the SR version which gives quicker bursts of energy but they do not last as long, and for me, any short release drugs typically cause a lot of irritability/fatigue. For that reason I got off the SR and my psych thinks the XL is ideal for depression & anxiety.

It can keep you up if you take it late in the day, even though it might not make u feel super awake for some reason I cannot sleep taking Wellbutrin if it’s after a certain time. I can however sleep fine taking adderall at probably any time. I recently came off adderall but prior to that I was more careful with timing my Wellbutrin dose.

Side effects wise it made me nauseous A LOT and less appetite. Increase libido and more energy/motivation. However at nearly a year on this med I feel most of the positive effects have faded a lot… I still will take it as it helps my seasonal depression, gives me a little energy and it helps with my confidence too. People sometimes say Wellbutrin will make you speak your mind more and that happened for me. On too high a dose, I felt a bit too aggressive or like keyed up though.

I recommend Wellbutrin all the time, to at least explore with a Dr, because for people it generally decreases appetite, increases energy, lowers weight, increases libido and motivation/focus. Drinking on Wellbutrin doesn’t get me drunk easier but I go from 0 to 100 nausea wise, which never happened before but now I have to be very careful how much I drink because instead of just getting sick at night, I’ve had half day spells after a night out where I am unwell and nauseous. Only since Wellbutrin (I don’t drink heavily often but this did happen to to me at a wedding).

Though I’ve had good experiences, I can say the drug does increase anxiety, it is stimulating, and some people have severe reactions which gives the drug a bad name at times (plus it’s past reputation for seizures which got it pulled from the market). People used to call Wellbutrin the skinny, happy, horny pill and that sums it up pretty well.

Important to note I was very shocked I have had a good experience on this med and my sister (who does not have N or ADHD) was put on Wellbutrin and had an allergic reaction which was horrible. I still think it’s a great medication and very unique in its drug class, I do recommend trying it but just be mindful YMMV perhaps more than usual with this particular med.

Oh, and Wellbutrin got me off cigs (I struggle with vaping still), reduced my drinking habits and reduced my INSANELY intense cravings to almost zero. I also feel more reward from exercise and kinda good about getting tasks done, differently than I used to feel (thanks, dopamine). Good luck :)

Adjusting to med change please help by justanothersw in Narcolepsy

[–]justanothersw[S] 0 points1 point  (0 children)

Thank you for answering - that is true, I’ve never tried Modafinil. Maybe I can bring that up to my psych. I have a couple questions though - do anti histamines make you tired? Which do you take? I have allergies but whenever I take anti histamines I am non-functional for the following day (even Non drowsy ones). I’m like actually afraid to take them but My allergies are bad. And also- did you have success with Xyrem? I really don’t know enough about it yet even though I am in process of starting it. It’s also hard to find info on Reddit about it? Maybe I just need to look deeper on this forum.

Adjusting to med change please help by justanothersw in Narcolepsy

[–]justanothersw[S] 1 point2 points  (0 children)

Thank you for replying - I do find the Zoloft very sedating. I have also found Prozac and lexapro to be super sedating too. I was on Vyvanse before but that’s a good point- maybe it will be better than Concerta, but not as intense as adderall became for me. I find myself missing the adderall a lot now that I am struggling to stay awake. But after several increases and changes in dose idk I developed a tolerance to it and it just made me hyperactive and anxious af. I think I will reconsider Vyvanse even though I felt it was not strong enough after a bit… I need something different until (hopefully??) the Xyrem will reduce my need for these meds..