When do you go to the hospital

For severe anxiety that is not a safety issue? I don’t feel like I’m a danger to myself or other people but I haven’t eaten much in days and I’m sleeping really badly and my anxiety is just really out of control but it’s still controllable. Like I don’t have S thoughts. I’m not even having mood swings or anything like that. It’s just straight up bad anxiety. I don’t know what to do and I can’t email my therapist and ask her so I’m just confused.

I am sorry you are struggling like this. What about calling your therapist? You could maybe ask her to call you back if you don't reach her so it won't be a safety issue of you leaving an email that she won't get until later? It sounds like you need support, but I don't know whether or not a hospital is best or not. Or can you call your psychiatrist? Maybe they can help you find the right service to help you.

I don’t have her number and she is off now until Monday. I’m hoping I can just wait it out a bit. I do plan on talking to her about this at the next session. I change one of my meds on Sunday so maybe that will be the answer. I’m trying really hard to just wait it out. I can call my psychiatrist tommorow if things don’t improve.

Oh I see, that does make it more difficult, but I am glad you can call your psychiatrist tomorrow. If you do feel unsafe of course definitely go to the hospital. I hope things ease up soon.

Try to resist as much as you can until you can call your psychiatrist tomorrow at least. Perhaps you'll feel better by then but if not definitely contact her and if things get worse do consider going to an hospital. So Sorry you have to put up with this but Please do stay safe! Sending many Safe, warm hugs to BOTH you, @Mountaindewed, your Family, your Friends and ALL of your Loved Ones! Keep fighting and keep rocking NO MATTER WHAT HAPPENS, OK?!

One time My anxiety was so bad I threw my heart beat off. I think that was the only time that I ever considered going for anxiety. Is it possible for you to call a crisis center and talk to them and maybe see if they think you should go. They might be able to give you some thing for the anxiety. On the other hand you may end up having to wait in a very busy emergency room during a pandemic while they’re looking for a bed for you. So that I could go either way.

There’s only one good hospital in the surrounding area, the rest are really really bad. So if I go inpatient I’d prefer my Pdoc to give me a referral so I can get into that particular one. But there is a crisis line I can call tonight if I need to. Or I can wait until tommorow and call him if I feel like I can wait. If I just eat whatever I am able when I feel like I can I think that will help. Even if it’s just one type of food. My new queen size bed is also set up now My sleep problems are a huge part of my issue. If I can get my sleep fixed so I’m not taking my meds at inconsistent times to help me fall back asleep then I hope everything will fall into place. I just really need to make it to Sunday when I switch up one of my meds. So I’m hoping everything goes ok until then.

Why do you have to wait until Sunday? Does it get worse when you take the old one? Would there really be a problem if you switched early? Maybe you could ask a dr on demand if you cant get your own. Or a nurse at your insurance? Mine has a call in line.

And yeah i would be eating whatever. An emptyish stomach might be reacting to the meds?

Good luck

It’s my injection that I’m splitting in half and switching to every week and I have to take it at a specific time every week or else I could develop problems if there’s too much in my system. I took it last Sunday so that’s why I have to wait until this Sunday.

I do a lot of research and what I found out is mood swings decrease majorly if you go to every week instead of every other week.

Not to bug you, but so last sunday was a full or half dose? Seems like you should skip a week before you start the half doses.

If the full dose was good for two weeks?
Unless you already started half doses last sunday.

I have been thinking about that. But it’s half of .5 whatever that comes out to. I already take a small dose every other week. But maybe I’ll wait until Monday or Tuesday. I don’t want to go to long in between.

I haven't answered you yet, Md, because I'm not sure how to answer. There have been 2 times recently when I needed to go IP, but didn't because there's no one to care for my cats. Had I been able to go IP I would have done so because I was having SI and felt like I was desperate to stop trying so hard to be okay. Also, I wanted to be around other people who were having mental health problems, because I was feeling so isolated - although this board really helped with that.

If you took .5 on the 17th, that would cover until the 30th. Then if you take one half of .5 of the 31st, that will cover 31-6. then continue weekly.

Otherwise, if you take half of .5 on the 24th, then that would be a DOUBLE dose through the 30 - that half, plus the leftover half still in your system from the 17th dose.

You can try it out on a calendar with two different hiliter colors. Use one color for the .5 dose, and hilite the two weeks from the last sunday you took it. The hiliter for the half of .5 dose should not start until the next day, otherwise it will double up.

The mood swings will decrease because the level will never be as high as it was on the 17th. It will be like the 24th, week after week, because by then, it will already be fading away. Plus it wont start as high.
Tl;dr -
Its like eating two chocolate cakes on the 17, then saying, ok i will switch to half of that. Well you have to wait until the 31 to eat your next chocolate cake!

This ^^^

unaluna, can you please figure out my meds for me? You have a serious talent there.

Do you have a friend that can remind you to take your medicines? That’s honestly how I managed to get on track with taking them the way I’m supposed to. Now I don’t really need someone to remind me because it’s becoming a habit. Is there anyone that can get you through that rough patch while you’re getting into the habit of taking it?

Aw, im just good at figuring out cake!

I DID just figure out my own change of a med, fromm 100 to 50 mg. My dr was like, oh but is that available? And i was, thats why i chose 2@25 mg, not 1@50 mg. I looked on my insurance / pharmacy website.

I guess I’ll wait to start it.

I’m trying to get my sleep hygiene under control and eat 2 hot meals a day instead of just one. My mom says it doesn’t really make sense (she doesn’t think) to go inpatient for anxiety when there’s legit stuff to be anxious about. Mainly my move. I’ve never moved like this in my life. I moved when I was 2 to a bigger house a couple blocks away from my old one. But I’ve never moved to a different town 3 hours away that will completely uproot everything I’ve built here. I just have a lot of mixed feelings about it.

But yeah I hope the switching of meds and fixing my sleep and eating more hot meals will help.

In addition to what others are saying, I have found that lack of sleep can be a huge contributor to anxiety, as well as causing mood instability. Would you feel comfortable talking with your pdoc about trying meds to sleep?

I really wanted to go IP earlier this afternoon. My heart was pounding super fast and I was dizzy. I was worried my anxiety was starting to affect my heart. I ended up having to just suddenly lie on top of my bed for half an hour. I had vertigo even when lying down and my heart was still pounding. After half an hour I felt better so I ate a couple snacks for lunch. I wish I could take melatonin again but my doctor and therapist don’t want me to take it at all.

Basically they just want me to work really hard on getting onto a better sleep schedule without meds.

Gosh, I'm really grappling with the fact that your team is telling you to do it on your own. Getting on a good sleep cycle is incredibly difficult. It's like throwing someone in the pool and saying "swim!" I apologize if I missed this earlier in the thread, but have you been tested for sleep disorders? Sleep apnea, etc. No need to answer if you've already related this info!

I had a sleep study October 2019. I couldn’t sleep much though. But it showed that I was having I think they are called PVCs. Which is why I freak out about heart issues. Especially with the increase in Geodon. My heart rate and blood pressure can get incredibly high at times especially when I’m stressed. So I do worry about my heart a lot.

Those at home sleep apnea tests seem interesting and I’ve thought of trying them.

My aunt has had sleep issues for years due to poor health and meds. I wouldn't be surprised if she got one month of sleep in the past five years. She finally went to the Mayo Clinic last year for a full evaluation - testing all possibilities. They figured out that it was a combo of interaction of many meds and resulting not having stable sleep behaviors for many years - her body simply didn't know how to do it. They diagnosed and gave her an action plan, which is working. Not all of us can go to Mayo, but it might be helpful to find a hospital that specializes in sleep disorders that your insurance will pay for.

My anxiety still sucks. Especially at night. It’s just the usual night anxiety I’ve gotten. It’s really bad right now I can feel it in my nose and throat. If I went to the hospital I’d probably be given a shot of something. I don’t know. I don’t feel like a danger to myself. Maybe I’m just getting sick.