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44 and my mental struggle

Posted on 8/19/25 at 8:15 am
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
32970 posts
Posted on 8/19/25 at 8:15 am
44 great job, wife, 2 great kids, no need for panic or anxiety. During covid i got shingles and started getting panic disorder and body tingling and forgetting words, etc. It wrecked my nervous system, and I feel like I never recovered.

I've done 4 years of Wellbutrin 200mg SR and 200mg Nefazodone (anxiety non-SSRI/Benzo), and I feel like I'm the same if not worse. I went to a work meeting last week and the whole time I felt pins and needles and forgot words, felt out of body and sounded dumb when I talked. It's like my body is always in fight or flight. To make it worse, anytime I feel an ache or pain my body goes in fight or flight everything hurts and my body tingles. I always have bad headaches above my eyes, and it hurts to read or focus.

It's ok when I'm home alone but when my wife comes home or when i go somewhere its bad. I used to control a room at work and now I feel like I'm going to throw up. FYI I'm in great shape and a former marathoner so my resting heart rate is 42, so beta blockers don't work for me. I lift 4x a week and do Yoga 2x.

Any help or reassurance is welcomed. I feel like there is no hope but there are so many medicines out there and I'll never try a SSRI again because I was dead below the belt. Part of me would like to try microdosing but it's illegal where I am. FYI i do a yearly physical and have all labs done. Everything is normal even my testosterone. Total T is 850 but free was 50.

I just don't think the combo I'm on is working anymore.


TL:DL- Feel like I'm regressing and miss my old confidence and im tired of the body tingling and feeling dumb and forgetting words. Feel helpless because my meds dont really do anything anymore.
Posted by Miner
Birmingport
Member since Nov 2017
1470 posts
Posted on 8/19/25 at 8:50 am to
You can build up a tolerance over time. It may be time to try and new medicine. And I feel you, I've been there. It took a long time, but it ended up being low T and exhaustion causing my anxiety. The saying, all work and no play...., is true.
Posted by PelsForLife
Member since May 2019
474 posts
Posted on 8/19/25 at 8:54 am to
I had panic attacks and anxiety most recently. I was put on Lexapro for a month or two. I used to smoke marijuana a good bit which I think helped with my anxiety. Doctor had told me to put it off while we test the Lexapro. I did so for a bit but I felt totally different and my mood was off. I got off of it and I also have Xanax on a as needed basis. I've been just smoking recently and it helps my anxiety out tremendously. Just enough to calm me down during the day. I haven't touched my Xanax in a while either. Have you tried any forms of CBD or THX?
Posted by PrezCock
Florida
Member since Sep 2019
857 posts
Posted on 8/19/25 at 8:57 am to
quote:

wrecked my nervous system
quote:

my body is always in fight or flight


I actually treat this exact thing, but I live in Tampa and I don't make house calls that far away. Look for a provider near you that does "Transcranial Direct Current Stimulation". It will help you get out of your "Fight or Flight" mode.

The Autonomic Nervous System (ANS) controls the automatic functions of your body. Heart rate, pupil dilation, sweating, etc. It consists of 2 parts, the Sympathetic Nervous System (SNS) and the Parasympathetic Nervous System (PNS).

Your SNS is your "Fight or Flight" response. This is caused by stress, which in turn releases hormones like cortisol. This stress can be mental, emotional, and/or physical. We, as Americans, live high stress lives and don't really do anything about it.

Your PNS is your "Rest and Digest" response. I like to think of it as more of a Rest and Recovery response, but that doesn't rhyme. Transcranial DC Estim will upregulate your PNS in order to create equilibrium between the two.

Sounds like to me that your stuck in that SNS response.

Good luck, and I hope this helps. If you need any more info from me just let me know.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
32970 posts
Posted on 8/19/25 at 9:10 am to
Oh wow thanks for that. I’ll look it up.

My insurance sucks and has a high deductible of 6k

Is it covered
Posted by XenScott
Pensacola
Member since Oct 2016
3950 posts
Posted on 8/19/25 at 9:12 am to
I was having serious neck issues and it was getting to me pretty bad. Frickin anxiety, panic, body shocks, everything.

My Pain management doc (not a pill pusher although he went down for trafficking. I think he took the hit for his wife, also a doc.) With his patients he was very anti-opiate in his approach. (maybe he saw the toll it took on his wife). Anyway he was the best doc I ever had.

He told me to give a clean, healthy, keto diet a try. Along with this he suggested 500 mg. Magnesium Glycinate, and ashwaganda. Do it for a month, not a day, not 2 weeks, a month and get back to me.

Fairly large dose of ashwaganda for men, morning and night. He showed me like 37 studies where ashwaganda lowered excess cortisol, your fight or flight hormone among other things. They don't know how, but it does.

Also controlling your sugar regulates excess cortisol as it is needed to process sugar.

I say this as a layman, not an expert, but those things legit changed my life.
This post was edited on 8/19/25 at 9:14 am
Posted by PrezCock
Florida
Member since Sep 2019
857 posts
Posted on 8/19/25 at 9:18 am to
quote:

Is it covered


To be honest, I don't know. I'm a cash based practitioner. Insurance has screwed me over too much in the past. I don't really charge that much, It's an easy treatment for me and I try to make money by volume instead of charging a ton.

I know the VA uses Transcranial DC Estim to treat PTSD. It's a well known treatment. My guess is that it would be covered. I think the hard part would be getting a referral.

Hope that helps.
Posted by PrezCock
Florida
Member since Sep 2019
857 posts
Posted on 8/19/25 at 9:21 am to
quote:

keto diet
quote:

Magnesium Glycinate
quote:

ashwaganda


I believe all of those things can help. Problem for us Americans is that we don't know, or practice, relieving stress. It accumulates and causes problems. To be honest, I'd be out of business if everyone just took 30 minutes out of there day to meditate and work on breathing exercises, lo.
Posted by Miner
Birmingport
Member since Nov 2017
1470 posts
Posted on 8/19/25 at 9:29 am to
Thanks for your input!
Posted by Odysseus32
Member since Dec 2009
9688 posts
Posted on 8/19/25 at 9:43 am to
Hey, I don’t know a single thing about the medications but I am also someone who gets physiological response when I’m stressed. Same stuff, body tingling at night, can’t sleep, forgetting words, literally feel like my brain is deteriorating.

I can’t say anything except the focus on it makes it so much worse. It’s hard as frick to do, but removing your identity from what you fear losing helps. If you’re someone who places a big value on being in control, dig deep into what would happen if you lost all of that permanently. What if you actually are dying?

This helped me a ton. You quickly come to the conclusion that even if you are going to die in a month, things will be okay. The world will keep turning and the people that love you will love you no less.

I have nothing else to offer. It sucks man, it feels like your world is crumbling.
Posted by hogfly
Fayetteville, AR
Member since May 2014
5061 posts
Posted on 8/19/25 at 9:51 am to
I don't want to pretend to have some holistic or homeopathic or "woo woo" solution to your issues, as I do believe that some issues are completely related to brain chemistry and need medical treatment. That being said, a few avenues to look into:

1) Meditation. Headspace is a great app for it, but there are many others out there.
2) Ketamine Therapy
3) Box Breathing or other breathwork.
Posted by BottomlandBrew
Member since Aug 2010
29153 posts
Posted on 8/19/25 at 1:14 pm to
Kind of far out there, but you may want to look into a psychedelic retreat of some sort.

I have a good business acquaintance. Business owner, well off, nice family, a man of god, doesn't drink or smoke or anything, yada yada yada. He suffered from PTSD from his time in Iraq. He was about to blow his brains out from crippling anxiety. As a hail mary, he went on a psychedelic retreat. He figured whatever. He was going to kill himself anyways and go to hell (his beliefs, not mine), so he had no moral objection to trying "illicit" drugs to try and help.

That trip saved his life. A few days in the jungle on a guided journey through the cosmos was all it took to rewire his brain. Total game changer for him.
Posted by Raoul Stimulato
Hale Bopp Comet
Member since Sep 2022
1983 posts
Posted on 8/19/25 at 1:33 pm to
Sorry you’re going thru this. Ugh.

I’m also 44 and this past year have experienced something not identical but perhaps adjacent: debilitating work stress w fight-or-flight forever activated.

Even scheduled ct scan and endoscopy, both negative.

I’ve since come up w taking ashwaganda every morning, which helps mute stress. Also, I scaled back on caffeine and now mostly drink green tea.

Additionally, I have a medical cannabis card and microdose as needed. I also lean on gabapentin (old scrip for unrelated pain) and that really chills me out.

Only hedge is if I take too much of the above I’m zonked out at like 8:30 pm. But that’s a small price to pay. I feel like my doomy cycle has mostly ended.

Best of luck, bro
This post was edited on 8/19/25 at 1:34 pm
Posted by Jcorye1
Tom Brady = GoAT
Member since Dec 2007
76373 posts
Posted on 8/19/25 at 2:54 pm to
One thing to check for is burn out. I am limping my way through work until some people come back and I can take some real time off, but I'm a decision maker at work and a decision maker at home. I'm losing it, I'm so tired and having panic attacks again like I did in my college years, and it's because of the burn out.
Posted by bayouvette
Raceland
Member since Oct 2005
5560 posts
Posted on 8/19/25 at 5:15 pm to
Probably not a popular answer, but there are probably certain stranda of medical mj that could help
Posted by WhiskeyTangoFoxtrot
in the transfer portal
Member since Dec 2009
2399 posts
Posted on 8/19/25 at 6:13 pm to

How the hell is he supposed to know what your insurance covers?
Posted by TideSaint
Hill Country
Member since Sep 2008
82720 posts
Posted on 8/19/25 at 8:39 pm to
quote:

Feel like I'm regressing and miss my old confidence and im tired of the body tingling and feeling dumb and forgetting words. Feel helpless because my meds dont really do anything anymore.


Maybe drop the LSU fan facade and admit what we all know already, you're an Oklahoma fan.
Posted by Crow Pie
Neuro ICU - Tulane Med Center
Member since Feb 2010
27107 posts
Posted on 8/25/25 at 4:27 pm to
quote:

Part of me would like to try microdosing, but it's illegal where I am
. Damn the archaic laws preventing people from accessing natural healing paths for relief.
This post was edited on 8/25/25 at 8:32 pm
Posted by Lazy But Talented
Member since Aug 2011
15029 posts
Posted on 8/25/25 at 6:45 pm to
quote:

Part of me would like to try microdosing but it's illegal where I am.


That’s never stopped anyone man. If you want to try it, try it. Micro-dosing shrooms really pulls me out when I’m down bad.

I live in DFW too. There’s company’s that will ship directly to you and the info is out online on best practices for microdosing.
Posted by diat150
Louisiana
Member since Jun 2005
47130 posts
Posted on 8/26/25 at 12:18 pm to
try a good sativa and see how it makes you feel.
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