Guilty. I have been attending a DBT group on Saturdays. We j

Ofelia's picture
[12835]

Guilty. I have been attending a DBT group on Saturdays. We just finished emotional regulation and have begun distress tolerance. So, we are supposed to be practicing mindfulness everyday among other homework. A while ago my panic attacks became so frightening that I developed an intense fear of having another and began using klonopin as a preventive. I don't go over my dose or anything, but do feel it interferes with mindfulness practice. How can I practice being present if I am sedated? But it's become such a habit; it has worked to prevent panic attacks though I do think it makes depression and isolation worse. I have gotten so used to avoiding anxiety and discomfort this way though that practicing distress tolerance is difficult because the distress is being kept at bay. And I am too afraid of my anxiety to try going without klonopin right now. Advice would be helpful.

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Ofelia's picture
[12835]
May 20

@kisobel Thanks, Kisobel. You're right that anything distressing is now an opportunity to practice. Mindfulness has never come easy to me. I can do it to some point while doing tasks or taking walks. The best is yoga and playing instruments. But I can't sit with my emotions and thoughts. Just sit with and be okay with them yet. I don't know. My doctor says medication is supposed to help in learning these skills because they decrease symptoms and reactivity making the process easier.

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WilliamJoe's picture
[790]
May 21

@Ofelia not being able to sleep affects every part of our body. Especially the parts that aren't healthy at the time. Lack of sleep in and of itself can make depression worse. I would just ask the doctor for something very mild to help with the panic and anxiety, something that's not as strong as what you've been taking. And see if there's Something mild that will help you sleep. Just being rested will help, I think ....

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Ofelia's picture
[12835]
May 22

@WilliamJoe I know. It's that sleep is really difficult for me; too many nightmares and fear of having another. So it takes a lot to fall asleep usually. I do take melatonin, but in addition to my doses of klonopin and gabapentin. Plus, my antidepressant is sedating. I think my body has gotten so used to having these drugs every 24 hours that my brain has forgotten how to just fall asleep. Today I am starting to cut back on klonopin. Usually take 1.5 mg a couple hours after waking when my anxiety starts getting bad. But I'm going to hope that 1 mg will help for about a week and then step down to .5 mg. It doesn't sound like a lot, like I am taking a lot. But I think even having a small amount in your system all the time can make depression worse.

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