Managing Anxiety and Negative Thoughts During Medication Changes - Psychiatry

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Anxiety and negative thinking?


I'm sorry to bother you again, doctor.
Last time I mentioned that I was taking psychiatric medications, specifically Rexulti and Pristiq.
I feel like I've lost the pleasure from masturbation and the sensations in my brain, and I no longer have a strong sexual desire.
I saw another doctor on Saturday, and he switched my medication from a serotonin-based drug.
He told me that if I want to recover, it might take 3 to 4 weeks.
I understand that medicine is full of uncertainties, but during this time, I feel a lot of anxiety and negative thoughts.
My mind is racing with worries about whether my brain could be permanently affected since I've been on the medication for over a month.
Is it really going to take 3 to 4 weeks to recover? Or is the doctor just trying to comfort me?

Cang Zhilang, 30~39 year old female. Ask Date: 2023/07/11

Dr. Qiu Junda reply Psychiatry


Hello.
As mentioned before, recovery is possible.
The estimated time frame is about 3 to 4 weeks, but it varies from person to person; some may recover sooner while others may take longer.
Please be patient and try not to feel anxious or engage in negative thinking, as this can lead to psychogenic sexual dysfunction, which may further prolong the recovery time.
During this period, please continue to have regular follow-up appointments with your physician to facilitate improvement.
Thank you.

Reply Date: 2023/07/11

More Info


Managing anxiety and negative thoughts during medication changes can be a challenging experience, especially when transitioning from one psychiatric medication to another. It’s understandable to feel a sense of uncertainty and anxiety about how these changes might affect your mental and physical well-being.
Firstly, it’s important to recognize that many psychiatric medications, particularly those that affect serotonin levels, can take time to adjust in your system. When switching from one medication to another, especially if you are moving away from a serotonin-based medication, it’s common for your body and brain to require a period of adjustment. The timeline of 3 to 4 weeks that your new doctor mentioned is not unusual; many patients experience a lag in the onset of therapeutic effects when starting a new medication. This is because the brain needs time to adapt to the new chemical environment created by the medication.

During this adjustment period, it’s also common to experience heightened anxiety or negative thoughts. This can be exacerbated by the fear of potential side effects or the worry that the new medication may not work as effectively as the previous one. It’s crucial to maintain open communication with your healthcare provider during this time. If you find that your anxiety or negative thoughts are becoming overwhelming, don’t hesitate to reach out to your doctor. They may be able to provide additional support, whether through therapy, lifestyle changes, or possibly a temporary adjustment in your medication regimen.

In terms of managing anxiety and negative thoughts, here are several strategies that may help:
1. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or progressive muscle relaxation can help ground you in the present moment and reduce feelings of anxiety. These techniques can be particularly useful when you notice negative thoughts spiraling.

2. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions. It can also help you track your mood and any changes you notice as you adjust to the new medication. This can be a valuable tool to discuss with your doctor during follow-up appointments.

3. Physical Activity: Regular exercise has been shown to have a positive impact on mental health. It can help reduce anxiety and improve mood. Even a short daily walk can make a significant difference.

4. Social Support: Connecting with friends, family, or support groups can provide a sense of community and understanding. Sharing your experiences with others who have gone through similar situations can be comforting.

5. Educate Yourself: Understanding the medication you are taking, its effects, and the expected timeline for improvement can help alleviate some anxiety. However, be cautious about excessive research, as it can sometimes lead to increased anxiety.

6. Limit Stimulants: Reducing caffeine and other stimulants can help manage anxiety levels. These substances can exacerbate feelings of nervousness and restlessness.

7. Therapy: If you are not already in therapy, consider seeking the support of a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for managing anxiety and can provide you with tools to challenge negative thoughts.

It’s also essential to remember that while medication can be a crucial part of treatment, it is often most effective when combined with therapy and lifestyle changes. If you find that your anxiety or negative thoughts persist or worsen, it may be necessary to revisit your treatment plan with your healthcare provider.

In conclusion, transitioning to a new medication can be a daunting process filled with uncertainty. However, with the right support and coping strategies, you can navigate this period more effectively. Trust in the process, and give yourself grace as you adjust to the changes. Your mental health is a journey, and it’s okay to seek help along the way.

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