Struggling with Anxiety: Four Years on Xanax and Deanxit

Q: Struggling with Anxiety: Four Years on Xanax and Deanxit

Hello Dandelion： From your description, it is clear that you frequently experience symptoms of anxiety. <br>I believe this type of condition is indeed classified as a chronic illness, meaning that the likelihood of recurrence is quite high. <br>Therefore, when you face significan

I have been taking Xanax 0.5 mg and Deanxit for four years?

Director Chen: When I was young, I lived in a household with domestic violence, constantly worrying about when the violence would occur again.
During middle school, I would get so nervous in open male restrooms that I couldn't urinate, and I had to sneak into locked restrooms to slowly relieve myself.
Before graduating high school, while preparing for the graduation exam, I experienced my first episode of night sweats, headaches, and limb weakness due to anxiety the day before the exam.
This episode lasted nearly a year, and despite seeking medical help everywhere, I couldn't find the cause; however, I eventually recovered on my own.

In college, after breaking up with my girlfriend of seven years, I was hit hard and experienced a resurgence of anxiety symptoms, which have persisted for five years without resolution.
Throughout the long process of seeking treatment, I stumbled through various options.
Initially, I sought help from the cardiology and gastroenterology departments at a regional hospital without success.
I then searched online for my symptoms and suspected I might have an anxiety disorder.
At first, I couldn't accept that I had a mental illness, but eventually, I went to a psychiatric outpatient clinic and was diagnosed with anxiety disorder (neurosis).

During the treatment process, the doctor initially told me that as long as I complied with the medication, I would recover within six months.
However, after taking medication for over four years, he changed his statement to, "This is your constitution; you can only manage it with medication." I currently work in a public institution, and my colleagues are understanding when I have episodes.
I live each day feeling dizzy and as if I'm on the brink of death.
In the future, I may leave the public sector for the private sector, and I am concerned about how to face greater pressures and challenges.
I have been taking Xanax 0.5 mg and Deanxit for over four years.
How can I wean off the medication and return to a normal life?

Dandelion, 30~39 year old female. Ask Date: 2005/03/09

Dr. Chen Wenke reply Psychiatry

Hello Dandelion: From your description, it is clear that you frequently experience symptoms of anxiety.
I believe this type of condition is indeed classified as a chronic illness, meaning that the likelihood of recurrence is quite high.
Therefore, when you face significant stress, it is easy for anxiety-related symptoms to arise, and your ability to cope with stress may diminish.
This indicates that the pattern of illness is not solely due to physical factors.
Regarding pharmacological treatment, if you continue to have symptoms, appropriate medication is still necessary.
It is important to manage your symptoms effectively.
Additionally, psychological therapy and other non-pharmacological methods can help stabilize your emotions.
Maintaining a normal lifestyle and diet is also crucial.
Wishing you well.

Reply Date: 2005/03/09

More Info

It sounds like you have been through a lot over the years, and I commend you for seeking help and trying to understand your situation better. Anxiety disorders can be incredibly challenging to manage, especially when they are compounded by past trauma and ongoing life stressors.
Xanax (alprazolam) is a benzodiazepine that is commonly prescribed for anxiety and panic disorders. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain and can help alleviate feelings of anxiety. However, long-term use of Xanax can lead to dependence, tolerance, and withdrawal symptoms, which can complicate the process of discontinuation.
Deanxit, on the other hand, is a combination of two medications: flupentixol (an antipsychotic) and melitracen (an antidepressant). It is often used to treat anxiety and depressive disorders. While it can be effective for some individuals, it also carries the risk of side effects, including sedation and potential withdrawal symptoms if stopped abruptly.

Given that you have been on these medications for over four years, it is understandable that you are concerned about how to transition off them and regain a sense of normalcy in your life. Here are some steps and considerations that may help you in this process:
1. Consult Your Doctor: It is crucial to have a detailed discussion with your psychiatrist or healthcare provider about your desire to taper off Xanax and Deanxit. They can help create a personalized tapering schedule that gradually reduces your dosage to minimize withdrawal symptoms and monitor your mental health during the process.

2. Consider Therapy: In addition to medication, therapy can be a vital component of managing anxiety. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety disorders. It can help you identify and challenge negative thought patterns and develop coping strategies for managing anxiety in stressful situations.

3. Lifestyle Changes: Incorporating regular physical activity, a balanced diet, and sufficient sleep can significantly impact your mental health. Mindfulness practices, such as meditation or yoga, can also help reduce anxiety and improve your overall well-being.

4. Support System: Surround yourself with supportive friends and family who understand what you are going through. Joining a support group for individuals with anxiety can also provide a sense of community and shared experience.

5. Alternative Treatments: Some individuals find relief from anxiety through alternative treatments, such as acupuncture, herbal supplements (like valerian root or chamomile), or omega-3 fatty acids. However, always consult with your healthcare provider before starting any new treatment to ensure it is safe and appropriate for you.

6. Gradual Exposure: If you are facing new challenges, such as transitioning to a private sector job, consider gradually exposing yourself to those situations. Start with small steps to build your confidence and coping skills.

7. Monitor Your Progress: Keep a journal of your feelings, symptoms, and any changes you notice as you taper off the medication. This can help you and your healthcare provider assess your progress and make any necessary adjustments to your treatment plan.

Remember, recovery from anxiety is often not linear, and it may take time to find the right balance of treatments that work for you. Be patient with yourself and celebrate small victories along the way. You are not alone in this journey, and with the right support and strategies, it is possible to regain control over your life and reduce your reliance on medication.

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