Trying to logically figure out what to do to recover

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Hi all,

My name is Matt, I was diagnosed as having PDD-NOS (so ASD now) and also OCD and ADHD. When I was a kid, my old man said that if I didn’t have a routine - I’d get bored out of my mind and flip out but it was very hard to get help for me because I masked well and seemed “normal”. It was very hard to get a diagnosis for what troubled me because I seemed to have a mix of things.

So anyway, I’m 45yo now, and trapped in some sort of nightmarish anxiety cycle and I’m about to lose my job (currently on unpaid leave)

So what happened, was I was on a low dose of SSRI, and I was stable and working for two years doing great. Then I had a panic attack in a car that scared the hell out of me and has sent me down a spiral. This has happened a few times over my life and I can’t pinpoint why or how I get “out” of them, sometimes I just do.

I’m trapped in this nightmare that fluctuates but I seem to be in an anxiety induced dissociation state and I’m constantly focused INWARDS to my mind and I can’t break out, I’ve got racing thoughts (so fast it’s hard to keep a train of thought) and I have the intense desire to logically “know” what’s going on and I don’t - and that scares me. Usually I can distract myself but only in the evening (providing it’s a good evening). So it’s bad in the morning and better in the evening.

Also I seem to be super sensitive to SSRI’s but I may need it function, I’m not sure.

Mostly I’d love to meet others and peers that suffer from a similar strange problem that I can talk to and learn from. I’m hoping I’m in the right place. Thanks in advance.

Undiagnosed BiPolar?
There are atypical antidepressants which don’t just hit Serotonin but Dopamine also or Serotonin and Norepinephrine (Noradrenaline).
Also google DBT TIPP. Check youtube for same.

Managing Mental Health when you are in a mental health crisis is very very hard. Try to keep at it and find some people to trust (your doc, your family) who can help.

Hang in there. I can relate.

don't give up! keep trying, there are so many alternatives today. Self care always first. With diagnosis comes better self understanding. therapy and meds, working to find "work arounds" and self accommodations help so much. Good that you are looking for answers. Cheering you on.

My wife had this issue. She had severe anxiety unless she took enough SSRIs to impair her sexual function.
Happens to a lot of people.

Supposedly there is a regimen with Prozac that allows one to have some semblance of sexual function.

Thanks everyone, I really appreciate your thoughts. I think I’m coming to the realisation that there isn’t a quick fix - gotta keep working at it day by day. Cheers.

Welcome to WP. You're in the right place! Please stick around!

Hi all,

Just another thanks and a quick update, I ended up going to the low dependency voluntary admission psychiatric ward to get a proper diagnosis. Very scary going in but I’m getting used to it now. I have to wait till Tuesday for a proper consultant and psychiatrist team to review. ATM they are still drying me out of the Prozac. Thanks all!