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Cake day: June 10th, 2023

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  • Yes I absolutely relate almost exactly to what you are talking about! It’s frustrating because I feel like I feel these certain things so deeply and others just don’t have that type of intense emotional pain that I do.

    It’s funny you mention ADHD because whenever I look up things like “emotional dysregulation” and “rejection sensitivity”…for some reason ADHD is one of the top results/conditions lol.

    I relate to all of the ADHD related bullet points that you say, but I just don’t really have core “symptoms” of ADHD. I have the same emotion issues, but I don’t have issues with attention and etc. to my knowledge. I’ve always had issues with things like keeping up with household chores and staying neat, but beyond that none of the “core” features seem to fit me. My older sibling has very obvious ADHD though lol.

    Dunno much if any of what I have is real trauma, but my therapist the other day that my frantic efforts to predict and prevent negative emotions from others is a “trauma response”, but idk how much of that is true for me.

    I’m guessing the main med helping you is some ADHD meds, right? Do you take anything else?


  • Yeah there is a theme.

    1. People getting upset with me, especially if it’s not because something I did or if it’s because of something I didn’t intend
    2. Rejection from people I care about
    3. Someone stopping to criticize and nitpick me about dumb insignificant shit when I am working as hard as I possibly can and trying my best. My supervisor does this which is part of my issue with functioning at work
    4. Less common to cause a big outwardly external reaction, but more internal panic and/or sadness…failure/inadequacy at work related tasks that others do well

    What happens is that I have periods of high energy low mood and low energy low mood.

    The high energy low mood states involve things like distress, frustration, rage directed inward, impulsivity, urges to self harm, etc. These episodes are the most damaging to the self, my workplace, and my relationships.

    Sometimes when I am in a high energy high mood state, a trigger can actually cause me to rapidly switch into a high energy high mood state.

    In the low energy states, they are still extremely painful, but not really dangerous to the self. Sometimes I get in states where it actually feels physically difficult to move. Even getting out of a chair feels impossible like I am paralyzed or have 50 lb weights scattered across my body. Sometimes I end up sleeping excessively during these phases.

    In between, I am totally normal!

    Maybe it sounds similar to it, but I do NOT meet the criteria for bipolar disorder. I do NOT meet the criteria for hypomania, my “episodes” are almost always caused by triggers, and most of them are not long enough in duration to meet the criteria (although sometimes the low energy low mood states can last a few weeks). If rejection is reverted, the negative mood state can be relatively quickly relieved.

    I also have significant baseline anxiety, but I’ve always been that way ever since I was a kid. The distressing and damaging parts to me are the mood episodes, not generally the anxiety (but it can be disabling sometimes). It is possible that some of my “episodes” might be triggered by anxiety.


  • Tbh I never entirely wanted to be meds long term…because I think 1. My life stress is just incredibly high right now and 2. My issues could eventually be mostly greatly reduced (but never entirely resolved) by therapy.

    But therapy is a slow as fuck process and I’m wondering if I’m in a state where meds are “needed” as an adjunct to therapy and how to tell they are even working.

    I tolerated SSRIs just fine tbh. Was exhausted initially, but once I got used to them I felt totally normal. The presence or absence of sexual side effects were not something I would ever be able to ascertain because I had never had a libido or the ability to feel sexual pleasure my entire life even before trying SSRIs. But I know it’s one of the most significant SSRI side effect for many.

    While the SSRIs did seem to marginally help in certain areas, they didn’t at all touch on my main issue or make me more resilient to it or make it easier to tackle or anything.

    I’m in therapy now to help with the mental side of things. I know that ultimately that will work best.

    But yeah it’s gonna take a damn long time…so I just don’t know how to know if in the meantime if meds are needed for me as an adjunct treatment to therapy or how to know if they are doing anything.



  • So I kind of uncommonly get mild panic attacks. They happen I guess, but not to the frequency that I would necessarily find the need to try them. By the time I am panicking, I already calm down on my own before the time it would take to take the med and for it to kick in. She isn’t necessarily prescribing it for panic attacks, but to help prevent a big reaction from me later when I am having a stressful day. Yeah it’s just as needed as opposed to daily. Supposedly it will take around 30 minutes to kick in.

    What I will say is I have a very significant and predictable and prolonged stressor for several days out of the week that occurs in the evenings. One day, I took the propranolol in the morning and was still very on edge in the evening. But I noticed that today, I took it a bit later in the day and was a smidge less on edge in the evenings. But I was also very tired today which also just decreases my anxiety lol. But I will keep testing. I probably need to try taking it closer in time to the known stressor, but not too close such that it doesn’t have time to work.

    Daily I am taking lamotrigine right now. Not sure if it is doing anything at all for me.








  • Wow wtf I had no idea it was available over the counter!!

    I think part of the reason it’s difficult to tell if psych meds are “working” is NOT necessarily because they aren’t working at all. They have a slow and insidious onset that is often not really immediately noticeable to the user.

    But like I have a friend with schizophrenia. Occasionally she feels like she is totally “better” so she stops taking the meds. Well…you can imagine what happens next…

    The difference is subtle to her, but significant over time that we all notice from the outside. So idk.

    My particular issue is mostly extreme negative responses to certain triggers to the point where I want to self harm or even go further than that. It has threatened my job. My ups can be super high and fun but my lows are incredibly extreme…more extreme than others seem to have. But I don’t come anywhere close to bipolar symptoms.

    It’s just like…I seem to just generally feel things (particularly negative things) much more intensely than others for some reason. And that really isn’t any sort of diagnosis or disorder itself.


  • Wow. I don’t think I have 12 years of concerted effort to go through. I’m glad you finally figured it out after all those years tho. Sucks you weren’t able to figure it out sooner.

    I was “diagnosed” with the vague/classic combo of just “anxiety and depression”, but was 100% ruled out as being bipolar.

    Tried Lexapro for a bit but I was still having some major emotional issues so I discontinued it. Had a major outburst upon first decreasing it which sucked major balls and will have possibly cost me my job. Dunno if that was withdrawals, if it meant that the drug was helping me somehow, or if it was totally unrelated.

    My provider has now been trying me on lamotrigine for emotional dysregulation in combo with therapy. But I mean the evidence for that working out is pretty poor. Took several months but I finally reached my “target dose” 2 weeks ago. I don’t know that it does anything for me either idk.