16 years ago much of this stuff wasn't in the books. If you are in fact in a medical field you might know that if the disagnoses is not correct for G.A.D. and it is neurological damage involved instead causing the issues then SSRI therapy can cause Serotonin Syndrome?
Ever actually seen Serotonin Syndrome? Ever Diagnose it when five doctors and two shrinks could not nor give you answers? I did. My wife had it. I figured it out when after a week of hell for my wife when I typed in Trazodone +Zoloft +adverse reactions. Yea a simple PDR they failed to do. Well who'd a thunk it. She too has anxiety and depression to boot. She is a C-5 c-6 incomplete quad. It is due to Transverse Myleitus likely Post Polio related due to limb measurements taken by a PT. My wife at the time was a CNA. She's 4'10 and lifted 200 pound plus patients.
I had to learn everything from diagnosing Dysreflexia to changing Folleys to doing skilled skin treatments. We don't get home health.
So what is one of the first things a quad looses besides movement ability? It's Inner Ear function. That's what a tilt table is for.
I didn't learn about my disorders over night. I learned it over a period of years. The only clues I had to go on was poor coordination and some messed up responses as a very young kid like stopping up my ears at visually scares and screaming at loud noises. When I was about 8 I went to an eye doctor who caught on that my eyes could not function both at the same time. That was in the mid 1960's. I was used to it. I still have to tell the eye doctors I see. I really messes with depth perception too.
The seizure part is what really had the doctors stumped. That was the part that did not fit text book G.A.D. I didn't even know it was called Myoclonic seizures till about 5 years or so ago. Evidently they are rare in adults but more common in children. Only three things can stop them for me. Either getting out of the offending sensory trigger, popping a .5mg Xanax under the tounge sometimes twice in a 30 minute time frame if we're out somewhere, or believe it or not if I'm home playing my six string.
Some of this is also in my service record like being placed on the hearing conservation program due to hearing loss. I was medically waivered out of the boiler rooms on the ship due to Inner Ear difficulities. These were very large boilers and you stayed there for hours on end. I could monitor smaller commercial ones that did not require me being in the space at all times.
Do you even know how shrinks work? I do. You see them 5-15 minutes every three months and they write scripts. I fired 5 till I found one who would stop the SSRI nonsense. I was having an upset stomach and headache from them as well as becoming agiated. What do you think that was leading too? When one finally put me on .5Mg Xanax 4 times a day life got better. It stops the seizures usaully. My wife was put on it 24 years ago by 4 doctors who saw her anxiety was triggering symptoms simular to a heart attack. She's fine with them. I've taken it 16 years no problems with the problems to be concerned with. But I don't drink.
What I have learned and told my doctors who then did their own look ups has helped them to keep from giving me meds that can whack me out. The only ones who didn't believe me was shrinks imagine that LOL.
All I know, is that I work in the medical field and showed your posts to people who work in medicine.
They are laughing their heads off.
Good night.