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Reply to "What do you do with an elderly person who has severe panic disorder?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Is she refusing certain meds because maylbe they don’t agree or due to fear of meds? Often when someone is that impaired by an anxiety disorder and traditional meds are not enough, they try antipsychotics. Has she switched psychiatrists due to fear or because no med actually helps?[/quote] She has a whole cocktail of meds, and was doing ok for years (she has struggled with mental health for a long time) but lately they have not been adequate so dr is trying various things. But he himself is getting older and I think we may need to get a second opinion. She cannot take an ssri bc she says they make her hallucinate (I have to believe her I guess). But she takes a plethora of other stuff including snri, depakote, Librium and has Valium etc for emergencies. I do think she’s convinced herself she can only tolerate tiny amounts of things so actually doesn’t take enough during panic episodes tho understand no one wants to feel ‘sedated’. My concern is all this requires 24/7 management and I cannot be the person to do this. But not sure what the answer is unless I hire a surrogate adult child! [/quote] Can they afford residential? Then the meds are given and she is more closely supervised for effects and the team will discuss med management (and welcome spouse or adult child input). This won't get better if she is not properly medicated. Also, if she is not taking proper meds daily, it could be causing more problems.[/quote]
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