Related things: 1) Nothing pharmacologically changed around the onset; I started lamotrigine a while back but the timings don’t line up. 2) I do have Crohn’s, can cause GI swelling, which might interfere with absorption — though the swelling tends to be in the major intestine.
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have you tried to do anything with anxiety particularly in relation to stimulants? what worked/didn't work?
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I have strategies for the rare bursts of really acute anxiety (benzodiazepines, sparsely) and for very general anxiety (periodic use of cannabinoids, which I mainly take for Crohn’s-related things), but I lack anything for dealing with few-hours-of-sudden-background-anxiety.
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Ohhhhhh, so that's why I've been doing that recently. Huh. Never connected the dots from the ADHD meds. Do you also do the thing afterwards where you feel the need to over-ventilate and end up light headed?
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Yep! Note that holding one’s breath like that is fairly common in people with anxiety; so it’s not necessarily the meds. CNS stims can exacerbate anxiety — particularly in excessive dieses; and some stims seem to have way worse track records for it than others.
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Biofeedback? I'm pondering if this might actually be something that can be addressed with all those cheap sensor that came to market in recent years: PPG, SpO2, EEG, Bio-Z,... A combination of those should be able to keep track of respiratory rate and volume.
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Assuming that works halfway reliably, the below average breathing could go through a running average which is translated into some kind of feedback - a vibration motor that buzzes longer and more frequently, a neopixel that changes colour from green slowly to red, sth. like that.
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Hold it !!! You have adhd and anxiety about too many unfinished projects :). I feel your pain.
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I don’t have any pharma advice, but one thing that helps me is to set a timer to do a stress “check-in”: assess your relative mental and physiological stress level, do one minute of breathing exercises, stretch, check posture, and go back to work.
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