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NFT: My bout with an Anxiety/Panic attack- Please read

GMAN4LIFE : 1/30/2015 11:36 am
Ok.. where do I start. Please try to read the whole thing.

So back in Sept, I experienced a bout with vertigo. Never had it before so it was all new to me. In the next couple of months, im playing detective to see how I got this vertigo. I stop going to the gym because im afraid of getting dizzy. From ENTs to getting MRIs, nothing was concrete as to why or how I got it. That is something hard for me to handle. Especially how scary it was. In the middle of this, I believe I developed anxiety and it was very minor. Just times of thinking of my breathing.

Fast forward to last week, I finally make the plunge and I go to a psychologist/psychiatrist . They believe it is anxiety and everything is coming to me because of it. Since all my vitals look fine and everything. I went to another neurologist and this time they wanted me to start a 6 day pill regimen . Now I start it and day 1 begins with 6 pills and going all they down to 1 pill on the last day. ON the third day, I start feeling all the side effects from it. Saturday, I don’t take the pills but my heart is racing and im feeling very anxious. Sunday, the effects go down finally and according to my primary doc(who is my cousin) he said each pill I took was equivalent to 10 red bulls. I had taken 14 pills. Mind you the pills were for headaches. So the Monday of the blizzard starting, im feeling fine… Tuesday, my whole family gets some stomach bug that’s making some vomit and do diaheria. Tuesday I was feeling great. I was shoveling the little snow I had and everything. I was afraid that I was next to get it next. So then Tuesday night, I go to the bathroom and I have it now. Doing number 3. Then I go back to bed. I wake up again and go again. My heart is racing and I have no idea whats wrong with me. My body wants me to go back to the bathroom and do it again. I get up and bammm. I feel like my body muscles are about to drop and I was going to faint. I tell my wife to call 911. Im laying on my bed and my body feels the shakes and I feel like im having a heart attack(mind you I have no clue how a heart attack feels) my body feels like its shaking but to my wife im not. MY hands and arms are locked. The EMTs show up and say im going through an anxiety or panic attack. I have to breath and that I was taking in so much CO2. So they calm me alittle but take me to the hospital. They were Giant fans and they relaxed me by saying that stuff like “dude, you cant die.. we need you for…. Let me see.. can you play center? Right guard? MLB? We just need you!”

At the hospital, I go to the bathroom again. All my vitals are fine and the doc said I went through a panic attack. He doesn’t want me to go on meds because meds just aren’t good long term. He said, “go back to the gym”. But he wants to check my heart and all… I go get a chest xray and I faint in the room. Come to find out that I was extremely dehydrated from the sickness. My heart looks fine and there is no other issues happening. After two IVs, they send me home.

While im relieved that there is nothing wrong with my heart and stuff, im actually happy someone finally told me officially that I suffer from anxiety. But now comes the task of , how do I get rid of it? It appears to be a bitch to get rid of because your mind is so powerful. Im going to start a yoga routine to help me with breathing and start off at the gym with some cardio. Im still going to the psycho to get some things in my life cleared up.

IS there anyone else suffering from this stuff that can provide me with some tips. I would extremely appreciate it.
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GMAN  
natefit : 1/30/2015 12:46 pm : link
I would urge you to see a behavioral therapist who then will refer you to a psychopharmacologist. Its very important to work in sequence and have all parties in communication about your casae on a regular basis.
Honestly dude?  
Johnny5 : 1/30/2015 12:48 pm : link
It sounds to me like you are dehydrated and suffering from magnesium deficiency. Exacerbated by being sick.
RE: one medication they gave me was chlonopin  
pjcas18 : 1/30/2015 12:53 pm : link
In comment 12116014 GMAN4LIFE said:
Quote:
that apparently helps calm the mind.

One person here said to see a cardiologist. I still want to see one but at Clara Maas(the hospital i was taken to) my heart beats were regular and couldnt find anything wrong with it.

do you think i still need one or is it just to double make sure that its nothing else?


I take Clonopin when I fly. Normally just makes me sleepy.

I just had surgery for a broken foot, and as they wheeled me in to the operating room they gave me some valium through IV. Holy crap, if they sold that stuff at CVS I'd get a CVS credit card and be hooked on it. I could take that every night.

Sorry if that isn't helpful.
Sorry  
AcidTest : 1/30/2015 1:05 pm : link
for your suffering. Best wishes.
RE: Honestly dude?  
bradshaw44 : 1/30/2015 1:06 pm : link
In comment 12116028 Johnny5 said:
Quote:
It sounds to me like you are dehydrated and suffering from magnesium deficiency. Exacerbated by being sick.


This was my issue. And I mentioned above how i fixed it. You should give it a try.

Benzos are tricky and addictive as mentioned by some on here. I had a friend go through a benzo withdraw and he was in the hospital for a few days.

As someone mentioned above, drinking alcohol calms you but makes it worse the next day. That's due to dehydration.
Arcarsenal offers great advice  
tangled up in blue : 1/30/2015 1:09 pm : link
You might want to read his post several times. Staying in, and not avoiding situations that might trigger an attack is key. Breathing techniques, as discussed by other posters, are very helpful.

Behavioral-cognitive therapy has proven to have good results with anxiety-panic attacks.

Best of luck to you.
sorry to hear  
GiantNatty : 1/30/2015 1:12 pm : link
exercise, by far, is the best antidote to stress and anxiety. and eat well (lots of green veggies).

on top of that, try reading the bible. sounds trite, but it's good for the mind and the soul and i've found that it's often the piece a lot of men feel they're missing. i'm no god-sqauder, but i thoroughly enjoyed the year and a half it took me to read it cover to cover (just a few pages a day kept me interested).

good luck. wish you all the best.
GMAN4LIFE  
idiotsavant : 1/30/2015 1:21 pm : link
I can add some helpful items:

1. Chlonopin is a sledgehammer, don't use it until and if you have tried many other techniques and even other meds.

2. Make -sure - you are not drinking too much coffee, always start with the simple basics before you start both therapy and meds. too much coffee can cause vertigo like symptoms, which may freak you out.

3. Make -sure- you stay hydrated, its mid winter, heating and a/c is a dry you out killer, ditto above, symptoms like vertigo as well as a flu that is going around, your inner ear, dude, and the freak out about the vertigo sensation- and

4. Get enough SLEEP! (melatonin really helps, is affordable and is not a drug)

5. working out and physical labor always helps as noted by others in this thread.

6. give all this stuff a good try, and keep these practices UP, even if and when you

get professional help.

you can tell the doctor...of course, that you are doing these things.
johnny... thats what triggered my panic attack..  
GMAN4LIFE : 1/30/2015 1:28 pm : link
as for me being anxious now. hell i went to the psychologist yesterday and i was getting really anxious.. he was talking me down that nothing is wrong and breathing will help.

when i got home, i took a khlonopin. Im ready to fucking fight this thing. Accept it or whatever. I will look into everything you guys told me. I have two kids that need me as healthy as possible and i cant let this beat me. If Eli can beat the Pats in 2007, i can take this shit too!
.  
arcarsenal : 1/30/2015 1:34 pm : link
GMAN.. that's the spirit! Courage is an essential component, BUT... one thing I will say is that you shouldn't look at it as an enemy or something you have to resist or fight off or ignore.

I forget where I read it but I saw somewhere that "what you resist persists" and it just always made so much sense to me. In this situation especially.

When you get those feelings, you don't have to view them as a threat. Just view them as a part of you that isn't harmful and just accept that they're there. Anxiety is like that friend who is just dying to be noticed and the more you ignore them, the harder they try. You'll be amazed at how fast it starts to dissipate when you fully acknowledge it's there and basically just say "is that it?"

As you go along, you'll get more and more brave. One day you'll have the courage to actually ask the panic attack to get as bad as possible. Dare it to do the worst it can possibly do. The day you do that is the day it is vanquished. When you're 100% no longer intimidated or concerned and are willing to find out what the absolute worst it can do to you is, you find out the answer is nothing.
I brought upon  
EricNY33 : 1/30/2015 1:35 pm : link
a bout of anxiety myself recently that I am just now getting over. I was having some health issues and I was immediately thinking the worst, which triggered the anxiety and panic.

My anxiety symptoms have always been the same. Muscle tightness in the chest, a little short of breath, tightness in my throat... I know myself enough to know now when it's anxiety and it takes a little bit of time to get through. I am still not 100% over it but I am getting there. I refuse to take medications for it even though my doctor wanted me to. I use the breathing techniques and they get me back on track.

Anxiety is a scary thing but it's something you learn to manage and deal with. I wish you the best of luck.
I haven't read though all comments so not sure if anyone mentioned  
steve in ky : 1/30/2015 1:37 pm : link
this but your inner ear can get out of whack and it can cause vertigo. Maybe try and see an ear doctor just to have it checked.

I wish you all the best.
arc makes a key point  
natefit : 1/30/2015 1:40 pm : link
anxiety is not only not a bad emotion, its a useful and very important one. Its part of fight ot flight. and it serves to elicit hormones like adrenalin that can help to save someone's life at a critical moment. The issue for anyone who suffers from too much of it at the most inopportune times is identifying the thoughts that are over-creating it, if you will.
Hey dude (OP)  
ChemDawg1990 : 1/30/2015 1:42 pm : link
Good luck and God bless brother!!!

You got this!!!
what steve said  
idiotsavant : 1/30/2015 1:44 pm : link
also- learn to isolate what the exact symptom is, inner ear, anxiety about work, old age, lack of sleep, chemical imbalance (trending, so be careful about this one) what have you and so forth

FROM

anxiety ABOUT (the factors above)...which is not necessary at all, nor helpful.

take steps, then immediately settle into knowing the difference, as soon as you do have a good idea that is.
oh, one more thing  
idiotsavant : 1/30/2015 1:46 pm : link
stay away from ChemDogs "safe natural smoking products" clear anxiety builders
RE: arc makes a key point  
arcarsenal : 1/30/2015 1:54 pm : link
In comment 12116146 natefit said:
Quote:
anxiety is not only not a bad emotion, its a useful and very important one. Its part of fight ot flight. and it serves to elicit hormones like adrenalin that can help to save someone's life at a critical moment. The issue for anyone who suffers from too much of it at the most inopportune times is identifying the thoughts that are over-creating it, if you will.


Yes, exactly. What happens is your mind falsely triggers your body to respond as if it is in danger (fight or flight) and since rationally, you know you're not actually in danger, you begin to become fearful and confounded and the fear of fear makes it exponentially worse.

It's basically just a faulty signal. The actual feelings are nothing more than just that. Feelings. And they're actually vital and a sign that you ARE healthy.

If you're at the zoo one day and a Lion breaks out of its cage and starts heading straight for you, you aren't going to start thinking "oh boy, my heart is racing and I'm shaking and full of adrenaline, something must be wrong with my body! I must be on the verge of a heart attack!" You're not fearful of those feelings because they're appropriate to the situation and you understand why you're having them.

When panic attacks strike, your brain is sending the same signal to your body that you're in "danger".. but you're not. And the feelings become frightening as a result. It is vitally important to understand that it's simply a response and that the feelings are not dangerous.
.  
Danny Kanell : 1/30/2015 2:23 pm : link
Arc is killing it in this thread.
RE: johnny... thats what triggered my panic attack..  
Johnny5 : 1/30/2015 3:04 pm : link
In comment 12116113 GMAN4LIFE said:
Quote:
as for me being anxious now. hell i went to the psychologist yesterday and i was getting really anxious.. he was talking me down that nothing is wrong and breathing will help.

when i got home, i took a khlonopin. Im ready to fucking fight this thing. Accept it or whatever. I will look into everything you guys told me. I have two kids that need me as healthy as possible and i cant let this beat me. If Eli can beat the Pats in 2007, i can take this shit too!

I would say before you start pounding meds, keep hydrating and try some magnesium citrate. You can buy CALM from the Vitamin Shoppe, it is powdered magnesium in an acid base for easy absorption. Just mix with hot water. I would give that a shot before I went the pharma route, but that's just me. In my early 20's I stood up from a squat while in a mall (of all places) shopping. It happened a lot after that, and I had a few trips to the ER with anxiety because of it. It ended up to be a really silly thing I was not drinking enough water and was extremely low on magnesium and potassium. One ER doctor put me on the right path by recommending I drink water and take magnesium. Not saying it's the case with you but it's worth a shot. I do everything in my power to avoid medication. Meds for me will always be a last resort. I'm just always afraid of side effects.
To clarify  
Johnny5 : 1/30/2015 3:06 pm : link
I stood up from a squat while in a mall (of all places) shopping. I got extremely light headed with vertigo, and after that it would just happen out of nowhere. And that led to anxiety and trips to the ER.
I had it  
BIG FRED 1973 : 1/30/2015 3:09 pm : link
in March of 2008 ,it came out of nowhere and it was from drinking Monster energy drinks and taking a pre workout supplement called Armageddon .I could not sleep for 2 days it was bad i could not relax .Finally it went away and since then i have not had an energy drink or any type of caffeine since
Without getting into  
River Mike : 1/30/2015 3:12 pm : link
the detailed physiology involved, sometimes its helpful to understand the overall or macro physiology. The brain can be thought of as having 2 basic parts, the primitive, or reptilian brain (amygdala, etc) , and the advanced brain (cerebral cortex, etc.). Obviously the first to develope from an evolutionary standpoint was the reptilian brain, and we pretty much retain that because its very useful. When a lizard senses motion or hears an unidentified noise, it scurries quickly away ... that's the reptilian brain at work yelling "Danger!"

We however, have our cerebral cortex, and when we hear a noise the reptilian brain alerts us that there may be danger, but our cerebral cortex says "no, that sounds like the furnace, no problem, I'll check it out. Everything is calm.

In anxiety attacks, the reptilian brain takes off unchecked by the cerebral cortex. If it can be recognized, the cortex can be willfully recruited to apply logic to the feelings from the primitive brain. Not as easy as it sounds of course.

Needless to say there is much, much more to it, but that's a simple macro overview.
And needless to say,  
River Mike : 1/30/2015 3:16 pm : link
there are myriad reasons why the system can go awry. And its best if they are identified and
addressed
for women...  
Eric from BBI : Admin : 1/30/2015 3:18 pm : link
who are middle-aged, anxiety attacks are often associated with hormone levels. It's more common than you think.
So Mike you are saying that  
buford : 1/30/2015 3:33 pm : link
people who have anxiety have Lizard Brains!!!! /joking.

Eric, that is true too. My anxiety and physical issues really went haywire when I had hormone changes. It's like 10 years of metamorphosis. You just hope you are alive when you get through it. Most of my female friends are on some kind of med for anxiety/hot flashes.

The magnesium is interesting. It was one of the nutrients I was very low on and one I still take as a supplement. I take Magnesium Glycinate 800 mg daily. You have to be careful with Magnesium because it can have a laxative effect. The glycinate form is less likely to cause that. Also, epsom salt baths rock! Great for sore muscles and will calm you down. You can absorb the magnesium through your skin.
I've dealt with Anxiety and panic attacks  
jmac13 : 1/30/2015 3:37 pm : link
for close to 40 years. One thing I learned that was hard to accept is we often cause our own anxiety attacks.

When we start feeling the symptoms of anxiety coming on we starting thinking thoughts like " whats wrong with me" what if I faint " etc. this causes us to release adrenaline because although there isn't a real danger we perceive it as such and start the fight or flight response. The symptoms you're feeling are the same as you would if there was a real danger
The trick is to dispute the thoughts that start the attack so you can stop releasing adrenaline.

When I played football in high school I used to hyperventilate before the game. As soon as the game started I stopped. I didn't worry about hyperventilating then because I knew why it was happening. If you feel similar symptoms when there s no real danger you get scared because it's not supposed to happen then. Then the cycle starts
GMAN4LIFE  
wgenesis123 : 1/30/2015 3:39 pm : link
I went through something similiar back in the 90's. I was in my 30's. I had just been promoted to Vice President of Operations on my job and I start getting these attacks. I really had no clue what was going on and I became convinced I was losing my mind. It got so out of contol I got fired from my job shortly after getting promoted. This turned out to be a blessing in disguise because without the high pressure job the attacks severely declined and I was able to learn what was happening to me. Once I knew I was having panic attacks I was instantly in much better shape because now I had an element of control restored to me. I did have one more attack but none since. Just knowing is huge. Good luck and get well.
buford  
Eric from BBI : Admin : 1/30/2015 3:39 pm : link
the meds actually made it worse for my wife. There are actually websites dedicated to this issue for women, and we found that there was a lot of bad advice from doctors out there.
Yeah, the meds work differently on people  
buford : 1/30/2015 3:47 pm : link
I was lucky that the first one I took worked for me and had no side effects.
...  
christian : 1/30/2015 5:23 pm : link
Arc nailed it. The podcast I linked above goes into to that and a lot of the cause/effect stuff.

The best thing to remember is that it can and will get better.
GMAN4LIFE...  
kevken60 : 1/30/2015 5:44 pm : link
...I just want to add my voice to those who wish you well. My daughter has mild anxiety so this thread will be saved and referenced. Good luck!
Any of you who tried Zoloft...  
mullica : 1/30/2015 8:27 pm : link
Any effect on your sex life? No libido for me when i took it.
For quality reading that's less new agey than Tolle (no offence)  
Moondawg : 1/30/2015 9:01 pm : link
anything from Thich Nath Hanh is really beautiful and effective at inspiring basic mindfulness. *Peace is Every Step* is a great one.
mullica  
buford : 1/31/2015 8:17 am : link
no, not for me. I know that other meds can have that effect.

I just want to say that it's great that we can discuss this. Just knowing that others experience this makes me feel better. I just urge people to do something about it don't just ignore it. It can rally screw up your life. I wish I had done something sooner, but I was in denial and just thought that's the way things were.
GMAN:I bypassed the other comments so forgive  
mrvax : 1/31/2015 8:55 am : link
if I repeat. I cannot believe you were prescribed a med that is equal to Red Bulls. On an anxiety patient??? WTH???

I got loss of balance/vertigo from a loss of hearing!

OK, panic attacks: So see your cousin again and ask him/her if a small dosage of alprazolam may help if you take it as soon as you feel a little shaky.

If the med works, just knowing you have it available may help you get over it. If not, go back to the psychiatrist and try Ziprasidone in a small dosage.
I'm a clinical  
Rick5 : 1/31/2015 9:55 am : link
psychologist and my primary area of clinical expertise is treating anxiety disorders. I imagine I have seen at least 200 cases of patients with occasional panic attacks or panic disorder by now (probably a lot more than that). I won't give any specific advice because that wouldn't be appropriate without seeing you (there a lot of nuances from person to person). However, I don't mind talking about my experience in general. First (of course), you rule out any medical problems. Assuming there are no medical problems, for adults with a *recent* onset of panic attacks and *no* significant psychiatric history and *no* other current psychiatric problems, full and lasting remission with cognitive-behavioral therapy and no medication is a very realistic goal. If I had to give a rough guess, I'd say I get to that point about 75%-80% of the time for people who meet the criteria I just outlined above. The number of sessions would generally range from 8 to 20 (once per week). But, it has to be "real" CBT. If the patients aren't being given highly-specific homework to do outside of the sessions, then they aren't getting empirically-supported CBT. Many therapists will say that they do CBT, but they really don't. Good luck.
Rick  
natefit : 1/31/2015 9:59 am : link
great post - nice to hear from an expert on these serious matters. Both of my duaghters are in the NYY dbt program and they have to keep daily diary cards. When we did the dbt 4 month program as a family we adults also had weekly homework that was shared with the group. Re: meds, do you agree that the highest rate of remission is acheived thru a combo of therapy and meds? Or is it really a case by case basis?
*NYU  
natefit : 1/31/2015 10:00 am : link
child study center
Anxiety/Panic Attacks are no joke  
hudson : 1/31/2015 10:31 am : link
I had one just a month ago.
I ate too many potato pancakes, and having IBS, my stomach could not handle.

I felt nasauea, and even that relief didn't help.
10 hours later, I couldn't breathe, I thought I was going to go to the hospital, I have never felt that sick.

Saw the Dr., said basically a severe IBS flare-up unsettles the nerves, makes it feel like I lost control, and I hypervenitale/panic.

It felt like I was suffocating.
hudson  
buford : 1/31/2015 10:39 am : link
look into nightshade sensitivity. White potatoes are nightshades. They can trigger IBS flares.

I now have a prescription for levsin. If I do get a flare, I take it and it calms it down.

BTW, you were right about psyllium husks!
Hey Rick  
Moondawg : 1/31/2015 11:00 am : link
nice to see you.
RE: Rick  
Rick5 : 1/31/2015 11:31 am : link
In comment 12116814 natefit said:
Quote:
great post - nice to hear from an expert on these serious matters. Both of my duaghters are in the NYY dbt program and they have to keep daily diary cards. When we did the dbt 4 month program as a family we adults also had weekly homework that was shared with the group. Re: meds, do you agree that the highest rate of remission is acheived thru a combo of therapy and meds? Or is it really a case by case basis?

Hi Nate,
Excellent questions that actually touch on some complicated issues. First, the answers from the research literature will vary depending on the exact diagnosis, the type of psychotherapy (e.g., ACT versus DBT versus Beck's CBT, etc.), and the medication(s). The best quick and easy place to find this info is through the Cochrane Review. However, as you will see if you hunt around there, for many of these questions we need a lot more research (I've linked panic disorder plus antidepressants below).

Next (and very importantly!), the literature doesn't always translate directly to real-world situations. Often, the clinical trials will use one medication, a specific diagnosis, etc. In the real world, people often have multiple diagnoses (i.e., comorbid diagnoses), they will often be on some combination of psych meds that has never been studied in a clinical trial in that particular combination, and so forth. The therapist may or may not be providing psychotherapy that is consistent with the specifics of how the therapy was implemented in clinical trials, and so forth.

Finally, it's always important to bear in mind that any findings at the group level may or may not apply to any one specific individual (e.g., CBT certainly won't work if the person doesn't do any of the homework assignments, individual responses to medication may vary, etc.).

For anxiety disorders specifically, I'll usually explain to them what the research literature says about doing therapy alone versus combining it with medication and then let them decide (regardless of the research literature some people only want medication and no therapy, other people are the exact opposite, and others want both). If they choose to do CBT only, I'll usually tell them that if we haven't made any progress after 3-4 months, then we should revisit the issue. BTW, DBT is great stuff (especially if you keep up with the exercises for the long haul).
link - ( New Window )
RE: Hey Rick  
Rick5 : 1/31/2015 11:33 am : link
In comment 12116888 Moondawg said:
Quote:
nice to see you.

Hey Moon, I haven't been posting as much recently. It's been a rough early start to the semester, but you know how that works sometimes!
I think  
hudson : 1/31/2015 11:44 am : link
you go to Psycologist (Phd) first, if they determine meds might also be needed, you see a Psy (MD).

You can also use a MSW/MA/MS...but depending on the age...if you are under 40, I'd go with somebody in that same range (under 40).

There is a big difference in training and technique that I think is better.
Rick--  
Moondawg : 1/31/2015 1:30 pm : link
yeah, same here. Still participating and enjoying it, but trying not to have it be so consuming as it has been sometimes.
RE: Rick--  
Moondawg : 1/31/2015 1:31 pm : link
In comment 12117026 Moondawg said:
Quote:
yeah, same here. Still participating and enjoying it, but trying not to have it be so consuming as it has been sometimes.


-I meant BBI, not the business of the new semester!
I went to my regular GP and she prescribed the meds  
buford : 1/31/2015 2:20 pm : link
I go back every six months and she asks me if I want to commit suicide or kill anyone. Then I say, no before I was on the meds I wanted to kill everyone. And then we laugh.

I did go for a few therapy sessions when I first started taking the meds. The Dr. said I had bad OCD and symptoms of PTSD. I chose not to pursue long term therapy. Of course a trip home to see my family made me think I should rethink that. Definitely many triggers there. But they all live hundreds of miles away, so I'm good for now.
RE: RE: Rick--  
Rick5 : 1/31/2015 4:31 pm : link
In comment 12117028 Moondawg said:
Quote:


-I meant BBI, not the business of the new semester!

LOL.
I think its also important to note  
natefit : 1/31/2015 4:33 pm : link
how subjective individual diagnoses can be. My younger daughter's was changed from Bi-Polar to BPD to acute depression by 3 diff Drs within a few months. And of course different meds are prescribed as a result of changing diagnoses.
RE: I think its also important to note  
Rick5 : 1/31/2015 7:06 pm : link
In comment 12117196 natefit said:
Quote:
how subjective individual diagnoses can be.

Diagnostic unreliability can be a problem in the field (less so in research trials). The DSM is very far from perfect, but part of the problem in the field, imo, is that most clinicians don't pull it out to document specific criteria during a session. I have seen many, many cases over the years of people given some diagnosis that was obviously wrong when I tried to document specific criteria. Of course, since this is almost all based on self-report, the diagnosis is only going to be as good as the self-report. That's another factor.
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