Our expert says:
Keeping someone on traditional anti-anxiety meds for 28 years is not recoomended practice.
Anyhow. Serdep is a generic form of Sertraline, an antidepressant also useful in Anxiety ; Urbanol is an over-used benzo sedative-tranquillizer. Inderal is a heart medicine, but can be useful to reduce the PHYSICAL symptoms of anxiety, thopugh doing nothing useful for the psychological symptoms.
Don't over-interpret your being turned down for the trial of a new antidepressant. Such trials are very expensive, and in order to get useable results, are very strictly structured. For instance, they almost always HAVE to exclude anyone with any chronic medical / physical consdition, becvause they're trying to examine the effects in people with no such disorder, first of all. They usually prefer people not taking ANY other nmeds, or only some of a handful.
I'm not sure about a psych prof offering to see you privately, when he encountered you in searching for study participants. If your medical aid will cover such a consultation, maybe a fresh review of the whole situation could be useful.
But it is always a TOTAL waste of money and time ( as well as NOt safe ) NOT to be totally honest and frank with any shrink you see. That's like taking your car into the garage without telling the mechanic about the way the steering wheel and brakes are dodgy. It cheats YOU.
Shrinks are not easily chocked, and, for instance, are used to people taking a range of over-the-counter self-medication, and we need to try to always remember to ask about that. They may not need a prescription, but can interact unhelpfully, even dangerously, with some prescription meds or with each other.
You are probably right to recognize that spending thousands of rands a month on such unproved remedies isn't wise - if ANY of them were truly effective, you'd only need that one.
I doubt that he'd want to admit you to hospital against ypour wishes, and he's only allowed to do so, with the participation of others, if there's a strong reason to believe you are a major danger to yourself or others, which is surely not the case.
However, from what you say, it might be a very good idea to consider accepting a short period in hospital, where you could get a more thorough physical and psych check-up, tests done, and you could be helped to come off all or some of the excessive amounts of meds you've become used to, in a safe setting and with proper help and support.
The abnormally large volumes of the remedies you say you take could cause other forms of bodily damage, especially in combinations not previously tested. And s I say - if they were truly effective, you wouldn't need them all. There is nothign whatever "natural" about these remedies, nomatter how they are advertised, and all must be considered as to whether they are contributing to the problems or to the solutions
And as Tanya wisely points out, don't you also need a rest and some time out in a safe place ?
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