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Anti-Anxiety Meds -- Why did I wait so long?

JM Aggie08

Diamond Member
I've been a nervous wreck my entire life. I remember asking my parents if we had enough fuel on road trips, worrying about my sister after we put her in bed for the night; pretty much worrying about everything. This was exacerbated with the passing of both my parents in <2 years, having kids, turbulence at work, etc. I constantly felt the 'fight or flight' sensation in my body and it was impacting not only me but the family as well.

Enter: Therapy! Buspirone!

I found myself a therapist a couple of months back and have been meeting weekly. It was definitely helping to air out all of my trauma and thoughts, but I could tell I still needed something else to level me out. I've now been on Buspirone for a couple of weeks, and though I won't feel the FULL effects until 3-4 weeks of regular usage, it's making a positive impact.

There's really no point to this post, other than that I feel foolish for not seeking help sooner. And maybe someone reading this who is going through something similar will be inspired to act.
 
Buspar, if it works for you, is one of the best alternatives to old school tranquilizers since you can habituate to them over time. Also, long term usage is NOT recommended since you can have withdrawal symptoms and other unpleasant side effects.

Buspar however is very gentle and can be used indefinitely with, IIRC, either no side effects or very mild ones.

Here's a quick little blurb on its molecular mechanisms.

"Buspirone is an anxiolytic (anti-anxiety) drug that works differently from benzodiazepines, primarily by acting as a partial agonist at serotonin 5-HT1A receptors and a weak antagonist at dopamine D2 autoreceptors, leading to increased serotonin release and reduced anxiety without significant sedation, dependence, or abuse potential, differing from benzodiazepines by not affecting GABA receptors. Its unique mechanism involves initial suppression of serotonin release, followed by autoreceptor desensitization, which increases overall serotonergic activity over time, explaining its delayed onset of action."
 
Anxiety can suck. I sometimes get it but it's more situation related like social settings, big crowds, travel etc. If I stay out of those situations then day to day, I'm fine.

Years ago I went through a depression, and it would also cause anxiety, it's a crippling feeling, you get the butterflies in stomach feeling and it makes you physically hurt and unable to do anything. At that point I had went on meds for a bit to help it clear up. The weird part is I was not even worried about anything. Anxiety is not always the same as worry and worry is not always anxiety and I think some people often don't realize that. "just don't worry about it" is not going to make it go away.
 
Good for you man! Drugs changed my life too, helping keep depression away.

This part is super super hard - learning tools and skills to do what the drugs can do but just with your own brain power. It's fighting decades of mental habits but every little bit of taking that place where the drugs help you go and putting into new neural pathways in your brain is huge. I find it extremely difficult but I try.
 
Good for you man! Drugs changed my life too, helping keep depression away.

This part is super super hard - learning tools and skills to do what the drugs can do but just with your own brain power. It's fighting decades of mental habits but every little bit of taking that place where the drugs help you go and putting into new neural pathways in your brain is huge. I find it extremely difficult but I try.
This is where therapy has been instrumental. Even simple things like vocalizing 'you are not welcome here' to intrusive/negative thoughts goes a long way.
 
I've been taking the same med off and on for around 25 years. It really helps to recognize when you're feeling anxious so you can try and focus on little things like breathing normally. Anything you can do to stop the runaway chatter in your head also helps.

Why Has Nobody Told Me This Before? (Dr. Julie Smith) is a kindle book on sale on slickdeals. Someone posted a ChatGPT summary of the book that may be helpful.

Here are the biggest "carry-with-you" ideas from Why Has Nobody Told Me This Before? (Dr. Julie Smith)—the stuff you can actually apply when your brain is loud, your mood is low, or life is chaotic.

1) Feelings are signals, not commands
  • Emotions are information about what matters to you (needs, boundaries, values, threats).
  • You don't have to "win" against feelings; you have to listen, label, and choose what you do next.
2) Name it to tame it
  • When you can label what you're feeling (anxious, ashamed, lonely, overwhelmed), intensity often drops.
  • Try: "I'm noticing anxiety" instead of "I am anxious." That tiny distance matters.
3) You can't think your way out of every mood—sometimes you must act
  • Low mood often improves more reliably from behavior change than from "better thoughts."
  • If you're stuck, the first job is motion, not insight: one small action that fits the moment.
4) Your mind will offer convincing stories under stress—treat them as hypotheses

Common traps:
  • Catastrophizing ("This will ruin everything")
  • Mind-reading ("They think I'm incompetent")
  • All-or-nothing ("If it's not perfect, it's worthless")
  • Overgeneralizing ("This always happens")
Replace "This is true" with "My mind is telling me…" and test it.

5) Anxiety is about uncertainty—so train your tolerance, not your certainty
  • The goal isn't to eliminate anxiety; it's to increase your capacity to feel it and still live.
  • Safety behaviors (constant checking, reassurance-seeking, avoidance) shrink your world.
  • Progress looks like small, repeated exposures to the thing you fear, with compassion and consistency.
6) Calm your body first when you're flooded

When you're highly activated, reasoning gets worse.
  • Use grounding: slow breathing, unclench jaw, drop shoulders, feel feet, name 5 things you see.
  • Ask: "What would help my nervous system come down 10% right now?"
7) Rumination feels productive, but it's usually avoidance
  • Rumination loops keep you "busy" while avoiding action or emotion.
  • Use a pivot question: "Is this problem-solving or is this looping?"
  • If it's looping: write one concrete next step (even tiny) or return to the present task.
8) Motivation follows action more than it precedes it
  • Waiting to "feel like it" is a trap.
  • Use "minimum viable effort" rules: do the smallest version you can repeat.
  • Focus on identity-consistent reps (show up as the kind of person who…).
9) Self-compassion is a performance skill, not indulgence
  • Be as kind in your internal tone as you would be to a friend you respect.
  • Compassion isn't "letting yourself off the hook"—it's the best way to recover and persist.
  • Ask: "What would I say to someone I love in this situation?" Then say it to yourself.
10) Boundaries are about what you do, not what you demand
  • A boundary isn't controlling others; it's deciding your response.
  • Clear, calm, consistent > long explanations.
  • Expect discomfort: guilt is often the "cost" of upgrading your self-respect.
11) Confidence is built through evidence, not affirmations
  • Confidence = repeated experiences of handling discomfort and surviving outcomes.
  • Seek "proof" by doing hard things imperfectly and noting: "I did it anyway."
12) Relationships improve with repair, not perfection
  • The skill isn't never messing up—it's repairing quickly.
  • Use: "I got defensive earlier. I'm sorry. What I meant was…"
  • Validate feelings before solving: "That makes sense" is often the key that opens the door.
13) When life is heavy, simplify to fundamentals

If you're spiraling, return to basics:
  • Sleep, food, movement, sunlight, connection, routine, reduced alcohol, fewer decisions.
  • "Small stable habits" beat "big dramatic plans."
14) A practical crisis rule: reduce the problem size
  • When you're overwhelmed: don't ask "How do I fix my life?"
  • Ask: "What's the next smallest helpful thing?"
    (Send one email. Take a shower. Eat something. Walk 5 minutes. One paragraph.)
15) Healing isn't linear—measure direction, not perfection
  • Bad days don't erase progress.
  • Track: time-to-recover, ability to pause, frequency of spirals, willingness to ask for help.
A simple "Dr. Julie style" reset you can use anywhere
  1. Label: "I'm noticing ___."
  2. Soften: breathe out longer than in, relax your face/shoulders.
  3. Choose: "What's one action that helps future me by 1%?"
  4. Repeat: keep actions small enough to do even on your worst day.
If you tell me which area you want most (anxiety, confidence, boundaries, low mood, relationships), I'll boil it down into a one-page cheat sheet with a few go-to scripts and exercises.
 
A tame, gently, well-behaved brain is an absolutely invaluable thing to have.

And it knows that it better toe the line, cause I'll cut a bitch.
 
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