Psychiatry Progress Report

Overcoming past challenges, I’ve made significant progress in life. I’ve quit marijuana, reduced screen time, and regained mental clarity. My productivity is at an all-time high, balancing work and personal projects for up to 18 hours daily. Emotional resilience has improved; I manage triggers effectively and follow structured routines, including mindfulness meditation. A flashcard-based approach aids in combating executive dysfunction, supported by medications like methylphenidate and clonazepam. I’ve developed protocols to handle mood fluctuations and suicidal ideation, leveraging cardio exercises and medication. My future feels promising, as I pursue new projects, learn technologies, and rebuild hope for a purposeful life.

Propranolol options for anxiety

Propranolol is one of the safest drugs for my comorbidities and I need to look at more options for it

Effects of Lemborexant

I took Lemborexant after Prannay prescribed it to me. While it works well. I have woken up well rested, it did not give me uninterrupted sleep. I woke up 3 times. The first time I woke up, I ate 1 cream roll and 1 swiss roll that I had bought from Polka Pastry Shop, Sector 34, Chandigarh The second time I woke up, I ate 2 of the remaining swiss rolls from the same place.

Combating insomnia with Lemborexant

I was asked to test out Lemborexant to deal with sleep deprivation. I have been asked not to use it daily. Let’s hope it works. Protocol is to use it 15 minutes before the intention to sleep. References https://en.wikipedia.org/wiki/Lemborexant

Scientific studies prove that practicing concentration exercises on methylphenidate strengthen the brain circuits used to focus. There are two kinds of concentration exercises - one to focus on an object for as long as possible, and the other to switch context at will as frequently as possible. Both need to be practised. After regular practice, the same can be done without the aid of methylphenidate. References

Purchase the movie Borderline Notes References

Clonazepam

Panic Disorder 0.25 mg PO q12hr initially; may increase to 1 mg/day after 3 days (up to 4 mg/day in some patients) Dosing Considerations Discontinuation of treatment: Withdraw treatment gradually; decrease the dose q3Days by 0.125 mg PO q12hr until completely withdrawn Elimination Half-life: 17-60 hr (adults); 22-33 hr (children) Excretion: Urine Clonazepam in the treatment of prolonged depression Background. The purpose of this paper was to examine the optimal adjunctive dose of clonazepam for the treatment of prolonged depression.

Clonazepam Tolerance

No clonazepam on off days including sundays and holidays. References

Emergency Plan

In case of an emergency, call ASHA Helpline and the police will come and take me to the emergency. References

Evening

Usually depressive, low mood 0.5mg Clonazepam Methylphenidate 5mg SR References

Experimental Clonazepam Injection Weekly Protocol

Experimental Protocol - 4mg clonazepam injection every week. References

Fear of dark, living alone

Fear of dark. Fear of being alone at night. Fear of someone behind me - while using bathroom, kitchen, toilet. Fear of open doors. Fear of empty corners. Fear of something attacking me while my eyes are closed while sleeping. Cannot close eyes. Have to frequently open eyes. Wake up startled even if I fall asleep. Obsessive thoughts of ghosts and beings attacking me during the above conditions. I cannot sleep even with the lights on.

Find 0.125mg clonazepam

Figure out a way to purchase 0.125mg clonazepam or dilute the ones available. Prannay said that there’s one available double creased so you can microdose with it. Need to ask it’s name. References

Morning

Consume coffee - titrate the amount of coffee consumed, too much triggers anxiety. IF WORK DAY: 10mg Methylphenidate SR Clonazepam: Mood 5-10 - 0.25mg Mood 1-4 - 0.5mg IF ANXIETY TRIGGERED: Consume protein shake. References

Object Impermanence

Figure out coping strategies for ADHD object impermanence References

Research - coping with enlarged amygdala

References

Sleep depriviation

Update 02/01/2025: Lemborexant gave me good recovery, but failed to provide me with uninterrupted sleep. I had 1 cream roll, 3 swiss rolls, and 1/2 kg of biryani in my state of semi-sleepiness 😂. Update 01/01/2025: Prannay gave me Lemborexant(site/posts/Plan v1/Combating insomnia with Lemborexant). Let’s see how it works. I cannot sleep properly. I wake up 1-3 times a night. Ask for melatonin or zolpidem. References

Splitting

0.5mg Clonazepam DISPERSIBLE helps me come back to sanity. If It’s been over 6 hours having taken methylphenidate then add 5mg methylphenidate IR as well. Results in relaxed but alert mood. Avoids depressive mood. References

Suicidal Ideation

1mg Clonazepam DISPERSIBLE helps me come back to sanity. If It’s been over 6 hours having taken methylphenidate then add 5mg methylphenidate IR as well. Physical cardio like stationery bike helps cope with self harm thoughts. References