The Prescribing Cascade

"I'm having difficulty sleeping, doc." Robert's physician prescribed a sleeping aide so Robert can sleep better at the long-term care facility he resides. Then, Robert starts to feel irritable in the morning when he awakes. Subsequently, he is prescribed an anti-anxiety medication to take in the morning and as needed. Roberts starts taking the anti-anxiety medication and then starts to feel more sleepy during the day, less productive and motivated, groggy, and having difficulty concentrating. He's isolating more in his room and not spending time doing the things he used to like to do. And because he is sleeping more during the day, he isn't sleeping much at night, even though he continues to take the sleep aide that his physician prescribed. He lets his physician know that he has been sleeping more than usual, not as sociable as he used to be, is having difficulty concentrating, and unmotivated. His physician then prescribes Robert an anti-depressant...When does it stop?!

A side...

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Anxiety Has Nothing To Do About Today

Today I sit here, as the co-owner of NeuroEssence, having developed the symptoms of COVID-19. Many thoughts go through my head – how will I continue to care for my family, how can I continue to service our clients remotely, how is it possible to lead others when I’m sick myself. I even have had morbid thoughts, brief thoughts of worsening symptoms, having to move from my home, needing to be hospitalized and even ventilated. What if I die?

All these thoughts came to a screeching halt when I realized that my negative, swirling and spiraling thoughts aren’t helping my situation. They are making it worse, causing me to get up at 230AM and losing sleep.

My kids are worried about Mommy and will I ever get better; my husband is concerned about my health – his wife, mother of his children, and best friend. My family checks on me in fear of losing me, and my friends think about the what if. My colleagues worry about our future together.

My anxiety, and the anxiety of...

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