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I have a catatonic patient. He hasn’t moved much in days, other than spontaneous leg movements and occasionally opening his eyes. He has late onset schizophrenia and is a veteran like me. I experienced catatonia myself. On the roller coaster ride that is bipolar, a downward plunge with no rebound pushes me deeper and deeper…
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Well, we’re doing it. A little DIY detox. I did some research. The best thing to do is get as far into withdrawals as possible. After that, four milligrams of Ativan, as well as a B complex vitamin and a benzo-free anti-anxiety med, Hydroxyzine. Maybe a sleeping pill but depends – those can lower respirations…
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Build mastery – the art of staying busy with tasks and chores to distract from the ever present sense of dread and fear and anguish. I’m write sardonically, of course, but it’s true. It’s literally a DBT skill in which you try to exert control over the environment around you, clean yourself up, clean up…






