26y/o Male, Army veteran, served as “clinic medic” 4yrs; been on meds since 14y/o (Valium & Adderall daily). Stopped at 21y/o to enlist, then resumed meds as recruiter said I could, then tapered off for one year l, was given the OK to start up again, then I was asked to taper off again when deployment preparation to Poland began. I stayed back to help clinic because I was not ready to taper again seeing my life 1yr off w/ great therapist.

Now my Valium dosage is 20mg/daily 5mg/x4 daily; I was on 30mg/day 10mgx3/daily. Current psychiatrist is steady on 20mg being maximum, but alternatives he prescribed 3mg Ativan daily and also Klonopin 2mg daily —which VA had given own input of “why not switch to Klonopin at lower dose of 2mg, Valium at 20mg is a lot!”

Current diagnosis with most recent inpatient stay 15 days at VA: PTSD, GAD, social anxiety disorder, MDD Insomnia, Opioid Use Disorder (Kratom started when VA tapered Valium when not ready but open when finding better med).

Current meds: Zenzedi 15mgx3 daily (dextroamphetamine sulfate tablets ) Valium 5mgx4 daily Trintellix 20mg/daily Suboxone 8mg/2mg x2/daily Gabapentin 600mgx2/daily Senna 8.6mgx1 daily Buspirone 20mgx2/daily Mirtazepine 15mgx1 daily (Bed) Prazosin 3mgx1 daily (Bed) Iron 325mgx1 qod every other day

On more meds since leaving VA, resumed Valium & following up with psychiatrist outside VA. Was only using VA for Vivitrol & Trintellix. Used Kratom and they heavily pushed Sublocade because I missed Vivitrol appt & had Kratom but now I feel high & hard getting down from Suboxone again. Made poor choice for myself inpatient taking Suboxone day 7 of benzo taper and no opioid wd