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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Ignatz on March 2, 2001, at 17:03:12
I am really worried that I'm becoming depressed again. After a bad depression 9 years ago, I've been basically fine for 8 years on Zoloft (first) and then Effexor, with a couple of dips into depression that went away within a month. Now I'm about to get married. The first time I got depressed, I was also about to get married (to someone else), plunged into the depths, and ended up breaking up with the person (after about a year of being sick). I'm terrified it's going to happen again. In the past couple of days I had a couple bad things happen at work, too... anyhow, I feel like my head is stuffed with worry, keep runimating, I feel tired, about to cry, can't concentrate, just plain freaked. I cranked my meds this AM...Any ideas about how to stave this thing off? I'd like to think I'm just worried and not actually plunging back into hell, but I feel pretty nasty. Help!
Posted by Cece on March 2, 2001, at 21:00:58
In reply to I'm scared, guys, posted by Ignatz on March 2, 2001, at 17:03:12
Add a mood stabilizer maybe? Or xanax, or clonazepam? Or T3? Hopefully you have a good pdoc, if not I hope you can find one- it's a sophisticated skill to layer meds well and just cranking up doses doesn't always do the trick. You don't necessarily have to give up a med that has helped you, sometimes augmentation works better.
Good luck,
Cece
> I am really worried that I'm becoming depressed again. After a bad depression 9 years ago, I've been basically fine for 8 years on Zoloft (first) and then Effexor, with a couple of dips into depression that went away within a month. Now I'm about to get married. The first time I got depressed, I was also about to get married (to someone else), plunged into the depths, and ended up breaking up with the person (after about a year of being sick). I'm terrified it's going to happen again. In the past couple of days I had a couple bad things happen at work, too... anyhow, I feel like my head is stuffed with worry, keep runimating, I feel tired, about to cry, can't concentrate, just plain freaked. I cranked my meds this AM...Any ideas about how to stave this thing off? I'd like to think I'm just worried and not actually plunging back into hell, but I feel pretty nasty. Help!
Posted by ChrisK on March 3, 2001, at 6:32:43
In reply to I'm scared, guys, posted by Ignatz on March 2, 2001, at 17:03:12
The best thing that helped my ruminating thoughts was to add low dose Zyprexa to your current Effexor. I think it was probably also a good idea to go to a max dose of Effexor.
As you and all of us already know - there is no miracle happy pill but there are meds that can combat certain symptoms better than others. Take a look at the anti-psychotic threads around here. Many people have been helped by Zyprexa, Risperdal or Seroquel.
I hope you have an appointment with your pdoc soon. You need to cut this thinking off as quickly as posssible.
Good Luck,
Chris
Posted by Neal on March 4, 2001, at 2:59:26
In reply to I'm scared, guys, posted by Ignatz on March 2, 2001, at 17:03:12
Your stressing out about getting hitched. I would consider: (1) Some good talk therapy (2) Asking pdoc for Klonopin - good for anxiety (3) Eloping - to get the whole thing over with in a hurry. Take my word, for the most part, marriage is a good thing.
Posted by Neal on March 4, 2001, at 12:08:38
In reply to Re: I'm scared, guys, posted by Neal on March 4, 2001, at 2:59:26
Also, there's a possibility you might have Social Anxiety Disorder, a very common and treatable diagnosis. Check it out on the web and ask pdoc about it.
Posted by roo on March 5, 2001, at 9:12:01
In reply to Re: I'm scared, guys, posted by Neal on March 4, 2001, at 12:08:38
I had this same thing happen when I was engaged to
be married. Lots of ruminating thoughts. Could not
concentrate at work. Could not eat (which is very
rare for me, I love food!)....a mood stabilizer
helped me quite a bit. (in my case neurotin)
And so did couple's counseling. It ended up I was
anxious about a couple of aspects of me and my fiance's
relationship and needed for us to work some stuff
out in counseling. The combination of drugs and
couple's helped me out a great deal.
Posted by Ignatz on March 7, 2001, at 21:46:53
In reply to Re: I'm scared, guys, posted by roo on March 5, 2001, at 9:12:01
Update- I had a horrendous weekend and my p-doc checked me into the local mental hospital Monday AM. A good move. He upped my Effexor and put me on Depakote (we think i might be bipolar 2, kicked off by some Provigil I was taking last month) and I'm out now, 2 days later, a little shaky-feeling but no longer in intense psychic pain. The hospital had caring staff, interesting and supportive other patients, and a good safe feeling to it. My fiance was great throughout. I hope I stay out of the pit of despair, and am cautiously optimistic.
Posted by Noa on March 8, 2001, at 15:27:25
In reply to Re: update on episode of heebie-jeebie depression, posted by Ignatz on March 7, 2001, at 21:46:53
Great! I hope you continue to take good care of yourself, too.
This is the end of the thread.
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