Advice needed - new member

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rshorton08
New Member


Date Joined Aug 2009
Total Posts : 4
   Posted 8/26/2009 7:18 PM (GMT -7)   
Hello. I've never used a forum before, but someone suggested maybe other people with depression could help. I've been treated for depression for 26 years and been on medication most of that. Plus therapy. I'm diagnosed with PTSD and moderate clinical depression. My mother committed suicide when I was 20 (I was there), her brother did the same. My siblings all have issues with this as well, but no one receives regular treatment (they self medicate with other substances).

Anyway, I'm a partial responder to meds. Can't take SSRIs because I get that muscle contraction in the neck that apparently means bad things. I USED to be able to until I developed that. I take Pamelor, which helps with sleep, and I exercise like a maniac to up my endorphins, but pamelor causes me to feel just out of it and i'm more and more depressed. I also have anxiety off/on, for which I take xanex. But that is pretty rare.

so i'm looking for suggestions of newer meds (effexor is out of the question due to reaction I had from it, as are: remeron, lamictyl and trazedone) that i might bring up to my doctor. I want to feel AWAKE and on the ball. but i want to sleep at night....

suggestions?
thanks.

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40590
   Posted 8/26/2009 7:34 PM (GMT -7)   
Hi there,

The best person to give you advice about this is your doctor or a pharmacist. I am not familiar with Palamer. I do take effexor. There are other similar drugs to effexor that you can probably take. Wellbutrin is a good one if you need energy.

The best bet is seeing your doctor about this and follow his/her advice. I hope that you find the medication that works for you.

Best wishes,

Hugs and welcome,

Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2283
   Posted 8/26/2009 7:39 PM (GMT -7)   
R-
First off, Welcome to HW! As far as recommendations, I really think you need to talk to a psychiatrist about that. Every person is different & we all respond differently to different medications. A psychiatrist could take into account your personal health, history of responding to medications & what medications you are on right now (psych meds, plus any other prescribed meds, OTC meds, or supplements). Psychiatric medications are so complicated, that it really isn't something that any of us could recommend. I do want to encourage you though that many people need to try several medications prior to finding one that works. If you've got one that's helping some, perhaps you just need to add a second medication (there are certain a/d's that are designed especially to work with other a/d's, rather than alone). Besides that, there are medications that can help with side-effects. I got that zombie-feeling too. I would sometimes even fall asleep for a few minutes on the job & my boss caught me two times. My psychiatrist was able to write me for a medication that promotes alertness to deal with that side effect. alertness medicines are not appropriate for everybody, but they can be helpful to many people. Insurance does not always cover them, so if your doctor does recommend something, be sure to check with your insurance plan first to see whether or not it would be covered (they are very expensive).

I just want to encourage you to stick with it. There really are meds out there that can help. I assume you are also seeing a counselor. If not, I would suggest you try adding counseling to see if that doesn't help as well. I know it's frustrating. It took me so long to put together a whole program that helped me (it wasn't just meds, it was counseling, lifestyle, nutrition, making an effort to reach out and make friends, changing behaviors, meditation, changing thoughts by repeating what I wanted to believe over & over again until I started to think it automatically [for example: I want to live. I don't want to die. I don't want to try suicide anymore. I don't like that idea at all], and, for me, also getting involved in a church so that I felt my life had meaning). It takes so much effort & I know for me it felt like I just didn't have it in me to put forth all the effort & energy required to change my life. But somehow I was able to pull it together (meds were part of that) & change my thoughts, then my behaviors, and eventually my feelings started to change as well. I still have a ways to go, but I have made a lot of progress over the past 18 months. A LOT of progress. I went from thinking about harming myself every single day for most of the day, to now almost never thinking about it and when I do it doesn't last for more than 10 seconds. I had no energy at all & now I am able to go to work, do a reasonable amount of housework & have a bit of a social life. I am happy about a third of the time, neutral about 50% of the time & still struggle with depression a little less than 1 out of 5 days. So things are getting better & I want to encourage you that it can be the same for you.

Just keep making positive choices. One day at a time, choose to get help, choose to take care of yourself, choose life and slowly but surely things will get better. I know it doesn't seem like it, but think of all you've accomplished when compared with your family. Your choices have led you where you are right now & they can lead you to an even happier place. I'm not saying everything will be perfect all the time, but it can be better. Please do talk with a psychiatrist about what options you might have that would help get the depression better under control (remember it can take up to 8 weeks for a med to really kick in) and also about the adverse side effects & whether there is anything you could take/do to help bring those under control as well. And of course, keep us posted. We love success stories & are happy to support you until you have one of your own to tell. :)

blessings,
Frances
Moderator -- Depression Forum


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2283
   Posted 8/26/2009 7:41 PM (GMT -7)   
Pamelor is the name brand for nortriptyline. It is a old anti-depressant that is mostly prescribed for chronic pain patients these days. There are a lot of new meds out there, but there may be a reason why your psychiatrist felt that nortriptyline was the best option for you. I think your first step needs to be to take it up with your psych. If you talk with him/her & still don't feel comfortable, perhaps you could consider looking for a psych you feel more comfortable with.
Moderator -- Depression Forum


rshorton08
New Member


Date Joined Aug 2009
Total Posts : 4
   Posted 8/27/2009 11:10 AM (GMT -7)   
Thanks for the replies --- I see both a shrink and a counselor (psychiatrist and psychologist.) The problem is, if I don't go in with suggestions the psychiatrist - with having only 15 min/patient - just doesn't come up with things. I've seen other shrinks as well, so this isn't unusual. It is just that 15 minute appointments aren't enough.

I was just looking for suggestions of what might have worked for people that I could ask the doctor about on monday when i see him. I'm looking for what works for people and why and what they hate/love about it.

Does anyone have any experience with natural cures? i do all the positive thought, exercise, eat right, etc. But I want to FEEL HAPPY. I just want to stop having a mediocre - i'm alive, so i guess that's good - feeling. I just wish there was a cure, I guess ....

THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18760
   Posted 8/29/2009 9:41 PM (GMT -7)   
hi rshorton08. i am jamie. i too have been living with depression and other complex mental illnessess the majority of my life. i too have been in therapy, 7 yrs all up. for me it is now about management. i also live with severe borderline personality disorder. i learn't that to find the right mix is highly important. treatment, self-awareness, tools for coping and what to do when things go bad. i have also learn't to stay in the moment. i wish you well, and alike all for a cure one day. with compassion. jamie
 
dx, mdd, severe borderline personality disorder.

rshorton08
New Member


Date Joined Aug 2009
Total Posts : 4
   Posted 8/30/2009 2:44 PM (GMT -7)   
Thanks Jamiee - and good luck to you, too. I guess in our fix it now world we kind of just want the easy answer - a pill that makes us "normal." But alas, I think it is all more complicated than that and a good deal appears to be just about living with grace inspite of suffering :-)

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/30/2009 4:26 PM (GMT -7)   
 
I am sorry you are not having luck with the meds.......you can jump on my bandwagon as I cannot find one that I do not react badly too.  I did the best on the old trycyclics until the one I was using for many years pooped out.
 
My Pdoc drives the bus and if I say black she will usually say white so I just say no to certain meds and hold fast to having a low dose of Valium for my anxiety. 
 
Where do you get the energy to exercise.  That is my biggest down fall is no energy.
 
Thanks
Kitt

 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn
Anxiety/Panic, & Depression
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18760
   Posted 8/30/2009 8:04 PM (GMT -7)   
me too kitt, albeit i do a lot of walking, so that is my excercise.
 
ps rshorton08. normal can not define it, thus it is a word that does not enter my vocabulary much. suffering, yes, albeit i use the word live with instead. words themselves can be derogeratory to our health, thus i try to instill more positive forms instead. their is enough bad words out there for those of us living with mental illness. so i try to be positive in word and thought.
 
cheers jamie

rshorton08
New Member


Date Joined Aug 2009
Total Posts : 4
   Posted 8/31/2009 8:19 AM (GMT -7)   
Kitt:
In answer to your question about exercise - it GIVES one energy. But to do it takes a lot of self-talk. I literally lay in bed and say "Get up, you'll feel better if you go to the gym. Get up, you'll feel better if you go to the gym (or ride your bike, whatever." I find if I can force myself to stand up out of bed, and brush my teeth, its GAME ON! I do it first thing in the a.m., before work, before eating, before everything. I lay my clotes out the night before so I literally just get up, use the bathroom, brush my teeth and pull on my clothes, shoes. Then I grab a bottle of water and get outside. In the winter, when it is so dark, I turn on one of those SADD lights as I get up and that is so bright, it helps. I guess I can be proud of myself that I do this when I feel like I don't make the mark on other stuff! But you can do it!! Just try it. It itakes 30 days to make it a habit, so don't give up and don't skip days and even if you just go outside and walk for 45 minutes, it will be good. You'll be surprised at how much better you feel. HOWEVER, i will say that people who take effexor are often so exhausted from that med that they reallyhave a hard time not sleeping alot. You have to work extra hard if you're on effexor.

good luck!
renee

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40590
   Posted 8/31/2009 8:29 AM (GMT -7)   
I am on effexor 375mg each day. That is the highest dose that you can take. They also added abilify to the mix. It helps. I take adderall for fatigue. That keeps me out of the bed. Talk to your doctor about adding something else, hopefully that will help.

It sounds like you are really fighting the fatigue with all you have. That is good. You are trying and in time, that will help. The walking is great. It gives you more energy.

Best wishes for a wonderful day.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/31/2009 8:43 AM (GMT -7)   
renee
 
I am so proud of you for exercising.  For me it is fighting past the urge to just sit and not finding the energy.  Also I know I must but yet another day goes by. 
 
I will reread your post and draw some strength from deep within.
 
Thank yo for your help.
 
Hugs to you,
Kitt

THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18760
   Posted 9/1/2009 2:56 AM (GMT -7)   
keep fightin' the fatique. effexor can be quite sedating. you are doing well renee. jamie.

Precious Gem
Veteran Member


Date Joined Oct 2008
Total Posts : 1139
   Posted 9/1/2009 10:59 AM (GMT -7)   

It sounds like you are working very hard to feel well.  I think that is 90% of the battle.  Please do consult Dr. about meds and if you feel your PDoc is not in your corner, find another one.  I always had bad reactions to meds which just made everything worse!  I went to a new Dr. who feels my anxiety is much worse than my depression, so she got me off Anti-Depressants and put me on Buspar with Xanax when I really need it.  I have felt better the last month or two than I have in a long time.  I think that since my anxiety is under control, the depression issues have just kind of fell by the wayside.  It did take me a long time to get to this point, ask anyone here that has been with me through all the med changes.  I also exercise, I walk like 2 miles every other day, and every day do a few minutes of stretching/toning exercises.  when I skip it, I feel it mentally and physically.  Some times I just want to sleep in, but the minute I step out my door and start walking my wooded path I am immediately glad I did.  We all have to find what works for us. 

I hope you have a real good day soon.  Jamie is always right about these things!  He has provided so much encouragment for me, especially when I decide to take a day and beat myself up, ha ha

Gem

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