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Not OK — and that's OK

Cancer | Last Active: Oct 21 3:34pm | Replies (23)

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@jc76

@northoftheborder
In addition to your access to psychotherapist do you have access to a specialist who deals with medications for depression, anxiety. Talk to your providers. Most of the time medications are done by a psychiatrist but at Mayo Jacksonville I have a PA who is a specialist in mental health medications.

I take a medication called Escitalopram for anxiety/depression. It has really helped me over the years. I am NOT saying that medication is good, or right, for you but to discuss medications that your providers think can help you deal with depression and/or anxiety. Our mental health is just as important as physical health and both drastically affect each other.

I see other posters like me feel bad you are going through a bad time. We liked corresponding with you and you always had good information and posts. I was not aware you were still on hormone treatments which will REALLY affect your moods. Then dealing with life events can become overwhelming. I lost my sister, both brother-in-laws, and a nephew all within a year of each other. So I hear you!

So northoftheborder, talk to your providers and see if they have or have access to a specialist who specializes in medications for mental health.

I know in the past I tried to address everything within myself as I am an introvert. When I found MCC I was able to speak out freely with others.

Good luck and stay in there. We look forward to future posts from you.

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Replies to "@northoftheborder In addition to your access to psychotherapist do you have access to a specialist who..."

Thank you for your reply. I am very happy to hear that the medication has helped your depression and anxiety.

I have tried SSRIs in the past, before I had cancer, and they weren't effective for me. I'm also very concerned about adding more meds to the ones I'm already taking to control the cancer (Apalutamide, especially, has many interactions).

For me personally cognitive-behavioral therapy (CBT) was far more effective than medication for controlling depression and anxiety, and it continues to work well since my diagnosis. Studies have shown that CBT can equal or outperform meds for many (not all) people dealing with non-complex anxiety or depression (i.e. *not* bipolar disorder or schizophrenia), but everyone's case will be different, and each of us has to discover what works through trial and error.

Most of the time my life is joyful, even with stage 4 cancer, but I do accept that sometimes it's ok not be ok for a few days. It's when not being ok becomes chronic that it's time to seek new help.