Depression help without meds?
I have depression, but not severe. It stems from extreme fatigue and chronic pain. I've tried pretty much all the antidepressants, but can't tolerate them. Does anyone have suggestions/ideas about how to deal with depression without the meds?
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If you truly suffer from depression you need to take medication. If not what you are doing is fine. Just don’t call it depression because you are doing a disservice to those of us that truly suffer from this debilitating disease.
The right combination of an SSRI that your body tolerates along with Bupropion or Buspar came make all the difference in the world.
Depression is real and needs treatment.
I hope the people that truly suffer from depression will ignore your post.
Exercise of course will help with any problems but get medical help.
Good luck to everyone on this post.
PS I wish getting rid of depression was as simple as floating around in a pool with a noodle or going on a long walk.
I admire your courage in seeking out help in this forum. I have major depression (chronic). For years I plodded a long with it and anxiety not getting enough help but it effected my life considerably with insomnia, my career, and relationships. My primary care prescribed Zoloft as I was having hot flashes and she thought it would help with my stress. It did but not the underlying causes. I retired in 2020 from a very stressful job. I was very isolated and down and pushed myself to seek out help. I found an experienced psychodynamic/cbt/positively trained psychologist and she has been the game changer for me. She is my safe space where I can share anything with no judgement. I talk to her on the phone which is very convenient. I am only taking trazodone now which is an older antidepressant prescribed to help my insomnia. My psychologist has taught me many tools to help me including journaling my negative thoughts, ancient form of qui gong ( easy to find on YouTube) , and she has helped me not take things personally. I know therapy can be scary but it is so healing. Good luck and hope this helps some
Thank you Mjd.
Paxil was the first and only SSRI I've taken. 40 mg/day. I tried cutting down with the intention of stopping, but that didn't work well. It wasn't awful, I just didn't feel good. Hard to describe.
I do remember how happy I was not that long after I started taking Paxil. I would let a lot of little things bother me, everything stuck. Paxil fixed that. I reclaimed some control over a large part of my life.
And yes, good advice. I will be staying on Paxil.
(For those not familiar, Paxil has a reputation as being hard to quit, and my limited experience would confirm it. But as the structure of my brain, specifically serotonin re-uptake, hasn't changed, I see no reason to quit.)
Thanks again Mjd. I have not had a panic attack in the last 20 years. Panic attacks are nasty things. Hard to explain, but for those who have been through one, you know what I'm talking about.
All the best.
Joe
Hi sisyphus,
I'm glad you have been able to live what sounds like a very healthy life, and I'm sure you had a large role in that. Genetics helps too!
Some of us really do need SSRIs to manage depression and panic attacks. I found a lot of relief from daily exercise (long-distance running) before I discovered SSRIs. When I had to stop running, the depression roared back and I eventually went to my Dr out of desperation. He prescribed Paxil and talk therapy and 20-plus years later, I still use both. And I feel terrific, which means I feel normal.
To those of you reading this who are suffering from panic attacks and depression, please do talk with your Dr as soon as possible. This is primarily a physiological disease based on brain structure. Nothing here to be ashamed of.
Joe
Thanks Dave for speaking up on behalf of all of us who do suffer from depression, and sometimes the indescribable panic attack.
Many uninformed people mistake anti-depressants for "uppers" - that they somehow make us high.
Not true. They make us feel closer to normal and allow us to live our lives and enjoy what is enjoyable. A person who doesn't suffer from depression will get no reaction from an anti-depressant (SSRIs).
This needed to be said and I thank you for doing so.
Joe
@heyjoe415
Excellent information.
I ran into same impression regarding my escitalopram. It is not a high. It is to help you stay at a normal level of mental health. I have been told I will need to be on escitalopram for the rest of my life.
As an aside my psychiatrist added 1mg of Klonopin/ Clonazepam to my Zoloft, Buspar and Bupropion. I take the 1mg of Clonazepam/Klonopin once in the morning and once at night. I actually cut my Sertaline/Zoloft from 100 mg to 50 mg per day. That was great because as good as SSRi’s are they have sexual side effects.
I mentioned tapering off my Clonazepam to my PCP and her comment was why would I do that. I have never increased my dosage for over 30 years and my first psychiatrist said “ If it is not broke why fix it”.
Clonazepam is demonized on a regular basis on these posts but if you don’t abuse it then it can be a valuable tool for panic attacks.
Hang in there and I hope you find the right balance for you. Wellbutrin/Bupropion combined with Zoloft/ Sertraline actually had a nickname of Welloft because they complemented each other so well.
Antidepressants are not a happy pill but rather a means to control a debilitating illness that is genetic and runs in families.
I welcome any comments that actually recognize the fact that depression is a disease just like diabetes.
Good luck to everyone. There is hope for all of you.
Thanks Dave. Depression is indeed a disease, and it is based on the brain's inability to process serotonin properly. By the time most people realize this, they also benefit greatly from talk therapy.
And I take 1mg of Klonopin (clonazepam) in the morning and at night. As you say, if it works, leave it. (But be aware, clonazepam is an addictive drug and getting off of it is very hard, even at low doses.)
Joe
Thanks jc.
And yep, I will be taking Paxil for the rest of my life. That's just fine with me.
Joe
Yes it is hard to get off Klonopin but at age 74 my PCP is more worried about my overall health. I don’t drink or smoke and exercise vigorously at least six days a week.
She has a woman in her practice that is a more than moderate drinker and for that reason she is weaning her off Klonopin.
Common sense is needed by those practicing medicine. There is no one size fits all. If Klonopin usage is going up or you are not willing to quit drinking you have to make a decision.
Withdrawal is very hard and that is why I brought it up at my last meeting with my PCP. She makes her decisions on a case by case basis. That is why I continue to see her even though I have moved across town. I do the same thing with my dentist, audiologist and dermatologist. The longer someone sees you the better advice they can give you.
Good luck to everyone.