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brit
@brit

Posts: 113
Joined: Jan 28, 2017

depression/anxiety

Posted by @brit, Thu, Jan 10 8:47am

I have had depression for quite a few year now. I am in my 70's and found it harder to deal with. My psychiatrist has been working with me trying to find the best medication. So far no luck. He is very dedicated and does a great job trying to help. Right now I am takin 2 medications but they don't seem to do the
job either. They are Doxepin 25 mg and chlordiazepox. Help!

REPLY

Is there ever a right medication or combination of medications? I’ve been trying different meds for years; at first I feel like I’m better but then I’m right back where I started. I’m going thru a difficult period of totally not caring about anything & of laziness. Which comes first ~ the depression or laziness? I sleep 10 hours a night & 2 hours a day; I just can’t break out of the cycle.

I guess that I am one of the fortunate ones that it didn't take all that long (about 6 months) to find a combination of medications that work for me. I also very actively use CBT techniques to deal with negative thinking, and I think I wouldn't be able to be as functional as I am without it. I am tapering the medication I use for anxiety, as it was giving me brain fog and making me very tired in the afternoons. Today I'm taking 20mg of Lexapro and 5mg of Abilify, and that doesn't affect my energy detrimentally. When things were very bad for me I wasn't engaged in much activity, either. After being able to engage in work, which I was off for two years, with managing my sleep better, I have improved my verve quite a bit: I think it's important to be doing something meaningful for me within the limitations that I face today.

If I didn't have obligations….husband is 77 with health issues….I'm on Valium & Citalpram…..& Ambien….I'm lucky if I get 4 hours straight sleep….I could sleep all day….off & on…..just can't get out of the depression….family, grandchildren, etc….Hate to say it….but the only time I can relax is when I have a Martini….really don't feel like myself anymore…..Not interested in anything….Depression sucks…..Sometimes I take an allergy pill…helps me sleep a little longer……I know it's not the answer or healthy……I could use some suggestions cause I know exactly how you feel…..

@jmalibu

If I didn't have obligations….husband is 77 with health issues….I'm on Valium & Citalpram…..& Ambien….I'm lucky if I get 4 hours straight sleep….I could sleep all day….off & on…..just can't get out of the depression….family, grandchildren, etc….Hate to say it….but the only time I can relax is when I have a Martini….really don't feel like myself anymore…..Not interested in anything….Depression sucks…..Sometimes I take an allergy pill…helps me sleep a little longer……I know it's not the answer or healthy……I could use some suggestions cause I know exactly how you feel…..

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@jmalibu Try Tai Chi @parus does these and says they help her

@kpmirabito

Is there ever a right medication or combination of medications? I’ve been trying different meds for years; at first I feel like I’m better but then I’m right back where I started. I’m going thru a difficult period of totally not caring about anything & of laziness. Which comes first ~ the depression or laziness? I sleep 10 hours a night & 2 hours a day; I just can’t break out of the cycle.

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So you have had the same experience with combinatopm of medications! Yes and laziness is also a part of my problem no interest in anything. I do sleep well due to medication but don't sleep in the day. I have tried that and wake up worse feeling. I would try first not to sleep in the day. Even if you just take a short walk in your yard do something other than sleep. Thank you for replying to my email you are appreciated. Patti

@kpmirabito

Is there ever a right medication or combination of medications? I’ve been trying different meds for years; at first I feel like I’m better but then I’m right back where I started. I’m going thru a difficult period of totally not caring about anything & of laziness. Which comes first ~ the depression or laziness? I sleep 10 hours a night & 2 hours a day; I just can’t break out of the cycle.

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@kpmirabito– Welcome to Mayo Connect. This is is an excellent question. I wish I had the answer for it but I wonder about it myself. I was very fortunate not to have any withdrawal symptoms when I weaned off of Effexor. But I had to go on another antidepressant because I'm just wired to have depression. I wish that I knew how much for me it's genetic or behavioral.
Antidepressants can cause apathy and pathos and indolence, etc. This commonly is caused by a number of things. But one can be too much medication. Perhaps you could talk with your doctor about this? What have you done in the past to get out of this?

@jmalibu– Hello. Taking antidepressants and alcohol can exacerbate depression. It can also be very dangerous or change your personality. I always loved drinking martinis- gin martinis. I loved the tradition (my dad use to drink them too), I used to love the whole performance of making them and then the first sip. But after a while my personality started to change and I became a mean person. So I had to stop. I found that I slept better too.
Breaking this cycle, I agree, is extremely difficult. I did it by writing. Then I started a blog about my cancer journey and wrote about it there too.
https://my20yearscancer.com/
What have you done in the past to break out of this?

Liked by Parus, lioness, becsbuddy

@guener

I guess that I am one of the fortunate ones that it didn't take all that long (about 6 months) to find a combination of medications that work for me. I also very actively use CBT techniques to deal with negative thinking, and I think I wouldn't be able to be as functional as I am without it. I am tapering the medication I use for anxiety, as it was giving me brain fog and making me very tired in the afternoons. Today I'm taking 20mg of Lexapro and 5mg of Abilify, and that doesn't affect my energy detrimentally. When things were very bad for me I wasn't engaged in much activity, either. After being able to engage in work, which I was off for two years, with managing my sleep better, I have improved my verve quite a bit: I think it's important to be doing something meaningful for me within the limitations that I face today.

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How did u manage your sleep? Im struggling.

Liked by Parus

I'm 71 and have had dysthymia(constant low grade depression)for at least 30 or more years. I have had issues of late, and changed medications twice. Tried trintillix, and it was not good for me. It is expensive, but when it works, it is the holy grail. Changed to Prozac about ten days ago, and some Klonopin for anxiety/sleep. Slept for 9 hours last night after a long bout of insomnia. It's a crapshoot to get the chemistry correct. Just be sure you have a doctor who will work with you.

@jmalibu

If I didn't have obligations….husband is 77 with health issues….I'm on Valium & Citalpram…..& Ambien….I'm lucky if I get 4 hours straight sleep….I could sleep all day….off & on…..just can't get out of the depression….family, grandchildren, etc….Hate to say it….but the only time I can relax is when I have a Martini….really don't feel like myself anymore…..Not interested in anything….Depression sucks…..Sometimes I take an allergy pill…helps me sleep a little longer……I know it's not the answer or healthy……I could use some suggestions cause I know exactly how you feel…..

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@jmalibu sounds like things are very tough! Wow ! Be careful, though, some of those meds can interact with each other and make things worse. Have you talked with your doctor about what you take and when and how much and how you feel? Valium and ambience and alcohol all contribute to drowsiness and confusion—worse when together in your system. Lack of sleep doesn’t help, either?
Maybe make a list of all the things you feel you have to do and then take off what’s not really necessary/crucial. MAKE time for yourself. We really care about you and want life to get better.

Thank you so much for your kind thoughts. iTt's tough but all one can do is try Patti

@happythinkingma

How did u manage your sleep? Im struggling.

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stay up as late as you can. Slso, your medication should have some keep of help with not sleeping.
Ask your doctor about this and I bet he/she would give you the help to sleep a good nights sleepPatti

@elwooodsdad

I'm 71 and have had dysthymia(constant low grade depression)for at least 30 or more years. I have had issues of late, and changed medications twice. Tried trintillix, and it was not good for me. It is expensive, but when it works, it is the holy grail. Changed to Prozac about ten days ago, and some Klonopin for anxiety/sleep. Slept for 9 hours last night after a long bout of insomnia. It's a crapshoot to get the chemistry correct. Just be sure you have a doctor who will work with you.

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My doctor is super. He works with me all he can and some have had temperary help I think my doctor doesn't even know Patti

@guener

I guess that I am one of the fortunate ones that it didn't take all that long (about 6 months) to find a combination of medications that work for me. I also very actively use CBT techniques to deal with negative thinking, and I think I wouldn't be able to be as functional as I am without it. I am tapering the medication I use for anxiety, as it was giving me brain fog and making me very tired in the afternoons. Today I'm taking 20mg of Lexapro and 5mg of Abilify, and that doesn't affect my energy detrimentally. When things were very bad for me I wasn't engaged in much activity, either. After being able to engage in work, which I was off for two years, with managing my sleep better, I have improved my verve quite a bit: I think it's important to be doing something meaningful for me within the limitations that I face today.

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Hello,

Can you please tell me how you managed your sleep issues? I have pretty bad anxiety and depression and I can't sleep even on Ambien (4-5 hours max). I only take 600 g Lithium for my depression but it's not really doing much. I have Ativan on hand for severe anxiety. Dr wants me on Zoloft but I am terrified of side effects (mainly increased anxiety and insomnia). I'm getting closer to taking it though as I feel quite desperate. Sleep affects everything for me so any advice for that would be appreciated.

Liked by lioness

@happythinkingma

Hello,

Can you please tell me how you managed your sleep issues? I have pretty bad anxiety and depression and I can't sleep even on Ambien (4-5 hours max). I only take 600 g Lithium for my depression but it's not really doing much. I have Ativan on hand for severe anxiety. Dr wants me on Zoloft but I am terrified of side effects (mainly increased anxiety and insomnia). I'm getting closer to taking it though as I feel quite desperate. Sleep affects everything for me so any advice for that would be appreciated.

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@happythinkingma , I’ve been on Zoloft for 20+ years and have no sleep problems. I used to when I took my dose at night, but now I take it first thing in morning. Also, NO anxiety. I just feel better! Several times the docs have wanted me to change, but I think, if it’s working, why would I change!
Maybe you could also find out if there’s a sleep doctor or clinic near you. I went to one several years ago ( not because of Zoloft) and they worked wonders. I hope things get straightened out for you. It’s not fun feeling miserable. Please let me know how it all goes with your decisions. Becky

@becsbuddy

@happythinkingma , I’ve been on Zoloft for 20+ years and have no sleep problems. I used to when I took my dose at night, but now I take it first thing in morning. Also, NO anxiety. I just feel better! Several times the docs have wanted me to change, but I think, if it’s working, why would I change!
Maybe you could also find out if there’s a sleep doctor or clinic near you. I went to one several years ago ( not because of Zoloft) and they worked wonders. I hope things get straightened out for you. It’s not fun feeling miserable. Please let me know how it all goes with your decisions. Becky

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Thank you so much!

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