Extreme Fatigue and Lack of Motivation

Posted by Elizabeth @enska, Sep 17, 2019

Hello, I'm Elizabeth and I've posted a couple times on here. I've had depression for many years (20). I've also had type 2 diabetes for about 9 years. Last year around this time I was let go from my job due to productivity issues. I realized at the time that my issues with work were due to my depression. My depression has gotten worse since then, to the point where I'm in bed most of the day every day. I have very little capability to get anything done, although I immensely enjoy planning to do things, like craft projects.

I am not experiencing low mood at this time. It's just the more physical symptoms of depression. I am really concerned because I truly can barely do anything. It's not laziness (although I'm sure my family thinks that). It's something else.

I take several meds: Celexa, Wellbutrin, Abilify, Metformin, Victoza, and insulin. I've also been taking Vitamin D and iron supplements.

I'm just wondering what avenue I should explore next to try to get myself going. Am I experiencing chronic fatigue? I'm not necessarily tired, although I do sleep for a long time after I have a day with more activity. Is it possibly all mental? I'm going to meet with my psychiatrist soon, within a couple of weeks. Last time he thought that the vitamins and the Wellbutrin would help, but they're not. My regular doctor often thinks that everything is tied to diabetes. Right now my blood sugar is in normal range for me.

I have several things going on. I just wondered if anyone had ideas or has experienced something like this. I've missed out on a lot of life over the past year and I've kind of had enough.

@enska Welcome and thank you for posting here to Mayo Connect. I am sure there are many of us who have experienced what you describe, myself included. A combination of medications can sometimes have a negative effect, and cancel out what one may be prescribed for. I wonder if that is the case here? If you have not explored the idea of therapy or counseling, perhaps it is time. Also, setting small goals for yourself each day, and increasing them as time goes on, has worked for me. Sometimes a change in your personal life, or where you live, or other stressors, can bring about depression and lack of motivation; that is what happened to me. Your mind is happy to make plans but you cannot get your body to follow through. Take a serious look at how this affects you in the long run. Is there a physical factor underlying your lack of motivation? Perhaps a complete physical exam is needed. What craft ideas are you planning? How difficult would it be to pull out the supplies and place them where you can then pick it up?
Ginger

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Thanks so much for the reply. I actually have a therapist who I've been seeing for almost 12 years. I see her on Saturday and plan to discuss these issues. We've touched on it a bit but it's only really been the top concern for me in the past couple of weeks.

One issue for me is clutter and I need to get that under control before I actually have room to work on something. I do have a couple things I can work on though in the meantime that don't require much room. I will try to do what I can on those projects in the next few days and maybe it will lead to more. They are actually overdue birthday presents so I should get them done! Thanks again!

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@enska Good for you, Elizabeth! Seeing that you are thinking about the your crafty things is great! I know for me, letting things get out of hand was normal, and when I was able to finally kick myself enough to get out of the rut of depression and lack-of-mojo, my creativity has come back. I am much happier seeing things getting done and creating. Will you come back and let us know what your therapist suggests you do about the issues that are foremost on your mind right now?
Ginger

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@gingerw

@enska Good for you, Elizabeth! Seeing that you are thinking about the your crafty things is great! I know for me, letting things get out of hand was normal, and when I was able to finally kick myself enough to get out of the rut of depression and lack-of-mojo, my creativity has come back. I am much happier seeing things getting done and creating. Will you come back and let us know what your therapist suggests you do about the issues that are foremost on your mind right now?
Ginger

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Absolutely! Thanks for your concern!

Liked by marysunshine

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Hi, @enska – barely being able to do anything is hard. I was at that low of a point when my parents decided to divorce after 28 years of marriage, and again when my mom and her second husband divorced. I can relate to just wanting to go to bed and not feeling like doing anything. I know I had low mood accompanying this, though, which you said you are not experiencing right now.

That will be good to talk to your therapist about your concerns this weekend. Seeing how this is affecting you so greatly and your ability to do things, however, what would you think about calling/messaging your primary care doctor about what you are experiencing in the meantime?

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Hi Elizabeth, my daily life sounds similar to yours. I'll stay in bed for days. It's so hard to get up, stay up & be productive. I have major depression, chronic fatigue syndrome, attention deficit, chronic pain. No diabetes. I take Cymbalta, Wellbutrin, amphetimines, Serequel & hydrocodone. These drugs help but haven't changed my behavior. I read lots about the benefits of exercise for people with depression. Today I plan on joining AnyTime Fitness. Is exercise something you have tried? Hang in there, Elizabeth.

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@marysunshine

Hi Elizabeth, my daily life sounds similar to yours. I'll stay in bed for days. It's so hard to get up, stay up & be productive. I have major depression, chronic fatigue syndrome, attention deficit, chronic pain. No diabetes. I take Cymbalta, Wellbutrin, amphetimines, Serequel & hydrocodone. These drugs help but haven't changed my behavior. I read lots about the benefits of exercise for people with depression. Today I plan on joining AnyTime Fitness. Is exercise something you have tried? Hang in there, Elizabeth.

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Thank you for reaching out to me so quickly. I'm not really sure how it works. The chronic depression is so debilitating and I find impossible to get friends/family to understand. I applaud you for joining a fitness club. I, like you, have been told exercise is key to our mental health issues. I am full of arthritis so I can relate to your chronic pain. My Dr. will not prescribe me narcotics or opioids. Walking is the best overall exercise you can do, so I've been told. So I order running shoes online (I rarely go out) and I believe I have walked 2x in 2 months. It's a start. I would love to walk every day, before the depression and arthritis hit I walked all the time. Baby steps, I would like to set up a walking schedule, but I feel defeated before I even start one. I am on so much depression medication, and at one time or another I have been on all of yours. Start small and gradually increase your exercise. If you are anything like me,(when I ordered the running shoes I was convinced I would walk 30 minutes each and every day!) and try to be proud that you got out of bed and did something. That is one of the toughest to do. Hopefully we can talk again, marysunshine. Do you remember the children's song " Good Morning Merry Sunshine" I going to check it out on YouTube.

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Hello….sorry to hear that you have been experiencing so much. I have had some low points due to chronic pain…however I have found that one of the things that helps when Im really feeling down is to exercise for about 30 mins a day (at least 4 days a week). I noticed after about a week i would start to feel better. Do you have an exercise regiment? I wouldn't be surprised if the meds are negatively impacting your energy level.

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Good afternoon @olivia22819 Your suggestion about developing an exercise regimen is right next to perfect for dealing with depression and anxiety. The next element is the time….good things like exercise are best when they become a habit. If your regimen says no breakfast until after exercise, you are not as likely to skip the exercise because that would be self-defeating.

Exercise has always played a big role in my life so I was very depressed when I received the diagnosis of small fiber peripheral neuropathy. I enjoy the restorative yoga, but my daily 3-mile nature walk became a memory. I had to force myself to get out of bed. My neurologist recognized the depression and helped pull me out of it. So….three years later and with a lot of help and willpower, I am like a robot in the morning, doing everything I committed to doing. And the best surprise…..I am beginning to do my nature walk again….only 1 mile today, and yet I know it might be at least 2 miles down the road a bit. May you be safe and protected. Chris

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@artscaping

Good afternoon @olivia22819 Your suggestion about developing an exercise regimen is right next to perfect for dealing with depression and anxiety. The next element is the time….good things like exercise are best when they become a habit. If your regimen says no breakfast until after exercise, you are not as likely to skip the exercise because that would be self-defeating.

Exercise has always played a big role in my life so I was very depressed when I received the diagnosis of small fiber peripheral neuropathy. I enjoy the restorative yoga, but my daily 3-mile nature walk became a memory. I had to force myself to get out of bed. My neurologist recognized the depression and helped pull me out of it. So….three years later and with a lot of help and willpower, I am like a robot in the morning, doing everything I committed to doing. And the best surprise…..I am beginning to do my nature walk again….only 1 mile today, and yet I know it might be at least 2 miles down the road a bit. May you be safe and protected. Chris

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Thank you so much and you have great input . I will be 50 next year and dealing with depression since I was 16 yrs old

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Good evening @olivia22819 That is in an incredibly long time to be dealing with the depression devil. I didn't even know what the word really meant until I had to fight or cut bait. Your attitude is impressive. Chris

Liked by marysunshine

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@olivia22819 @artscaping @lonelylady @marysunshine When I was working, each morning I got there about pretty early, in order to do a beautiful walk around the complex. It was always quiet in the morning, with birds. Then I would write a haiku, or journal, and start my long workday. I was working for the Court system, so it was pretty stressful. As I gradually got sick, my walks became shorter. The stress mounted not only from doing less exercise, but not starting my day refreshed. The walks stopped altogether when I no longer had the energy to do them. It was proven to me personally that the exercise is a big factor for me feeling better, and I am walking again. It feels good, and now when I have to miss a day [like today, due to early doctor appt], I look forward to tomorrow in order to get back into the swing. I want to work up to walking in to town to the post office, and home again!
Ginger

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@gingerw

@olivia22819 @artscaping @lonelylady @marysunshine When I was working, each morning I got there about pretty early, in order to do a beautiful walk around the complex. It was always quiet in the morning, with birds. Then I would write a haiku, or journal, and start my long workday. I was working for the Court system, so it was pretty stressful. As I gradually got sick, my walks became shorter. The stress mounted not only from doing less exercise, but not starting my day refreshed. The walks stopped altogether when I no longer had the energy to do them. It was proven to me personally that the exercise is a big factor for me feeling better, and I am walking again. It feels good, and now when I have to miss a day [like today, due to early doctor appt], I look forward to tomorrow in order to get back into the swing. I want to work up to walking in to town to the post office, and home again!
Ginger

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Oh wow! Who knew. I’m glad to hear that you are looking forward to it and getting back in the stride of it all. I’m finding it’s very important to have a exercise routine when you have a stressful job 😆

I have a problem though. I work from home and start at 5 in the morning. I would like to do something before work to help my mood but I am unable to get up earlier than I have too. I’m irritable in the mornings.

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@olivia22819

Oh wow! Who knew. I’m glad to hear that you are looking forward to it and getting back in the stride of it all. I’m finding it’s very important to have a exercise routine when you have a stressful job 😆

I have a problem though. I work from home and start at 5 in the morning. I would like to do something before work to help my mood but I am unable to get up earlier than I have too. I’m irritable in the mornings.

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@olivia22819 I am retired now. Make time each day to get out and do something like a walk. It's an investment in your health and well-being! And, you owe it to yourself. Since I am an early morning person, it's no problem for me.
Ginger

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@lonelylady

Thank you for reaching out to me so quickly. I'm not really sure how it works. The chronic depression is so debilitating and I find impossible to get friends/family to understand. I applaud you for joining a fitness club. I, like you, have been told exercise is key to our mental health issues. I am full of arthritis so I can relate to your chronic pain. My Dr. will not prescribe me narcotics or opioids. Walking is the best overall exercise you can do, so I've been told. So I order running shoes online (I rarely go out) and I believe I have walked 2x in 2 months. It's a start. I would love to walk every day, before the depression and arthritis hit I walked all the time. Baby steps, I would like to set up a walking schedule, but I feel defeated before I even start one. I am on so much depression medication, and at one time or another I have been on all of yours. Start small and gradually increase your exercise. If you are anything like me,(when I ordered the running shoes I was convinced I would walk 30 minutes each and every day!) and try to be proud that you got out of bed and did something. That is one of the toughest to do. Hopefully we can talk again, marysunshine. Do you remember the children's song " Good Morning Merry Sunshine" I going to check it out on YouTube.

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@lonelylady @marysunshine I applaud you both for starting to exercise , yes baby steps but they will increase daily or weekly or monthly slowly I always feel better when I exercise. Maybe there are other things you liked to do in the past you can look at, at sometime. I like just getting into the water and wading around . Keep it up both of you . Good luck

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