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Mental health

Do you think Prozac could help me?

83 replies

StifflersMom · 11/06/2007 09:10

A very me-me-me post sorry and also a v.regular with a namechange.

I was wondering if people in the know could advise me as to whether they think Prozac could help me.

I have never gone down the anti-depressant route although have often wondered, in recent times, whether I should. I am not sure if I am classically depressed. I am under a lot of stess and have definite anxiety issues and have having counselling with my partner which is helpful in lots of ways but it hasn't yet done anything to help with the anxiety.

The way I feel much of the time has come about due to a large combination of v.stressful family circumstances, most of which are long term; I can't change and have to deal with as best I can. But I feel I CAN do something about the way I feel; I don't have to feel this anxious most of the time surely. It's got to stage where something triggers me off, I feel physically ill, (bad stomach etc) and half the time I can't tell whether the acute anxiety feeling is justified all not. Sometimes it is obviously, but sometimes it most definitely isn't. For instance I can read a thread on here when just lurking (more often than not in the Relationships section) particularly if its about something similar to the issue DP and I have had (but we are getting counselling for those and our relationship is for the most part a positive one although we are both suffering from long term stress and our past/present issues are by-products of this I - and the counsellor - feels), and I will have triggered myself off into another horrid day of anxiety.

And then there's the chronix anxiousness which most days I wake up with. I can wake up feeling fairely relazed.. and then whoosh the anxiety swoops into my stomach as my brain kicks in.. it's like a big fist clamping my insides tightly and not letting go.

I was talking to a friend who had been on Prozac during a VERY stressful period in her life (her child was having chemo) and she said it didn't make her feeling "uncaring" or "dopey" or "falsely happy" (these were my concerns about taking it!) but instead made her feel, overall, calm. (Which sounds lovely; I would love to feel calm!). She said other side effects were that she seemed to need less sleep and less food (which sound like bonuses to me!) and that her mouth was a little dry but only for the first few days. Obviously the main stressor was still stressful and horrid, but the calmness helped her deal so much better with the day-to-day stuff which has become so difficul for her.

I didn't really want to go down the anti d route.. am not even sure if am classically depressed and/or if my GP will give it to me. I went last year about my anxiety; he gave me a questionnaire which seemed to indicate I was not depressed, "just anxious" but things - and time - have moved on - and I do feel down a lot of the time I suppose the difference being from someone who is depressed is that I can "snap myself out of it" after a few days before something triggers me off again. (The "down" feelings seems to follow the anxiety") and back it all comes. I did discuss tranquilisors (valium?) with the GP.. but he I don't want to/can't feel "out of it" in any way.. plus I need to drive everywhere constantly!

I would so love to feel "calm". I know nothing can take away the main stressors in my life but if I could approach them from a calmer perspective I can see only positives; for me, DP and my children.

I know this is a bit long (sorry) but can people with some thoughts about prozac/anixiety/depression please take a few moments to share them with me? Thanks lots.

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Boco · 11/06/2007 09:24

Sorry you're feeling like this SM. I've had lots of experience of different anti-ds - not personally but my dp has suffered from depression and anxiety, and as he's had bad reactions to some of them, we've become very familiar with many different drug treatments.

It does sound like anxiety rather than depression, but being in that state leaves you feeling down, so its a bit chicken and egg. For anxiety, i'd say citalopram is the best (in dps experience) - its specifically for anxiety, i've known a couple of people to take it and for it to have huge benefit.

However, if you do go down this route, i think you need to fix the problem too - rather than just treat the symptoms. You said you've had counselling - dp found that counselling could sometimes stir up anxiety without actually helping it. For some its great, but i think if you need to change the way you're feeling, something like cbt or cat would be good, it helps you to understand why you're feeling like this, and rather than try to supress it , which makes you feel worse, gives you strategies for changing it.

For dp, cat (cognitive analytic therapy) was amazing, he still has follow ups, but he's so much calmer now, calmer than me - and deals with stress so much better than before.

In your situation, maybe it would be an idea to take a short, low dosage of citalopram to give you the ability to then tackle it with cbt or cat.

Good luck, anxiety is horrible and i hope something works for you soon xx

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StifflersMom · 11/06/2007 09:28

Thank you Boco. Is this behavioural therapy prescribed? We can't afford to pay for anything else. The Relate counselling is crippling us financially. (I know they charge on a sliding scale but we are paying minimum and of course the "sliding scale" only accounts for your income not your outgoings/debts!)

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Boco · 11/06/2007 09:44

It depends where you live i think. In London it was offered to me free when i was going through a traumatic time. Here in suffolk there's a big waiting list for it on nhs - dp didn't qualify until things had gone so far out of hand that he had a breakdown and been hospitalised.

We paid, and we're really low income so i know how hard it is - but for us we'd got to the point where we just had do. This was sliding scale too.

There are therapists who work for as much as you can realistically pay - have a look under your area on the bacp website - and look for cbt therapists, and speak to your gp to see if there are nhs practitioners in your area. Make sure your gp understands the huge effect on your life that the anxiety is having. Maybe wait until your relate sessions are over - is there anything you can cut out for a while to save money? We managed to make a few savings from cutting out a few things while it was going on.

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Boco · 11/06/2007 09:46

Also there's a cbt book called the 'feeling good handbook' which explains the techniques. It's a bit americany in parts, with a cheesy picture of the therapist grinning on the front - but if you can get past that its easy to read and has some good advice.

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MellowMa · 11/06/2007 09:48

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Lolly68 · 11/06/2007 09:49

SM - sorry you are feeling so low. I have been on Prozac now for about a month. Going back to doctors tomorrow to get another supply. They take about 3 weeks to kick in but I must admit they do make you feel very calm. Whereas before I would scream and shout if I could not find something in the house like my makeup, keys etc... I dont now.

I needed to feel calm as my anxiety and stress levels were very high and I would cry at the slightest thing.

The side effects to start with weren't very nice - felt like I was having an outer body experience the first few days and felt very sick but now feel ok.

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Boco · 11/06/2007 09:51

here's that book There are written excersises you have to do and keep up with, it was recommended by a friend who found it really helpful with her anxiety and depression.

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StifflersMom · 11/06/2007 10:05

Wow.. thanks for this input.

LOL at the cheesy expression.. you're not kidding Boco!

I don't think we can cut anything else out; really don't think we can afford to pay for any more counselling of any kind at the moment. I will try to pluck up courage to go to GP, talk to him about prozac/citaopram and also about the CBT as well. It's so hard to fully explain this kind of problem in a 5-10 min GP appointment though isn't it. He will say "what are you anxious about..?" and I will go "Ha.. how long have you got?" Think the main point I need, as you say, is to explain the effect it's having in my life. Of at least my personal experience of it. I have to be so many things to so many people.. I have to try to support DP who is suffering too, with both physical and stress problems (including bereavement) and I need to be able to feel I can DO this.. none of it is negotiable/avoidable.. unless I want to jump on the next train to Timbuctu, which to be honest, sometimes feels tempting!

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MellowMa · 11/06/2007 10:08

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StifflersMom · 11/06/2007 10:10

I think it's quite common.. feeling you want to do it. Few of us actually do it though, which is a good thing I guess..

Have ordered the book Boco.

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Boco · 11/06/2007 10:19

Oh hold on wait! Can you cancel the order - i've just found it and can send it to you if you want? Saves a few quid, and keep it as long as you want.

If it would help email me spondie at hotmail dot com.

Really know how you feel with keeping it all together - i've had a similar thing supporting dp through depression, breakdown, 6 months off work, then dd2 having tests for brain tumours (which turned out to be fine) - it gets to the point you feel full up and if you have to cope with one more crisis or upset your head will explode.

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MellowMa · 11/06/2007 10:30

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StifflersMom · 11/06/2007 10:33

Boco that's lovely of you but what I think I'll do is have my own copy and then I can keep it forever and refer to it as needed. I'm hoping DH wll read it to. But thanks load though. Yes I remember your threads about DD now; I posted on them (in usual name). Was so relieved for you when it turned out to be ok. Are they still saying it's just "one of those things" and does she have to have any follow ups?

Thanks for the email addy as well. I have added your to my address book.

Yes I often feel, say even that I (we) can't cope with "one more thing".. but this is unwise it seems because then "one more thing" happens.. and it's usually a biggy..

Have also become stupidly and irrationally obsessed with looking for sodding magpies because in my (deranged!) mind it honestly does seem that only nice things happen when I see two instead of one (as in "1 for sorrow.. 2 for joy.."). I am no doubt creating this cirumstance for myself, and definitely the anxiety with it, mad bint!

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StifflersMom · 11/06/2007 10:34

Send it to MellowMa Boco

Thanks guys.. you have changed my morning. I am going to go and do something productive now.

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StifflersMom · 11/06/2007 10:36

Will post back with updates. Please do so too!

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Boco · 11/06/2007 10:47

Yes, just one of those things with dd - they haven't seen a scan like hers before, she's a medical marvel! Scans still going to addenbrookes for one last report, but she's fine.

The magpie thing, seem to remember that's like 'magical thinking', when everything feels like it's out of your control, it's easy to start looking for signs and believing things that aren't logical. When a friend of mine is anxious she has to get dressed in a certain order or she'll have a bad day.

Mellow do you want to borrow the book? Email me if you do.

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MellowMa · 11/06/2007 16:43

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yummymummy06 · 11/06/2007 21:25

Hi SM.

I feel exactly like you. I suffer with really bad anxiety, like you, reading things on the net that will then trigger me off for the whole day. OH works away all week and I have 2 young children and I worry constantly about our relationship, even though I trust him I still have bad thought that get into a massive problem in my head. We have had our problems but things have changed now.

I have the HV coming over tomorrow as I told her I can't talk to my doctor and she is coming to talk through how I feel. She did say last week some medication might help and cognitive theropy may help. I didn't really want anti d but this is the second time I have had a down few weeks since my DD was born 9 months ago and I just feel it's getting worse.

I hope you feel better soon and in a way im looking forward to talking to the HV tomorrow.

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lizyjane · 11/06/2007 21:52

Hello SM

My heart went out to you when I read your OP. You sound like me a few years ago. I was told that crippling anxiety, if it goes on for long enough, can turn into depression. I took Prozac (after trying other ADs) and it really really helped. After I had been taking it for a while I was also referred for CBT which also helped. I don't think the counselling would have worked for me otherwise, I wouldn't have had the kick start. I didn't find that I felt falsely happy on ADs, just that I could think in a normal way again. I still experienced the ups and downs of real life, but without crippling fear all the time. The relief was overwhelming. I now manage my occasional flare ups of irrational anxiety with acupuncture. I also know that if things ever get really bad again I don't have to put up with it, something can be done!

I don't want to be pushing ADs, just wanted to say to you and yummymummy that they were helpful to me.

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MellowMa · 12/06/2007 09:31

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StifflersMom · 12/06/2007 14:24

Thank you Lizy and Yummy. I hope your chat with the HV goes/has gone ok today Yummy.. please let us know how it went.

I felt better for much of yesterday and found myself thinking "..you don't really want to take "brain chemicals" do you? You don't really need them surely..." but then, this morning, back comes the anxiety. I seem to be worse in the morning generally (unless I get a "trigger" later in the day) and I am aware of how my anxiety affects members of my family. Because we are living under such stress for various reasons, DH has his own "anxiety" type issues; they don't manifest in the same way as mine, but because I often feel irrationally scared about things I obsess over everything in an irrational way I often question HIM about things or even accuse him of things he hasn't done just so he can reassure me. This in turn, make him feel pressured and stressed.

I am also not as patient with the kids as I would like to be.

My "sort of plan" is to wait for the book to come, see what it has to offer me, and then reassess whether to go to the doctors or not.

I never thought I'd be like this. I've always been a bit "highly strung" but I never thought I'd be like my mum, who took valium for a good part of my childhood. As far as I know I can't take that anyway because it is a tranquiliser and you can't take those if you drive... but still.. I did think I was better at handling "stuff" generally than my mother but it seems not. (She doesn't take them these days but she's still not at all laid back).

Thank you for the input. Lizy, when you used the term "crippling fear" I thought yes.. that's what it is! It is a horrible feeling, being crippled emotionally by a fear that won't go away. I'm sure this is not how life is supposed to be lived!

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saythatagain · 12/06/2007 15:24

I've just started taking Prozac (coming up to a month), I went back to see the doctor yesterday for a follow up appointment. She's increased my dose to 40mg. I too, hovered for a long time as to whether I should go done this road, but now I'm glad I did. I do feel an awful lot better and really wished I'd done something about it a lot earlier. I can't stress enough how much better I feel.

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lizyjane · 12/06/2007 15:31

Just wondering what your specific worries were about ads? It is such an emotional subject. Perhaps asking your doctor exactly how they work might go some way to allaying your fears. My own understanding of the modern AD is that they regulate the amount of serotonin that your body produces. This is the chemical that enables you to process and cope with anxiety in a normal manner. So in that sense they are not 'mind altering', you will just react to events without 'over-reacting' iyswim. I took them in the end, after a great deal of heart ache, because I came to feel that I was entitled to live a normal life without being afraid all the time. I also became aware of the pressure I was putting my dh under as I was incredibly difficult to live with.

Am aware I sound like a rep for an AD company, I don't mean to. Taking or not taking them is a very personal decision. Best wishes xxxxx

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bundle · 12/06/2007 15:34

the antidepressant citalopram is v good for treating anxiety and it has a wider margin for increasing dosage, but obviously depends on what your doctor thinks is right for you

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bundle · 12/06/2007 15:35

(ie citalopram has a narrower "target" in the brain, and has the best side effects profile)

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