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I am going to have to give in.

63 replies

OrmIrian · 23/01/2012 10:37

Sorry this is so long - I want to get it all down so I can get it clear in my head.

Off citalopram since last April after 3 years. It took ages to get clear of all the shitty symptoms but was doing OK. But depression is creeping back - had a meltdown last night and can't stop crying today.

Thing is I know the depression is a symptom of something else. I am utterly exhausted and without energy. Started a few years back. All of a sudden I couldn't run the distances I had been running, just was too tired. I persisted for ages thinking that if I just got on with it I'd run through it. After about 6m of this I started to let myself run less, and then less again. Then I allowed 'injuries' to be my excuse to stop something that I had loved but which know was just a painful depressing slog. I was always tired, slept all the time, looked like a deaths' head with huge bags under my eyes. No energy to do the things I used to do without a second thought. I put on tonnes of weight.

Menopause, I thought - I has been perimenopausal for a while but thought that maybe HRT would help. It did get rid of the nightsweats and hot flushes but did nothing for the energy levels. GP asked if I needed my citalopram levels changed. I wasn't depressed. I knew what that felt like and I wasn't there.

Come off citalopram? When I first started taking it I noticed how much I slowed down - which was what I needed at the time. Maybe coming off it would help.

Thyroid? TSH is normal according to uK measurements. As is everything else. GP asked if I was sure I wasn't depressed. I wasn't depressed. I knew what that felt like and I wasn't there. I was going to ask them to do further tests as in the US my levels would have registed as abnormal but TBH I can't face the hassle.

My life has shrunk to the essentials. Work, kids, housework. DH was out last wed night. The boys were rampaging round the house at 11pm because I simply couldn't summon the energy to get up and make them go to bed. My marriage is at breaking point because I have no time or energy for DH. I don't run because I can't. I don't go out because I am too tired. I am a waste of space. I wish my family had someone better. They deserve someone better.

3m down the line and guess what? I am depressed. But I am depressed because I feel like death warmed up and no-one can tell me why. I don't feel ill because I am depressed. I don't feel like I felt when I went on citalopram in the first place (I was anxious rather than depressed) but maybe it will work just as well.

So I am giving in and doing what the GPs seem to want me to do. It's just easier.

Sorry about the self-pity.

OP posts:
Grockle · 21/02/2012 13:00

Thanks.

I don't think it is normal. Could it be anything as straight-forward as anaemia? Have they tested for that?

OrmIrian · 21/02/2012 13:03

Yes. I had a full run of basic blood tests last time.

I've even wondered about CFS - but SIL has that and I don't have anything like her difficulties.

OP posts:
Winetimeisfinetime · 21/02/2012 13:07

TSH of 1.9, whilst within the normal range, could be high for you. I have hypothyroidism and when I saw an endocrinologist he wanted to get my TSH down to less than 1, as he claimed that is where most patients feel at their best, which makes a mockery of the 'normal' range. I also didn't feel cold all the time - I seem to go from feeling too cold one minute to boiling hot the next, but some of that is probably menopausal. I did have to fight to get treatment as my TSH wasn't that high but I argued that we have a strong family history of hypothyroidism and did eventually get a trial of thyroxine. One of the symptoms that I did have that you could see if it applies to you, was that the outer portions of my eyebrows were missing.

orangeflutie · 21/02/2012 14:21

Hi Orm I haven't got anything new to add, except I'm sorry to hear you're still feeling so awful:(

Hope your doctor's appointment goes well tomorrow x

OrmIrian · 22/02/2012 11:01

Got there, held it together for about 3 mins, then started blubbing like a child Sad I'm an adult. Why can't I behave like one?

He did ask lots of questions, mostly around the issue of depression rather than anything else Hmm He asked if I had thought of harming myself so I told him about the bridge.

Anyway he was fine. I have some more cit which I needed. He also told me I needed some more blood tests and to go back in 2 weeks. I guess it's the best he could do in the circumstances. But I suspect the tests will be clear.

OP posts:
strawberry17 · 22/02/2012 17:36

Hi OrmIrian, I'm glad you were honest with the doctor, and I know you don't want to hear this, but I have a strong suspicion that once the cit kicks in you will feel a lot better and all the withdrawals will clear, and then later down the line you can switch to liquid citalopram and taper yourself off it really slowly. I'm glad he's running some blood tests as well, did he tell you what for?

Xenia · 22/02/2012 18:15

I think there are two things. One is that you have something like ME and secondly that that is not surprisingly making you depressed or you have both.

I remember I had a virus for 6 weeks and I was not sad or depressed but I couldn't move much and it was very very physical not mental (luckily I got better). I will always remember the feeling of my huge strength of will but the exhaustion of the virus inside me. Get the thyroid tested too some UK tests are not good enough . Read up on it on US websites.

titferbrains · 22/02/2012 21:35

Orm have not read whole thread, really hope you are getting good advice, just wonder if you have thought about vitamin deficiences/diet issues? I have a friend who found thru some test after having a baby that she needed regular vitamin b shots and she says they are amazing, that they really help her energy levels.

Plus the usual suggestion to cut out dairy for a bit and then cut out gluten and see if either impact energy levels....

Hope you are feeling better soon.

Grockle · 23/02/2012 14:34

I'm glad you went, Orm. It sounds very similar to me. I had blood tests yesterday but GP already said they'll come back clear. So, back in 2 weeks and then a referral to the mental health team Shock

kizzie · 23/02/2012 14:58

Hi - really glad you got the drs. Tbh i think you did well to get to 3 mins Grin - when ive been in a state I cant manage 30 secs without sobbing.

Im on a low dose of ADs after lots of withdrawal issues (not sure what is withdrawal and what is ongoing hormone based anxiety/depression) and also at the perimenopause stage. For me I do wonder if its just a combination of things rather than just one. Maybe the same for you??

Anyway - hope things start to improve really quickly.

OrmIrian · 23/02/2012 15:06

Thanks everyone.

I honestly can't think any more about all this. I just feel like I am going round in circles at the moment. Fingers crossed that the ADs help. A bit of perspective is what I need most of all. Perhaps they'll give me that.

I really appreciate all the support and advice.

OP posts:
OrmIrian · 27/02/2012 11:16

Had a really good weekend. I took DS2 and 4 of his friends to a local zoo/adventure park for his birthday treat. I was dreading it a bit but it was a really lovely day - I felt really positive and when I was sitting in the sunshine watching them play I had one of those amazing moments when I felt I was glowing from inside. Just simply happy. Pre-depression I was like that all the time. DH and I also went out dancing on Friday and although I wasn't looking forward to it, it was great. Knackered and a bit down on Sunday and today but at least I know I can get there.

OP posts:
strawberry17 · 27/02/2012 14:18

Wow I'm glad you are getting some positive moments now that's good news, hope you go from strength to strength!

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