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Self-managing depression??

40 replies

MissChief · 12/09/2007 10:44

i'm going to give this a go before going the conventional route. I've done some reading and am going to dose myself up with fish oil high in EPA, take vit B complex, st john's wort, try to exercise (god knows when) and see if a miracle happens. Anyone else doing the same, like to keep me company? Or any tips?

By the way, I found a good link from a news article to www.wellnessshop.co.uk
It's an NHS-backed site (I believe) or at least it has an online CBT-course "Beating the Blues" via it which is NHS-endorsed. Unfortunately, it's by GP referral only but looks promising. There's also a "relief" section of downloadable advice for depression, insomnia etc - not sure whether it's worth it and how it differs from the free CBT one. Anyone know?

OP posts:
slim22 · 14/09/2007 01:29

Oh Harrissey, sorry to hear what you've been through.
I totally agree with you. If all else fails better see a Dr a take medicine and be consistent with the treatment.

One of my BF just had a shockingly severe and long episode of mania because she had decided in the past year that she could manage her bipolar condition on her own.
Trust your Dr if you need to.

Acinonyx · 16/09/2007 22:20

I have a very difficult time with meds (some people just don't find a good fit) and a psych told me my best chance to stay off them was exercise - at least 20 mins and to work up a sweat. Now I am truly allergic to exercise and hate classes. I also find that you get the most benefit if you do it first thing in the morning. My solution was a selection of dance workout DVDs - not too hard though! I could just get to it before taking a shower - I aimed for 3 mornings/week. It's also easier to organise when you're in the visious circle of being too down to exercise/go out. I stopped when pg and now dd is a toddler I'm going to start again - I think she might enjoy it.

I haven't cut alcohol out but I do monitor it as it does creep up. I don't eat much junk and I think losing weight helped. Like everyone else, I take omega 3 supps. I started taking a lquid iron supp while pg (floradix) and have continued as I think that helps too (and is easier on the system than the pills).

But I do think the biggest single helful action is regular exercise (unfortunately - it really does not appeal to me at all!). Jill

Donk · 16/09/2007 22:28

MascaraOhara - St John's Wort acts both as a SSRI and a MAOI - so if you take it you need to be a bit careful with red wine, meat, strong cheese. Like ADs you also need to come off it slowly - but it has far fewer side effects than the mainstream ADs.
It worked brilliantly for me after I threw the ADs back at the doctor because they made me violently sick for days.

AZmom · 16/09/2007 22:59

You all sound like you might have Chronic Fatgue Syndrome,the symptoms are the same as most of you have.I have had it forabout 20 years.It causes depression, fatigue,all kinds of symptoms.Low self esteem, then high
self confidence.A glass (one) of red wine is good for you.& the Omega 3s, & herbal,& vitamines.Exercise is good, dont set a high goal for exercise,if you are like me, I won`t
do any if I plan a high goal of exercise.You just have to get used to it,& try to be positive.Good luck.

MascaraOHara · 27/09/2007 21:46

hi, is anyone still following this thread.

I started back at the gym this week and had noticed an improvement in my mood.

Not tried any alternative remedies as yet but have been trying to eat well drink lots of water and now getting back ino the exercise regime.

MissChief · 04/10/2007 11:22

hi there, still here, just been avoiding things a bit recently.

To update, I've had several sesisons of CBT and I honestly don't know if it's helping. I'm so low that I'm not raiotnal enough to put the strategies into practice, I can read about them until the cows come homw but I'm not doing what i should be doing. I feel like I@m picking at some very old wounds which may be should have been left - as a result I'm physically low, knocked out with flu and off sick again and mentally feel imprsissoned inside my head. Sorry, I'm rambling. Just don't know what to do.

OP posts:
MascaraOHara · 04/10/2007 11:30

Are you taking ADs at the minute Misschief? they might help you know, at least to get you over the short term struggle with the CBT - things always get worse before they get better.. although I've no experience of CBT I'm afraid.

resigned · 04/10/2007 15:34

MissChief, you don't sound very good? I thought CBT was supposed to be good partly because it doesn't make you go over all the old bad stuff, as traditional psychotherapy does. Isn't it supposed to be positive, concentrating on the here and now rather than possible underlying psychological reasons? I've not had CBT myself though.

Maybe if you are not that well physically at the moment, you have too much on your plate to concentrate on the CBT and do the homework at the moment? Maybe it is too soon for you. Are you working as well? As MOH says, don't feel it is a defeat to take the ads if you are feeling so bad. As you know, I fully understand and empathise that you would prefer to avoid it but the most important thing is that you are ok.

For myself, I honestly think that I am benefiting from the SJW which I have been taking for over a month now. I am also taking a 5HTP tablet in the evening which may be helping too. I am not feeling 'rushy' or particularly 'high'. All the old problems and sadnesses (and some of the (irrational?) anger)) are still there. But I am finding that I am achieving more in terms of what I get done each day. Before I started taking SJW and 5HTP, I was having trouble just getting through the day in terms of organising food to eat, washing and clothes to wear, etc.. I wasn't really doing anything else and couldn't even think about looking for a job. I just felt exhausted and confused all the time. So it is a big improvement and, if things carry on this way, I will look to start working again. I can't believe it is just a placebo effect? I feel much calmer. I have had car problems and other stresses but I've managed. I didn't take the tablets for 3 days a week or so ago (just got lackadaisycal about it) and dd tipped red shower gel on the carpet. I lost my temper and shouted at her really badly. I felt awful and went straight back on the SJW/5HTP. To my mind, it's no coincidence that the only time I have lost my temper in the last 3 weeks or so was when I hadn't been taking them.

I've had health problems recently in terms of chest infections and asthma and I have felt tired all the time, heavy muscles, aching bones etc.. I still feel really tired but it is like a good tired instead of a bad tired, IYKWIM? I have also been taking a multivitamin/mineral, Omega oils, Coenzyme Q10 and Chromium. (I was determined to give anything a go in order to avoid the ads, even if it is more expensive that paying for a prescription.) Maybe some or all of these have helped? I'm not sure which ones but something is definitely working. I might even have enough energy to do some exercise.

Anyway, I am feeling better if not great. I was curious as to whether you might be feeling better too (as I knew you were using SJW) and I'm sorry that you aren't. BTW, don't feel you have to be the 'natural'/herbal cheerleader just because you started the thread. Don't feel you have to post at all. Obviously, if you've got flu, you feel rubbish and have to recover first. When you feel better, perhaps you could speak to the CBTherapist and ask whether it is normal that you should feel worse not better? Is it meant to be hard at first because you are making big changes? If not, could you change therapist? It's important to find someone that you feel relaxed with.

Hope you're ok.

MascaraOHara · 05/10/2007 09:03

Hey MissChief, just thought I'd post and see how you are...

piscesgirl · 05/10/2007 10:35

Hi there! Have just read this thread as I too have been trying to cope without ADS for about 5 or 6 months.

It is an everyday struggle, but I think you know yourself when things become so unbearable & each day is getting worse and worse with no change that maybe you need to seek further help.

When I get like this now I try taking ST JWort & it seems to get me back on track. It takes about as long as ADS to kick in but definately works for me. Also I try and get out of the house each day and most importantly I try & not be too hard on myself. I do love exercise as well but find if I dont keep it up I then beat myself up about that too. I go a power walk when DP home from work and kids in bed (gym too expensive, dvd's impossible with children around!).

I am ok at the mo so not on the ST JWort, that is what I like about them you can stop and start at your own discretion without all the dreadful side effects that I experienced on ADs. But hand on heart when I was really bad last year I dont think ST Jwort would have touched the sides. I definately needed the hard stuff to get me back to normal.

Anyway - Best wishes to anyone else out there trying to get by - an old song just sprung to mind " When this old world starts getting you down ....... " Up on the roof I think it is called ! Sorry bout that ramble but of course it has reminded me of one of my other depression lifters .... WHACK THE STEREO ON AND LISTEN TO SOME LOUD MUSIC! It helps me anyway !! big hugs xxxxxxxxxxxxxxx

resigned · 06/12/2007 15:52

Hi. Resurrected this thread.

I am intrigued by what Piscesgirl's said: 'hand on heart when I was really bad last year I dont think ST Jwort would have touched the sides. I definately needed the hard stuff to get me back to normal.'

I have been taking St. John's Wort and 5HTP with some success. I stopped taking them recently after a minor disaster and I'm feeling bad again. (Yes I know it is illogical to stop taking the medicine when things get worse, not better, but I just kind of crumpled. Christmas and the dark nights are not helping.) When I was taking them, I felt a bit more positive, more stable, got a bit more done, but not amazingly different.

I suppose I will taking the St. John's Wort again but are there any people out there who, like Piscesgirl, prefer to take St. John's Wort, 5HTP, etc., rather than antidepressants, but who have tried BOTH or use both at different times? Can anyone describe to me how they are different? Are antidepressants 'stronger' and can they really make you feel properly better (5 x better, happier) rather than just a bit more stable? Does it depend on what kind of or degree of depression you have. I've never been suicidal, am just very lethargic, apathetic, achey muscles, with some social anxiety thrown in. Short temper, very bad PMT, obsessiveness, indecision, procrastination...

(I know I should just blardy well take the things and find out for myself but I'm still resisting it. I just wish someone could give me a guarantee that I'd actually feel better!)

Any views on this? Please only post if you have tried both ways.

resigned · 06/12/2007 18:13

Anyone (bump)?

monkeybutler · 07/12/2007 15:41

Hi all, I tried exercise, diet, st johns wort, bit b, accupunture, counselling, cbt. Nothing touched my depression until I could clear the fog in m head. Prozacwas the key to my recovery but needs to be backed up with counselling or guidance. Good luck

ZamMummy · 19/12/2007 10:58

Hi guys, hope this thread is still up and running?
I just wanted to add my experience and recommend Patrick Holford's book Optimum Nutrition for the Mind and his website www.foodforthebrain.org
I have had (fairly mild) depression and panic attacks for at least 7 years; had 1 course of CBT which helped alot and 1 of counselling which didn't (v much a personal thing - relationship with therapist is key) plus been on and off low-dose AD's (Sertraline and now Prozac) which have probably been the most help overall.
I am now pregnant tho so trying to reduce my dose, (plus v fed up with no sex drive....) and was recommended the above book and website by my ob/gyn (!). Have been taking the various supplements suggested (you do a questionnaire on the website to see which ones are appropriate for your individual needs) for 2 weeks now and notice a BIG difference, also much quicker to kick in than AD's.
However I would definitely back up that self-management will sometimes only get you so far, there is NO shame in the AD's and if you find one that works for you, they're amazing, if only to lift you out of the hole just enough to for other things to be able to help.

Sorry for long post! xx

alleykitten · 12/01/2008 22:05

Don't know if this thread's still going, but I've self-medicated for SAD/ moderate depression with both 5-HTP and SJW and found the combination much more successful than either individually (or citalopram, for that matter). I found it enabled me to take a much lower dose of 5-HTP (the MAOI effect of SJW probably increases the serotonergic effect of 5-HTP), and while 5-HTP alone alleviated the worst bits of depression, it didn't exactly turn me into a motivated, functioning member of society like the combination did. I also tried SJW on its own on various occasions but with little discernible benefit.

My main warning would be to keep doses as low as you can get away with, because I did find weaning myself off them a bit tricky: nothing to serious but a sustained period of low mood and emotional wobbliness that lasted 2-3 months before evening out again. As it happens, I'd go back on both in a flash right now, but am holding off it since 20 wks pg despite feeling pretty crap. I can't wait to stop breastfeeding because I know how much my quality of life improves when I can take them!

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