Do you take meds in the evening for this?

[SpaghettiFingers]

So I am on antidepressants and having cbt…. I’ve ended up in a bit of a cycle where I’m not coping in the evenings and at night and I think I need to speak to the GP.
The later it gets in the day the lower my mood gets.
I get so restless and agitated and work my self into a state.

I then self harm to take those feelings away.
Which then helps while I’m doing it but then I feel worse because I’ve done it.

I’m then in such a mess that I can’t sleep and my head is racing at 100mph.

Lay awake most the night having horrible thoughts and wondering if I can keep my self safe.

Then spend the whole of the next day shattered and anxious about evening coming round and it starting all over again.

Have any of you experienced this and is there anything the GP can do to help?

I think you need to speak to your doctor and perhaps have a stronger dosage of the medication, or even try a different one.

There are anti depressants that have a sedative effect. What are you taking currently?

DD's on antiDs which she takes in the morning, but then takes a beta blocker in the evening to help with anxiety which gets worse when she is tired.

Speak to your GP about how you are feeling and see what they suggest.

Currently on sertraline 150mg, my mood has improved in the day time and feel much better until the evening.
I’ve had Propranolol previously which didn’t seem to do anything to help.

What time of day do you take your sertraline? I also use a SAD lamp - it makes a very big difference to mr and very quickly.

Usually between 5-7pm ish. I used to take it around 10pm and tried to move it earlier to help but it hasn’t made a difference. It’s like a switch flips and it’s game over regardless of what I’ve tried.

Have you considered splitting the dose so you take, say, 100mg in the morning and 50mg at tea time or bed time?

It has a roughly 22hr half life which means after 22hrs, half the dose is still in your system, so this would top you up more often?

Or take it all in the morning if it's wearing off by evening?

That’s definitely an option worth trying. Not sure if that would help with the evening anxiety and not being able to sleep?

Sorry to hear this OP. I am having the opposite problem and struggling in the morning then feel good towards the end of the day. I actually did a thread about it.

I agree about maybe considering upping the dose or changing when you take it.

Just a few things you could try (that have helped me a bit with my tough mornings):

• not going too long in the day without meals - I think my morning low was because of going a while without food
• some light exercise in the lead up to when you know you usually feel worse. I have been doing the Joe Wicks 20 minute work outs and they have helped me in the mornings.
• kalms one a night sleeping tablets and chamomile tea before bed are really helping me to feel sleepy. Also rescue remedy for if I wake in a panic.

What are your days typically spent like? Are you working from home and feeling isolated? Do you have any hobbies you could schedule for the evenings or things for yourself?

I could adjust the timing of taking the meds but unsure if this would just shift the timing of the struggles I’m having rather than stop them?

I’m working and in a busy environment so not isolated and lots of support around me etc but the longer the day goes on the worse I start to feel until it suddenly escalates past the point that I can do anything to stop it.

My appetite is poor, I’ve lost weight, just completely off food and feeling really anxious.
Due to getting little and poor quality sleep I find I’m both physically and mentally exhausted so struggle to get out and do anything. Normally I would love going to the gym x3 a week etc.

I was given Zopiclone a few months back to try but this didn’t seem to help or stop the ‘crisis’ episodes.