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Antidepressants

37 replies

FramptonRose · 12/01/2024 00:46

I started taking sertraline about 6 months ago, I had awful moods, massive anxiety and just felt more and more unhappy, my moods were really dependant on my period so GP put it down to the hormone drop just before my period starts.
At first (once my body got used to it) I felt better, definitely less anxious but I have found in the past month they have almost stopped working, I have gone back to feeling rubbish again. I am really not inclined to keep increasing the dose as I put off going on them for a long time as I was concerned about becoming dependent.

I just don't want to be a horrible mum to my kids and a rubbish wife to DH.

DH is fantastic, always supports me, very hands on, we have been struggling financially since COVID as his business was really affected but we are a real team and work together to get back on our feet, I just don't want my anxiety to creep back in as it was almost crippling and exhausted me in the end.

Has anyone else found something that worked better than antidepressants, even maybe therapy or any other adjustments to their life that helped them.

OP posts:
FramptonRose · 12/01/2024 13:48

PanickingAgainNow · 12/01/2024 11:53

Blimey, that’s unusual for a GP to have time to do anything other than write repeat prescriptions indefinitely

It was really odd and annoying as I keep having to pay for each prescription too which I think was stressing me out even more!

OP posts:
PanickingAgainNow · 12/01/2024 14:06

FramptonRose · 12/01/2024 13:48

It was really odd and annoying as I keep having to pay for each prescription too which I think was stressing me out even more!

That is normal to only get a months supply at a time so do have to pay each month

Raxacoricofallapatorian · 12/01/2024 14:09

Your GP was following best practice, which is what ideally they're meant to do for every patient who goes on them. Requesting frequent reviews doesn't necessarily imply anything about the proposed length of treatment — usually, once they're happy you're settled on them and they're working, the reviews should become less frequent, though everyone's treatment will be different.

You're right, though, that usually, the initial assumption for somebody being treated for the first time is that this is not intended to be forever. The standard recommendation is that you continue antidepressant treatment for at least six months after you feel better, after which you can talk to the doctor about seeing how you do without them. Different circumstances might merit different action tho obviously.

Since your doctor seemed to be conscientious about making sure you were safe and monitoring how you were responding when you started the antidepressants, I'd hope she would be equally good at helping you safely and comfortably stop the antidepressants when you decide to do so.

Ideally, finding the right antidepressant treatment is supposed to be a rational, planned process, where you feel you have a handle on what's going to happen at each stage and in the future. It shouldn't just feel like desperately increasing and increasing something that's not helping because you've no other option.

What's meant to happen is that they start an antidepressant either at the lowest effective dose, or building you up to the lowest effective dose. Then you wait for a few weeks/months, to see if that does the job. If it does, stay at that dose. If not, increase to the next step up, and same again. Maybe increase again if it still seems possible this drug may be effective at a higher dose.

If it feels like it's not even helping slightly at lower doses, or you've tried the maximum dose, or it's otherwise clear that it's not going to work — or you get a side effect you can't tolerate — you can start again with a different drug, or sometimes if it's partially working you can add another drug, though that's less likely. Or you can try other treatments without medication.

Sometimes people experience what you did, which is that the drug seems to work for a while, then stops. I know some people for whom that meant "right drug, too low a dose", some people for whom these poop-outs only happen after many years in a particular drug/dose, and very occasionally the odd person whose body seems to just get so responding to whatever drug at whatever dose after a fairly short while. The GP should still be able to respond to these with a plan of action that makes sense to you.

If you get a drug and a dose that's working, you stabilise on it for a while, then when the time seems right you can choose to see how you do without it. Again, this should be a planned, rational process, with explanations of what to do if you experience any withdrawal effects and how to manage them if you do, and what to do if your original symptoms come back, whether soon after or much later.

It seems like your family members maybe haven't had as much support as they ideally would've, with starting and stopping, maybe haven't been given an explanation of the plan of action, or their doctors are flying by the seat of their pants and being reactive, or they can't get the appointment time they need to sit down and put together a plan with the doctor that follows the guidelines, or they have complex, long-running mental health problems that perhaps aren't exactly the same as what you're dealing with. It's not supposed to feel that way, like ever-ramping doses then being left alone to deal with the consequences — I guess too often, because of lack of time and resources, it comes out that way, but your GP sounds pretty good, so I hope that they will be helpful, whether you decide to stick with this dose, increase it, come off them altogether, switch drugs, or whatever you decide.

BTW I get my ferrous fumarate really cheaply from Amazon or eBay — it's perfectly decent quality, and because I tolerate it fine I don't see any point in spending a fortune on health shop stuff Grin

Raxacoricofallapatorian · 12/01/2024 14:17

*the odd person whose body seems to just stop responding to whatever drug

MastieMum · 12/01/2024 14:52

@FramptonRose some swimming venues now run mental health swims so it's worth doing some local research. These are smaller groups, all people new to outdoor swimming, and all swimming for mental health reasons. And I've found other swimmers are super supportive when you're new and happy to answer questions. It does wonders for my mental health!

FramptonRose · 12/01/2024 18:37

I just wanted to say thank you to everyone for your fantastic advice.
I am going to book in with the GP to discuss the best thing to do regarding the antidepressants.
I have looked into the open swimming to find venues near me, it looks fab so would love to try it and am going to try amd set a routine of getting up early getting out with the dogs and getting all of the vitamins in I can.

OP posts:
Raxacoricofallapatorian · 12/01/2024 19:35

Good luck! The open swimming sounds promising, but even just getting out with the dogs at the start of the day could really help. What sort of dogs do you have?

mcmen05 · 12/01/2024 22:11

@FramptonRose I just started on 50mg today for a week and then increase to 100mg and to go back to Gp in 2 weeks
Good to read all the comments

FramptonRose · 12/01/2024 22:25

Raxacoricofallapatorian · 12/01/2024 19:35

Good luck! The open swimming sounds promising, but even just getting out with the dogs at the start of the day could really help. What sort of dogs do you have?

We have two Boston Terriers, they are mad but really do love an early morning walk so it will be great for them.

OP posts:
FramptonRose · 12/01/2024 22:27

mcmen05 · 12/01/2024 22:11

@FramptonRose I just started on 50mg today for a week and then increase to 100mg and to go back to Gp in 2 weeks
Good to read all the comments

Good luck with it all, I have had some fab advice on here.

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Raxacoricofallapatorian · 12/01/2024 22:45

Aw, Boston terriers 🥰 Always seem to know exactly what they want and will wear you down until they get it 🤣 (or was that just the one I knew…?)

Raaraaaaa9 · 16/01/2024 23:33

What are your thought patterns? Like are you anxious about anything particular? Do you mentally beat yourself up or ruminate? The reason I ask that I started antidepressants 6 months ago for anxiety which is heightened by my period (I'm 40) and I also started with a therapist who made me realise thT a big part of what I feel is how I think and talk to myself. It's been a slow and long process to start to change this and catch my thoughts but gradually it is working And the anxiety is at a minimum, but still pops up around my period

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