Feeling awful.... what do i do next?

[Allaboutthecheese1]

I don't even know why i'm typing this. I'm desperate. Anxiety has hit me like a tonne of bricks and I don't know which way is up. My appetite has disappeared and i'm shaking.

I've been on sertraline 50mg for years - nothing has changed. My life is good, nothing above the usual stressors.

I'm waking at 4am unable to get back to sleep.

I need a handhold, a hug, some sleep, something.....

Sorry you are feeling like this. I wonder if you are perimenopause age? Anxiety has started with me when I’ve never had it before. Also the waking up etc.

Probably best to speak to a doctor. They will hopefully be able to give you some help / check your prescription etc.

Are you menopausal age or could you be coming down with something?

'Blips' are very common, even on sertraline/medication.

I would definitely make an urgent appointment with your GP.

Sending a hand hold and support. From my experience, these periods do pass but don't be afraid to ask for help.

Thank you for responding. I am 48 and started on HRT about a month ago. I feel like i'm losing the plot completely. This can't be normal. It feels very physical, but my brain feels full of fog, like a mist has come down.

I dont' know what to do with myself.

You mention shaking and being hit by anxiety - I wonder if asking for some propanalol or another beta blocker would help take the edge off and give you space to think.

If it hit you very suddenly and you're full of adrenaline you might also want to explore whether this is a state of 'hyper arousal' rather than anxiety. If so you might then want to reflect on the exact thing that set it off, and that might give you insight into what's going on for you and even give you a way out.

It’s worth exploring whether your HRT is at the right dose. Anxiety could be down to too much oestrogen, but brain fog and disturbed sleep could be not enough.
If you get the right doses then HRT is a total game changer.

I think it might be time to review and discuss your medications with your GP?

Maybe the HRT has caused a temporary disruption.

I have been taking Citalopram for a few months after a breakdown and I must say that now and then I do get a bit 'foggy'...not sure if it is the ongoing anxiety or the meds...

I'm on 2 pumps of gel and then the utrogestan pills for 14 days. I'd hoped the HRT would be helping but maybe it's not?

I don't really just want to bump up the AD's, I'd rather understand what's triggering this, as I really can't think anything has changed.

I could cry.

Sometimes nothing causes it. I would get a med review. Plus CBT can help.

Have you called your dr.my sertraline needed raised to more than what you take over the years and each raise worked and lasted a few years before it needed raised again

I don't have any answers beyond what is suggested above, but just wanted to send you a hand hold