What to do at crisis point

[Titian7]

Dh been extremely anxious and depressed for a month. Not left the bedroom and is crying and and distressed. Having very dark thoughts. Duloxetine for 3 weeks but he just got more anxious and agitated now fluoxetine for the past week. Thought I saw things getting a little better but he’s returned to the distress and agitation again. Don’t know what to do. Experience of crisis team and hospital was far from positive with a friend. Just feel stuck on what to do

Can you afford private therapy? Does he have private health insurance through work? Can he self refer. I'd say he urgently needs talking therapy and to continue with the ssri.

I think the crisis team is your first port of call. I've no respect for the crisis team and theyll probably not do much themselves but they'll be able to signpost you hopefully. He's not going to come out of there on his own.

Don't assume what happened to a friend will happen to your husband.

Call the crisis team now.

Well I have no time for the crisis team and think hospital stays are a nightmare (I’ve had many). But crisis is your only real option.

Hi op. I'm not familiar with those medications - are they SSRIs? I've been where your dh is and it's a horrible place to be and very hard for you a partner to witness. I would encourage you or him to call the crisis team. I did and was prescribed a short course of diazipam (I basically demanded them) which kept me stable enough to sleep properly and just calm the fuck down. It gave my brain and body the space it needed to just look after myself. Because that's the main thing here. Is he eating? If not, that won't be helping at all and I'd recommend at least giving him dioralyte to keep some energy going in. Lucozade even better. This one is going to sound very far fetched right now given what state he is in but can he get out for a walk at all? Can he stomach getting in the shower even for a very short period of time? Id also recommend Wim Hoff breathing techniques, you can find it easily in YouTube. The point of these little things is to distract the mind. Reset the parasympathetic system. It's all way above my knowledge in terms of how and why it works but it really does. Remember its small small steps to recover from this but I promise you it's totally possible. I don't want to count my chickens but I had 2 such episodes 18 months apart with the last one being nearly 2 years ago and while I'm in therapy and have to keep on top of checking in with myself, I'm doing ok. I wish you both well

Contact NHS Direct option 2 and speak to the mental health team.

@ThinkThrice thanks so much for replying the first a Snri the second (Prozac) a SSRI. The lack of sleep is a real problem. Hadn’t slept for more than 3/4 hrs a night for the past 18 months. He had his first episode 18 months ago . Will look into your suggestions

There are things GP can prescribe to help him with his anxiety and sleep deprivation Op (things like Diazepam/Zopiclone). I have been in that dark, dark place and once they prescribed me Zopiclone and I was able to sleep it did help quite a bit. I hope you both have support. Take care.

You need the crisis team, even to make sure he's firmly on their radar.
Do this today

I can’t believe you’re discounting crisis team on the basis of one friend’s situation.

What you describe is very serious and sounds close to suicidal. Surely crisis team is worth a shot at least?