In this video, author and depression counselor Douglas Bloch talks about how to weigh the pros and cons of taking psychiatric medication. He also shares process that will help you decide if you should take antidepressant medications.
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Music: Somatou by Kakurenbo courtesy of http://freemusicarchive.org/music/Kakurenbo/Yukiai_No_Sora/3Somatou through a Creative Commons License.
What advice to you have for someone having taken SSRIs or SNRIs for 25 years and struggling with the side effects you’ve mentioned! However when I stop the drugs, even very gradually, I suffer severe anxiety, total loss of appetite and have got to the stage of contemplating suicide to relieve the agony. I was 1st prescribed these drugs for an episode of anxiety which affected my work in my 20s. I had experienced anxiety and panic attacks for years before this but never anywhere near the intensity on stopping medication. I still hope to get off them but last time was very frightening and hard for my family to witness and cope with
Good video, but I think it's important to also mention the more serious long term health damage neuroleptics can cause (e.g. heart disease, diabetes, hippocampal atrophy, kidney damage etc) and the addictive nature of psychiatric meds in general, as is now increasingly being revealed (even though the pharma lobby has for decades tried to suppress these findings).
Unfortunately, this is a very very long trial and error kind of experience. I've been tinkering with different meds and doses for 3 years now. I don't have any negative side effects that I can ascertain on my current concoction, though. Time will still have to tell. The only medication I regret having had to try was Abilify, as I gained 50 lbs from it.
i would like you to recommend me some medication. Since i often go through dark periods i am looking for something with the least amount of side effects, something that will help me feel numb or anything like it, i most likely dont have depression but i struggle a lot during these crisis, i'm probably suffering from Dhystymia
It is difficult to recommend medication because everyone's response is so different. I would work with a psychiatrist or a psychiatric mental health nurse practitioner to try medications. That being said, I and others have had a good experience with the antidepressant Wellbutrin
OMG!!all them medications
made me have daily
suicidal thoughts..it was
worst for me..so in my
did not work for me..So
i stopped seeing my
for help..i've given up......
i'm not suicidal,but just
having Bouts of Depression
I do not comprehend why to dislike the act of taking a pill that makes life more livable. Of course there are side-effects, but I find them clearly outweigh the relief they give. It is kind of somewhat exciting to have something that one can pop inside their mouth in hope of things turning brighter within only a couple of weeks.
The only thing I dread about ADs is the withdrawal, or not taking them. Cymbalta withdrawal is a living nightmare and I do not want to go through that anymore. If I'm to ever take Cymbalta again, that would be in a life-or-death situation, and will never even try to get off of that afterwards.
Hello from Australia. I'm struggling so badly and have for years. I'm trying a new med for me but its an old med itself, Nortriptyline and hope to God it kicks in soon.
Thank you for your excellent videos, you're wonderful.
Hi Douglas, I found the ending funny too and am glad that you left it like that.
I don't have a family doctor or GP to ask for a referral so haven't gone to a different doctor yet. I have been thinking about/doing research into depression/hopeless a lot and realised something.
I think I have situational depression. the reason why I got really depressed last Dec is because I went through a loss and yesterday my depression/hopelessness got really bad because of the result of the UK election.
The current PM made UK visa rules unfairly strict (even a spouse visa) when she was a home secretary and that is the reason why my British husband and I can't go back there. But the labour party is aware of this issue and they specifically said they were going to scrap the unfair requirement so I was really hoping they would manage to win. It would change our situation completely. But unfortunately the result wasn't good enough. It ended up being a hung parliament but the PM got help from a different party and she and her party is still in power.
This discouraged/disappointed me and took away all my hope even though I tried not to set my expectation too high. It made me feel "oh great, I'll have to be stuck where I am and suffer forever. Why do I want to keep going ans try so hard to survive when nothing is getting better?".
What can I do to cope with situational depression?
Douglas Bloch I see. I'll look into that. Yesterday I was physically unwell and focused on recovering from side effects, so my depression was sort of in a background. Today I'm feeling better physically but my depression has returned. Both days have been difficult. I think if i can find a part time job (I have been trying for a while but no luck) and have a routine, it might help as at the moment I don't and I don't have any reasons to get out of bed apart from doing chores.
Douglas Bloch Hmm not sure. don't think so. I got the medicine last August so it's been a while. i was in New Zealand for working holiday and am not going back there. Also she isn't a psychiatrist but GP.
My stomach is still upset actually(maybe I have heartburn too)
I didn't expect it to be this persistent. Does it have to be peppermint tea or any other kinds of tea helps this side effect?
Because yesterday was really hard, I haven't taken the medicine today.
I'm not sure if i can handle this. I've dealt with side effects before but this time although I took 5mg, I found it really hard to get through the day as I felt worse.
Dealing with depression plus side effects full time at home alone is tough. Yesterday I was feeling miserable too. just trying to hold on...
Douglas Bloch I had a rough day suffering from side effects after taking 5mg today. At first it was okay but got worse. the side effects are different this time. I'm dealing with an uncomfortable stomach and feeling more depressed/hopeless. The doctor who prescribed me Lexapro is in New Zealand (I switched it to paxil so i still have them) and I'm in Japan now so I don't have any doctors to discuss this.
I am going to do a series of videos on various disorders and social anxiety is one of them. Hopefully by the end of the summer. If you send me your email address I will notify you when I publish the video.
YOU SAID, "To correct chemical imbalances in the brain", around 7:18. You should know that there is no such thing as a chemical imbalance in the brain. There has never been any scientific evidence proving this theory. This was cleared up once and for all "many" times and documented in the most prestigious publications by some of the biggest authorities in the medical and scientific fields and again backed by the psychiatric community. The psychiatric pills that you speak of, actually create chemical imbalances by disrupting the natural chemical and biological processes that occur in the body. That theory of a chemical imbalance is used only by the pharmaceutical companies to sell drugs; their drugs do not correct any such thing. So stop spreading an old theory as fact, because it is a lie.
Hi Douglas, I wrote a blog today about the depressive episode I am currently coming out of and was wondering if you'd be interested in reading it. Or, on that note, if any of your viewers that are struggling at the moment would like to read. cheers guys https://www.reddit.com/r/mentalhealth/comments/6fw23c/depression_and_derealisation_these_alien_feelings/
I'm still waiting on it at the moment, I've been referred to a new mental health service via the primary mental health services on the NHS. It should come through in the next couple of weeks, but I've also been assessed by a mental health nurse which put my mind at rest about having other mental health conditions on top of depression and anxiety. I think Remeron has also been a big help, little side effects, just a couple of pounds added to my weight. A small cost for myself. P.s. That ending was hillarious
I basically finished it, I'll re-read parts again. Overall good book, being an atheist I skipped the religious aspects, but the rest is solid advice. I have had depression and anxiety 11 years, but I am only now really seeing how having a schedule/routine and things to keep busy are so key to keeping it at bay! I am going to work on making my days more fulfilling and meaningful.
I'm supposed to be sleeping and that ending made me laugh and wake up my dogs! Thanks Douglas! I've decided to try some meds for anxiety when I get back. I don't really want to touch the depression with meds yet, if that makes sense. I understand the "flat" feeling though. When mine were actually working, I felt flat. Very 2 dimensional. It sucked. But I think when I get back from the mountains I'm going to try anxiety meds first. Then see what happens.
That sounds good. What type of anxiety meds are you thinking of taking? Some SSRI antidepressants such as Paxil are said to reduce anxiety. Then there are the benzodiazepines such as Klonopin, Xanax and Ativan, but those should be used at low doses to prevent dependence.
Ketamine infusions are becoming more popular. Their positive effects are short lived, but people still find benefit. They are bit expensive and I don't think that insurance covers them. Check to see who offers the service in your area.
Ah yes, weight gain, I gained about 30kg in 2-3 months when I was on low doses (for my size) of Fluoxetine and Abilify, I went from 120kg to 150kg, I'm 1.97m tall so it's not that extreme, but now I'm losing a lot of weight but the striae are still there.
Nice error at the end :).
Doug, would you be able to make a video on the Depression, Sadness & anxiety that comes from a breakup & how to cope? I've been really struggling with this the past few weeks & would greatly appreciate your thoughts & guidance.
Douglas Bloch Thank you so much for planning to help us out with this. I originally found your work trying to understand the experience of depression & anxiety (my old girlfriend struggles with both) in an effort to care for her better, but your videos have helped me work through my own dark days. Thank you again, my Brother & I send much love & respect to you, your clients & the online community.
You are not alone. I have found that divorce/breakup is the most common trigger for depression. I will making a video of this in July. In the meantime, find a good therapist with whom you can process your feelings. If it is a divorce, find a divorce support group. These groups exist on meetup.com, and there may be other kinds of "break-up" groups. If not, you can start one. Also, there are probably good books on the subject. Google "coping with a relationship breakup loss" and you will get lots of information on how to cope. Here is one of the many articles that I found. http://www.huffingtonpost.com/2013/06/05/dealing-with-a-breakup-7-tips_n_3389381.html
Antidepressants are medications that can help relieve symptoms of depression, social anxiety disorder, anxiety disorders, seasonal affective disorder, and dysthymia, or mild chronic depression, as well as other conditions.
They aim to correct chemical imbalances of neurotransmitters in the brain that are believed to be responsible for changes in mood and behavior.
Depression Medications (Antidepressants)
These are the most commonly prescribed type of antidepressant.
Serotonin and noradrenaline reuptake inhibitors (SNRIs) are used to treat major depression, mood disorders, and possibly but less commonly attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety disorders, menopausal symptoms, fibromyalgia, and chronic neuropathic pain.
SNRIs raise levels of serotonin and norepinephrine, two neurotransmitters in the brain that play a key role in stabilizing mood.
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They are effective in treating depression, and they have fewer side effects than the other antidepressants.
SSRIs block the reuptake, or absorption, of serotonin in the brain. This makes it easier for the brain cells to receive and send messages, resulting in better and more stable moods.
They are called "selective" because they mainly seem to affect serotonin, and not the other neurotransmitters.