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Thursday, June 11, 2009 Charlize asks

Q: What is the best medication for treatment of depression for someonne with ADHD who is not medicated

I am an athlete and entrepreneur, female, age 47. I am in a stable and healthy relationship, have 2 sons, 21 and 16. I have ADHD - but have managed it with out meds - although when I did take Aderal I loved it but was not happy about putting a stimulant in my body.  I recently lost my father after a long illness and I just opened up a beautiful fitness and wellness center after a harrowing bout of negotiations and other disasters.  I have suffered depression in the past during my divorce about 15 years ago.  I have recently put on 5-7lbs for no reason - despite my very healthy diet and strict regimen of daily exercise (1-3 hours per day).  I have recently suffered an alarming lack of muscular recovery (all over soreness), lethargy, sleepiness, a craving for carbohydrates, constant teariness, a lack of interest in sex and everything else.  I have been diagnosed with depression by my psychologist.  I want to go on a med which does not make me gain weight, does not make me sleepy or apathetic.  I am very concerned about my job - I need to be engaged to grow this business now - I am under great financial stress to do so.

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Answers (1)
Merely Me, Health Guide
6/11/09 2:14pm

Hello Charlize

 

Have you suffered from depression before this?  I am thinking that it sounds like you are grieving.  Antidepressants can help you to get over the hump but they will not help you to go through the process of grieving which will take time.  And too, every antidepressant will have side effects.  I think if you enter this with a proper mind set and appropriate expectations...meds can help. 

 

My best advice, aside from taking medication, is to allow yourself time to fully cope with your loss. 

 

Since you are also discussing the fact that you have ADHD, I want to tell you that we have an ADHD site here and you might get some better answers about your ADHD there.  Here is the link.

 

If you wish to make a decision about antidepressants...you are going to have to do some research.  I think you should begin by asking your doctor which medication would be best for you and your situation.  In the meantime, here is some information comparing the most popular antidepressants on the basis of side effects, etc.

 

I have heard good things about Wellbutrin in that it is not supposed to cause weight gain nor is it supposed to interfere with your libido.  This antidepressant is not without side effects however, and whatever medication you choose...be sure to read up on it. 

 

You could always choose more natural remedies such as St. John's Wort or SAM-e.  It just depends upon how severe you and your doctor feel your depression is.   

 

One last bit of advice is...don't sacrifice your mental or physical health trying to do too much right now.  Be kind to yourself. 

 

Good luck to you and I have every confidence that you will persevere.  And I am very sorry for your loss.

 

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By Charlize— Last Modified: 12/26/10, First Published: 06/11/09