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Tuesday, September 15, 2009 Hope asks

Q: Depression and anxiety are meds always needed?

Hi I have been suffering from anxiety and depression for many years.I have taken many different types of meds.My cnp says I have dysthymia[chronic depression].I have been out of work laid off for 7 months.When I was working I worked 50-60hrs per week that took up alot of time and energy.Since I have been laid off I have had some things done to my house that I could not when I was working so much.I was depressed and anxious when I worked but had less time to dwell on it.I missed a few days here and there because of the depression but was told often I was a good manager.My social life was always poor.I pretty much stayed to myself but had work friends but did not socialize with them out of work.I am now in a rut and do not have much of a desire to do anything.I spend much time by myself.I have a great family but they all suffer from depression.My question is when do you know you need to change meds? I have not made a effort to find a job because I told myself I wanted to get things straight.I am lucky that I have savings to get by.I am taking wellbutrin 300xl and klonopin as needed.The klonopin relaxes me but tires me also.I take up to 1mg per day as needed.I try to take less than that but it seems to do nothing.I do not want to be put on more meds because this is the least amount I have ever been on and Other meds had bad side effects with me.I used to see a therapist which helped a little but my co pay went up to 45.00 per visit.Any suggestions on new things I can maybe try depression support groups I have a hard time finding them in my area.Hypnosis?Any advice? I find myself with negative thoughts I am a loser,lazy,snap out of it,you will never find a job,why bother,put things off till your in the mood which ia rarely.Any advice would be great.Thankyou for your help

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Answers (1)
9/15/09 3:36pm

Hi Hope

 

I guess I would ask you, "What do you want to do with the rest of your life?"

 

It is a big question isn't it?  What is the first thing to come to mind as your answer?

 

Meds can help but it is my opinion that they can only do so much.  They can't chart a destination for your life.  They can't motivate you.  They can't give you purpose.  This could be a time to really delve into what makes you...you. 

 

Aside from the busy-nees and obvious...paycheck...what else did a job do for you?  What else can you see yourself doing? 

 

I am feeling from your question that what you are experiencing is more of an existential angst...of why you are here and what is your purpose...is that accurate? 

 

Let us know more...the more you talk about this...perhaps the more you will understand about yourself. 

 

Thank you for your question.

 

 

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9/16/09 10:45am

Hi Merely Me thankyou for your reply.Most of the things you said are right on target.When I was working I was just going through the motions.I was a ship with out a course.I felt like I was not living my life the way I would like to do.When I was laid off I almost felt a sence of relief.Of course everybody needs to work but I felt I would use this time to change.I have been thinking of going back to school and changing occupations.I may have to work at a temporary job until I am done with school to get by.I also want to get out more and do things,exercise,date,have fun,feel alive.I do have issues with the people that surround me now.I love my mother but she can be very negative.I am 46 you think that this would not effect me that much but it does.When I was growing up I raised my brother and sister my mother was an alcoholic and my father had mental health issues and was violent at times.I did have an angel that saved my life my grandmother who gave me unconditional love and who I stayed with often.She passed away 2 years ago at 89.What does all this have to do with now? My mother stopped drinking when I was 29 and has been sober since.My father mellowed out and his meds kicked in.My mother however calls me almost daily and can be very negative she never followed up with a therapist to resolve her issues.She tries to control people.My sister is very depressed I have given her suggestions on how to get help and talked with her but nothing has happened.I get the same call every day mostly from my mother and sometimes from my sister.They bring me down.How do I change with all these negative vibes around me? I used to try to heal everybody but that made me exhausted.How would you handle negative family members? I feel violated when I am harassed about what I am doing.My mother is trying to hold me back.My sister is a mess.What can I do to minimize the negative effects on me.You are right I want to change.But does this mean I will have to cut my family off?I need to focus on myslf now.Any suggestions would be really great.

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9/16/09 2:15pm

Hi again, Hope - I know I just responded to your question on this same topic.  I told you that I had a similar family background and I even had an angel grandmother who saved my life with unconditional love.  I'll bet you miss her a lot.  Mine died 33 years ago and I still miss her!

 

You asked about whether or not meds are always needed.  I don't know that they're always needed, but sometimes they can make you feel good enough to do whatever work you need to do in therapy.  It's hard work and can be unsettling and if depression and anxiety are getting in the way of making progress, or you feel like you're in a crisis situation, they might be quite helpful.  The trouble is, it's sometimes a guess as to which ones will do the trick for a particular person, so you need a lot of patience in that regard.  But, you've made the commitment to change and I think you'll do whatever you need to do to heal.  It IS time for you now, so I wish you the best!

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9/16/09 2:45pm

Hi judy thankyou for your reply.You are right something inside of me is saying I am not happy with my life now and I need to change.I think I may need to change my cnp.She sometimes takes days to return my calls which is very annoying.I also stopped going to my therapist due to money concerns maybe I can find some free help or groups to go to.Isolating myself does not work.Plus I need help dealing with my family issues.And above all I feel deep down inside that I need to change it has taken on a new life of its own.Thankyou for all your help.God bless you

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9/16/09 2:53pm

Hope, if you're not happy with your CNP, don't be afraid to change.  Your well-being is too important to have to put up with being ignored for several days - that sends a bad message.  I hope you can get back into therapy, too, or even a support group; I'm sure it's tougher now when you're not working.  But now, when you have the time, would be a good time to dive into it, if you can.  Good luck with your family stuff, I totally empathize.  You're the smart one.

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9/16/09 4:32pm

Hi thankyou for your reply.I think that a support group or therapy or both is the answer.Plus finding a responsible cnp would be a good thing.You are right being laid off it has given me time to think.I am sick of the emptyfeeling,lack of energy,lack of enjoyment that I have been putting up with for years.I will push myself to join a group and I also feel that exercise will help.I will try without changing my meds but will change meds if I cannot get to where I want to be.I will try to deal with my family and realize if I am not well I can not help others.Thankyou for all your help.

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2/ 7/11 6:52am

This is the first time I have been on this page but felt I needed to respond. There are times when I believe meds for depression are needed.... but for your situation I would advise that they really only be temporary until you get back into a normal schedule for your life. It is right to work, it is good for us. It gives us sense of purpose and accomplishment. 

 

We all need family and friends, but neither of them should determine your life. You are the one who is in charge and I heard it said before, if you want a change, make a change. Every individual can do this, regardless of family or friend influence if they so determine. 

 

Exercise is also very good and healthy. Fresh air, sunshine, a good workout, can give a person a fresh perspective on life. 

 

Lastly, I would advise instead of joining a group that may talk about problems and how to solve them, to join a good Bible believing church where you can make good friends, be accepted for who you are, and for finding God's plan and purpose for your life. He is the One who gives us purpose and when you truly find out what that is, then all other challenges of life seem so minimal in comparison to what He gives you to accomplish. 

May you find in all of this, balance for you life with true happiness and satisfaction knowing that you are fulfilling the purpose of why you are you. 

Jeremiah 29:11 

Blessings, 

Judy #2 

 

 

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By Hope— Last Modified: 03/30/12, First Published: 09/15/09