So, after going back again, to see my family Doctor, Dr S, he was genuinely concerned and felt alarmed that I had experienced no relief from my depression for so long. So, after two way dialogue, (like I said, he is a good Doctor; caring, respectfull and attentive - thankfully with no 'God Complex') he decided on MIRTAZAPINE widely recognised as an effective anti-depressant.
As with all anti-depressants, MIRTAZAPINE comes with a catalougue of potential side effects, which affect some but not all. It certainly affected me, I could not get up out of bed (not due to normal depressive feelings) as this medication knocked me out! I slept for 18 hours straight each night/day, woken up about 6 to 8 times with my heart racing, due to vivid and lucid nightmares. I lasted 7 days on MIRTAZAPINE before deciding I simply could not funtion on this medication.
Back to the Doctor, this time I was prescribed DULOXETINE (Cymbalta). Thank God! within a few weeks of starting this medication I noticed a cessation of suicidal ideation. In this respect, compared to CITALOPRAM it had a very beneficial effect, although I still felt very down and indeed depressed, albeit without suicidal ideation which I was hugely grateful for.
Again, I persevered for a long time, despite an increase in blood pressure (a common side effect) as to be free of suicidal ideation was wonderful, even though the underlying depression was still there. Once again, I hoped and prayed for a change in external circumstances to be the missing piece of the jigsaw and I also self referred for counselling with a charitable 'pay what you can' Psychotherapy/Counselling service.
Here I was given the option to choose which kind of therapy I felt would be most appropriate. All types of counselling were described in detail, so the client/patient could make an informed choice and better improve their chances of success. I chose Psych-Dynamic and met with my therapist E a week or so later (after waiting for approx 8 weeks).
E is a wonderful lady, it would be hard to find a more caring individual and she is very experienced and has certainly proven, already, to be more of a help than the 6 sessions of CBT which proved to be little less than interesting.
Showing posts with label CBT. Show all posts
Showing posts with label CBT. Show all posts
Sunday, 21 August 2011
More information about me
So where do I start? We all have our tale to tell and it would be great if others could share their tales (stories) in the hope that some of us may gain some help and advice.
I'm just a regular guy, at least I was up until November 2009. That was when I first started noticing very unusual feelings and thoughts: Major Depression as it turned out.
I had been under pressure for the previous 2 or 3 years due to the global financial crisis, credit crunch, recession, meltdown - call it what you will, as I am self employed and my business took a massive plunge in income due to the financial crisis, so much so that I had to survive on savings for large spells, to save from going under proper.
The constant non-stop worry about this predicament led to panic attacks, many sleepless nights, and generally being constantly worried about the future, 24/7, non-stop.
Then in November 2009 strange thoughts started creeping into my head, the kind of thoughts I had never experienced in my life before; life is hopeless / there's no point in going on / I can't take this anymore / things will never get better / I'm finished, washed up, a failure, a loser / people will look at me and feel pity for me when they see how far I've sunk / what's the point in going on? / you're completely on your own with this, no-one can magic this away! and so on and so on.
I was living abroad in a mainland European country at this point and got news that my father's cancer may be worsening and that my sister K was having a hugely hard time seperating from her partner and it was also at this time I felt the beginnings of a breakdow coming on due to my own problems, so after much thought I decided to go home, back to the UK, ( after living in this European country for 7 & 1/2 years and setting up a whole NEW life and network / circle of friends and associates - I left it all behind and dashed back home to Scotland in Feb 2010).
Once the honeymoon effect had worn off after moving back home having been away for 7 & 1/2 years (took about 3 weeks to wear off), I started to notice all the previously alien thoughts and feelings (as described above). So I made an appointment to see my family Doctor. He diagnosed Clinical Depression and started me on Citalopram (Cipralex), 6 weeks passed and I was no better, in fact I was getting worse; suicidal ideation was rampant! and the sense of hopelessness had magnified considerably. He increased the dose to the maximum recommended and arranged for a course of CBT.
3 months later I attended my first CBT session and attended the other appointments regularly, through to completion (6 sessions) I learned some new insights on depression from the CBT sessions but felt they were largely ineffective, so I stayed on the Citalopram, for a whole year, waiting for a change in how I was feeling, which would be brought on by a change in circumstances - my circumstances didn't change and my condition didn't improve at all. Many, many days were spent in bed with the curtains drawn, crying, feeling hopeless, isolated, lonely and bleak. I stayed on the Citalopram for a further year before giving up on the medication and seeking help again,
I'm just a regular guy, at least I was up until November 2009. That was when I first started noticing very unusual feelings and thoughts: Major Depression as it turned out.
I had been under pressure for the previous 2 or 3 years due to the global financial crisis, credit crunch, recession, meltdown - call it what you will, as I am self employed and my business took a massive plunge in income due to the financial crisis, so much so that I had to survive on savings for large spells, to save from going under proper.
The constant non-stop worry about this predicament led to panic attacks, many sleepless nights, and generally being constantly worried about the future, 24/7, non-stop.
Then in November 2009 strange thoughts started creeping into my head, the kind of thoughts I had never experienced in my life before; life is hopeless / there's no point in going on / I can't take this anymore / things will never get better / I'm finished, washed up, a failure, a loser / people will look at me and feel pity for me when they see how far I've sunk / what's the point in going on? / you're completely on your own with this, no-one can magic this away! and so on and so on.
I was living abroad in a mainland European country at this point and got news that my father's cancer may be worsening and that my sister K was having a hugely hard time seperating from her partner and it was also at this time I felt the beginnings of a breakdow coming on due to my own problems, so after much thought I decided to go home, back to the UK, ( after living in this European country for 7 & 1/2 years and setting up a whole NEW life and network / circle of friends and associates - I left it all behind and dashed back home to Scotland in Feb 2010).
Once the honeymoon effect had worn off after moving back home having been away for 7 & 1/2 years (took about 3 weeks to wear off), I started to notice all the previously alien thoughts and feelings (as described above). So I made an appointment to see my family Doctor. He diagnosed Clinical Depression and started me on Citalopram (Cipralex), 6 weeks passed and I was no better, in fact I was getting worse; suicidal ideation was rampant! and the sense of hopelessness had magnified considerably. He increased the dose to the maximum recommended and arranged for a course of CBT.
3 months later I attended my first CBT session and attended the other appointments regularly, through to completion (6 sessions) I learned some new insights on depression from the CBT sessions but felt they were largely ineffective, so I stayed on the Citalopram, for a whole year, waiting for a change in how I was feeling, which would be brought on by a change in circumstances - my circumstances didn't change and my condition didn't improve at all. Many, many days were spent in bed with the curtains drawn, crying, feeling hopeless, isolated, lonely and bleak. I stayed on the Citalopram for a further year before giving up on the medication and seeking help again,
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