A is for Anxiety

I’ve been on 5 mg of Celexa (GAD) for eons now, I think. Well, until last week, that is. I’d accidentally skipped a few doses, which is how you do it if you’re trying to wean off, and I thought “Hmm, maybe I could try to not take it for a little while and see how things go.”

To be honest, a week later, I’m a bit of a mess. Wound as tight as a too-tightly-wound guitar string being strummed by a ham-fisted drunken sailor. I can’t believe that 5 little milligrams of that crap were taking this much of an edge off!

I hate having to take meds to deal with life. I hate how it kills my sex drive. I hate having to remember to take it every day, like I’m on birth control or something.

So I went to a natural foods market today and the owner suggested this stuff called Gaba-Calm. It’s GABA (gamma-amniobutyric acid), glycine, N-Acetyl L-Tyrosine, and Taurine. Sublingual.

Haven’t even cracked the seal yet. I’m expecting it to not work.

Sigh- I am strung out on anxiety. I cannot calm the F down.

Yours,
Ninnyhammer

I just started Celexa… so let’s see how this turns out.

Has it really messed with your sex drive? Shit…

Sadly, yes. But everything else about Celexa is good. I mean, if I’m feeling this nutty, then it must have been helping immensely. But yes, let’s just say it’s been rather hard to…uh…finish…(I’m female) And that sucks for me.

I have not tried Celexa. I am on Paxil for my anxiety (which is accompanied by agoraphobia), 20mg once a day. I recently missed two doses in a row very much by accident…I was amazed at how awful I felt. There a very noticeable difference in me that other’s noticed as well.

I will tell you that on the Paxil, I actually have increased sex drive. I don’t know if it’s the drug itself, or the fact that I’m not freaking out all the time. I used to have a fairly high sex drive for a woman my age (mid-30s) until the last two years when the anxiety set in. I feel back to my old self now, and I’m loving it. Not to sounds like a commercial, but you may want to ask your doctor if Paxil is for you.

You have my deepest sympathies.

I took Effexor of years, it was great for my depression and anxiety. Then, it stopped working. After trying Prozac and Paxil to no avail, I switched doctors. A blood test revealed that I had hypothyroidism! Was this the cause of my mental health issues? Turns out, I had depression, anxiety and hypothyroidism. (Apparently, I was behind the barn when functioning endocrine systems were handed out.)

Now I’m on Zoloft. Its ok, but not great.

Keep trying. Hopefully, you’ll find something that works. Good luck!

I agree with this! Ask your doc for something else. If it doesn’t work, try again. I tried Effexor and it did nothing, I was on Zoloft for a while. It worked at first, but then stopped being effective for me. A lot of times it’s trial and error. It sucks, but there it is.

I don’t want to hijack this thread so feel free to say “open your own thread”, but my GF has been on Effexor for a few months now, and doesn’t like to talk about it all. I mentioned it a couple times, to find out if it was working, if there was anything I could do, etc. I admit part of my reasons for asking was worry about US, not just her, but only a small part.

So I guess my question is was her reaction to any questions (I don’t think she knew about part of my reasoning, but then again she isn’t stupid and she knows me well so maybe) about it, her and the problem normal? Anger/embarrassment/refusal to even talk about it?

Ugh, I know how you feel; I really do. I have been on many drugs for anxiety and depression(never Celexa, but it’s next on my doctor’s list for me), and finding one that works and that has side effects that you can tolerate can be a very long process. Between weight gain and sexual side effects, I haven’t been too lucky, but I’m currently taking Effexor XR and Remeron. I shake and twitch and I’m gaining weight, but my sex drive is coming back, so…yay?

Hang in there and keep trying. There are LOTS of medications out there to discuss with your doctor.

Mental health is a difficult thing to talk about. Its frustrating. In my case, my rational mind knows that everything is OK and what I feel is just a physical reaction beyond my control. My emotional side joins up with my physical feelings, i.e. *This is awful! We feel horrible. *

This duality is tough to live with, and even harder to explain to others. There are times I wish that the Vulcans were real, just so I could learn how they cope! Also, mental health gets put down a lot. (My stock answer to “Its all in your head” is “Yeah, and diabetes is all in your pancreas. What’s your point?”)

Let your girlfriend know that you’re willing to listen to her and not judge her. I hope both of you do better soon.

Some anti-depressants like Effexor have very short half-lives. If you skip a dose, you feel it almost immediately, and your brain reacts very negatively.

Me, I should be back on Prozac. I was taking a maintenance dosage, but I let myself drop it, figuring that a) I was doing well emotionally, b) I had enough other meds to take, and c) I have to take it with food in my stomach, which I never remember when I’m eating.

Now I really know I need to go back on it, because just last week I caught myself wondering why I was sleeping ten and eleven hours a day and still feeling exhausted, why I couldn’t get crap done, why my temper was frazzled to a quarter-inch long, and why the hell am I having intrusive thoughts about suicide. Oh. Uh. Cause maybe I’m having a bout of depression? Ya think?

The suicidal ideation is a new one for me. Showed up about a year and a half ago. Thank God it’s only, “oh, so this is why some people kill themselves. Don’t blame them.” instead of “Must…DIE…” It also evaporates as soon as I consciously notice it. The moment it moves past that, I’ll be camped out in my doc’s office, looking for answers.

Everybody with an anxiety disorder should also be engaging in Cognitive Behavioural Therapy (CBT) as well as taking meds. You can recover from an anxiety disorder, but you have to want it badly enough. When I was so strung out from the drugs that my doctors kept giving me (drugs on top of drugs on top of drugs - Wellbutrin plus Zoloft plus Xanax plus the meds for my ulcer - every time I went back to the doctor and told them the side effects from all the drugs were unbearable, they prescribed more drugs), I reached a point where I preferred the anxiety to the side effects from the medication, and I haven’t looked back (over three years medication free now). Drugs are not the final answer to anxiety problems.

Since discovering that you can recover from an anxiety disorder and participating in a self-help/support group, it really disappoints me how the word is not getting out about this. I think we have about a hundred people living with an anxiety disorder on the Dope, and about two people who know anything at all about CBT and the possibility of recovery. It frustrates the hell out of me. Of course, people who recover from anxiety and don’t take drugs any more aren’t making anyone any money.

I’m on, are you ready?!?

Zyprexa 15mg (anti psychotic - great for severe anxiety)
Xanax .25mg as needed
Lamictal 125mg (mood stabilizer)
Cymbalta 60mg (anti depressant)
Cymbalta 20mg (anti depressant)
Ambien 10mg for nightmares
Prozac 60mg (anti depressant)

I have major depressive disorder. It’s sort of like manic-depressive, but instead of the mania, I get suicidal. I have been under the close watch of a fabulous psychiatrist for eight years now. And it has taken most of that time to get me on the cocktail I’m on now.

I get seriously suicidal every October. No reason that we can figure. Last October I finally had a plan and was at peace with my decision. That’s when I realized I needed to call my team of doctors together.

Hang in there - you’ll find the right med eventually and that makes it all worthwhile.

PS - my hubby and I had wild sex tonight and I managed to have TWO, count them, TWO big O’s - even with all those meds I’m on. . . .

Obligatory IANAD. (in response to the OP)Heeeey, I’m on Celexa! We can be med buddies :slight_smile: I must say though that you are either very sensitive to the med or have a very low body mass, because 5mg is an exceedingly low dosage. I take 40mg and that’s considered moderate. As for missing doses, SSRI works by building up in the bloodstream, so at least for me personally I only start feeling wonky if I forget for more than 2-3 days in a row.

I too can sympathize with your sexual side effects, as I’m in the same frustrated boat sometimes. I asked my doctor about it once, because I thought it was just me, but it turns out that Celexa has a very high chance of causing anorgasmia, or ‘not being able to finish.’ Shit one time I had an erection for 30 minutes and I couldnt fucking bust one out, know what I mean? But, it doesn’t affect me all the time, and I dont dare go off the medication atm so that’s life I guess. My doc said if the sex thing was a big cause of angst that I could switch to wellbutrin, but I’m otherwise fine so I dont want to switch.

As for the natural medicine thing, I’d be very careful. It’s probably not FDA regulated. At best it does notthing, and at worst you could really hurt yourself.

Good luck and dont forget to ask your doctor!

Honestly, this is one of those symptoms that’s easier to deal with early rather than later. The longer it sits in your brain, the deeper your brain gets in the rut. Being aware of these thoughts, you have more power over them than after you get used to them and they become part of the daily background noise. Please don’t wait to talk to your doctor about it.

featherlou, I’m also a big big fan of cognitive behavior therapy. I still take meds (paxil + remeron) but I would never have recovered without also doing CBT. At the risk of sounding like a cultist, I still keep my copy of David Burns where I can reach it easily.

Not-funny-at-all thing is, it happens to anybody - as soon as we have the flu, or a cold. Some people can be sick and say “ok, it’s just a cold, I feel like shit today and tomorrow will be worse, but in a week I’ll be fine.” Some - ugh, my grandparents are so used to having cast-iron healths that when they’ve got a cold they call their daughters daily with the medical report! “But, honey, I feel like shit, shouldn’t I go to the doctor again? I know your daughter took me but I think blows nose, doesn’t apologize it’s worse and how can I be sure the doctor was right? I mean, he was such a young little thing!” (Grandma is 93, when you’re 93 anybody is a young little thing)

When you’re sick, the organ that gets affected for sure is the brain. Some illnesses happen to affect only that one - doesn’t mean they’re somehow “less serious” or some sort of excuse. But if our society’s view on illness as “weakness” doesn’t help someone who’s on crutches, it’s even worse for someone whose illness isn’t visible.

I don’t want to be mean or snarky here, just wanted to clarify this point - there are many, many people with anxiety who can recover from it and be completely, 100% medication free. If you find that you still need medication, I’m not your doctor or your therapist and I won’t make any judgement on your situation, but being recovered from anxiety can mean no meds at all. (Dr. David Burns himself recommends CBT as the treatment of choice for anxiety disorders, and he’s not alone.)

This is simple (yeah, I know :slight_smile: ) anxiety disorder I’m talking about here. It gets more complicated when you start talking about bipolar and post-partum depression and the whole spectrum of other disorders that can have anxiety as a component of them. And, of course, all changes to meds and CBT and stuff should be done with a doctor’s supervision. A GOOD doctor’s supervision, not one who does nothing but write prescription refills and tell you you will have to take meds for the rest of your life for anxiety.

I wish I could sit down with each and every one of you who is suffering from anxiety disorder and guide you on the path out of the discomfort. There is absolutely no reason for people with anxiety to feel as badly as they do, for as long as they do.

There’s still a bit of a stigma attached to mental illness. It’s not always easy to shake that feeling that it’s due to a weakness of character, or that it’s somehow your fault, even when you know that to be absolute nonsense of the highest order.

IANAD but I have to back up **featherlou ** here: Anxiety can cured. Not just treated, but cured. I’m citing Martin Seligman, I believe it was in What You Can Change…And What You Can’t. However, and this is important, it takes a *lot * of work. A lot of people (I’m speaking generally here) don’t want to do the work. They want to simulaneously keep living their lives exactly the same way they’ve always done *and * get well. It doesn’t work that way. You have to change, and be willing to make the change. I’m speaking strictly for anxiety, not depression, mania, schizophrenia, etc, but I’ve seen even those conditions improve when people were willing to change and accept and work with their condition.

I’m coming up on the 25th anniversary of my first suicide attempt, when I was 8 years old. Two years ago, I was finally done. I didn’t deserve to live and I decided to finally rectify this error. I had been in and out of treatment since high school: hospitals, in patient, out patient, group therapy, 12 step groups, EMDR, hypnosis, every med you’ve ever heard of, you name it, I’d done it. I was tired of it all, and I gave up. I ended up in the hospital (again) for a week. They put me on Cymbalta and Risperdal, since my mind was pretty far from reality at that point and I was dissociating all the time. 2004 and 2005 were, and remain, in a haze. I have very few memories from then; those years are gone forever. I was existing, if you want to call it that.

After I got out of the hospital, I spent 6 weeks in an intensive out patient program, which included CBT, DBT (dialectical behavioral therapy), anger management, relapse prevention, and a host of other things. After that, I spent another 9 months going to group therapy and invidual appointments. I had up to 4 appointments a week.

I went off the Risperdal in January 2006, since I was no longer dissociating. In September 2006, my regular doctor took me off Cymbalta because it was affecting my liver. That scared the hell out of me. I was sure I had to be on Cymbalta forever. I’ve been off all medications since then. I’ve had ups and downs, but overall, I’m fine. I don’t wonder what would happen if I drove my car off the bridge, I’m not tempted to jump when I’m at the top of a tall building, I remember what I did last week, and I know what day it is today. I’ve had one mild panic attack since then, and it only lasted about 30 seconds, because I stopped it before it really got started.

I didn’t actually start getting better until I had an epiphany driving in to the out patient group one day. I had the sudden thought that I was going to die if I didn’t change. My father committed suicide when he was 47. I didn’t want to die anymore. I absolutely could not have done it without the meds. I needed them to get my mind clear so that I could do the work. This is my story, and YM *will * V.

I won’t argue with those who are encouraging CBT, but meds work for me. I don’t want to report to someone else or share with a group, whether that’s me “not wanting to do the work” or not. Maybe if I get to the point where meds don’t work, I would pursue an alternative, but in the meantime I am treating a disease and that seems fair to me.

Fair enough. I’m booking an appointment with my GP for a follow up PAP, and I’ll bring that along with me.