August 12, 2010

Will I Ever Feel Better..?

Posted in Uncategorized tagged , , , , , , , , at 1:53 pm by copingwithdepression

Saw the doctor this morning. Told her how I had been feeling over the last wk or so – staying in bed a couple of days, feeling useless, feeling like I wanted to end things etc… and she said she doesn’t really think I’m responding to the Citalopram. I’ve been taking 30mg for the last few weeks. She said I could either increase it to 40mg daily or change to a different anti depressant, Mirtazapine.

Now, that scares me. How can I not be getting any real effect from the Citalopram by now? Maybe it supports my original thoughts that I need to sort out my head and my negative thinking rather than take any drug. It also scares me that she is thinking of changing me to Mirtazapine. When I used to work as a pharmacist, Mirtazapine (Zispin) was always considered as a real “hard-core” drug for the complete looney bins. Honestly, I may be being really sterotypical here but 99.9% of the people who came in with scipts for it looked like real down and outs, absolutely horrendous!

It scares me that I might be like that myself now. I told the doctor this and she kind of laughed a bit. She said a few years ago when the Mirtazapine was quite new it would only have been prescribed by psychiatrists for the really bad patients to try it out. However now, it is quite widely used. She also says it can make you very tired and feel very hungry. The last things I need!

She also did another depression test thing, and I had only reduced 2 points on the scale from the first time I went to see her. She said I’m still very teary and quite unstable. Yep – agreed!

So, I’ve to try the 40mg for the next 3 weeks until she gets back from hol – and then review things.

I also asked her about the letter I had received for the assessment at the mental health clinic. She said I will be seeing a psychologist first who will assess me fully for about an hour, and then they will recommend what sort of therapy I need. It isn’t instant though. Once I see the psychologist I have to then go on another waiting list for whatever therapy is recommended… Phew… It’s hard work trying to get better via the NHS. Wish I could afford to go to a really good CBT counsellor myself – I might be a lot further down the road than I am now. Ah well… gotta keep fighting on.

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3 Comments »

  1. Princess L said,

    So pleased your doctor is being so helpful. I’m stuck on 10mg of citalopram and they wont do anything to change it.
    I hope your appointment with the psychologist goes well and the waiting list is short. Hang in there!
    (p.s. my councellor is a CBT one and she charges £35 p/h just in case you wanted an idea of cost)

  2. Kat said,

    Hi, Nicola!

    Does your NHS have Human Givens therapists? Can they refer you to one? Check the link and see if you want to try: http://www.hgi.org.uk/archive/Depression.htm

    You’ve started a new blog! I love the tag line, so inspiring!

    Talk soon,
    Kat

  3. No, it’s CBT only I think. Have my assessment appointment at end of Sept. The Human Givens stuff is very interesting though! Yes, new blog – helps take my mind off things a bit!


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