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A few questions about antidepressants?

I have never taken anything before but I am having trouble coping since finding out about my husband's affair almost one month ago. 

  • Is there a difference between anti depressants and anti anxiety meds? 
  • What drug is considered "mild" with the fewest side effects?
  • Can my ob/gyn prescribe it if I don't really have a general practicioner?
  • Anything else I should know before taking this step? 

Thanks so much.  Really hoping it helps because I am having trouble going it alone.

 

Re: A few questions about antidepressants?

  • I'd suggest seeing a psychiatrist so that you can treat the depression/anxiety with therapy and meds simultaneously.  Plus, meds like that should REALLY be prescribed and the treatment regimen overseen by someone who intimately knows them and their side effects.  If you get sick with some mysterious deadly illness all of a sudden, it makes more sense to go to an infectious diseases doc than an OB/gyn.  Same thing with your mental health...go to someone who specializes in it, not someone who may or may not have any experience with it beyond med school.
  • imageUDscoobychick:
    I'd suggest seeing a psychiatrist so that you can treat the depression/anxiety with therapy and meds simultaneously.  Plus, meds like that should REALLY be prescribed and the treatment regimen overseen by someone who intimately knows them and their side effects.  If you get sick with some mysterious deadly illness all of a sudden, it makes more sense to go to an infectious diseases doc than an OB/gyn.  Same thing with your mental health...go to someone who specializes in it, not someone who may or may not have any experience with it beyond med school.

    Ditto all of this. I've rec'd anti-depressants from a GP before (still not a great idea), but I don't know that I'd ask an OBGYN for them. I'd highly suggest that you find a psychiatrist and/or a psychologist to help you work through the issues that are causing your distress.

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  • I agree with the pp's.  I've been on both antidepressants and antianxiety meds in my life and they were prescribed by a psychiatrist.  A GP or OBGYN might have some info on them, but it's better to go to a specialist who can diagnose you as either clinically depressed or suffering from anxiety.  Going on medication when you don't need it can worsen depression.  You never know the side effects of all of these meds so it's important to be under a specialist's supervision (i.e. psychiatrist).

    Example:  I was prescribed Wellbutrin for depression by a psychiatrist and after 3 years I got terrible anxiety about a life event.  The psychiatrist prescribed Zoloft to help. Even though she knew more about the meds than a GP, I got terrible debilitating vertigo from the Zoloft that neither myself nor the psychiatrist realized was related to medication.  I battled vertigo for 5 years before weaning off Zoloft when I was TTC and then realizing my vertigo went away.

    Are you exercising?  Exercise helps with depression and anxiety and it's a lot healthier than pills.

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  • You do not want to go see an obgyn for psych meds. It is like going to a podiatrist for your eye problem.

    Make an appointment with a psychiatrist. They are specialized for a reason. As for which one is the most "mild", it really is different for each person. Keep in mind that the first drug may not be the best and that some may take several weeks before you feel any effect. Are you have more anxiety or depressive symptoms?

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  • OP--If you're seriously depressed and think you might hurt yourself, please don't wait around for answers on the internet.  Here are some resources.

    Suicide Hotline: 1-800-273-8255 http://www.suicidepreventionlifeline.org/
    Crisis Chat: http://www.crisischat.org/
    Depression Forum: http://depressionfallout.com/messageboard.php

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  • I've taken both at different times.  I currently take anti-anxiety base on as needed basis.

    My psychiatrist advised me to not take most type of anti-depressants along with my anti-anxiety because I might have a chance of having hyper mania.  If I take anything like Paxil or Prozac, it will shoot me through the roof with the mania factor.  This is why it is critical to have a psychiatrist to analyze you first.

    I need something that relaxes me and brings me down and not the other way with my type of depressions.  Having highs results me to have a crash with lows which causes me to be depressed.

    I really hope you get the help and the type of help that you need, life is really tough when you are depressed and getting the right helps will make a world of a difference.  Many people are going through the same thing you are so you are not alone.

  • Same thing happened to me.  I had never taken any depression medicine until my ex cheated and left me.

    About six weeks after this happened I realized I needed something to get me through this.  It was the worst six weeks of my life and I wish I would have gone to the doc sooner.  I mainly went because I couldn't even sleep.  I would be up all night long fretting and anxious about what happened to me. 

    So my regular doc prescribed ativan which is an anxiety med.  I would take it when I was feeling overwhelmed.  In the beginning it was twice a day for a short period of time.  Then reduced to once a day for a few months and now I only take it every once in awhile when I feel a lot of anxiety.  You cannot stay on this medication for long periods of time.  It is really only to get you through the roughest times.  My doctor told me that now when I feel a lot of anxiety rather than taking the medicine I need to excercise and talk to friends/family/therapist.  Only if measures like that don't work should I take a pill.

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  • Thank you so much for all the responses.  I am not at all suicidal and sorry if my original post sounded more drastic than I intended - but I do appreciate the serious response and offered helplines if that had been the case.  I have been going to counseling and actually just came back from there.  I also walked outside for almost an hour today so I feel like I am doing what is within my control to feel better.  However, like dmndsr4eva said, I am feeling overwhelmed with anxiety about the affair, what my husband is doing now, etc.  It is effecting my sleeping, eating, and everything else.  I am also overhwhelmingly sad about the end of my marriage and the fact that he could do this to me.  That is why I don't really know if I need anxiety or depression meds b/c I seem to be struggling with both right now.  Anyway, I will take your advice to heart about the psychiatrist.  Thanks again.
  • You should ask your therapist for a recommendation to a psychiatrist.  The psychiatrist will analyze you and decide which medications will be most helpful to you.

    I'm not currently taking anything, but I have taken antidepressants in the past.  If you're having depression mixed with anxiety, there are medications to help with that.  At one point I was on a combination of two pills to balance out the depression and mixed anxiety.

    Hang in there and keep taking care of yourself!  You'll get through this!

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  • Anti depressants aren't a quick fix,  they are meant to be used in combination with therapy.

     

    also, stay away from alcohol while on anti depressants!!!

  • AD's and anti-anxiety meds won't solve anything, but when used and monitored correctly, they can "take the edge off" so you can deal with the real problems, through counseling and developing new coping skills. Prescribing is as much of an art as it is a science, and really should be done, especially initially, by a psychiatrist. Every single person will react different to different classes of meds and doses, so there is no universal "mild" or "least side effects" pill. There are constant changes in the world of psych meds, especially since depression and anxiety are the mental health problems du jour for pharmaceutical companies, and most GP's don't have much experience with them aside from med school and what pharma sales people pitch. 

    The biggest difference between AD's and anti anxiety is how you take them- AD's are taken daily to keep a steady level in your blood stream. Anxiety meds should be taken only as needed, and generally not frequently for long term use. AD's can absolutely be used to treat anxiety, and if your anxiety is not well managed with an occasional xanax, AD's would probably be the way to go. Alcohol and other negative coping skills will really hinder your ability to get better and will make AD's less effective. 

    Good luck.  

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