shoelover wrote:
Hi Lubear78,
I am a med student and have just finished a major neuroscience module so I just thought I'd contribute my knowledge on the subject! (I'm not claiming to be an expert at all, but I am fairly knowledgable).
In response to spiceitup's post: there is a huge difference between reactive depression (which would occur after the death of a loved one for example) which is completely normal and can be alleviated with the things that you have suggested, and major clinical depressive disorder which is certainly not just a mindset. I would certainly not suggest coming of the meds unless advised by your doctor, and withdrawal symptoms can be really nasty, even after only two weeks use so gradual reduction in the meds is definitely necessary.
All kinds of sexual dysfunction are really common side effects with nearly all types of anti-depressants because the chemicals and receptors that they're working on in the brain to restore a 'normal' chemical balance are also present elsewhere in the body. Sadly, there isn't that much you can do to help combat these side effects.
Definitely go back to your doctor and ask for advice, you may have a lesser reaction with other types of anti-depressants, the doctor really wants what's best for you and the only way for them to do that is to talk to them as much as possible.
Depression is not just a mindset, it's a clinical disorder and the meds are designed to help you get better (although sadly they're not perfect)! I hope this helps, feel free to come back to me with any questions and I'll do my best to answer them.
Hope you start to feel better soon, keep thinking positively, you can get better! :)
As per Shoelover's comments above and further to: this is not my area of expertise either.
A lot of what I'm writing, you may already be aware of. That's good. Therefore you may already have a measure of understanding.
I could reel off a list of other activities you could try, however, it would be trite and probably of no help. Nobody deserves that...
• Have you seen a Doctor about this already? If not, do so. It may not be entirely related to you medication. Before anything else that needs to be ascertained.
• You don't say how long you have been using Antidepressants, whether you are a man or woman (neither does your profile) or how long you have been experiencing your problem. This matters.
A wait and see approach is sometimes taken intially to determine whether your symptoms spontaneously resolve. If you have been taking antidepressants for some time and your symptims have only just arisen, make an appointment with your GP ASAP as it could well be indicative of other causes. A double appointment would be prudent to give you plenty of time.
Your biological Sex often has an effect on how antidepressant drugs affect Sexual Dysfunction; that is to say what type, how and why. It is very common and whilst undertandably it is incredibly frustrating, please bear with it until you have seen somebody.
As the medication is designed to redress issues with your brain chemistry, if tempted it would be exceedingly poor judgment to discontinue your drug regimen without first consulting your GP or if you have one, Consultant. It's easy to see why this would be an attractive prospect, but I would implore you not to. Doing this could potentially result in your depression relapsing and/or a frightening array of withdrawal symptoms.
Antidpressants can react unpredictably and undesirably with a wide range of prescription and non-prescription (i.e. over-the-counter, off-the-shelf and recreational) drugs as well as alcohol. It may be helpful to make a list of any you take so that you don't forget to discuss them with your doctor(s). I find it unlikey they are contributing, although as with anything, there's always a small possibility and ignoring them could be detrimental. You may then be able to discuss viable alternatives to these additional medicines, ones that do not disrupt the effectiveness of your antidpressants.
Given that different antidepressant drugs have varying degrees of success with many conditions (as Fluffbags mentions, they are also finding increasing use in the management of chronic pain), there should be at least one that will work best for you. Sadly they are far from perfect, so there is always an element of experimentation and compromise...hopefully one that you and your partner are both happy with whilst you get better. Again, your Doctors should properly counsel you in respect of these.
Please bear in mind: they whill have "heard it all before". Don't be frightened to discuss your problem with them. Take your partner with you too if it helps and don't shut him/her out if you are doing so already. This is hard on you both.
It may be an unpalatable truth, but these things take time, so be patient.
In the mean-time reasonable exercise and diet; good sleep hygiene and routine — decluttering your bedroom of electronics + work related paraphernalia/going to bed at a and waking at a reasonable hour may help you feel better in general. Likewise, try taking your medication(s) at exactly the same time every day as it may help in alleviating some of your usual side effects. Established routines appear to often be a good thing.