I recently started seeing a psychiatrist and was diagnosed with chronic reoccurring (see details below)?
I've been on Lexapro a month and it is working wonders...but kind of freaking out about the thought of eventually getting taken off of it...I don't want to feel the way I did a month ago..
Answers: I treat folks with both disorders and I agree that Lexapro works extremely well for the Depression and can help diminish the hyperarousal that is part of PTSD. General practice suggests that you should stay on meds for a minimum of 6 months once you've achieved full remission before attempting to discontinue meds, but there's no hurry if they are working well and some folks will need them for life. It's very likely that once your acute depressive symptoms resolve with the meds that you'll be able to use therapy to deal with the trauma and that may be the largest factor contributing to the Major Depression. Once the trauma is resolved, you may no longer require medication as it is fairly common to see a full blown Major Depression superimposed on PTSD.
As for the PTSD itself, I'd recommend EMDR (Eye Movement Desensitization and Reprocessing) particularly if your symptoms are the result of single event trauma as it often is the quickest way towards resolution. However, not all therapists are certified in EMDR and cognitive behavioral therapy is an excellent alternative, and can be done (and should be) in conjunction with EMDR as well. There are many approaches to CBT, desensitization is only one technique among many, and most therapists, myself included, draw from a multitude of CBT and object relations perspectives in order to help process the trauma. I also use VKD (Visual Kinesthetic Dissocation) which is an NLP (NeuroLinguistic Programming) technique as it is very helpful for decreasing the intensity of arousal due to flashbacks.
An excellent book, if you're in the market and have a history of repeated and chronic trauma, especially with childhood origins (what we call complex trauma) is The Trauma Model by Colin Ross. He is one of the leading experts and researches in the field and the book illuminates a lot of what happens when people are traumatized.
I have PTSD. It was at it's worst six months ago. I am coming out of it. Should last just a couple more months.
It was like electricity up my spine. It was pure HORROR!
Stop taking the Lexapro and pick up a Bible instead.
I never had ptsd but depression. I can only offer my experience with that. And the thing about the meds, you may not have to stop taking them until you feel comfortable without taking them. I took zoloft off and on for years. For depression. I really like zoloft a lot. After awhile though I got to where I want to try living life without it and my dr said to take less and less and I did. I dont take any atm and I am happier really than I was when I was taking it. Sorry to hear you have ptsd. The people that I know that have that smoke pot for it but I think they'd smoke pot anyway :P Most importand thing I think is to REMAIN CALM.
HI! I don't quite understand some of the negative responses you've been getting. It is great that lexapro is working for you. It is unlikely that your doctor will take you off it if you are really worried about the depression and stress returning.
My adivce would also be to try other forms of therapy.
You may want to try for example CBT.
and go to resources -> look at all options (pdf files)
I am sorry that you are suffering. Both depression and PTSD respond well to an SSRI like Lexapro. Don't worry about getting off of it unless there is a reason. We treat cancer, or diabetes with medication and we don't worry about coming off of the necessary treatments. Both of these disorders are real, with both anxiety and depression having a strong biological predisposition. I believe that most psychiatrists will tell you to stay on your medication from anywhere from six months to a year. Ask your doctor his/her opinion.
Generally, the best treatment for depression is a combination of medication and psychotherapy. The two types of therapy that have empirical evidence supporting them in the treatment of depression are Cognitive Behavioral Therapies and Interpersonal Therapy. Aaron Beck and Alfred Ellis have self-help books out that detail their cognitive behavioral approaches.
For PTSD, cognitive behavioral therapies have been shown to be the most effective. They involve desensitizing someone to whatever it is they fear-this is a simple explanation.
Hope this helps.
tyanna, the best advice I can give you is to listen to your Dr. and take one day at a time. I was in a horrific situation many years ago. I suffered from PTSD, OCD, clinical depression, just to name a few. Everyone is different, as to the level of severity relating to their medical condition. The time frame for medication, and therapy, differs for every individual. I was fortunate to have a great Dr., who taught me how to understand and cope with my disorders. Do not worry about getting off your medicine, you just began treatment, so do not even think beyond today. You need to take small steps, one day at a time, as to not overwhelm yourself. Tell your Dr. that you are afraid to ever feel the way you did a month ago, and your fear of being without the medicine. Your Dr. can alleviate your anxiety, by reassuring you, that when, and if you are ready, only then would that be discussed. Be as open with your Dr. as you can, and do not worry about saying anything wrong. Do not listen to people who judge you for taking medication, if you are being helped by the meds, and feel so much better, as you have stated, then that is great. Follow your Dr's. advice,and take your medicine as prescribed. It is your life and happiness, you do what you need to, and you will get through this.Best Wishes, and be well, irish
If you feel that medication is working for you then that's good. Years ago, I tried Luvox and then Paxil because I also was diagnosed by a psychiatrist with post-traumatic stress disorder and severe depression. Both times, I noticed very little change (other than strange side effects, ike clenching my teeth at night with Luvox). Then, when I stopped taking them unfortunately I attempted suicide both times. After all that, I never went back to a psychiatrist again. In 2004, after another very stressful event in my life... I cried out to God to help me. That's something I had never done before. He heard me - and instantly filled me with peace. Since then, I have been getting closer to Him through reading the Bible and He is showing me the way towards a better life with Him at the center of it. Instead of paying someone to listen to me, now I pray to some One who loves me!! Psychiatrists make money off of pushing prescriptions. There is nothing "wrong" with you! You have just been hurt deeply and are in need of healing. Give it all to God! Christ died for you and offers His love unconditionally. Hope this isn't too "preachy" for you. I promise, though, God will help you if you put your trust in Him.
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