Decisions Are Much Harder When You’ve Been Burned

I have talked a good amount about psychiatric medications and my need for them over the years. I also went into a lot of detail about how many of these medications made me feel.

Suicide Awareness WeekMental Health and IBDCheck Your Meds (These are just some example posts but if you search my blog, you will find a lot more)

When I had my appointment with my internist a couple weeks ago, I spent a good amount of time talking to him about what was going on with me. Aside from my sleeping and migraines, my life has been pretty good (knock) and I did want him to know what was going on with me as a whole person. When I told him I had an appointment with a sleep doctor, he said that was fine but he really believed my sleeping issues and anxiety were at least somewhat emotional.

He told me this is the best he had ever seen me but I am not “out of the woods.” I still deal with pretty significant health issues on a daily basis, I have a lot of change going on in my personal life, and some other “normal” things going on in my mind/body. After telling me he didn’t want to play therapist, he did ask me if I had ever tried CymbaltaIt is an anti depressant that works well for anxiety supposedly. I gave him a flat out NO when he asked me but later on I looked up the medication more in depth online.

When I started scouring the internet, the side effects that most patients wrote about were difficulty sleeping followed by feeling jittery/anxious. 

Obviously that doesn’t happen to everyone otherwise no one would be on it but how can I put something like that in my body after reading what so many people have said about those particular side effects? After all the trial and error I did over the years, how can I even begin to trust a medication like that?

I know many would say that I can’t give up because there is something out there that will help my anxiety and sleeping issues. I just haven’t found it yet but I never will feel better unless I continue to make every appointment I have to and do my best to trust the doctor caring for me.

I have felt positive about things since my appointment at the sleep clinic but even he said he felt I could benefit from something like Zoloft because it helps Post Traumatic Stress Disorder (PTSD) and anxiety better than other medications in that class.

I guess I just have to continue to see how it goes and take things one day at a time. There may be a time when I attempt one of these medications I detest so greatly now. And maybe there won’t be. I don’t know but I am determined to do everything I can to make smart, educated decisions about my physical AND emotional health.

  • Jodi

    As usual, listen to your gut and do what feels makes sense for YOU. Just an FYI- (i know you do a lot of research).. my experience with the anti-depressant/anxiety meds is that those side effects are those first 2 weeks when your body is adjusting and once they kick in, they go away. That was my experience with prozac, I was incredibly anxious for the initial 2 weeks, wasn’t sleeping and felt like, “if this doesn’t work soon I’m going over the edge.” thankfully, the meds clicked and everything went well. Not to say that you want to feel like that for any amount of time (you’ve been through enough and experience that already), does stop if you can endure the beginning. Again, that was my experience, but I thought the info might help. I hope you find something that works for you.

    • Marisa Lauren

      Thanks Jodi :) I have heard that about it taking some time. Just hard for me to wrap my head around putting that time in and feeling lousy when I’ve never had good results before. I always appreciate you sharing your insight with this :) love you!

  • Hope

    Antidepressants just don’t work for some people–and studies show they’re only slightly more effective than placebo. I’ve been on almost every antidepressant on the market in the US; I’m not exaggerating. They just don’t work for me. I’ve learned to manage my depression other ways.

    As for sleep problems being emotional–there’s no way your internist can know that without having a sleep study done. For years, I was told my sleep problems were caused by depression and anxiety, and I took tons of sleep meds that didn’t help. Finally, I had a sleep study done and, surprise surprise, I had several neurological sleep disorders. It wasn’t just in my head. (Well, technically, I guess it was, since they were neurological.) Getting the proper treatment for that helped immensely. And being able to sleep also improves my depression.

    So I’d say go ahead with the sleep study! If you don’t get anything useful for that, then you can go back to the drawing board with your internist. But it’s always helpful to get definite answers instead of just throwing meds at a problem and hoping you’re treating the right condition.

    • Marisa Lauren

      Thanks so much Hope for responding. Our situations seem kind of similar in this department. I’ve tried so many sleep meds and nothing gives me a good night restful sleep. Going to the sleep clinic was a great thing for me since the dr thinks both that and my migraines may be related to another autoimmune disease. So now I’m seeing a rheumatologist for the first time and even though I don’t like drs, I want relief. You have really great advice and reinforces that it isn’t just me who cannot seem to sleep. So glad you found some answers!

  • A Guy With Crohn’s

    And that is why I don’t take mental advice from a regular doctor. I prefer specialists for all my problems. If I had mental issues, I would use a psychologist or a psychiatrist.

    I always say, listen to your gut. Right not it is saying no to Cymbalta and you have a lot of reasons to say no. Remember, while some sympotoms might be rare, our bodies are already messed up and more subseptable to those side effects.

    Just hang in there. I am sure you will find something and someone that will get you to where you want to be.