system
Suggest treatment for depression and sleep disorder
human
I m a menopausal 48 yr. old woman who has somehow suddenly become depressed. I have beeen dealing with a lot of lack of sleep and disturbed sleep. I was always a little bit of a night hawk ; but only on the nights that I didn t have to get up really early in the morning. Anyways, the bottom line is for the last past while;say the last 2mo. straight I haven t been sleeping much. I blame it on hormones; but it s leaving me feeling very drained and lifeless. Their has been a lot of stress in the last few years; we nearly lost our daughter 2 yrs.ago due to an almost fatal car accident. My mom underwent a major heart surgery; a double by pass; our home has been under major rennovations and my husband travels so a lot of the time, I have to be both parent; mother and father. I still have a little one at home; she s in school but she s still young . I lost my father back in 2006; but in spite of it all; I ve always been really good about anything that came my way. Oh yeah; I ve been dealing with abnormal noncancerous cells in my cervical area. So far so good; but I m not out of the woods yet; I may have to undergo a partial hysterectomy depending on the results coming up this november. I ve always been a really happy, full of life who lived her life to the fullest kind a person. I ve always taken everything in stride. I was always a very easy going type of person. Anyways it s out of character for me to be going through this whatever this is. I hope it s just a phase and I can snap out of it soon. I m not happy right now and I m trying so hard to hide my feelings; because I wanted to believe that i could overcome it without anyone noticing; and that I could fight this depression that i m going through. Anyways, I ended up seeing a doctor recently a wk. ago; and she prescribed medication called Venlafaxine for 7 days; 1 tablet daily.After the week is over, I m suppose to double my dose. Well, Ive only taken it for 2 days, and Ive been experiencing no sleep from the medication and i developed an allergic reaction ; I ended up getting a severe case o hives. So now yesterday was the third day and I did not take the medication . Oh yes, I am also taking a natural, herbal formula 2x a day for my menopausal symptoms; and I am allergic to penicllin; so I don t know what to do. But the positive side was that I noticed how my mood and my emotional state had just changed after 2 days. I was much more happier the second day that i took Venlafaxine. I must tell you that a few years ago; when I was 45, I had gone through a little slight depression so i went to see a doctor and he prescribed citalopram during the day; and Zoplicone for night time and that medication really helped me overcome my depression back then. But this time; I think I waited too long to seek help and I feel I m in a deeper depression more than I know. I totally almost stopped talking and I have always been such a great communicator; I used to have a lot of friends; but my husband is very satisfied with being by himself and he s a little bit of a loner and his job actually doesn t permit him much for socializing; too tired to now that he s getting older. I loved people, and I still do; but i dont feel that I have anything to offer anybody at this time; I feel confused, tired, empty and lonely inside; and I feel that I m sheltering myself; and I feel a lot of anxiety because I know that I m not me right now; The doctor that prescribed me to take Venlafaxine just recently is very young; but she said she s been practicing for 7 years; and I think she s qualified to help me; but I m suppose to go for blood work actually this last week; but I plan to go for sure after Thanks giving. I tried to get a whole of my physician today; but she wasn t around. I was thinking I should talk to a Pharmasist to see if he can offer me some advice about what I should do from here. Can you give me some expert advice on how to deal with myself. Also, I d like to mention that I had a family funeral to attend today; and I didn t take the medication; and I could honestly say that I was very alert for driving, but at the memorial service; I knew people their even my own immediate family; and I didn t know how to truly connect with them. Me was their, but not the 100% me. It was my sister s husband s mother who passed away due to a long battle of cancer. She was a very courageous woman; and it was very emotional for everyone; and I had become very close to her also given the little bit of time that I ve known her. She was an angel in disguise;she was a very strongminded, courageous loving,and caring beautiful person inside and out. So it was a very energy draining, emotional day today for a lot of us.Ok I would like to know if I should continue taking the medication which is Venlafaxine and is it better to take the medication early during the day, because i was taking it late in the afternoon; because i was worried that i would be too sleepy and I would t be able to get through the day. What should I do ? I did not take the medication yesterday; should i still take it tonight now at this time which is 9:00p.m my time. I really want to get some sleep; I can t keep on this way; I need medication to help me sleep; but before I took the medication; my whole system just turned around; because since I couldn t sleep at night; after I drove my little girl to school; I found myself having to severely go back to bed; and it seemed I was able to actually relax and get some sleep; but it still was not a sound sleep; but it was enough sleep to help me cope. Please give me your expert advice. I m very desperate for an anwer to solve this problelm. Believe me it would be very greatly appreciated if you could take the time to help me find a solution. Thank you for listening.
gpt
DearWe understand your concernsI went through your details. I suggest you not to worry much.  From the given description, depression, anxiety disorder etc are almost confirmed.You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL.  Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.