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Depression itself? It really can take its toll, and sometimes you do need chemicals (e.g.: prescription) to lift you out. Preferably you should not be on them forever - but long enough to get you out of your hole and give you time to learn to cope. This is best when coupled with some psychotherapy - a psychologist that can help you learn to deal with whatever things are giving you trouble.
Note that anti-depressants ultimately are YOUR choice. You can choose to get off of them, or not be on them. So if the idea of it bothers you, take comfort that all you have to do is say "no" if you don't want them any more. Of course, you may be choosing to give yourself back to depression again. Be aware of a secondary dangerous trap - they help you feel better, then you think you don't need them, then you stop, then you're right back where you were.
Or informated about anti-depressants themselves? First, they don't make you high, and they don't make you think everything is la-di-dah. Life is still life; anti-deps just help you be more capable at sucking it up, preferably like you used to do. You do not just walk around with a silly grin on your face - you still are stuck with life, but at least it doesn't drag you down with it every moment.
Second, they don't work overnight. Most take a few weeks to build up enough in your system to kick in.
Third, there are many different types, and I don't mean brands. Some may be better for you than others. There is no way that I'm aware of where a doctor can automatically know which is best for you. Translation: you pick somewhere to start - generally an anti-dep that works for most people, and see how it works for you. After a few weeks, does it work? Do you have any side effects? If you have a decent doctor, (s)he probably started you on the lowest dose (s)he thought you could get away with. If it's not working, they may try to up the dose.
If you get to a point where it should have worked and it's still not, then you may try something else. Celexa (citalopram) is different than Effexor, which is different than Welbutrin. Effexor is a pretty good killer of depression and anxiety, but it has the reputation of killing other things as well (personal highs, sex drive, whatever). Welbutrin has a reputation of not touching your sex drive - it may even make you hornier - but it may not work on other things (e.g.: anxiety). So, you may go through a few different ones during the course of treatment. It'll vary depending on your need, and whether or not you "take" to it.
Don't be afraid, after four weeks, for instance, of going to your doctor and saying "this isn't working", and discussing whether you should up the dose or move to something else.
You can get through it, just don't plan on it being a magic, instant, fix. But at the same time, don't assume it's unfixable. A few people might hit it the first time out the door, but most, if they're willing to work with their doctor, will eventually settle on a medication and dosage that works for them.
Good luck
- Tab
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