View Full Version : Please help, why am I on anti-depressants?


Moonfairy
04-20-17, 10:19 AM
Hello all, I started going to the psychiatrist's last year around july, I'm 20 now, I used to have an eating disorder so my doctor thought there'd be files of depression in the record but there wasn't. I remember feeling empty, but never depressed.
My psychiatrist was reluctant to prescribed me with adderall and the like but rather put me on anti-depressants such as cymbalta. I stopped taking it and switched to Pamelor around this year march due to the cost of cymbalta.
I am now on Pamelor and I feel depressed, and have since relapsed back into my eating disorder due to Pamelor's weight gaining attributes. I spend days googling up on how it increases appetite and lower metabolism as I sink lower into depression. I have told my psychiatrist before first taking the medication that my mental wellbeing is unable to tolerate any weight gaining medicine, he assured me that as long as I move about instead of staying stationary, I'd be fine.
But I am not.
I don't believe I had depression, and I was definitely happy before all of these pills started.
Even cymbalta, I started to have slight irritability and a little anger management which was further exacerbate by the tricylic anti-depressant, Pamelor.
I am currently supposed to take 100mg a day but I have lowered the dose on my own to 25/50 due to fear of weight gain.
I read that anti depressants should not be prescribed to adhd patients if they do not have depression, what are your thoughts?
What should I do? I'm at a serious loss.
Please help me.

KaitlynH
04-20-17, 08:23 PM
Concerning the side effects you're experiencing with Pamelor - it's possible for anti-depressants to have paradoxical effect, meaning that they worsen depression instead of helping. Call your psychiatrist and tell him that you're symptoms are getting worse, and if he is at all competent he will do something about it.

Regarding the possibility of depression, you mentioned feeling numb at one point. That is a key symptom of depression. It's not just being sad all the time like the media shows it to be (although it can involve a lot of sadness). I heard it described once as "the emotional equivalent of watching paint dry", which is pretty accurate. And eating disorders normally do come with some form of depression, even if it's a mild or less obvious form.

Regardless, definitely bring up your concerns about being on anti-depressants. You have every right to know exactly why you're on something and to voice any issues you have with the way your doctor is treating your case. It's not being pushy or telling him how to do his job, it's just taking an active role in your health.

Good luck with everything, I hope it gets better

Moonfairy
04-21-17, 04:07 AM
Hi, I was in treatment for my eating disorder probably 7 years back and was in it for 4 years before I made "full" recovery. I was diagnosed with depression in conjunction to my eating disorder however, when my psychiatrist looked at the case files as he had hoped my previous psychiatrists would have noticed the add, he realised that the files were mainly focused on my eating disorder. When my eating disorder was gone, so did my depression. Its been 3/4 years since.
I just started seeing this psychiatrist last year in July when he said that I clearly do not have depression and something along the lines of he's prescribing me with anti depressants as it wouldn't affect me/safest I think.
I can't really remember. But I do remember the part about depression.
I'm just scared that if I tell him I do not want to be on anti depressants, he wouldn't put me on anything at all as he did hinted something along the lines of if I want stimulants, I have to see an adhd specialist which he did refer but was way too expensive. $1200 for a session with an adhd psychologist and another few hundreds before the appointment with the adhd specialist to check my symptoms or something.
I felt it was unnecessary, furthermore I have my report cards to prove.
Every year in elementary school were notes of how I can't stop fidgeting, how I can't stop walking around the classroom for no apparent reasons, how I can't stop talking, how I can't stop standing up and how I'm not reaching my full potential because I simply can't pay any attention in class. My teachers called my mom to talk about it all of which my mom just simply dismissed it thinking it's something I'll grow out of.
She was right, I grew out of fidgeting but my problems with attention span remains, which were further proved by my report cards in secondary school.
I have since know how it feels like to have my mind focused on just one thing instead of going all over the place, thinking of multiple things at the same time leading to utter chaos. I have since know how it feels like to not open multiple tabs at the same time because my mind is wondering about so many things and losing track of time, doing something else (like reading a side tab and googling more on it instead of reading what I originally planned). It honestly sucks.
My psychiatrist said that he can see the improvements gradually such as how I no longer cut him off mid sentence to talk but rather I simply wait until he's done speaking.
I'm at a loss, I don't want to go back to what I was like, which I can see myself slowly reverting back to the me before all of these meds as I have cut down my dosage to 1/4 of what it should be but I also, can't tolerate the weight gains.
Not only that, I'm starting to feel the compulsion of my eating disorder, the compulsion I have never felt at all in the past 3 years of " full recovery ". Even the occasional lapses, never felt this desperate if at all. The occasional lapses never felt like a relapse, in fact it felt funny because I could not comprehend how my ED used to have such a strong hold over me. Telling myself to eat less is different from my eating disorder making me FEEL like I have to eat less. 1 felt funny, the other makes me miserable. It's weighing my heart down and making me feel so sad.
I feel like more than the ADD, I now have an additional problem to solve, my eating disorder.

sarahsweets
04-23-17, 07:23 AM
I don't believe I had depression, and I was definitely happy before all of these pills started.
Even cymbalta, I started to have slight irritability and a little anger management which was further exacerbate by the tricylic anti-depressant, Pamelor.
I am currently supposed to take 100mg a day but I have lowered the dose on my own to 25/50 due to fear of weight gain.
I read that anti depressants should not be prescribed to adhd patients if they do not have depression, what are your thoughts?
What should I do? I'm at a serious loss.
Please help me.

Are you sure you have zero issues with depression? As I understand it, people with eating disorders are suffering from a mental health issue and depression medication can help. People think that taking antidepressants means you suffer from depression but thats just not always true. Antidepressants target areas in the brain which arent working the way they should. They are not just meant for targeting depression, they help regulate what isnt working normally. If you have an eating disorder it means that certain parts of your brains' ability to regulate certain chemicals and such arent working as well as they should. It doesnt mean you need to be depressed to take them. Some people such manic episodes which are not depression, or have mood stabilizing issues or OCD issues or anxiety, and they all can take antidepressants.
Cymbalta is used for chronic pain patients even when they do not suffer from depression.
In certain cases, antidepressants like wellbutrin are prescribed for adhd too.

Moonfairy
04-23-17, 02:52 PM
No, I was not depressed.

My eating disorder got triggered by taking this damned anti depressants after more than 3 years of total recovery.

I was beyond recovered, I could NOT for the life of me even comprehended how the eating disorder got the hold on me.
I would like to emphasise again, I recovered from my eating disorder COMPLETELY, no thoughts of starving, binging, purging, no counting of calories, weighing every damned food etc for THREE years or more.
That's a huge feat, as I had a very severe eating disorder.

This was all UNTIL I meet with my current psychiatrist. My psychiatrist, on our first visit, said so himself that I do NOT show any signs of depression as I was clearly happy with my life.
After being on Cymbalta for a few months and then switching to Pamelor, my eating disorder got triggered.

I understand that anti depressants are sometimes prescribed to patients without depression, but shouldn't anti depressants be used as an absolute last resort?
I read that anti depressants are ONLY prescribed to patients who has adhd/add with depression, or used only as a last resort of stimulants fail to work.
Is that true?

KaitlynH
04-24-17, 11:47 AM
I don't think I would say that anti-depressants in general are ever a last resort, even if the patient has ADHD/ADD. In fact they are a first line treatment for many disorders, such as eating disorders, anxiety, OCD, etc. They normally aren't used for ADHD alone, but that doesn't mean they can't be used at all.

That's not to say they work for everyone though. From what you're telling us, the one you're on certainly is not helping you in any way, and is making your life much harder. It isn't fair to you and your doctor should take you off of it.

There are dozens of anti-depressants out there, and there may in fact be one that will improve your life, even though you don't suffer from depression. This one obviously isn't it.

Also, I don't understand why your doctor said you would need to visit an expensive adhd specialist to get medication. It sounds to me like maybe he personally is uncomfortable prescribing ADHD medication, which many doctors are, but there is no rule against it.

If your current doctor won't listen to your concerns, would it be possible for you to get a second opinion or find another doctor/psychiatrist? You deserve a proffessional who listens to you and works with you.

Lunacie
04-24-17, 05:10 PM
I don't know about where you live, but in some places you can call around and
find a psychiatrist who is familiar with treating adhd without a referral. Depends
on your insurance in some cases.

Psychiatrists are usually expensive, but it shouldn't take anywhere near as
much money as you were told.

I began taking an anti-depressant to treat my anxiety disorder several years
ago. The first one, Celexa, made me gain 10 pounds in one month. I went back
to the psychiatrist and was switched to Zoloft (sertraline) and a very low dose
has not caused any problems and been very helpful.

Good luck getting all this sorted out.

sarahsweets
04-25-17, 05:03 AM
No, I was not depressed.

My eating disorder got triggered by taking this damned anti depressants after more than 3 years of total recovery.

I was beyond recovered, I could NOT for the life of me even comprehended how the eating disorder got the hold on me.
I would like to emphasise again, I recovered from my eating disorder COMPLETELY, no thoughts of starving, binging, purging, no counting of calories, weighing every damned food etc for THREE years or more.
That's a huge feat, as I had a very severe eating disorder.
This is JMO but I believe managing an eating disorder is a life long process. I do not believe anyone can be
"recovered" from it. By your own words, its sort of flared up again. It may have to do with the medication but I do not believe that is the only reason. I look at it the same way I look at being an alcoholic in recovery. I have to do certain things everyday to maintain it. This is coming from someone who also used to be bulimic.

This was all UNTIL I meet with my current psychiatrist. My psychiatrist, on our first visit, said so himself that I do NOT show any signs of depression as I was clearly happy with my life.
Being happy with your life doesnt mean you cant have other signs of depression.

After being on Cymbalta for a few months and then switching to Pamelor, my eating disorder got triggered.

Ok, so cymbalta wasnt right for you but it doesnt mean all antidepressants are bad for people with adhd or an eating disorder.

I understand that anti depressants are sometimes prescribed to patients without depression, but shouldn't anti depressants be used as an absolute last resort?
Last resort for what? I dont know if anything can really be a last resort. Stimulants tend to be the first line treatment for adhd, but for other things like eating disorders and mental health issues, antidepressants are a first resort.

I read that anti depressants are ONLY prescribed to patients who has adhd/add with depression, or used only as a last resort of stimulants fail to work.
Is that true?

Yes, many times antidepressants are only given to people with both adhd and depression. You seem to believe that an eating disorder is not a mental health issue? It is a mental condition that can benefit from antidepressants. Some people need them and some do not do well with them. I think you are focusing on the adhd/eating disorder as if its the same problem. They are different issues that sometimes need more than one solution.

ToneTone
04-30-17, 06:08 PM
Hmmm ... sounds like you don't trust the diagnosis of depression. So you don't get why you've been prescribed antidepressants.

An eating disorder is often connected to another mental health disorder ... maybe it's anxiety. But an eating disorder is an inherent mental health condition. Something has gone wrong in the brain such that the normal eating mechanism gets disrupted. The person obsesses about eating and weight and becomes way over-critical of their bodies and their selves. There is a definitely a mental health issue involved.

If you want good treatment, you can't pre-guess the provider ... tell the provider exactly what you're feeling and thinking. That's the only way treatment can work. That's the only way trust can be built with a doctor. Treatment for mental health conditions often require trust. If I don't trust the provider, I won't report the symptoms accurately. The provider thus gets bad info.

You could very well be someone who doesn't respond well to antidepressants. It's a little odd to have bad responses to a range of antidepressants. Usually, the problem that particular antidepressants might not be effective.

But if you've got eating issues and the antidepressant is triggering weight gain, you have got to tell the provider this. Are you seeing a counselor for this as well ... I assume eating disorders can be like addictions, which I'm more familiar with ... you have to keep an eye on them ... stress can trigger a relapse ...

But be blunt and forthcoming. Everyone is unique and the provider needs to know that you think their recommendation is off track.

Good luck.

Tone

dvdnvwls
04-30-17, 08:51 PM
I'm confused because in one place you said ED was fully recovered and in another place you said can't tolerate a drug that causes weight gain.

Not tolerating a useful and important drug that has weight gain as a side effect? That sounds too much like a "recovery" that never actually happened. If an ED person feels "recovered" as long as they can manage to stay thin, that's not recovery, that's just fooling themselves.

nuvisys
10-08-17, 04:15 PM
Hello all, I started going to the psychiatrist's last year around july, I'm 20 now, I used to have an eating disorder so my doctor thought there'd be files of depression in the record but there wasn't. I remember feeling empty, but never depressed.
My psychiatrist was reluctant to prescribed me with adderall and the like but rather put me on anti-depressants such as cymbalta. I stopped taking it and switched to Pamelor around this year march due to the cost of cymbalta.
I am now on Pamelor and I feel depressed, and have since relapsed back into my eating disorder due to Pamelor's weight gaining attributes. I spend days googling up on how it increases appetite and lower metabolism as I sink lower into depression. I have told my psychiatrist before first taking the medication that my mental wellbeing is unable to tolerate any weight gaining medicine, he assured me that as long as I move about instead of staying stationary, I'd be fine.
But I am not.
I don't believe I had depression, and I was definitely happy before all of these pills started.
Even cymbalta, I started to have slight irritability and a little anger management which was further exacerbate by the tricylic anti-depressant, Pamelor.
I am currently supposed to take 100mg a day but I have lowered the dose on my own to 25/50 due to fear of weight gain.
I read that anti depressants should not be prescribed to adhd patients if they do not have depression, what are your thoughts?
What should I do? I'm at a serious loss.
Please help me.

I am saddened to read about all the pharma meds I read on these threads. So its true that Americans are hooked on opioids/pharmaceuticals.

It's time to throw away those chemicals that could cause many side effects.

Maybe some of you are bored by my comments about using CES. If you only knew about the many advantages of CES over chemicals.

I read that this device help add/adhd patients. The FDA approved it for stress, anxiety, depression, insomnia and addiction in 2014 but I dont read about it on this site. (on all sites, for that matter).

Try to discuss this device with your doctor. Chances are, he will not discuss about it due to ignorance or pretend to be ignorant about it. It's all over the web if you will search about it. I hope doctors will merge pharmaceuticals with e-Theraphy. There would be less pain and misery.

sarahsweets
10-09-17, 05:14 AM
What do you mean and what device are you talking about?