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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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cruz1287

How Long Did It Take For Cipralex/lexapro (escitalopram) To Start Working?

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Posted

How long did it take for you guys to notice the positive effects of Cipralex/Lexapro (escitalopram)?

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Posted

Tommorrow will be 3 weeks for me. I cant really put an exact number of days, but I will say I feel better than I did 3 weeks ago. All side effects are gone except for the insomnia(GRRR!). I hope it keeps getting better.

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Posted

For me there was a noticeable improvement within about 10 days. It probably was about a month or so before I had the full effect of the medication, but I was very encouraged at the early improvement. I had felt so bad for so long before starting Lexapro that I was quite relieved that the Lexapro worked.

I didn't have insomnia issues with the Lexapro. For the first few weeks I wanted to sleep any time I didn't have to be anywhere, like my job. It passed after that and my sleep was normal.

KA

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Posted

When you guys are talking about how long it took to start working, are you speaking of the time on one particular dose, or the total time on it. i have weaned up slowly, but am at 10mg now for about 11 days. (It has been about 5 weeks in total.) I would think it should be working by now. I am still having my initial anxiety symptoms and its REALLY getting me down. Im just wondering how much longer i should give it. my dr doesnt seem to care one way or another. any suggestions? thansk alot, maria

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Posted

When you guys are talking about how long it took to start working, are you speaking of the time on one particular dose, or the total time on it. i have weaned up slowly, but am at 10mg now for about 11 days. (It has been about 5 weeks in total.) I would think it should be working by now. I am still having my initial anxiety symptoms and its REALLY getting me down. Im just wondering how much longer i should give it. my dr doesnt seem to care one way or another. any suggestions? thansk alot, maria

10mg is considered to be the minimum therapeutic dose, so I would start counting from when you hit that dose. I started at the 10mg and was taking it for depression. (About to go back on it for both depression and anxiety.) Since it takes 7 days to hit a steady state, meaning the 10mg is at that level in your system all the time, you've really only been on the full dose for about 4 days.

Lexapro does seem to work well for anxiety, but it seems that people take a bit longer to feel real benefits for anxiety than they do for depression.

Good luck. I know how frustrating it is to wait for a med to work, but I wouldn't give up on the Lexapro just yet. Hopefully you will dtart to see some benefits in the next week or two.

KA

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Posted (edited)

I started on 5mg for a day and said the heck with it and went to 10mg from the second day on. I'm not really sure when I can say it started working. It's been subtle improvements since day one, but I DEFINITELY feel better than I did 3 weeks ago. If I can just get this dang insomnia licked I would be golden. I agree with KA, the 5mg is not really a theraputic dose for most people. Give it a little longer at 10 mg.

Edited by maintainin

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Posted

i will bear that in mind, i'm currently on my week 5 of taking the meds!!! Hopefully it will work now - fingers crossed!!! But all people are different arent they i guess??

cruz x

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Posted

I'm actually on citalopram but I noticed a difference with the anxiety within 10 days. The depression is still somewhat of a prob (after 4 weeks) but doc is going to up my dosage so maybe that will help. It really is different with everyone and, of course, depending upon your own unique problems.

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i will bear that in mind, i'm currently on my week 5 of taking the meds!!! Hopefully it will work now - fingers crossed!!! But all people are different arent they i guess??

cruz x

for me, I noticed some slow, minor changes in weeks 2-4. In week 5 a lightswitch was thrown and the meds kicked in. According to my Doc, this is a typical response.

Also, 4-6 weeks is what they say you should expect change.

So give it another week and if still nothing talk to your Doc.

Good luck!

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Posted

Thanks chester cheetoh!!! You still give me hope....i will keep waiting!! :hearts:

cruz xoxo

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Thanks chester cheetoh!!! You still give me hope....i will keep waiting!! :hearts:

cruz xoxo

I hope it works for you. It worked for me. I love this stuff! I have my life back now.

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Posted

How long did it take for you guys to notice the positive effects of Cipralex/Lexapro (escitalopram)?

Hi all i am new ! im from England and just hitting my 6 week mark on escitalopram 20mg : i have been through alot of side effects but after reading some replys on here i think the doc started me on a high dose to quickly .I had dizziness, i stopped in bed for at least 4 wks , couldnt get enough sleep!! packed my job in , got no interest in house work or my family i just basically wanted to be on my own but i must say last week i came through the dark side and escitalopram has kicked in i got out of my bed got a new job and i feel im 50% better not quiet there yet. The only side effects i have now is i carnt sleep , hence i am sitting here writing this at 2:45 am and when will these hot sweats at night stop ? i would also be grateful to know if anyone has had any bruising as my torso and legs keep on bruising for no reason ; i dont drink so i know its not through falling over drunk lol and if it is normal to be put on 2omg straight away by the doctor. Thanks to you all

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Posted

How long did it take for you guys to notice the positive effects of Cipralex/Lexapro (escitalopram)?

It only took about 2 weeks for me to notice a difference in my mood while taking Lexapro. The only side effect that I really had was not sleeping well.

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Posted

Hi Everyone,

From what I've read...it's been great info for me. Just started on Lex today 5mg for a week and then 10mg after that. I assuming the low dosage is because I was on SE 50mg for a week and the past 4 days have been getting these terrible migraines. This is my first time taking ADs since being diagnosed with severe depression last month. Hopefully Lex will help me get back to normal, as I haven't been doing any of the physical activities (running and working out) that I once enjoyed in over two months due to lack of energy amongst other things. But this isn't the right forum to complain in....

Silvrangl :hearts:

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Posted (edited)

I hope it goes well for you SilvrAngl and you get the energy back to exercise.

It's my fifth day taking Citalopram and it's been a good one. I don't want to speak too soon, but today at work i've felt much better than i have been recently. I do have good days and bad days anyway, but after a really low period, today has been a bit like seeing the light at the end of the tunnel. My mood has been better at work and so i've communicated more and felt all round brighter than i have been. I'm just going to go with the flow from here.

I'm on 20mg and i've been making sure i get my omega 3's and B Vitamins as well. The only side affect is the yawning.

Edited by fed_up

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Posted

On Monday, I will have been on Lexapro for 6 full weeks, and 5 full weeks at my current dosage of 20 mg. I would say I've experienced modest improvement of symptoms like irrational guilt, difficulty concentrating, and irritation, but I still suffer from severe generalized social anxiety, flattened and inappropriate affect (lack of expression and experience of emotion), lack of motivation and libido, and alogia (basically means I respond to questions with brief responses or speak very concisely with little elaboration). These latter symptoms are consistent with negative symptomology as seen in schizophrenic disorders. Does anyone have any advice on meds for those? I doubt Lexapro was meant to treat them.

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Posted

Sure would appreciate hearing from more Lexapro users about when the effects of the medicine started kicking in strongly. I started taking 10mg/day two weeks ago for severe depression/anxiety. I'm finding it almost impossible to concentrate on my work, or much of anything at all. I tend to go on long walks, during which I zone out and think of nothing. Or spend hour after hour combing depression forums. Thanks.

Chippyman likes this

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Posted

Sure would appreciate hearing from more Lexapro users about when the effects of the medicine started kicking in strongly. I started taking 10mg/day two weeks ago for severe depression/anxiety. I'm finding it almost impossible to concentrate on my work, or much of anything at all. I tend to go on long walks, during which I zone out and think of nothing. Or spend hour after hour combing depression forums. Thanks.

I'm in the same boat you are MichealBlue. Been on Cipralex 10mg for 2 weeks for severe depression and I feel pretty much out of it most of the time. Can't concentrate or get motivated, lack energy, am tired alot, yet can't sleep at night. I find zoning out or just vegging out the only thing I do lately. Perhaps the mind needs a mental rest...I don't know. Been trying to figure out how to cope with this. I use to spends hours combing on the forum as well.

The one thing I do notice that kicks in right away is, it calms my uncontrolable crying fits I that use to get for no reason. Beyond that, I still have headaches (more than usual) and feel light headed or dizzy.

Still waiting for the med affects to wear out...hopefully soon.

Good luck and keep us posted.

:hearts:

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Posted

Hi SilvrAngl-

Sorry you're in the same zone, but it's good to connect and hear from a fellow traveler. Quite a lonely experience we're going through, hour by hour, huh? -- trapped inside our heads as we wait for a medicine to hopefully rescue us.

Good point about the crying jags; the medicine totally prevents me from going there, too. I'm not suffering insomnia, but do find myself bolting awake several times in the night.

But it's the hours spent 'zoning out' that are causing me some frustration -- not to mention boredom -- especially if I need to be like this for another 2-3 weeks before the medicine kicks in.

Best regards.

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BTW, SilvrAngl, I do hope you find a way to start exercising again. A few weeks ago, I started forcing myself to work out (for the first time in years), and have been running on a treadmill 3-4x a week. Also quit a heavy smoking habit 2 weeks ago cold turkey. Oddly enough, not a single craving, which perplexes me. The only thing I can think of is that the depression has so scared me that I won't even allow myself to smoke or even to have a craving for it. Also, no alcohol.

None of these lifestyle changes are making me feel better right now, but at least they are not making me feel worse. And making this investment in the future feels like a positive and necessary move in what is such a dark and bleak period.

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Posted

i was on lexapro for 18 months and it didn't "cut the mustard" at all. must be something to do with my body chemistry because my new med's work well.

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It took me a week and a half to see results with lexapro 10mg hang in thier. It works different in everybody.

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How long did it take for you guys to notice the positive effects of Cipralex/Lexapro (escitalopram)?

I've been suffering from post heart operation depression and have been taking Escitalopram for almost eight months now wothout any apparent improvement im my bdepression apart from the fact I no longer cry my eyes out so much! I also taking 1 mg Lorazepam which my GP will not increase despite the fact that I was on 3 mg some time ago when I used to cry un****rollably. This 1 mg bucks me up for a few minutes before all the symptoms od depression come flooding back.

I understand that Lorazepam is intended for shock/trauma and is not an AD so why is my GP prescribing it? I feel that I am getting nowhere with either the counselling or medication. Is there an alternative AD that other listers have taken which has been successful for them?

Today has been the worst I've experienced for several months so obviously the Escitalopram isn't working as I still have this awful depression and am lost as to where to turn next.

Mangoman

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Posted

How long did it take for you guys to notice the positive effects of Cipralex/Lexapro (escitalopram)?

I've been suffering from post heart operation depression and have been taking Escitalopram for almost eight months now wothout any apparent improvement im my bdepression apart from the fact I no longer cry my eyes out so much! I also taking 1 mg Lorazepam which my GP will not increase despite the fact that I was on 3 mg some time ago when I used to cry un****rollably. This 1 mg bucks me up for a few minutes before all the symptoms od depression come flooding back.

I understand that Lorazepam is intended for shock/trauma and is not an AD so why is my GP prescribing it? I feel that I am getting nowhere with either the counselling or medication. Is there an alternative AD that other listers have taken which has been successful for them?

Today has been the worst I've experienced for several months so obviously the Escitalopram isn't working as I still have this awful depression and am lost as to where to turn next.

Mangoman

Hmmm... if you've been on the med for 8 months with only minimal improvement, I don't really understand why your doc hasn't tried you on a different med. There are many different ADs and many different mechanisms by which they work, so your best bet would probably be to consult with a psychiatrist who specializes in pharmacology (a psychopharmacologist). Lorazepam and other barbituates are not good to take long-term as you can build up a tolerance/reliance on them and they don't do anything to adjust the chemistry that can be causing the depression--they just temporarily numb you. For me, a switch to Wellbutrin worked wonders, but that's not the answer for everyone as it can cause an increase in anxiety (and even in depression) for some people. Can you get a second opinion on your meds?

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