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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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Ronnie

Wellbutrin and SSRI combo

59 posts in this topic

Posted

Hi. I have been on 400mg Wellbutrin and 50 mg Celexa for almost two years. I need the Celexa for my OCD and various anxieties. For me the combo has worked well after trying about 7 other ADs.

Katie

I have been on paxil for the last eight months and have gained 10 pounds. My doc has put me on 100 mg of wellbutrin to see if I can shed a few pounds. Has anyone had good success with this and weight loss?

Newbie

After months of feeling non-sexual on an SSRI, adding the Wellbutrin has helped.  Both with Orgasm and sexual desire.

Ronnie

I started out with Celexa - worked my way up to 40mgs a day and then we added the Wellbutrin SR to help with the binging and other unhealthy impulse reactions (we won't go there!! LOL) The WBSR was a great addition. I still have to make the correct food choices, but the hunger isn't there as much, and things just seem a whole lot more real than it has in the past few years. Currently I'm on 40mgs of Celexa and 400mgs of WBSR.

I'm happy and feel alive.

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Posted

??? Has anyone been on Wellbutrin + Lexapro? WEllbutrin has made me an angry/anxious/mean person. I'm not crying anymore - but I amnot a nice person to be around. My dr added !0mg Lexapro to my 150mgWellbutrin XL. Just wondering if anyone has tried this and if it helped with the side effects. HE actually wanted to double the Wellbutrin! I couldn't do that!

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Posted

I am on both Lexapro and Wellbutrin.  If it wasn't for the Lexapro, there would be no-way I could handle the Wellbutrin's anxiety, aggitation side effects.

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Posted

Ronnie,

Always one to be right on top of things <sound of foghorns in the distance> I missed your post here until I was browsing through just now.

...things just seem a whole lot more real than it has in the past few years... I'm happy and feel alive.
I'm so happy for you!

mccashman,

I hope you find this encouraging. I think you showed good judgement in choosing not to increase the WB at this time. There are lots of people who've done well on combinations of meds, like WB and an SSRI. Adding an anti-anxiety med to help with the start-up effects is another approach. Hang in there - it takes patience to find what works for you, but it's worth it.

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Posted

:) Is it actually possible that after three days with the 10mgs of Lexapro added that I am already feeling better? Happy, laughing, reaching out ot people I have been avoiding and not angry/mean anymore! Hope it's not a placebo effect!

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Posted

Mcashman - it could very well be real effects, not just placebo! Lexapro is supposed to "kick in" faster than the others and many people notice a difference in the first week. (I didn't notice a difference at all after taking it over a month, but I am just not having luck with antidepressants in general!) I'm glad you're feeling better - enjoy it!

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Posted

Are there any SSRI's that are more complimentary as a combo with WB or doesn't it matter? (ie. Whatever works for you.) One I have considered is effexor but would that be bad with the WB because they both lower the seizure threshold?

The reason I ask is because it is likely I may need to add an SSRI to the WBSR I'm currently taking. I want to know which SSRI that overall people have found to have the least weight and sexual s/e's. Those two issues are very imortant to me because my depression is linked to sexual issues and I cannot bear to have a medicine in additional to my pysch makes things worse. I'm trying to get better here. I already suffer from reduced sensation due to dissociation. I don't want anything to make it worse. Weight gain will also be difficult for me because of other/marital issues. I'm so sad. I want to be normal again and I'm afraid I never will be.

Please, anyone who has found a good WB/SSRI combo, share!

(P.S.- I've been on the WB 3 weeks on full dose, a month including the first week at 1/2 dose. I have not had any increase in libido :( and it has not affected my appetite at all. I don't need to lose any weight so that's fine but I definitely don't want to gain.)

I'm just sad and scared about not ever getting better and making things worse trying to treat it. Please advise.

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Posted

mcashman--I also felt better by day 3 on Lexapro.  I started it b/cause I had been on WB for over 2 yrs. and it pooped out.  But I continued to take WB to hopefully deal with the se of sexual disfunction with Lexapro.  I'm feeling better than I have in a long time.  Unfortunately the sexual se's are there.  

Jaded--I've actually had less of an appetite since adding Lexapro.  I feel real good but unfortunately have sexual se's.  It's so hard to have everything perfect.  But as some here have said, after a long time it might go away.  I've only been on Lexapro for 5 weeks.  So I'm going to wait it out.  You have to weigh the benefits against the se's sometimes.  I've been told that Effexor also has sexual se's.  We all act differently so it's hard to say how each person will be.

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Posted

Jaded,

Try to be patient - you may not feel the full effect of the WB for a while, sometimes for up to 12 weeks.

If you do need to add an SSRI, there are lots of different combinations that have been successful for others. It takes some trial and error. But in combo with the WB, you might not experience the side-effects of weight gain or sexual problems - everyone responds differently.

Let us know how you're doing, and post here for support.

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Posted

I am still doing well on my combo of Wellbutrin and Celexa.  I had a severe manic episode this spring which made me have to discontinue the Celexa temporarily.  Now I am just taking a small pinch, 20 mgs with the normal 400 Wellbutrin SR.  The Wellbutrin helps with the sluggishness and increased appetite from Celexa.  Just thought I would update.

Katie :;):

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Posted

I am wondering how long people usually wait before discontinuing the WB or adding an SSRI. I keep reading "up to 12 weeks" for WB to take effect. I am entering week 5, and feel horrible. The SEs (anger, insomnia) have gotten better, but am still crying almost daily, and feel worthless/hopeless, no sex drive. Am seeing new doc next week, and not sure if I should try to wait out the WB alone, or ask for her to add SSRI. I am also terrified of weight gain, and unfortunately have not had the side effect of decreased apetite with WB. Would appreciate any suggestions..Thanks!

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Posted

Just got back from my pdoc appt.  We've decided to drop back down to 150mg of Wellbutrin (also down to 10mg Lexapro from 15mg).  Had some continued side effects after increasing it to 300mg about 5-6 months ago.  I figured this was long enough to see if the benefits outweighed the side effects.  Got to disorientated on that dosage.

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Posted

Jaded,

Try to be patient - you may not feel the full effect of the WB for a while, sometimes for up to 12 weeks.

If you do need to add an SSRI, there are lots of different combinations that have been successful for others. It takes some trial and error. But in combo with the WB, you might not experience the side-effects of weight gain or sexual problems - everyone responds differently.

Let us know how you're doing, and post here for support.

Thank You Lizard. I need all the advice and support I can get...

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Posted

I just started Wellbutrin SR this week. I'm on 150mgs of the wellbutrin, 12.5mgs of paxil cr, 10mgs of lexapro...down from 20mgs I'm not sure if my pdoc is taking lexapro away or not, and 100mgs of geodon going down to 80mgs soon...she also took away my 75mgs of nortriptyline. I just started the paxil cr when I started the wellbutrin and I decreased my other meds at the same time so I don't know if I'm having side effects from the new pills or if it's from decreasing the other ones.  I got a new pdoc and she's changing everything. lol. I have panic disorder and so far I haven't noticed any extra anxiety so that's a plus. I'm hoping the wellbutrin will help me lose some weight and give me some extra energy. I'm pretty sure she's going to increase my dosage of wellbutrin and was wondering if any of you thought that might cause the anxiety SE to pop up. Like I said I don't have it yet so I'm crossing my fingers it won't be a problem.

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Posted

Whew, Tanha, that's a lot of changes!

Hopefully, you and your new doc will have found the right meds for you to feel well.

If your doc suggests upping the dosage of WB, talk to her about your concerns. There are lots of options for tweaking the medications.

I'm glad you're not having increased anxiety, and I'll keep my fingers crossed along with yours, that it continues to go well.

Let us know how you're doing...

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Posted

I have a question:  Since St John's Wort acts like an SSRI, is it safe to take with Wellbutrin?  I had good results on SJW about a year ago and am considering additing it to WB and eventually switching since it's much cheaper and I'm out of work.  :confused:    However I've read elsewhere that you shouldn't mix SJW with prescription anti-depressants including SSRI's and WB.  Any thoughts on this?  I will of course talk to my doctor about this as well.  :suspect:

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Posted

St. Johns wort has been proven to be somewhat effective.  And even prescribed in Europe. I think it acts like a MAOI, but not sure.  

Although, since there are different brands out there and you never know how much of the real stuff is actually in the pill.... i'd use caution.  GNC has a brand that is taken once a day (500mg I think).  i've never heard of anyone taking it with Wellbutrin.  Talking to your doc would be good, but most doc's won't know much about them.  Talk to a herbologist or Health food herbal person or someone like that if you can.  But they will also tell you not to mix it, especially with an SSRI since most labels will say the same thing.

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Posted

Hello All ..I'm new here. Need some help.

I've been on Lexapro for 8 months for anxiety and panic attacks, it's worked great for me. I also take Ativan as needed. Lex is the only anti-depressant I could stay on for longer than 3-4 days. I was getting concerned because I've gained about 25 pounds in 8 months. I started at 5'8 120. I have always been thin. So I've never even thought of dieting. I've tried that AND exercise- NOTHING... I feel fat . I want my body back.. And I have 0 sex drive UGH.

I went to my MD today and she said I should try adding Wellbutrin to the Lex. it's supposed to help lose weight and improve sex drive!! I am afraid to take ANOTHER med on top of Lex!?!?!? Plus she gave me "regular" Wellbutrin 75 mg not the SR or XL, because she only wants me to take it in the morning and hopefully it will wear off at night so I can sleep... Anyone have any advice??? I'm not sure what to do?????

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Posted

Lexapro and Wellbutrin is a good combination.... a lot of us are on it (including myself).  It should help with the weight and definitely help with your sex drive if your a female.

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Posted

Ronnie,

It's been a while since I posted.

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Posted

gryphon,

I know you addressed your question to Ronnie, but I thought you might want to peek in on 2 archived links to PMS/PMDD:

http://www.depressionforums.com/forum....102;hl=

http://www.depressionforums.com/forum....403;hl=

I'm aware of Prozac being prescribed on occasion for PMS for just one week of each month, but I don't have personal experience with this and don't know how effective it is.

I found the WB had very hormonal side-effects for me, and worsened my PMS. A little anti-anxiety med, like a benzo, on an as-needed basis helped a bit with the agitation.

Good luck!

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Posted

gryphon,

I know people who take a low dose of Paxil as needed for anxiety and/or stop for a day or two if they want to have an "O".  I'd think Zoloft would be able to work this way due to its short half life.  I'd definitely talk to your doc about trying Zoloft only during the PMS phases each month, the only problem is possible start up and withdrawal side effects each time.

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Posted

I have a couple questions....

I started on Zoloft a week and a half ago. Am up to 50mg a day now and moving up to 100mg in a week. So far I have actually felt a small increase in libido since starting Z and no increase in appetite. I am also at this time weaning off WBSR. I was on it for 9 weeks with no improvement...even more breakdowns if that's possible...and no positive effects from the WB. No increase in sex drive and no appetite decrease.

My first question is if I didn't experience those positive effects on the WB and I have weight/sex s/e issues develop on an SSRI will adding WB back do anything for me? Seems like if it didn't help with any of that by itself I shouldn't expect it to have any effect countering something else.

Second question - How long after starting an SSRI would I notice sex/weight s/e's developing?

What are your thoughts?

(p.s. I am feeling more even after 1 1/2 weeks on Z than I did in 9 weeks on WB. I still have a LONG way to go before I feel truly good but haven't had a single breakdown and just feeling overall more emotionally even. :)

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Posted

Gryphon, I am not sure that taking an SSRI for a week every month would be worth it.  Since most of these meds only work after many weeks, they may not have an impact for just that week.  The next month would be like starting over.  I had an ob/gyn once suggest I increase my Celexa dosage just for that week and then return to the normal dose.  I never tried it, but I thought it would be a bumpy transition going up and coming down.

Katie :)

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Posted

Hi,

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