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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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safetyfast

When Will The Anxiety Go Away?

16 posts in this topic

Posted

I've been on Lex/Citalopram four weeks now. I thought I would be better. I am some days. But I've had more anxiety since I started this than before. Last night I hardly got to sleep, and woke up with it too. I'm exhausted. It's going to be tough going to work today. Is this stuff really working, or is it making things worse?

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Posted

Hi Safetyfast

There are a lot of start up side effects to meds. Please give them more time, they often take between 6 to 8 weeks to work into your system properly. If after 8 weeks you are still not feeling great, you can go back to the doc, but right now, you still have a few weeks to go before they are in your system properly.

Trace

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Posted (edited)

Hi Safetyfast

There are a lot of start up side effects to meds. Please give them more time, they often take between 6 to 8 weeks to work into your system properly. If after 8 weeks you are still not feeling great, you can go back to the doc, but right now, you still have a few weeks to go before they are in your system properly.

Trace

Thank you Trace. The supportive words here help. I went into work, but I'm nervous and a bit hazy. I keep praying that I can get through it. I keep thinking that I've lived through it before, I can do it again, but I still worry about all the times I've just had to crash for a day or two.

Edited by safetyfast

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Posted

I called my doctor's office and he called me back. He wants to up my dosage of citalopram to 40mg. He said to take 20 in the morning, 20 in the evening, for a week and then go to 40 at one shot. I'm concerned about it somewhat, as I fought going on meds to start with, as my anxiety was not debilitating most of the time, but maybe he's right. He said we would try that for two weeks, and then I'll meet with him again.

I'm scheduled to see a psycologist Monday, so maybe that will help as well. I'm going out of town for work the week after next, so I'm concerned about messing with my meds plus having these issues while I'm gone. Hopefully things will improve soon. I just so want to be normal again.

I find this board to be so supportive in many ways, and a good source of info. However, when I see that many are struggling even after medication, it adds to my anxiety somewhat as well.

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Posted

give it another few weeks. it took 7 for my anxiety to GO AWAY -- and that it did. You may have a few more rough spots, but before you know it, you'll see the light.

Did the Dr. presribe you a little something to get you over the hump? A benzo perhaps? Some XanaX or Klonopin will do the trick until the Medicine kicks in completely.

You're almost there!!!

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Posted

give it another few weeks. it took 7 for my anxiety to GO AWAY -- and that it did. You may have a few more rough spots, but before you know it, you'll see the light.

Did the Dr. presribe you a little something to get you over the hump? A benzo perhaps? Some XanaX or Klonopin will do the trick until the Medicine kicks in completely.

You're almost there!!!

Thanks for the response. He did prescribe me some xanax. I took some last night, but it didn't seem to help much. I took another this morning and it seeked to help even me out some, but then this morning was not quite as bad as last night.

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Posted

Woke up early again with some anxiety. I hope this gets better soon.

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Posted

Woke up early again with some anxiety. I hope this gets better soon.

Safetyfast, do you think you morning anxiety as been diminishing at all? For me it's always been a gradual process, but eventually, it does go away once the meds fully kick in. Hang in there...as PattiLuv said, you're almost there!

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Posted

Woke up early again with some anxiety. I hope this gets better soon.

Safetyfast, do you think you morning anxiety as been diminishing at all? For me it's always been a gradual process, but eventually, it does go away once the meds fully kick in. Hang in there...as PattiLuv said, you're almost there!


It varies. I took a xanax this morning to get through some social stuff I had this morning. I've got a business trip coming up and I'm anxious about being like this while I'm away from home. I'm debating whether I need to have a talk with my boss. I've not broached my problem at all with anyone at work.

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Posted

Hi Safety:

On the one hand, upping the dose suddenly can magnify the start-up anxiety, but on the plus side, you may get to that place you need to be much sooner. To use an analogy, it's like walking up a flight of steep stairs a grueling step at a time, or having a crane terrifyingly hoist you up with a rope. I know that's small comfort right now, as every minute feels like an hour, and every hour feels like a day when you are severely depressed. A year ago, I was in that place, too.

The 40mg of citalopram (generic celexa) I take has worked wonders for me. I take it all at bedtime, as it can make me drowsy. And in the mornings and afternoons, I take some generic wellbutrin, which is more activating. I feel very balanced now. Have you considered asking your pdoc about combining -- perhaps at some stage? Whatever you do, you should follow your pdoc's direction. The anxiety was unbearable for me during those initial weeks, as was the joyless mental stupor I was in. I now believe it was all chemical. It took a good six weeks on the med for things to really start getting better. You'll get there, just you wait and see.

MB

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Posted

Hi Safety:

On the one hand, upping the dose suddenly can magnify the start-up anxiety, but on the plus side, you may get to that place you need to be much sooner. To use an analogy, it's like walking up a flight of steep stairs a grueling step at a time, or having a crane terrifyingly hoist you up with a rope. I know that's small comfort right now, as every minute feels like an hour, and every hour feels like a day when you are severely depressed. A year ago, I was in that place, too.

The 40mg of citalopram (generic celexa) I take has worked wonders for me. I take it all at bedtime, as it can make me drowsy. And in the mornings and afternoons, I take some generic wellbutrin, which is more activating. I feel very balanced now. Have you considered asking your pdoc about combining -- perhaps at some stage? Whatever you do, you should follow your pdoc's direction. The anxiety was unbearable for me during those initial weeks, as was the joyless mental stupor I was in. I now believe it was all chemical. It took a good six weeks on the med for things to really start getting better. You'll get there, just you wait and see.

MB

I'm actually not seeing a pdoc, just my GP, but I've seen him for many, many years and he's pretty intuitive. In fact, he suggested to me that I needed medication probably a couple of years ago, but I thought I could manage, and only went to him seeking help a few weeks ago. He's also referred me to a psychologist that is a friend of his, and I'm seeing him Monday. I don't think my depression or anxiety was that severe, though in the past, the anxiety has interfered with work on occasion, and definitely has negatively effected my family and social life. In fact, until recently, I wasn't even wiling to admit that I might be depressed, though my wife just commented that I've never really been a happy person, and she's known me 20 years.

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Posted

Yesterday and today have been a little better. I took a couple of xanax yesterday. None so far today, but I'm feeling a little foggy. I guess that is from the increase in Citalopram dose.

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Posted

Yesterday and today have been a little better. I took a couple of xanax yesterday. None so far today, but I'm feeling a little foggy. I guess that is from the increase in Citalopram dose.

I feel for you. I was having the worst panic attacks in the morning and barely getting through the work day. Then I was scared to go home. It was awful. I was taking generic Wellbutrin which was not really helping and I later learned can make the anxiety worse. I did have zanax which was getting me through but barely and that is how I came to this website which was a blessing. Even though there's alot about it taking 6 weeks to work, I could not wait that long so I went back to the Pdoc and he changed me to Lexapro (10 days ago) and I have not had any attacks since and I am almost back to my "normal" self. I don't know why it worked so well and so fast for me, maybe because I was lucky to get the right "formula" on the 2nd try and that it corresponds to my makeup. In any case I am very grateful and starting to feel hope for the futur. I wish you luck and that you find what works for you.

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Posted

Yesterday and today have been a little better. I took a couple of xanax yesterday. None so far today, but I'm feeling a little foggy. I guess that is from the increase in Citalopram dose.

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Posted

I just wanted to add to what's already been said about morning anxiety. I started on Lexapro (Cipralex here in Canada) in September for both anxiety (my primary thing) and depression. The effects were gradual. As those first weeks went on, my sleep was wonky (lots of early waking, which just exacerbated the anxiety) and morning anxiety, which in my opinion, is the worst. At around the week 3 mark, I noticed that I was still having morning anxiety, but its duration was shorter and shorter as time went on. Finally, at the 4-ish week mark, I woke up one very sunny morning with NO anxiety. I swear it was one of the best days of my life.

I then went on to have a great 6 weeks, up until mid-November. I felt like myself again, I had energy, and I looked forward to the future. I realized that I'd been depressed and anxious for much longer than I thought, and my husband made a similar comment to what your wife said about having been depressed for a long time. Anyhow, mid-November I felt myself slipping into a funk. My family doc upped me right away to 20 mg. In about a week I was feeling a lot better. Then, I was hit with two doses of really bad news, and immediately, the depression and anxiety got worse, despite the increase to 20 mg. I started to drive myself crazy- was I feeling bad because of the bad news, or because the 20 mg wasn't enough (or hadn't really taken effect yet)? Once again, this funk started to lift, which to me was reassuring, probably meaning that the 20 mg was really working.

And then, a week ago, the blues set in again. Fortunately my long awaited referral to a psychiatrist was this week. He is affilated with a major hospital that is doing a bunch of large studies of Lexapro. What's coming out is that the effective therapeutic doses are quite often in the 30 to 40 mg range rather than 10-20 mg as the manufacturer advertises. So, he upped me to 30 mg. Today will be my 5th day on 30 mg. I'm thinking that it's already helping somewhat, but I'm not completely there yet- fingers crossed.

I'm also crossing my fingers that you too will get there- and I will remind you (and myself, because I forget this constantly!) that it is SO true what so many have said to me: that it is not at all uncommon to have to tweak your dose, or add a second medication, or have a switch of meds altogether. You WILL get there!

Let us know how it is going :)

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Posted

True enough, you will get there. Having a benzo around during startup / dosage increases for all the SE is always helpful. And Tosca, I have heard of many people that are on 30 mg. My doc tried to put me on 30, but it made me constipated, which is one SE I just can't tolerate. Just hold on and remember that things improve, just not as quickly as we want them to.

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