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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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Is Cymbalta Supposed To Make You Feel Tired/knocked Out

9 posts in this topic

Posted

today was he first day i took cymbalta. i took half a capsule (my dr. said to open it up and take out about half) for 5 days and then go to 30mg. I took a capsule at 10am and by 11am i felt real tired and had to lay down for 2 1/2 hours - no sleep just rest). is this normal . will it get worse especially since i'm at such a low dose.

please let me know.

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Posted

HI change,

There are lots of side-effects you can experience when starting a new med. Tiredness is one of them. You should find that it stops being so debilitating after a while although there may always be some kind of effect. It takes between 6-8 weeks to work effectively.

PRT xx

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Posted

Hello Change,

While I have only been on Cymbalta for about a week, I can completely relate to how you are feeling. I seem to be good for the mornings until about 11:30-noon, but then I seem to hit a wall of exhaustion and it doesn't seem to go away. Try to catch a nap in the afternoon if you can, it helps sometimes, other times I feel no better then before I layed down. Can't always nap tho as work keeps us busy, so just try to push through it. Should mine get any better I will drop you a line in here and let you know.

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Posted

Hello Change,

While I have only been on Cymbalta for about a week, I can completely relate to how you are feeling. I seem to be good for the mornings until about 11:30-noon, but then I seem to hit a wall of exhaustion and it doesn't seem to go away. Try to catch a nap in the afternoon if you can, it helps sometimes, other times I feel no better then before I layed down. Can't always nap tho as work keeps us busy, so just try to push through it. Should mine get any better I will drop you a line in here and let you know.

thank you for your response. how much are you on? i have been sleeping terrible before this and am worried that this will totally mess up any sleep i am getting. do you also take it in the am? also any worries about the withdrawals i read about?

change

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Posted

Hello Change,

While I have only been on Cymbalta for about a week, I can completely relate to how you are feeling. I seem to be good for the mornings until about 11:30-noon, but then I seem to hit a wall of exhaustion and it doesn't seem to go away. Try to catch a nap in the afternoon if you can, it helps sometimes, other times I feel no better then before I layed down. Can't always nap tho as work keeps us busy, so just try to push through it. Should mine get any better I will drop you a line in here and let you know.

thank you for your response. how much are you on? i have been sleeping terrible before this and am worried that this will totally mess up any sleep i am getting. do you also take it in the am? also any worries about the withdrawals i read about?

change

Change,

I am on 60mg of cymbalta, started right @ 60mg, I take it in the morning, around 6am everyday (works starts pretty early >.<) I have been on sleeping pills for probably the better part of 2 years, I can't fall asleep @ bedtime to save my life. Being on cymbalta had made my sleep significantly worse, just last night I think I woke straight up about 3-4 times, I get back to sleep, some time quick, other times it takes 15 mins or so. but I don't really feel the effects of the lost sleep during the day if I keep busy.

I don't really worry about withdrawal symptoms right now, I think Cymbalta is gonna work out for me (fingers crossed), and I think this is something your on for a while if it works for you.... so I'll deal with withdrawals when the time comes I suppose. Besides, everyone is affected differently buy the drugs, who's to say that maybe you or I don't get any withdrawals if we tapper down the dose the right way when the time comes. One thing I am learning form this whole experience is don't sweat the small stuff, or the things you have no control over.... doesn't mean I won't :P but I am working towards it :)

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Posted

I had this in the early going with Cymbalta...30mg for a week, then up to 60mg. The fatigue lasted about a month. After that, it wasn't bad. The med covered my anxiety enough to where I could resume (some of) my normal coffee habit, so this helped as well.

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Posted

[

Change,

I am on 60mg of cymbalta, started right @ 60mg, I take it in the morning, around 6am everyday (works starts pretty early >.<) I have been on sleeping pills for probably the better part of 2 years, I can't fall asleep @ bedtime to save my life. Being on cymbalta had made my sleep significantly worse, just last night I think I woke straight up about 3-4 times, I get back to sleep, some time quick, other times it takes 15 mins or so. but I don't really feel the effects of the lost sleep during the day if I keep busy.

I don't really worry about withdrawal symptoms right now, I think Cymbalta is gonna work out for me (fingers crossed), and I think this is something your on for a while if it works for you.... so I'll deal with withdrawals when the time comes I suppose. Besides, everyone is affected differently buy the drugs, who's to say that maybe you or I don't get any withdrawals if we tapper down the dose the right way when the time comes. One thing I am learning form this whole experience is don't sweat the small stuff, or the things you have no control over.... doesn't mean I won't :P but I am working towards it :)

Empir3,

thank you for your response. Its a very positive way to look at things and i'm sure in the end everything will work out for you. I only hope that i can get to that point. I have pain issues along with the depression so cymbalta was added to the mix. I am also on imipramine which helps give me a few hours of sleep each night but am concerned of the lack of sleep cymbalta might counter with. it's wonderful to have a place to talk to others and get support.

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Posted

To help with my exhaustion (I have just returned to education) I have been taking Berroca tablets in the morning - a vitamin pill designed to help with tiredness. It seems to be helping a bit. I don't know if you can get your hands on any, they sell them in all pharmacys in the UK, but might be worth trying?

My Psychologist has banned me from daytime naps, as it does mess up my sleep pattern. I have recently started needing them again, but I try really hard to go for a walk instead. It can be very hard to move myself and get the motivation to do it, but it does help. Swimming has been good too - for relaxing me and perking me up. I can cry sometimes over how tired I get though!

I would also recommend trying to do a little bit of housework when you are tired - it makes you wake up a bit and makes you feel like you have acheived something, even if it's only a five minute tidy or something. I can feel very sorry for myself as I am doing it, but afterwards I normally feel a bit better.

I hope something I said might be useful to you!

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Posted

I was having 2 or 3 sleep cycles per 24 hours, disorienting, often didn't know what day it was. Pdoc suggested addding Adderall which she claims will enhance Cymbalta as well as take care of my sleep cycles. Your sleep cycle is defined more or less by when Adderall is not in effect.

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