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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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crybabyskater

Citalopram - Fatigue & Sex Drive - Help!

10 posts in this topic

Posted

Hi all. I have been on Citalopram for 6 months now (20mg a day). I take them for anxiety, and altho I personally haven't noticed a huge difference in myself, my friends and family say I am a different person since I have been on them. I guess this is what counts.

I am finding that they make me incrediably fatigued and sleepy tho. Waking/getting up in the morning is so hard, and come mid afternoon I really am fighting to stay awake. I feel like a bit of zombie and its had a big impact on my social life and actvities. The other main side effect I have noticed is my sex drive is pretty non existant. I always had a very healthy one before, so this is rather annoying too (especially for my partner who is very supportive).

Has anyone else experienced either symptoms? I've read up on them and it seems both can fairly common, but they're both so bad that I am thinking about coming off the tablets. I was kind of hoping that after 6 months these side effects would have petered out, but it would seem they are here to stay (and even to a degree getting worse!)

Can anyone offer any advice or confirm that this is normal. Many thanks in advance. :hearts:

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Posted

Hi all. I have been on Citalopram for 6 months now (20mg a day). I take them for anxiety, and altho I personally haven't noticed a huge difference in myself, my friends and family say I am a different person since I have been on them. I guess this is what counts.

I am finding that they make me incrediably fatigued and sleepy tho. Waking/getting up in the morning is so hard, and come mid afternoon I really am fighting to stay awake. I feel like a bit of zombie and its had a big impact on my social life and actvities. The other main side effect I have noticed is my sex drive is pretty non existant. I always had a very healthy one before, so this is rather annoying too (especially for my partner who is very supportive).

Has anyone else experienced either symptoms? I've read up on them and it seems both can fairly common, but they're both so bad that I am thinking about coming off the tablets. I was kind of hoping that after 6 months these side effects would have petered out, but it would seem they are here to stay (and even to a degree getting worse!)

Can anyone offer any advice or confirm that this is normal. Many thanks in advance. :hearts:

Hi Crybabyskater-

I can completely relate to what you are experiencing. I had these same SEs on Celexa, plus many more much worse SEs. After 3mos. the sexual dysfunction had not abated, nor the fatique. I was switched to pristiq which has worked much better for me. You might want to talk to your pdoc and see if she/he feels that an SNRI might be better on your functioning.

Best wishes!

Deepster

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Posted

thank you deepster. i appreciate your words and taking the time to reply. :)

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Posted

Hi all. I have been on Citalopram for 6 months now (20mg a day). I take them for anxiety, and altho I personally haven't noticed a huge difference in myself, my friends and family say I am a different person since I have been on them. I guess this is what counts.

I am finding that they make me incrediably fatigued and sleepy tho. Waking/getting up in the morning is so hard, and come mid afternoon I really am fighting to stay awake. I feel like a bit of zombie and its had a big impact on my social life and actvities. The other main side effect I have noticed is my sex drive is pretty non existant. I always had a very healthy one before, so this is rather annoying too (especially for my partner who is very supportive).

Has anyone else experienced either symptoms? I've read up on them and it seems both can fairly common, but they're both so bad that I am thinking about coming off the tablets. I was kind of hoping that after 6 months these side effects would have petered out, but it would seem they are here to stay (and even to a degree getting worse!)

Can anyone offer any advice or confirm that this is normal. Many thanks in advance. :hearts:

Yes exactly the same for me too (also on 20ml) The mornings are hellish getting out of bed is a constant burden. I'm okay after an hour or so then again like you in the afternoon there is a big crash weighing up the pros and cons though i'm glad that i'm on them.

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Posted

Hi all. I have been on Citalopram for 6 months now (20mg a day). I take them for anxiety, and altho I personally haven't noticed a huge difference in myself, my friends and family say I am a different person since I have been on them. I guess this is what counts.

I am finding that they make me incrediably fatigued and sleepy tho. Waking/getting up in the morning is so hard, and come mid afternoon I really am fighting to stay awake. I feel like a bit of zombie and its had a big impact on my social life and actvities. The other main side effect I have noticed is my sex drive is pretty non existant. I always had a very healthy one before, so this is rather annoying too (especially for my partner who is very supportive).

Has anyone else experienced either symptoms? I've read up on them and it seems both can fairly common, but they're both so bad that I am thinking about coming off the tablets. I was kind of hoping that after 6 months these side effects would have petered out, but it would seem they are here to stay (and even to a degree getting worse!)

Can anyone offer any advice or confirm that this is normal. Many thanks in advance. :hearts:

I didn't get either personally, but I know people that have and they told me it those side effects just wore off over time. Try not to think of them too much.

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Posted (edited)

Hi crybabyskater,

SSRI's are infamous for sexual side effects via it's serotonergic properties. Trazadone, Nefazodone, and Mirtazapine are the best anti-depressants for patients concerned about sexual side effects, although they may not be as effective at treating anxiety. They do not agonize serotonin receptors, which is known to cause decreased libido. Also SSRI's can cause sedation through its actions at the serotonin pre-synaptic autoreceptors, although it's not typically a problem for patients. If sedation is a problem, the best action may be to switch to an SNRI—Cymbalta, Pristiq, Effexor or Wellbutrin, an NDRI. Everyone has different experiences with these drugs. Throughout my experience with several medications, I'd say SSRI's have more tolerable sexual side effects than SNRI's. SSRI's usually carry less anxiety too. SNRI's killed my libido. I hope that helps. Good luck.

Edited by blackcompe

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Posted

Hi Hi crybabyskater,

Yes I am on Citalopram for years now and this problem still persists. I have gotten a bit better in the libido department and I don't suffer from Fatigue.

Exercise, diet and keeping fit mentally will all help improve your life and in time the rest will improve.

Best Wishes

Jim Bow

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Posted

Hi crybabyskater,

Yes i have heard of others with the same side effects, in fact a close friend of mine hates not having an active sex life.

I've been on citalopram for about 4 months and haven't experienced any of the side effects.

I agree with Jim Bow "Exercise, diet and keeping fit mentally will all help improve your life and in time the rest will improve."

It takes time but it works in the long run

I haven't experienced the fatique but there again i take my meds at night and it seems to help me sleep better.

But there again.... all meds affect everyone differently.

Peace out and take care

Shio

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Posted

Hi all. I have been on Citalopram for 6 months now (20mg a day). I take them for anxiety, and altho I personally haven't noticed a huge difference in myself, my friends and family say I am a different person since I have been on them. I guess this is what counts.

I am finding that they make me incrediably fatigued and sleepy tho. Waking/getting up in the morning is so hard, and come mid afternoon I really am fighting to stay awake. I feel like a bit of zombie and its had a big impact on my social life and actvities. The other main side effect I have noticed is my sex drive is pretty non existant. I always had a very healthy one before, so this is rather annoying too (especially for my partner who is very supportive).

Has anyone else experienced either symptoms? I've read up on them and it seems both can fairly common, but they're both so bad that I am thinking about coming off the tablets. I was kind of hoping that after 6 months these side effects would have petered out, but it would seem they are here to stay (and even to a degree getting worse!)

Can anyone offer any advice or confirm that this is normal. Many thanks in advance. :shocked:

Hello, just wanted to add my two cents here. I started taking 20mg of Citalopram about a month ago and I hate it. I am always tired, always. My husband told me last night that I look like a walking zombie. I am always falling asleep. If I sit down to watch something on tv, I'm going to fall asleep. I used to get up and run before work and now I can't even get up when I have to to. And my sex drive has totally gone out the window. I just got married in Feb. so it's a little too soon for that to be happening. :) Before this, I took 50mg of Zoloft, but my Dr. said the Citalopram is a "cleaner" drug and she wanted me to try it. I know everyone is different, but the Zoloft did what it was supposed to do without the annoying side effects so if you're looking to change, I would def. recommend trying it. Thanks and good luck!

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Posted

Hi CryBabySkater,

SSRI antidepressants like Citalopram supposed to make people feel better, but an unfortunate side effect of these drugs is that they can interfere with sexual response and sensitivity.

You might consider trying the over-the-counter arousal oil called Zestra, which has been shown to be safe and effective for women using SSRI anti-depressants. Two placebo-controlled studies published in the Journal of Sex and Marital Therapy showed that this blend of botanicals (including borage seed and evening primrose oils, Angelica root and vitamins C and E) provided a significant increase in arousal, desire, genital stimulation, ability to orgasm and pleasure. The treatment worked equally well on women using SSRI antidepressant medications. Of course, talk with your doctor first before trying anything, and do not stop taking your antidepressant medications.

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