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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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olivia2988

Why Would Effexor Xr Just Stop Working After So Many Years?

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Posted

Hi, I am 21 years old and have been on effexor xr for 9 years. It has done great things for me and really took away my social anxiety, and panic attacks. I never had a problem with depression until recently. I was taking 75 mg for most of my time on it. Then went up to 150 mg when I was pregnant with my daughter because my "problems" couldn't out weight anything by me not being on it. So the 150 mg was doing fine also for me until a few months ago. There was a lot of stressful issues in my life that just started to bring me down. I ended up actually feeling what I think is depressed because everything started really stressing me out which started to bring my anxiety back and then I believe brought on depression. I guess everything possibly triggered my anxiety and panic attacks to come back. So on April 30th I cut down my dose to 75 mg just to see if this my work for me, and of course I'm dealing with the so wonderful side effects. I also do not have a pdoc because I recently moved and the place I'm trying to get into cannot see me until a week or more. So I really just need some help from anyone at the moment because I really feel like I'm at a dead end. Now, the questions I have are why would the effexor just stop working for me after so long of doing good? And do you think that if I lower the dosage, can that make me feel any better? I always wanted to not be on any medication and only tried once when I was younger to come off and all my symptoms returned. If I did have to be on a medication, I would only want it to be this one somehow or way because I don't want to go through the whole process of finding a medication then it not working, then trying another one and soon. Plus I didn't want to be on a medication for my whole life anyway. Anything will be greatly appreciated from you guys! Thank you

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Posted

Hi Olivia2988, For one reason or another (sometimes unknown reasons), anti-depressants sometimes do stop working for a person. This can happen because of a new health issue, worsening depression, another medication, undiagnosed bipolar, physical changes because of age, or the med just loses it's effectiveness. It can happen within months or after several successful years.

I honestly don't know if a decreased dose would help. You would know that right now because your reduced dose is now all the Effexor you have in your system. Effexor doesn't last in your system more than about a day or two after you stop it.

iowa

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Posted

Hi Olivia2988, For one reason or another (sometimes unknown reasons), anti-depressants sometimes do stop working for a person. This can happen because of a new health issue, worsening depression, another medication, undiagnosed bipolar, physical changes because of age, or the med just loses it's effectiveness. It can happen within months or after several successful years.

I honestly don't know if a decreased dose would help. You would know that right now because your reduced dose is now all the Effexor you have in your system. Effexor doesn't last in your system more than about a day or two after you stop it.

iowa

Thanks Iowa, do you think you can answer this for me? Do you think I will notice if the effexor is working once my side effects of the lower dose go away? Or can it take as long as it did when I first went on effexor? Thanks

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Posted

Hi Olivia2988, For one reason or another (sometimes unknown reasons), anti-depressants sometimes do stop working for a person. This can happen because of a new health issue, worsening depression, another medication, undiagnosed bipolar, physical changes because of age, or the med just loses it's effectiveness. It can happen within months or after several successful years.

I honestly don't know if a decreased dose would help. You would know that right now because your reduced dose is now all the Effexor you have in your system. Effexor doesn't last in your system more than about a day or two after you stop it.

iowa

Thanks Iowa, do you think you can answer this for me? Do you think I will notice if the effexor is working once my side effects of the lower dose go away? Or can it take as long as it did when I first went on effexor? Thanks

Olivia, I suspect you will know if it is working, but you can almost be guaranteed to notice if it is not! :wwww: Imagine going through this stuff without this forum, or the internet at all? :shocked: It kind of sounds like life got really tough for you there for a bit, and high levels of stress DEFINITELY wreck havoc on your brain. Incidentally I was once at 225 mg effexor xr per day and dropped down to 75 for awhile with no intolerable effects, and effexor is still a part of the pharmacy in the kitchen cabinet that I visit every morning. :sneaky2:

-WS

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Posted

Olivia, I suspect you will know if it is working, but you can almost be guaranteed to notice if it is not! :wwww: Imagine going through this stuff without this forum, or the internet at all? :shocked: It kind of sounds like life got really tough for you there for a bit, and high levels of stress DEFINITELY wreck havoc on your brain. Incidentally I was once at 225 mg effexor xr per day and dropped down to 75 for awhile with no intolerable effects, and effexor is still a part of the pharmacy in the kitchen cabinet that I visit every morning. :sneaky2:

-WS

Hi WS, I am very much greatful for this help online! I really needed it because I don't have a pdoc to talk to at the moment. I would be suffering very badly not being able to ask questions and let my feelings out. Even though I am suffering quite a bit..I know that maybe someday soon I will feel myself again. Stress has really done some dramastic things to me that I don't believe I ever felt before. Do you or anyone know what stress actually does to the brain? Whenever I look online, it always comes up describing it in so many words that I just can't comprehend.

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