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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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holidaychick

Going From 75mg To 150mg Of Venlafaxine (effexor)

22 posts in this topic

Posted

Hi,

After 4 weeks on 75mg of venlafaxine i contacted my pdoc as i have not noticed any improvement in my anxiety/depression. I know I wouldnt be 100% but I thought I would have felt a slight improvement.

He has told me to double my dose from 75mg to 150mg starting tonight.

Has this happened to anyone else and if so did you find a greater benefit from the higher dose?

Also did you have the side effects all over again, nausea and dizzyness etc?

Many thanks

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Posted

ANYONE?

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Posted

I've not felt much improvement on 75mg though I'm only two weeks in, people are on far higher dosages some people take 450mg a day, its just about playing around with dosages and meds until something workds, treating depresson and anxiaty is still very much trial and error unfortunetly. Try to stick with it, I have found when I've been on other meds and increased dosages don't tend to really feel the side effects all over again, you might get a return of some of the weaker ones for a day or two or at least I do then it settles out pretty quickly

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Posted

Hi,

After 4 weeks on 75mg of venlafaxine i contacted my pdoc as i have not noticed any improvement in my anxiety/depression. I know I wouldnt be 100% but I thought I would have felt a slight improvement.

He has told me to double my dose from 75mg to 150mg starting tonight.

Has this happened to anyone else and if so did you find a greater benefit from the higher dose?

Also did you have the side effects all over again, nausea and dizzyness etc?

Many thanks

I did see an improvement with 150 over 75mgs, but I personally feel that eventually you experience diminishing returns, (above 225mg, my wife reported that my personality changed for the the worse,) if not an outright reversal. I did not experience the SE's all over again with every increase, although there were sometimes new ones.

-WS

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Posted

Hi :)

The first time I was on it - I started at 150mg and didn't need to increase the dose..

This time I started at 75mg but after a few weeks - there was no improvement so I was put back on 150mg.

Been on 150mg now for a good few months.. Over 6 months but I can't remember exactly how long..

I still have days where I feel down in the dumps - but maybe 2 or 3 days a month..

And sometimes a get a little anxious - but it lasts maybe a minute and then goes away.

I replied to your other thread as well..

All in all - 150mg works great for me.. But like others have said - some people take up to 450mg a day..

Don't lose hope - a solution IS out there..

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Posted

Thanks again Taryn7,

I think if someone said to me give it another 2 weeks and you will feel better, i know i could cope. its the not knowing, especially since this is my 3rd AD in 16months and the other 2 didnt work.

I think im beginning to panic, even though i know its early days with the meds. But when you have anxiety 24/7 logical thinking goes straight out the window.

I cried today for about 2 hours while my kids were out, now they are back and i think i could cry for another 2 hours. I dread waking up each and every day.

just want to feel better, id honestly give my right arm if it would make a difference.

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Posted

I noticed a definite improvement at 150mg and more at 225.... with the standard disclaimer that different brains react differently to different meds.... I'm one of those rarities taking 450mg currently. The norepiniphrine part kicks in around 150 and up.

I did have slight return of side effects with each dose increase, but thankfully it would fade after a few days. Taking it with food helps.

If your side effects are tolerable, I wouldn't give up on effexor until at least 225mg, but that's just my opinion.

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Posted

Thanks for that Zenmama

How long did it take you to feel the anxiety lessening at 150mg?

I was on the 75mg for 4 weeks then it was upped to 150mg but that was only 6 days ago. Im just wanting the anxiety to go away.

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Posted

Thanks for that Zenmama

How long did it take you to feel the anxiety lessening at 150mg?

I was on the 75mg for 4 weeks then it was upped to 150mg but that was only 6 days ago. Im just wanting the anxiety to go away.

Was on 75mg for 12 months and increased to 150mg two weeks ago. For 7 days I had awful side effects, including dizyyness and much more severe mental debility and confusion. I've now been on the increased dose for 2 weeks and feel worse than I did when I was on 75mg (and that was truly awful!).

I also used to run quite often but have become so exhausted that this has stopped too.

L

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Posted

thanks for that Longshanks,

What does your pdoc or gp say about how you are feeling, did they say to give it more time?

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Posted

Hi holidaychick,

Effexor , like most SNRI meds are pretty hefty in their effect. I could not tolerate them when I was put on it. Everyone is different, some people do need a pretty high dose and other people get on well at 75 mg or lower.

So the best of luck and do let your Doc know of any side effects you are having.

Best Wishes

Jim Bow

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Posted

thanks for that Longshanks,

What does your pdoc or gp say about how you are feeling, did they say to give it more time?

Hi

Due to see Doc this Friday to review. I will ask to taper off as I can't gon like this much longer. I tried this higher dose about a year ago but reverted back to 75mg after a week or so.

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Posted

Hi,

After 4 weeks on 75mg of venlafaxine i contacted my pdoc as i have not noticed any improvement in my anxiety/depression. I know I wouldnt be 100% but I thought I would have felt a slight improvement.

He has told me to double my dose from 75mg to 150mg starting tonight.

Has this happened to anyone else and if so did you find a greater benefit from the higher dose?

Also did you have the side effects all over again, nausea and dizzyness etc?

Many thanks

Hi,

i have been taking effexor for a few years, the 150 mg dose was bad for me i was sleepy, suicidal and edgy.

also the withdrawal from effexor is one of the worse, (been trying a lot of AD's for the last 10 years)..

my tip for you is to change the effexor to something with less side effects, and don't double the dose.

best of luck,

Mad2Bhere..

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Posted

please help i dont know what to do.

Im having to take more diazapam than i usually do because im not able to get rid of my anxiety.

Ive been on the 75mg for 5 weeks and on the 150mg for 1 week.

Do i contact my pdoc or gp and tell them how im feeling?

Do i leave it for another week to see if that makes a difference?

I havent had a good day in weeks and even as im typing this im shaking inside and out and that after taking a diazapam

I NEED SOME ADVICE FROM PEOLE WHO HAVE BEEN THERE, PLEASE HELP ME

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Posted

I'm so sorry you're having a hard time! Personally if you're feeling WORSE in the last week then I would go back to 75 and call the pdoc, ask about other options.

"3rd AD in 16months and the other 2 didnt work" is a hard thing to go through but remember there is ALWAYS hope and other treatments.

I tried 4 ad's semi/unsuccessfully before finding the 5th and 6th that I can tolerate and work well together. For me it's effexor and remeron that help; if it wasn't those, I'd keep trying. If my pdoc didn't agree with me about aggressively treating my conditions with the goal, I'd try and get a new pdoc, which I did a couple months ago. But again that's my philosophy and personal experience, for what it's worth for you.

Hope this helps some :)

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Posted

HI EVERYONE,

My pdoc phoned me today and said that it was normal to feel more anxious both when starting venlafaxine and again when the dose is increased. He also said it takes longer than other AD's for these meds to get into the system. Ive to give it another 2 weeks and in the meantime take a diazapam at night to help me sleep.

I hope they kick in soon as im going on holiday in 2 weeks (for 3 weeks).

Thankyou to everyone for their support, i dont know where i would have been without this forum xxx

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Posted

HI EVERYONE,

My pdoc phoned me today and said that it was normal to feel more anxious both when starting venlafaxine and again when the dose is increased. He also said it takes longer than other AD's for these meds to get into the system. Ive to give it another 2 weeks and in the meantime take a diazapam at night to help me sleep.

I hope they kick in soon as im going on holiday in 2 weeks (for 3 weeks).

Thankyou to everyone for their support, i dont know where i would have been without this forum xxx

Hi holidaychick, I am glad that you've been able to speak with the pdoc about your meds. I also hope that the diazapam helps with your sleep.

Three weeks holiday! You lucky thing you! Are you going somewhere exciting? I am sure the holiday will really help relieve the feelings of anxiety too.

Girly

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Posted

hi girly,

We are heading to a villa in Lanzarote, me my 2 kids and my mum and dad. the only problem is that going on holiday is one of my triggers!!!! But after a couple of days settling in im usually ok. Thats why i wanted to be even 90% better before I went.

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Posted

I just increased from 75mg to 150mg yesterday. Despite some lightheadedness yesterday, I feel great today! I hope this continues. The plan is to increase to 225mg in a few weeks and then possibly add Adderall XL in a low dose for ADD.

Good luck with your treatment!

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Posted

I was on Effexor 300mg for 5 years before I ran into complications last August and explored other medication options. Now, I am back on Effexor and loving it all over again.

I had switched from Pristiq 100mg, so I went up to 150 mg of Effexor within 9 days, and have been on that dose for about a week now. I know I will most likely have to go up again, and I'm okay with that. If I get the same results I had last time I took Effexor long term, I am willing to do whatever I have to. I have never experienced wierd side effects with Effexor, and did not as I increased doses this time around or last time.

Good luck to you, hope you find a dose that works for you. :)

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Posted

Hi,

im back from my holiday and I felt like a "normal holidaymaker" (apart from 4 days when i was anxious but it passed as quick as it came) I went out for meals, bbq'd and drove all over the island and on the wrong side of the road, i was sooo confident and happy and really enjoyed myself.

Now im home the anxiety has started all over again!!!!!!! Ive been on the 150mg venlafaxine for 6 weeks now but if its helping why am i like this now? Ive to see my pdoc next Monday and I will see what he says.

I bought a Claire Weekes book called Self help For Your Nerves and I swear i could have written it myself its just me to a T. She has said not to fight the symptoms of anxiety but to accept them. After reading the book it makes total sense, BUT I CANT SEEM TO LEARN HOW TO ACCEPT THE SYMPTOMS and its so frustrating. Has anyone else managed to grasp her methods and if so can you please advise me.

Thanks for listening

Holidaychick xxx

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Posted

Hi,

im back from my holiday and I felt like a "normal holidaymaker" (apart from 4 days when i was anxious but it passed as quick as it came) I went out for meals, bbq'd and drove all over the island and on the wrong side of the road, i was sooo confident and happy and really enjoyed myself.

Now im home the anxiety has started all over again!!!!!!! Ive been on the 150mg venlafaxine for 6 weeks now but if its helping why am i like this now? Ive to see my pdoc next Monday and I will see what he says.

I bought a Claire Weekes book called Self help For Your Nerves and I swear i could have written it myself its just me to a T. She has said not to fight the symptoms of anxiety but to accept them. After reading the book it makes total sense, BUT I CANT SEEM TO LEARN HOW TO ACCEPT THE SYMPTOMS and its so frustrating. Has anyone else managed to grasp her methods and if so can you please advise me.

Thanks for listening

Holidaychick xxx

Ah i see you're from Northern Ireland...Im from Dublin. Not sure if you consider yourself irish or british so greetings fellow irishwoman/islander.

I am also on Effexor XL 150mg but for severe depression. I had been on 75mg for 2 weeks to which I felt an immediate response after just 2 days! Unfortunately I went on a massive boozer a week into this medication, had a really bad hangover and have been in the pits of a severe depressive episode. Because of this I went up to 150mg and have been on that dosage for 4 days now....Also, I should mention that I've been on Mirtazapine 15mg for the past 4 and a half weeks.

I am still in the throes of an awful, suicidal relapse right now and what makes matters worse is my expectations of Effexor based on my experience of it in the past. I'm 25 now and suffered my first episode when I was 18. I was prescribed effexor 75mg and, HONESTLY, i felt IMMEDIATE relief from it...I took my first one ever in the morning and by that night, I was noticing something happening in my brain..within 2 days, I was on top of the world and felt fantastic! i was on and off it over the years(through my own denial and negligence) and am now back on it...full-time(i expect to be on this for the rest of my life and i dont mind that once i can live a normal life)....so i did get a really good response from effexor in the past and am annoyed that it hasnt kicked in yet....

I dont know if this has been of any use to you but i'd like to talk to you more about both our experiences

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