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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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magulagie

How Much Medication Is Too Much?

8 posts in this topic

Posted

It seems like everytime i visit my psychiatrist he's prescribing me more medication to cope with my anxiety and depression. my current dosage is 25mg of Pristiq, 300mg of Wellbutrin and 100mg of trazodone.

I'm the type of person that will avoid taking medications for as long as possible, because whenever i try to start something new, i will usually have an adverse reaction the first time, but after that i'm a lot better. I put off taking medication for my conditions for a long time, and then finally i had a mental breakdown and i started on them when i realised that there was a 5 month waiting list to get in to see a psychologist in my area.

I'm starting to think that throwing drugs at the problem may not be the best idea, but at the same time, I can't stop them because i'm afraid of withdrawl. So i guess my question is, how much medication (in mg and quantity of different types) is too much?

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Posted

It seems like everytime i visit my psychiatrist he's prescribing me more medication to cope with my anxiety and depression. my current dosage is 25mg of Pristiq, 300mg of Wellbutrin and 100mg of trazodone.

I'm the type of person that will avoid taking medications for as long as possible, because whenever i try to start something new, i will usually have an adverse reaction the first time, but after that i'm a lot better. I put off taking medication for my conditions for a long time, and then finally i had a mental breakdown and i started on them when i realised that there was a 5 month waiting list to get in to see a psychologist in my area.

I'm starting to think that throwing drugs at the problem may not be the best idea, but at the same time, I can't stop them because i'm afraid of withdrawl. So i guess my question is, how much medication (in mg and quantity of different types) is too much?

Well, each person is different (obviously). To me, it does sound like a lot of medicine, but some people need combinations to work for them. It seems to be an experimental thing, for better or worse. I think you have to do what you think is best for you. Doctors do tend to throw pills at people these days, but some people need the pills in order to cope and function. I think the more severe the condition, the more treatment is needed (that's kind of a no-brainer I guess).

I didn't want to get back on antidepressants, but decided I needed to. I'm not familiar with Pristiq, but I am on WB and took Trazadone in the past to help with sleep. It seems that trazadone is a common "tack-on" to other medications.

I don't think there is a set amount that is too much or not enough, etc. Some people can tolerate large doses and some are very sensitive to even tiny amounts of medication.

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Posted

Hello, just wanted to agree with spiritual-wanderer, there is *no* set dose for anyone which is why there are so many different doses for each medication. I know people who are on far more medications that what is prescribed for you. Trazodone is great to help you sleep and I assume you take in the PM. Its very sedating but very good for insomnia and get a good nights sleep. Prisig and wellbutrin are for the depression and really thats not that high a dose for either one. I think this issue is best to talk to your doctor about AND dont forget you can always get a second opinion, it never hurts in my opinion to seek another doctors advice. But all in all it sounds like a good combination to me!

Good Luck and best wishes,

p.s. only thing is the trazodone, if it makes you too groggy in the morning and doesnt go away over time ask you doctor if maybe 50 mg might not be okay for you. and I do hope you take the others in the AM as they are stimulating, again trazodone is sedating (this is a general rule mind you)

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Posted

Hello

Have you tried talk therapy? Not as a replacement but as an add on to your meds. I have a fairly simple way of telling if I am getting the correct dose. If I can make it to my once a week group therapy and every two week one on one sessions the meds are doing the job. This may not work for you or you may have time or insurance issues but if not you have nothing to loose but your depression.

Bigd

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Posted

Hello, just wanted to agree with spiritual-wanderer, there is *no* set dose for anyone which is why there are so many different doses for each medication. I know people who are on far more medications that what is prescribed for you. Trazodone is great to help you sleep and I assume you take in the PM. Its very sedating but very good for insomnia and get a good nights sleep. Prisig and wellbutrin are for the depression and really thats not that high a dose for either one. I think this issue is best to talk to your doctor about AND dont forget you can always get a second opinion, it never hurts in my opinion to seek another doctors advice. But all in all it sounds like a good combination to me!

Good Luck and best wishes,

p.s. only thing is the trazodone, if it makes you too groggy in the morning and doesnt go away over time ask you doctor if maybe 50 mg might not be okay for you. and I do hope you take the others in the AM as they are stimulating, again trazodone is sedating (this is a general rule mind you)

I had to start taking them all at night because my first time taking the wellbutrin (i started at 150mg) caused me to have heart palpitations and almost pass out in class. I was hesitant to try it again, but ever since i started taking it at night i've been fine.

I'm also taking the prisiq at approximately 8:30pm as that is the only time i can guarentee to be near the pills and food. Maybe part of my reservations are taking them all at the same time?

Hello

Have you tried talk therapy? Not as a replacement but as an add on to your meds. I have a fairly simple way of telling if I am getting the correct dose. If I can make it to my once a week group therapy and every two week one on one sessions the meds are doing the job. This may not work for you or you may have time or insurance issues but if not you have nothing to loose but your depression.

Bigd

I'm on a waiting list to start talk therapy; i had to do it through my university and there was a 5 month wait to see anyone.

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Posted

I see your point about taking them all at once. I would be hesitant as well. I'm sure thousands of people do it with absolutely no problems. I have to take my Wellbutrin in the early morning (around 5 a.m.) and then the second dose around 3 p.m. I have trouble sleeping and it would NOT work for me before bed.

The palpitations go away. (At least for me, how long have you been taking it?) I also found that certain other medications would act in ways with the WB that caused me more anxiety or fast heart rate. It might be better to take them separate, but if you can't function during the day then you might be better off taking them all at night.

I'm pretty sure there would be some kind of instruction with the prescriptions if there was a major issue with taking them at the same time. Like, some drugs you can't take and eat grapefruit, etc. I always google these things and see what all the side effects and interactions are/might be. lol

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Posted

It doesn't seem as though you are on too many. If the heart palpitations continue you may want to go down to just one a day WB SR 150 so then it will wear off by the evening. I'm on WB XL 150 and don't feel any side effects at all. I am normally (or) abnormally hyper when I'm not depressed and drug don't have the same effect on me. Valium does nothing! You know your body so be a strong voice in your own prescriptions but from personal experience I WOULD NOT GO OFF my meds!! Been there done that very bad!!!

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Posted

I think the above posters have given you much to think about and I agree with them. I am on 5 meds, was on 6. I have to take my meds to maintain stability or else I would be back in treatment as an inpatient. Its different for everyone which is why your doctor should know how to prescribe your meds and dosages based on you as an individaul. I take my meds, depending on which ones, in the morning, then I have those I take at night. Take your meds as he has prescribed them.

Lindahurt

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