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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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danutza

Cymbalta & Wellbutrin Or Effexor & Wellbutrin

4 posts in this topic

Posted

Hi,

I'm new here although not new to depression. First diagnosed with PPD over 3 years ago - went on Effexor 300mg and then titrated down to zero earlier this year: MArch 1st was first day without any Effexor. I did it extremely slkowly and counted granules and dispensed them in empty gelatin capsules to titrate below 37.5mg. Weaning off Effexor is not easy but I know hot to do it without messing up my life. So, everything was almost fine, with some bad days here and there but all in all I was OK. Then I decided I want to stop smoking. And I did it. Cold turkey! And I'm still quit without any second thoughts.

However, 2 weeks into my quitting I started experiancing major anxiety (which actually also co-existed with my PPD and for which Effexor was a miracle drug). So my dr put me back on Effexor and it helped again. However, I am experiencing again the major weight gain and sleepiness that I went through first time around. Plus constipation and bloating. So we tried Cymbalta (60mg) but I have the exact same side effects: I feel like I could eat myself to death. Bloated, constipated, bad gas (sorry for TMI). Just to mention, this hunger is unrelated to cigarette craving. I have quit more than 3 months ago and cravings came and went away. This is from the AD drugs. Last time on Effexor I packed on 25 punds in less than three months. This time I packed 10 pounds in September only and now I am basically starving myself and not losing anything.

My dr. prescribed 150mg of wellbutrin xl to take along with 30mg of cymbalta. But I wonder if I were not better off with effexor and WB? I think effexor is easier on the liver than cymbalta and combining with wb should be also easier on my body. I'm now wondering what I should do. When I switched from effexor to cymbalta it was quite easy without major brain zaps - titrated down from 150mg to 75mg for 2 days, then added 30 mg cymbalta for a couple of days and then cymbalta 60mgs only. everyhting took less than a week. I wonder if I was to switch cymbalta to effexor with the same dose scheme and maybe then add wb? or shoudl i try wb and once I know if it works then to try to switch to effexor?

I'm really confused as to what i should do. Any input is much appreciated.

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Posted

Hi danutza,

Basically you are asking for medical advice which we can't give you. You will have to ask your doctor about all the possibilities given in your post. Meds effect us differently so not all experience the same side effects. Share your concerns and options with your psychiatrist and they will tell you what is the proper course of action you should take. Hope your combo works for you.

Lindahurt

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Posted

Hi,

I'm new here although not new to depression. First diagnosed with PPD over 3 years ago - went on Effexor 300mg and then titrated down to zero earlier this year: MArch 1st was first day without any Effexor. I did it extremely slkowly and counted granules and dispensed them in empty gelatin capsules to titrate below 37.5mg. Weaning off Effexor is not easy but I know hot to do it without messing up my life. So, everything was almost fine, with some bad days here and there but all in all I was OK. Then I decided I want to stop smoking. And I did it. Cold turkey! And I'm still quit without any second thoughts.

However, 2 weeks into my quitting I started experiancing major anxiety (which actually also co-existed with my PPD and for which Effexor was a miracle drug). So my dr put me back on Effexor and it helped again. However, I am experiencing again the major weight gain and sleepiness that I went through first time around. Plus constipation and bloating. So we tried Cymbalta (60mg) but I have the exact same side effects: I feel like I could eat myself to death. Bloated, constipated, bad gas (sorry for TMI). Just to mention, this hunger is unrelated to cigarette craving. I have quit more than 3 months ago and cravings came and went away. This is from the AD drugs. Last time on Effexor I packed on 25 punds in less than three months. This time I packed 10 pounds in September only and now I am basically starving myself and not losing anything.

My dr. prescribed 150mg of wellbutrin xl to take along with 30mg of cymbalta. But I wonder if I were not better off with effexor and WB? I think effexor is easier on the liver than cymbalta and combining with wb should be also easier on my body. I'm now wondering what I should do. When I switched from effexor to cymbalta it was quite easy without major brain zaps - titrated down from 150mg to 75mg for 2 days, then added 30 mg cymbalta for a couple of days and then cymbalta 60mgs only. everyhting took less than a week. I wonder if I was to switch cymbalta to effexor with the same dose scheme and maybe then add wb? or shoudl i try wb and once I know if it works then to try to switch to effexor?

I'm really confused as to what i should do. Any input is much appreciated.

You may also want to check some of the posts in the Effexor and Wellbutrin forums where people relate their experiences on these medications, although your MD can give the best advice!

Hope you do well on whatever you are put on!

Sincerely,

MaddieLouise

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Posted

Did you ever think about trying xanax for the anxiety? welbutrin also may make you feel jittery, which may increase anxiety.

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