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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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Pippin12

Cymbalta Causing Brain Fog?

56 posts in this topic

Posted

Hi all, I'm a newbie here and it's great that there is a whole community dedicated to this stuff. I've been on 30mg Cymbalta for ten days and I've been suffering from a dense brain fog. I'm not sure whether it's the Cymbalta doing it - I've been on Zyprexa 20mg and Lamictal 75mg for years now. Anybody have any ideas?

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Posted

Hi Pippin,

I think it is a definite possibility the brain fog you describe is from the Cymbalta. I went through something very similar- spaciness, blurry vision at times, and an overall sense of just being out of it. It got better for me at about the 3 week mark. Hang in there and I bet it gets better soon! :happy:

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Posted

Hi Pippin and Welcome to DF,

Well it does sound like the side effects of Cymbalta and it is not that uncommon. It always goes when you have achieved the effective dose level (therapeutic level) that suits you,

I can be annoying, however if you focus down on your work and get involved in activities you really love doing it does not bother you so much.

Best Wishes for a speedy recovery

jim Bow

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Posted

Thanks for your replies guys - it's good to know it goes away.

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Posted

Pippin, I suffered from similar symptoms along with dry mouth, loss of appetite, nausea, headache (you name it), and at about the fourth week, I noticed the side effects slowly decreasing, until I just felt normal again (whatever that is). I've been on Cymbalta ever since (four years) and am very happy with it.

I hope you can tolerate it until you see the positive effects.

Sincerely,

MaddieLouise

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Posted

Thankyou for your reply MaddieLouise. I'm going to do my best to stick it out for at least a few weeks more. So far, apart from the brain fog there have been few side effects at 30mg (loss of appetite is one but I like that) - no nausea, a bit of a headache and a dry mouth and that's all. It was a different story on 60mg though. I only lasted three days on that dose as it was giving me intense exhilarating head rushes and ramping up my anxiety. It felt like a street drug ( ecstasy or speed) - crazy. 30mg doesn't do that to me though. I'm pretty sensitive to meds I think.

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Posted

I felt increased anxiety every time I increased the dosage, but it could be that 30 mg. is all you need. I hope it goes well for you and keep us posted!

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Posted

Hi all, well the brain fog is continuing. I'm sure it's the Cymbalta causing it - it's too much of a coincidence that it started happening when I started taking it. It's so intense now that I'm unable to work or focus on my daily activities - it's really quite disabling. I've been on the Cymbalta for 2 weeks today and don't want to throw all that away by stopping taking it. Immediately prior to this I tried Prozac and then Lustral but the side effects of both were to great to continue with them. I really don't know what to do. I guess I'm just hoping that it passes soon. Any ideas?

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Posted

I forgot to add that my anxiety has really been ramping up too. I'm so scared all the time it's awful. Does this medication really help anxiety - I do so hope so as it's more of a problem for me than the depression. I was on Lexapro but was taken off it because apparently it causes cardiac problems in high doses and I was on a lot. My doc tried me on Prozac but the side effects were way too bad and then on Zoloft but that was even worse. So this is my third change of meds in 4 weeks. I think my brain doesn't know what's hit it. Just so so scared and so foggy.

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Posted

So sorry to hear you are struggling Pippin12. As I mentioned before, I had similar experiences to what you are describing. I was also prescribed Lorazepam (Ativan) to use as I needed it when I first started Cymbalta, maybe you could check with your doctor to see about something like that? And for me, yes the Cymbalta does help with anxiety, tremendously- but not until the 3 week mark or so. Unfortunately we have to go through this intial period of hell (best way I can describe it) before we see the light at the end of the tunnel. Then it gets better each day. Hang in there and please let us know how you are doing. :hugs:

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Posted

Thankyou for your kind reply junebug01. Unfortunately I can't take any benzodiazepines as I was hooked on valium for a period of years and only came off them totally two years ago. I take great strength from your comment that the anxiety improved for you at the three week mark though. That means I would only need to go through this for another week. Of course it may take longer, as we're all different, but it gives me that most valuable of all things - hope.

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Posted

Well I sincerely hope you start noticing some changes very soon Pippin, I know it's no fun and it seems like time is at a standstill waiting for it to kick in. I'll be praying for you!

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Posted

I was about to post a question about my side effects ffrom Cymbalta, but after reading the posts from Pippin12 and the responses from Junebug01, I feel relieved that the same symptoms Pippin12 is experiencing, I am, too.

I started out on 20 mg of Cymbalta on March 10 and changed to 30 mg on March 23; so, a total of about 3 1/2 weeks. This is the 7th or 8th AD I've tried; all the others gave me terrible side effects, so my doctor changed me to Cymbalta. The side effects I'm experiencing are brain fog and fear of everything, and I really don't want to get out of bed in the morning. Actually, I'm still depressed, but not quite at the same level as before.

I have to keep busy and I run from one thing to another, because I feel much better when I'm around people and either volunteering or taking a class.

My oldest daughter committed suicide on 12/24/2009, and it took a year and a half (on April 7, 2011, her birthday) to become depressed. Any feedback will be very much appreciated.

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Posted (edited)

Hi Mommell, really sorry to hear you're going through it too. It's no wonder you became depressed after suffering such a terrible tragedy as your daughters death. My heart goes out to you. Hopefully the side effects of the Cymbalta will wear off for you soon and you'll start getting the benefit of it. Keep posting and let us know how you get on. Good luck and best wishes.

Edited by Pippin12

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Posted

Do you take your Cymbalta in the morning or before you go to bed?

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Posted

I take it in the morning.

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Posted

Still suffering badly from the brain fog and anxiety. I was meant to meet a friend in town yesterday but I had a panic attack as i was about to get on the bus so I had to come home. I was thinking about it and I didn't experience any brain fog when I was on 60mg strangely enough. Other side effects though. Today I've done an experiment and taken two 30mg tablets at different times to see whether I can tolerate the 60mg better taking them that way. I want to see if this works before i approach my doctor to change my prescription again. Wish me luck.

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Posted

Let us know how that works for you Pippin. I take mine in the morning too, and back in the beginning when I was having the symptoms you are having, my dr. really pushed that I try taking it at night. I decided at the time to not do it just because I was afraid it would mess with my sleep. Thankfully right around that time was when the side effects started diminishing. Do you have a particular time of day that you notice the fogginess/anxiety is worse? I always had a general feeling of spaciness, however it seemed to get worse the later in the day it got.

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Posted (edited)

Hi Junebug, thankyou so much for your reply. Well I tried splitting my dose but I think I took them too close together - I should have left 12 hours between doses to really tell I think. My fogginess and anxiety are worse in the morning a few hours after my dose. I wonder if that means i should take it in the evening. Like you however I'm a bit concerned it will interfere with my sleep. Hmmm...food for thought... I see my psychiatrist so rarely - my next appointment is two months away so i feel like I'm operating in the dark here. I'm in the UK and the NHS is a fantastic free service but psychiatric services are pretty poor - chronically underfunded and understaffed.They're callled the 'Cinderella Service' here.

I really hope you're well Junebug

Take care

Px

Edited by Pippin12

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Posted

It might not hurt for you to try taking it in the evening and see how it goes, I know there a lot of people that do. In fact my dr. was surprised that I wasn't taking it at night, she acted like most people took it in the evening.

Sorry to hear about your experiences with the services in the UK. I have been fortunate to find a good doctor over here in the US and it has helped me tremendously to know that I can contact her whenever I feel like I need to. But my sister-in-law works in the mental health field and is seeing budget cuts all over the place. Such a sad thing to see.

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Posted

I'm glad you've got a good doctor Junebug - that makes all the difference. I still haven't tried taking my tablet in the evening yet - I'm a bit scared to try it. I went out today and had a panic attack when I was doing my shopping. Horrible. Just living in hope it gets better soon. It'll be three weeks on tuesday since I started it. It's got to get better soon right?

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Posted

I dont blame you on being scared to try it at night, I was too. I really do believe it will get better for you. Just wish you didn't have too wait so long to see your doctor to get your questions answered. Hang in there Pippin.

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Posted

Thankyou Junebug. Well, good news, today has been a much better day. I've not had any brain fog at all and my anxiety has been much less too. It's been three weeks today since I started on the Cymbalta. Today i was able to go into town and do some shopping and also go to the hairdressers and get my hair cut. Going to the hairdresser makes me quite anxious anyway so it was a big achievement today. I really hope this is the start of things turning around for me. I'm so hopeful!

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Posted

Great!!! :thumbs-up: I'm so glad you having a better day today! I pray it's the start of many, many of them for you!

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Posted

Well the last couple of days have not been so good. My psych (over the phone) has increased my dose to 30mg twice a day as I've been feeling really quite depressed. Today was my first day of the new dose (apart from the little experiment I did a week ago). I really hope this increase doesn't mean the brain fog and high anxiety come back... Wish me luck!

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