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[bev567901]

You seem to have your meds all sorted esp if the extra mirtazapine kicks in fine. Do the two AD's work together well then, where you always on this combo?
Very good luck on the trip into town, you are brave. I hope you are able to relax & enjoy the pamper. I love it that you always want to take a nap straight after a hair do. I would sit back & enjoy it & then you will be walking tall & you may do a little indulgent shopping whilst feeling great xx

[mags]

Hi Bev- how are you today? still  feeling better I hope . I got to my CBT ok and despite me crying non stop it went well-I have a lovely therapist who is very understanding and much better than the last one. Today was really just an assessment and we will start properly next week. My  sentiments exactly on wishing we  felt like having a glass of wine! I still don't feel like eating and my weight is going down fast- but I am not underweight- I'm 5ft 6 and just under 11 stone -I had put on quite a bit on the mirtazapine so needed to lose some-but would rather have done it through normal dieting  hoping that you stay well-Love Magsxx

[bev567901]

Oh brilliant I was hoping you would post soon. Well the worst is over so next week it will be even better. Did you feel better for all that crying & going out? Are you less anxious now you are back home or are you still the same? Glad the therapist is nice this time. I really hope that in the next few days the sertraline increase becomes more theraputic. Is your next appt for Friday again?
Not been as good a day for me been awake since 4am bad period pains so know it is coming. Have had to take more diazepam like I used to when I started sertraline. It has only strengthened my desire to get HRT on Monday at my doctors appt. I still carried on though with what I had planned (gutted my son's bedroom!) Wish I could just be my normal silly self xx

[mags]

Hi Bev, yes I did feel better after the crying but still felt anxious  when I got home- the  therapist  did mention that the sertraline can take a while to work sometimes and am not sure how much more of the  awful anxiety and lowness I can  deal with. My next apt is next Friday Sorry you aren't too good- is it pmt? You did well to carry on cleaning your son's room-I am still not up to things like that. Hope that you sleep better tonight and good luck with the drs on Monday-Love Magsx

[Dyan]

Bev- I was put on Fluoxetine and Mirtazapine 9 years ago when I had my breakdown and I was admitted into the priory.
I was taking 45mg Mirtazapine and 40mg fluoxetine.
I spent 5 weeks in the priory. That is where I got my diagnosis for OCD and met my brilliant psychiatrist.
When I came out of the priory I had to increase the fluoxetine and decrease the Mirtazapine.
I was seeing my psychiatrist regularly and he was advising me on the medication.
I finally settled on 80mg fluoxetine and came off the Mirtazapine gradually.
It's not until recently that I was precribed Mirtazapine again by my GP.

I think she had looked at my records and seen I had taken it before.
And ,as you know,after seeing my psychiatrist last Friday,he upped the Mirtazapine.

The fluoxetine med is for my OCD and I will always be on that.
I feel so lucky to have found my psychiatrist and if I hadn't gone into the priory I don't know what would have happened.
I just have blips now and again but no where near the one I had 9 years ago.
I have my husband to thank for finding the help I needed as I was in no state to make any decisions then.

How are you today Bev?

Dyan X

[bev567901]

Wow Dyan you have been through a lot. Five weeks away must have been awful, I don't think I could have coped with that at all. But like you say you have your husband to thank for it & you found someone with good experience to treat you properly. GP's are not always the best choice for certain things. I cannot remember if you told me already but do you take any hormones as well, apologies if you have already. I keep forgetting stuff
Today has made me even more aware I need hormones, I have had a few bad days I was certain a period was coming but you just never know. Last night I was so dizzy it was like vertigo, it seems all the usual pre period things are magnified x100. Anyway it has arrived today hooray I'm not going mad,  I am so glad I am documenting things. The sertraline is definately helping though.
How is your day going? Hoping all is well & thank you for sharing that with me. Bev x

[Dyan]

Hi Bev,
Yes I'm on sandrena gel 3mg hrt and have the mirena coil for the progesterone.
Pleased that your period has arrived- relief huh? And that the setraline is working for you.

I'm feeling brighter this afternoon.
I was talking to my hubby this morning and I've only been on the increased Mirtazapine  for a week so I think I am rushing myself a bit.
My hubby says I have improved since a week ago.
Sometimes I can see it and sometimes I can't.
I'm talking to my psychiatrist on Skype next Friday.
Saves a trip into London.

I think it is good sometimes to share things,and I don't mind,because I think it may help others somewhere along the line.

Dyan X

[bev567901]

Glad your day is good. Sometimes other people see it before yourself. Wish I could skype someone how wonderful is technology! Imagine if thats how we go to the docs in the future no queue!!
What I ? about HRT is how will the doc know what to give me? I know there is one lot for people with cycles & one for none. Then how to choose, do they just pick your worst symptom(s) Everyone has a different journey & I don't think I have reached those awful hot flushes yet just warmer than normal, yet that could be someone else's debilitating symptom.  Without the bloods to go on just symptoms I suspect I won't get any but I am 50 its not like I am presenting myself at 35. Too many questions, need a hrt guru in every town I think. B x

[Dyan]

I suppose it's like with all of us Bev, we are all individual and what medication is right for some might not be right for others.
When I first started on hrt it was trial & error until I found that balance.

[CLKD]

My GP saw that I was depressed whilst I was walking my dog in the street, he drove by and later that day phoned me an appt to visit him the next morning.  I never saw it in myself for years, now I do recognise the symptoms.

Feeling dreadful day after day after ..........  what ever the causation ............ wearying 

[bev567901]

Dyan so the GP will give out what they think is the right one but you may have to change/swap/alter. I have read this many yrs ago but don't know how they make the decision on who to give what to. I guess they will have favourites & each GP is different. It does make sense though its such a balance.

CLKD what a wonderful GP. That is how it should be in a perfect world.

B x     

[Ju Ju]

Yes it is often those around who can see what is happening. The person suffering often can't see the wood for the trees. I have a friend who was doing so well and has recently married a lovely man, but is now is going downhill due to circumstances at work not of her own making. She no longer has to work and could take early retirement, though with a smaller pension. She is so talented that after a period of recovery, she could find alternative work. She has already been approached to do work that she would love to do. She doesn't know why, but she can't give up this job. We fear her body will give up before she does ( she has physical problems as well), so the recovery will be much harder. I don't know how to support her other than love her through it and support her husband as he hangs in there.

[CLKD]

Ju Ju - ask how she would advise a friend in a similar position?  Maybe there is something she needs to prove in the job right now, it happened to me and I almost lost my marriage because of it.  Perhaps though because she is feeling better she feels that she can 'see this one out' ..... there are 2 jobs I should have walked from 

[Ju Ju]

Thank you. That's a good question to ask. But obviously, it is her choice. I feel for her new husband, though. They do the same job. He has a year left before he retires. He, too is finding it hard going and would have benefitted from her support, which she can't do. I saw my husband through stress. He had to take 6 months off work, then returned for 2  more years before he could retire. He feels he wouldn't have coped without me. It has made us stronger to have gone through that together.

[CLKD]

It is scarey changing situations.  Even when we want to change.  Could you introduce your friend to something she would enjoy so that she gets into the swing and perhaps have a 'light bulb' moment?