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Treatment options for psychological disorders

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37 Reviews
  • Not an instant cure but yes it works after a while
  • self harm risk
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      02.11.2013 21:19
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      Discuss all treatment options with your doctor and keep an open mind

      I have suffered from agoraphobia and generalised anxiety for over twenty years now. Over the years I have tried numerous treatments, both traditional and alternative. When I first began showing symptoms my local mental health clinic sent me for a number of therapies but my condition over those early years continued to worsen. At its worst, I was able to go to work but do very little else besides that - every day became an exhausting battle to avoid a panic attack and I lived in constant fear of it. Finally, after about 7 years of various therapies the psychiatrist prescribed anti-depressants. Within a couple of months my anxiety showed improvement. I continue to take them today and while they didn't 'cure' me, they most certainly made the condition manageable. I have been able to live a normal life which I doubt would have been possible without them. I also believe that when they cause an improvement, this helps a sufferer to pursue other treatment options such as CBT, psychotherapy etc which also can have a beneficial effect - research suggests a two pronged approach such as medication and therapy works best and I would definitely agree. I understand caution is necessary - GPs come under fire for being too quick to prescribe anti-depressants although that certainly wasn't my experience and of course there are times when medication is not necessary and perhaps other avenues should be explored. However, there is also a lot of scaremongering with these drugs and I have found myths abound. As a result, patients who may need them will be afraid to take them, believing them to be addictive and concerned about side effects. My advice is to keep an open mind and discuss it thoroughly with your doctor before making an informed decision. There are a number of different drugs on the market and it may take a couple of changes of brand before you find one that suits and improves your condition. If you do find yourself improving then make sure you supplement the medication with some form of therapy - exploring why you got ill and working on it will result in more permanent improvement to your mental health in the long term.

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        12.02.2013 21:51
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        I really believe we can make a difference :)

        For a lady who has a lot to say, I feel like I'm lost for words. I'm a mental health nurse (a newly qualified one, I received my BA in Nursing in November) and I've faced the difficult conquest of working towards 'fixing' someone. With physical illnesses, doctors will often research the illness, give them a tablet, review them and send them home. Obviously this isn't always an easy process but physical illnesses are much easier for the patient, the practitioner and society to deal with because the symptoms are mostly what we can see for ourselves like if you've got a rash, you can see it and identify it easily. If you've got a wound on your leg, you can see it and identify it easily. But what about mental health problems? You can't always see them and you can't always match the symptoms with a particular label. Is someone acting a bit weird or do they have schizophrenia? Are they crying because they have depression or are just feeling a bit sad? Identifying the illness is sometimes the biggest challenge, because people believe it will never happen to them or any of their loved ones and if it did, who can they tell? Will they be treated differently? How can they overcome the shame of being crazy, insane, mental? I've got 3 years of experience under my belt, granted it's student nurse experience but I've been incredibly lucky to be in the position where I can observe and communicate with people to get a holistic understanding of mental illness and how it impacts a person's life. I've researched and researched until all these fancy words were coming out of my ears and I finally found that balance between practice and theory. So I came up with this; a nurse's role in treatment and recovery is to acknowledge, listen, empathise and realise. Opening my eyes and realising just how horrible society can be to the most vulnerable has been the most important turning point in my career. I've had people sneer at my job claiming that all I do is work with the 'dregs of society' and been to hospital visits with patients on placement to see a doctor about their physical ailments and been ushered to a quieter part of the hospital incase this patient in particular 'kicks off'. Society views people with mental health problems as the unpredictable, the dangerous and the avoidables which really can impact a person's self worth and self esteem (understandably). There are members of our society who fail to comprehend that having a mental illness doesn't devoid you of being a human being and I think that's what's important for us to remember. Stigma is a huge, huge barrier to the recovery of someone with a mental health problem and there are ways that we can push this out. For example, why do we call someone who has a diagnosis of schizophrenia, schizophrenic? The person should not be named and shamed, labelled or owned by their illness, and defining the person by whatever illness they have is very disheartening and damaging to the person lowing their self worth. We can also demolish stigma by the use of education. There are so many misconceptions of mental illness it's exhausting, especially when I see the impact these have on people who have mental health problems. For example: Schizophrenia is not multi-personality disorder, it in no way shape or form means that the person transforms randomly into other people and atleast one of these alter egos is a mass murderer. Schizophrenia is a psychotic illness that can be characterised with hallucinations and delusions, and quite often a psychotic episode can be quite frightening for the individual. An eating disorder is not about losing weight to fit into a smaller dress, it's a deadly mental health problem that torments the sufferer's every waking thought and can come hand in hand with depression and other mood disorders. Having basic understanding of mental illness and breaking down stigma can have a huge impact on us as a society and how we care for and support vulnerable individuals with mental health problems. Recovery is such an important aspect in treating people with mental health problems. Recovery doesn't necessarily mean that the person is 100% cured and free from mental illness but it means to live a fulfilling and happy life with or without the presence of symptoms and being able to come to terms with the illness. The days of the asylums are over, and there is more encouragement for care in the community which I think can be improved drastically if we pull together and really spread the word that it doesn't make you a freak if you have mental health problems. Statistics show that 1 in 4 of us will experience mental health problems at some point in our lives, which is a massive amount. There are a wide variety of treatments available for people with mental health problems, a lot of them are effective and really help people live long and healthy lifestyles but I think that if we really get down to the basics and support those with mental health problems, we can really make a positive impact on them. You can do this, and you don't need a degree in psychology, by learning about mental health problems and then you'd be able to identify symptoms and possibly help someone you love. I'm going to list a few of my favourite campaigns that might kick start your mind cogs :) http://www.time-to-change.org.uk/ http://www.rethink.org/ http://www.seemescotland.org.uk/ http://www.b-eat.co.uk/ http://www.mind.org.uk/

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          12.04.2012 11:20
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          Say what you want about medication and therapy; at least they have improved in the last 100 years!

          Unfortunately I've had the 'pleasure' of sampling some of the different methods of treating psychological illnesses (namely depression) - both medication and therapy wise - so I felt that this would be a useful topic for me to write on. As with my other reviews on similar topics, I'll be frank but I will try and avoid 'triggering' comments so please read with caution if you feel you may be affected. Firstly, I must stress that if you're experiencing any symptoms of mental unwellness, please go to your doctor as soon as possible or tell someone you trust. Don't suffer in silence. It doesn't matter if your dogs sisters cousin down the road had a terrible experience with treatment, that means nothing really. Why? Because depression and other mental illnesses are incredibly individual and as the title says, what works for one doesn't work for another. Secondly, if you're on a medication that you don't think is working, talk to your doctor before you stop taking it. Rapid and unsupervised withdrawal can cause more problems in itself. Personally I have never got along with anti-depressant drugs to date; I've tried two types of SSRIs (selective serotonin reuptake inhibitors - the most common type of anti-depressant prescribed) and one SNRI (Serotonin-norepinephrine reuptake inhibitors - a much stronger type of anti-depressant) and to be frank I never want to go near medication again. There is a wealth of anti depressant drugs out there; SSRIs, SNRIs, MAOIs, tricyclics, tetracyclics... some preferred by GPs and psychiatrists and some old fashioned that aren't really used any more. In the last 30 years medication treatments have improved greatly and generally the side effects now go within two to four weeks but they can still be devastating for the initial period. The most common side effects with SSRIs are nausea, 'foggy' head, weight gain or loss and in younger patients, increased risk of harmful/suicidal behaviour. Yes, I'm not quite sure how GPs can readily hand out pills to a suicidal person that may increase their likelihood of attempting suicide but there we go... I don't want to name the drugs I've been on because it may cloud someone's judgement if they're offered them, but the two classes of SSRI that I've been on have been useless. The first one made me acutely suicidal and sick all the time; I ended up in A+E twice having tried to take my life when I was on it. After the first attempt I asked my doctor if it could be the drug and she said no... Despite me having only just turned 19 (the 'danger' zone for increased suicide risk is often thought to be only under 18s with anti-depressants, but brains don't read a manual and I strongly suspect that this arbitrarily assigned figure is wrong and dangerously so). The second one I tried turned me into a zombie for two weeks and I nearly got kicked out of university because I had a lot of work due in that I just could not manage to do. I remember clearly the third morning of taking it - when my boyfriend was staying over and he had to walk me to the kitchen to get breakfast because I couldn't make my body move and when he got back three hours later, I was still sitting in exactly the same place holding my now very cold mug full of tea because time just went. It was like being awake whilst being asleep... horrible. The SNRI was fine until my best friend burst into tears after I shouted and bitched at her for stepping in my path when we were walking along. It was then I realised that my personality had changed totally; I'm normally very passive and don't get upset about things easily but on it I was rude, quick to judge and arrogant. I'm not sure how that works but there we go... Within in two days of stopping it I was back to normal. Onto alternative forms of treatment; one of the most common for many mental illnesses is talking therapies. Like with anti-depressant drugs, there are many different forms of talking therapies, such as cognitive behaviour therapy, counselling and mindfullness. Cognitive behaviour therapy (CBT) focuses on changing the negative thought processes to positive ones and works to turn people from being aggressive or passive thinkers and actors to being assertive. It has very rich roots and works best when combined with medication, like other therapies. Personally I've only used CBT very sparsely but I have friends who seem to swear by it; I think it depends on the person. Counselling tends to try and identify the cause of disordered thinking and prevent it happening again by understanding what makes you think that way. I hate counselling as it seems every time I go I leave feeling more upset but for the first time, I've stuck to a course and have my last session in a few weeks time. I don't think it's done much to help - talking therapies work best when the person is receptive, right now I'm simply not open to it. There are lots of different methods of therapy so if you want to go this route I'd suggest talking to your doctor or mental health care official and asking them what's available in your area and what waiting times etc. are like. Typically most GPs will give medication solely as it's quick to work, there's no wait and for most people, it's effective if you get the right dose and medication type. I've heard waiting lists for therapies being up to 2 years long! To slam or recommend a medication or therapy on here is dangerous in my eyes as different people and different circumstances call for different treatments. I strongly believe my depression is the result of a chemical imbalance which is why I should get over my medication fears and why talking therapies and 'normal' anti-depressants don't really work for me but I could be wrong. Other people may have a definite cause to their depression that can be eased by CBT or counselling. However the first and foremost treatment you should seek is from your doctor.

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            13.12.2011 00:28
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            A subject to look into with a clear and open mind.

            Medication for psychological conditions, as in all conditions, need to be carefully thought out and discussed in person with a trained clinician. While I have had personal involvement in a number of different types of patients and medication, patients must always be carefully monitored and regularly evaluated for their effects. It is well-known that a side-effect of anti-depressants can be, perversely, a greater drive an impetus to harm oneself. What I would like to talk about is the value of talking therapies. I would like to state that while I have a medical background I am offering this account for informational purposes only and not as a supplement a personal, professional care. With that caveat out of the way I can begin. After experiencing a rather stressful event a number of years back I decided to be proactive in ensuring that it didn't affect me in the future. I knew that medication would only help me personally in the short term so I needed to understand and address the root causes for my particular episode. This is when I embarked on a series of eight one-to-one sessions with a practitioner trained in cognitive behavioural therapy (CBT). An overly simplified view would be to say that the role of a CBT practitioner is to understand the root causes of depression, anxiety or whatever the condition may be and to then find ways of getting the patient to think differently about those emotions or to be a bit more mindful of them. As an example, I was told to visualise myself sitting under a tree and imagining that my thoughts were just leaves floating down to the ground. This, as I understood it, was to try and present the view that each thought holds no more or less weight than each other. I could have a catastrophic fear that an asteroid was coming to hit the planet and wipers all-out and at the same time another thought would be floating down about whether I needed to get some vegetables from the shop. I did say at the time that because of my slightly morose personality that I found myself being swamped by these thoughts so I came up with my own analogy. I found it more useful to think of me sitting underneath the tree in the winter time with my thoughts as snowflakes and every time they came into contact with me they were just melt and wouldn't affect my core being. There were many more mental exercises and thought experiments and things that I had to practice at home. Some of them worked for me and some of them didn't but I do still find myself when I get stressed or anxious just sitting down and trying to visualise all of my thoughts and hopefully get things into perspective. In closing, any sort of psychological condition is by its very nature going to be so complex that it can be addressed with a simple formula. Unlike physical conditions there is no generic way to treat everybody which is why it takes is many years the people to train to treat patients with these conditions. I hope my brief account has given you an insight into something that worked for me and I wish you all the very best in your individual pursuits for a happy and contented life. Thank you for reading.

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            25.11.2011 18:01
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            MY believe in clarify of mind is possible by physical activities not by mediction.

            In my survey ,medication is not efficient for depression ,in fact make it worse! The only way boosting inner power streghten by other tools such as physical activityes. when my eyes losing control , seems not normal ,at once I do eyes exercising ; doing Yoga ,walking , dancing helping me to control my depression .The only tool u need is will power ! Another things I usually believe in that's a good looking! I try hard to posh my mind to spend hourse to style my hair and monicuar my nails and dressing nicely .These are helping me to keep my mind free from thinking or stucking in one spot ! just poshing to mind ,I have to clean my house everyday ,make tidy . I have been recommended many times to take anti depression by espicialist but i just followed my survy and successfully carry on with everyday feeling stronger ,happier which help me to build my confident by expanding more other activities !

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              11.02.2010 11:12
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              A wonderful anti depressant drug with little side effects and non addictive

              I had my initial prescription of cipramil also known as citalopram when I was 22 years of age and now having gone through a series of anti depressant drugs this one I found to be excellent and non addictive! I took this particular drug for a few years and upped my dose throughout as for severe depression sufferers this drug can sometimes not be quite enough however the mild antidote and calmness it creates can be astonishing and indeed have astonishing results in people with mild depression and panic attacks. What is it? Cipramil is an anti depressant drug and falls into the SSRI category of drug. This basically means it is a selective serotonin re-uptake inhibitor. They work by stopping seretonin being absorbed back through the nerves and hence therefore the good mood and lightened mood that people feel whilst on them can last for many hours longer rather than a slight increase of mood for a small period of time. SSRI's are thought to be non addictive and albiet this is medical word to be true I find this very hard to beleive. I only however found this to be true with cipramil. I am currently on sertraline which again is a SSRI and these for myself are incredibly addictive (note I am speaking perosnally, and not as a medical fact) unlike the cipramil which I came off of very easily. I have had freinds go to the doctor and be prescribed cipramil and felt alot happier for them to be on this drug especially at low doses because it simply numbs everyday depression and pain and doesnt eliminate it completly which actually is far healthier in the long run. When people first take this drug there have been side affects and peronsally I would suggest taking them at night until your body gets used to them at least. When I had my initital dose I suffered with dizziness, sickness and acute nausea and freinds of mine have been continually sick when taking it in the day for the first week or so therefore let your body get used to it whilst sleeping and then adapt it accordingly. One point I would like to make about taking any kind of anti depressant and almost being a pro at it myself, I highly do not recommend taking them without any kind of psychological support combining with it. Many doctors wont initially refer you to counselling and just dish out the tablets and this is purely to save money but the medication does not cure the issue of depression and I feel very passionate about this as they can be more harm than good when not taken alongside therapy. Please think carefully before taking such a drug without other support, as tablets mask the symptoms of depression and panic but dont heal it.

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                26.11.2009 19:33
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                I'd like to begin the review by stating that Cipramil is a prescription only medication, and should only be taken if prescribed to you by your doctor. I do not write this review to advertise or endorse this product, and would certainly not tell anyone to take it - that advice should again only be given by a qualified health professional . I should also point out to avoid any confusion that Cipramil is a brand name for Citalopram . Citalopram is the generic name for the drug, and the name I will be using throughout the review . What I do intend to cover in this reviews is the reason it was prescribed for me, and to let you know if it worked for me personally. Why and How Citalopram was prescribed for me. -------------------------------------------------------------- I was prescribed Citalopram in April 2004 when I was suffering from post natal depression. I had actually been depressed for quite some time before seeking help, and a combination of long work hours and the break up of my marriage leaving me a single mother got to me . It wasn't until I broke down in tears at work, informing a colleague that I wanted to kill myself that a manager advised me to seek medical help, and to perhaps take time off . It wasn't a case of just going to the doctor and saying 'I feel depressed, give me some meds.' I actually had about 45 minutes of his time, during which he asked me a number of questions to establish my state of mind at the time . The questions varied - Had I ever thought seriously about harming myself, or others ? How was I sleeping ? What kind of support network did I have around me ? Each of these questions I was asked to answer on a score of 1 to 10, and and that time the highest answer I gave to any of the 30 or so questions put to me was a 3 , so as you can imagine I was feeling very low . The majority of questions I only gave a score of 1 . He than ran through some questions about my health generally, any medications I was currently taking (including natural remedies) and measured my blood pressure, as well as taking a blood sample to check for Anaemia, I problem I'd had in the past that could have been contributing to my exhaustion. He informed me that usually he would begin people on a dose of 10mg a day, but that in my case he recommended a dose of 20mg a day . He asked me if I felt comfortable with that, or if I would prefer to start out on a lower dose first . I opted for the lower dose, as I wasn't sure what the side effects would be . He did warn me that one of the most common side effects was nausea in many patients, and advised me to be careful with my contraceptive pill and perhaps if I got nausea and actually vomited, to use condoms. As I had no sex life at the time, this information was irrelevant to me, but I appreciated the information . He also, at my request, got me an assigned social worker who would visit at home to check up on me . Based on my mums treatment of me when she had bad depression many years ago, I was worried I might head down that path, and felt I needed that extra support . He also signed me off work for two weeks, and asked me to come back the day before my sick note expired so he could check on my progress, and advised me that the medication could take between 2-4 weeks to reach full effectiveness . Side Effects -------------- There are a wide range of possible side effects with Citalopram, and at the end of the review I will include some reference links for anyone interested in finding out more information, as I do not intend to copy out reams of text on the issue, but merely to relate the side effects that I personally encountered. For the first couple of days, I had no ill effects, than on the third day I began to wake up feeling nauseous. This wasn't too severe, but it did mean I wasn't able to face breakfast in the morning, and that I would instead eat at around noon when my stomach had settled. I also opted to take my birth control tablets at lunchtime, just in case the morning nausea caused me to vomit, which thankfully it never did . Other side effects I had were a very dry mouth upon waking up in the mornings, which again faded throughout the day, and quite a lot of drowsiness . Now, the drowsiness I actually think for me was a positive side effect, as I started to take naps when my daughter did, and found that my energy levels showed some quick improvement . All of these side effects subsided after one or two weeks . Did it work for me ? ------------------------- I have to say, I actually felt a lot better immediately after talking to the doctor, perhaps because I was no longer bottling everything up inside. However, I am one of those people that feels bad whenever someone is very nice to me, and I quickly subsided back into tears in the days after. Being signed off work gave me a little more time to myself during the day, and initially I didn't know how to fill this . Initially, I didn't notice any dramatic changes in myself, until about a week after taking the tablets. My daughter picked up a stomach bug, and spent a couple of days vomiting and pooping all over the place - a situation that would normally have me crying into the phone to my mum, or curled up on the sofa after she was asleep sobbing. However, after I got her to sleep those nights, I thought to myself 'Blimey, I handled that better than I usually would '. There were plenty of situations like this, situations that would normally send me into despair - and bear in mind that at the start of my depression these would not have been rational things to get upset about . Things like running out of teabags, rain, or forgetting to put the hot water on for my daughters bath would all have had me worked up into a tizzy - then somehow, I stopped worrying . I still began to get upset, but something in my head would click and go 'Is this really worth the tears '. After two weeks, I returned to the doctor so he could see how I was progressing with the medication . He asked me the same questions as before, with me again scoring on a scale of 1 to 10, 1 being the worst and 10 being the highest. Where the highest score I had given the first time round was a three, with most answers being a 1, the highest score I gave this time was a 5, with the average being a 3. Not particularly dramatic results, but still a significant improvement . He asked me if I wanted to return to work, or if I felt I needed another sick note , and I informed him that actually I planned on leaving work, as I felt that working long hours away from my daughter was a contributing factor in my depression . He supported my decision fully. Continued Improvement ------------------------------- Anyone suffering from depression , or who has suffered from it in the past will know that it is not something that can be cured with a mere two weeks of treatment . I was kept on the 10mg dose of tablets, and I remained on them for a year. Over that time I noticed significant improvement, not only in my general mood but in my motivation to do things for myself. I started writing on Dooyoo at that time, to give myself something to do at night when I was lonely . I began to take a little more pride in my appearance, and in my home . I made a point of visiting my parents on bad days when I needed a little support, and of asking friends to come round and have a drink every now and then . All these changes were possible because citalopram balanced out my mood . I can't say it made me happy - because I don't think happiness comes in tablet form, but I can say it made me more stable, more able to deal with stress, and helped me relax and sleep better, all of which contributed to a better general mood and to my ability to look after myself better . The Present --------------- In around June 2005, I stopped taking Citalopram (my own decision, not the doctors) as I felt perfectly able now to cope with the stresses and strains of everyday life, and this continued up until last year . I then started on a new contraceptive, the depo-provera injection, after meeting a new boyfriend. One of the potential side effects of the injection is a potential to cause depression, particularly in people who have a tendancy towards it. Gradually, in the months after first taking the injection, I noticed myself becoming more angry, agitated, and tearful . Having had depression in the past, I knew the symptoms and was not prepared to let it get back to being as bad as it had been . I went back to the same excellent doctor, who again ran me through the questions . My scores were not as low as on my first visit to him, but they were a cause for concern, and I was again prescribed the 10mg dose of Citalopram , as well as taken off my contraceptive regime and returned to taking the pill . I had exactly the same side effects this time, and again, after only a few weeks of taking them, I'm noticing my reactions are calmer and my emotions are more stable . I have to return to my GP next week for a further mood test and assessment , but again the tablets do seem to be working for me . However, I will not know until my contraceptive injection has left my system how much of my current depression is me, and how much is related to being stabbed in the bum with hormones on a regular basis. This time I plan to take them for as long as the GP advises, and to seek his advice before coming off them . Important Facts -------------------- In this review, I have not gone into detail about all the possible side effects of this medication, nor about any situations in which you should not take it , or how it could interfere with other medications . This information can be found on the net here : http://www.netdoctor.co.uk/medicines/100000520.html I would also like to re-iterate that this IS a prescription only medication that should only be taken on the advice of a qualified healthcare professional. Also, every incidence of depression is different, so you may not be prescribed this, or may be prescribed a different dosage . A Little Extra ---------------- Before I finish off this review , I'd like to thank my doctor, who frankly went above and beyond in giving me large segments of his time, and also my lovely social worker who visited me every two weeks for the first year of my depression, and helped me realise that being depressed didn't make me a bad mother , as well as various friends and family who helped support me when things got hard . Sometimes on a bad day, a listening ear is all you need to make it better! Conclusion -------------- My review is not a recommendation or endorsement of the product, merely an account of my personal experience of using this medication . Therefore my personal rating reflects the difference it has made to my life personally. In conclusion, I can only say that this has worked for me - not once, but twice- in allowing me to gradually return to my normal self . It does not turn me into some loopy bouncy insanely happy person, but it helps me retain my own personality at times when I struggle to do so alone. For this reason, I award this product 4 stars . I am taking one off for the mild side effects, and for the fact that if I don't get the tablet swallowed in one go, it tastes absolutely foul. But I do feel that it has made a big difference to my life, and will continue to use it under my doctors advice.

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                  15.11.2009 16:55
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                  my life saving pills

                  Due to certain people being upset that i had used info from the leaflet with my tablets i have taken on board this advice and edited this review I was prescribed cipramil 2 weeks ago for increased levels of anxiety and panic attacks following the birth of my daughter 6 weeks ago, it can also be used to treat depression. it is thought that a reduction in the levels of serotonin, a neurotransmitter attributes to these feelings of depression and anxiety. Serotonin is an ingredient in chocolate which is why we feel happier when eating chocolate as serotonin is well known for its mood lifting properties when released from the brains nerve cells however when reabsorbed the mood levels are reduced again. Obviously eating chocolate to keep my moods elevated is not going to be healthy for my body so i have to use these tablets to help stop my body reabsorbing the serotonin as quickly and keeping my mood lifted for longer. The active ingredient in cipramil is citalopram hydrochloride, this selectively targets the neurotransmitters of serotonin to prevent its reabsorbtion keeping the mood lifted for longer periods of time than would other wise have been. Normally the maximum benefit from these tablets will be seen in the first 2 to 4 weeks but this will vary from person to person as will the side effects experienced by them, the list of side effects is very long so i wont list it all here but i have only had nausea, dizzyness, dry mouth, shaking of my hands, increased anxiety for a few days and cold hands. As with many types of medication alcohol should be avoided wholst taking these tablets since it can make side effects worse and reduce the effectiveness of these tablets. This medication is not suitable for all people but as it is prescription only in the uk your doctor will decide if it is right for you. My experience After struggling for years with anxiety that worsened after the birth of my baby 6 weeks ago to being that bad i had constant panic attacks (see my review on anxiety for more details) my doctor prescribed me these tablets in 10mg. I was very hesitant to start taking these as they could increase the anxiety to begin with and the side effects looked horrible but after hitting rock bottom i decided to give these a go as i realy felt at that point i couldnt get any worse. I started taking these two weeks ago monday 2nd november took the first tablet today, didnt realy notice any unwanted side effects but after about 6 hours my body felt more relaxed and a lot calmer than i had been for months. Tuesday 3rd november got up this morning feeling very sick but havent been sick, took the next tablet and have felt very up tight and anxious today Wednesday 4th november got up again today feeling sick but havent actually been sick, my mouth has a realy nasty taste in it and it has lost the ability to salivate, my appetite is none existent and i still feel very anxious, i hope these tablets work soon. Thursday 5th november i got up being physically sick this morning and the feeling has lasted all morning but feel a lot better this afternoon and a lot calmer, i have read online that taking the tablet of a night before bed will allow me to sleep through the symptoms so i am going to try this tonight. Friday 6th november got up this morning feeling sick and very anxious but this faded through the day and i felt a lot better i can see the tablets are taking effect slowly. saturday 7th november got up feeling great today and not feeling sick at all, all the side effects have gone except the funny taste in my mouth and i havent had a panic attack all day. sunday 8th november had another good day today and feel like i am in control again monday 9th november went shopping today as i felt great when i got up this morning but still had a mild panic attack at asda wholst looking at shirts for my dad for xmas, it passed quickly though and i felt better, i felt dizzy at the tills but not in a panic attack way but just dizzy. Tuesday, wednesday and thursday were good days, i felt very calm and relaxed. friday i had a bit of a dizzy feeling day but saturday was a lot better and today i have been to morrisons shopping on my own without a panic attack. Right now i am just short of 2 weeks into taking these tablets and all the anxiety has got a lot less and i feel a lot better, i know there are going to be bad days but am happy there are some good too now, i hope this continues to improve and i will keep you updated. Well it is now march and the anxiety didnt realy get any better than it had in the first few weeks of taking the tablets despite my doctor uping the dose to 20mg so my doctor at a loss as to why these were not working for me ordered some blood tests and discovered i actually have a problem with my thyroid which is what has been causing all the problems.

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                    29.01.2009 00:09

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                    Be careful and get more than one medical opinion, plus watch side effects.

                    Hi. I have been on Cipramil since the start of October. I went to see a doctor off the Beyond Blue site and at the first session he put me straight onto it, and over 2 months each time I have reported an issue he has increased. I am now on the highest dose. I have random sweating, body twitches, ongoing fatigue, mood swings, and feel indifferent. Yes I am less axious but I feel worse off. Not unhappy but tired, and I have gained 5kg in 2 months, from54-59kg. which is annoying as hardly any clothes fit. So I got a 2nd opinion this week and that doctor review my comments with a prof who said get off it - I am having symptoms of a Serotonin syndrom and the meds having a toxic effect which is really serious. So now I have to phase off. So BE CAREFUL.

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                    09.02.2007 11:01
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                    advice needed

                    Hi Can anyone give me any advice. I am currently suffering from really bad panic attacks feel like i am going mad. I havent had them for a long time and i feel really scared.At the moment i take 20 mg prozac which ive been on for 4 years my doctor has reccommended i take ciprimal and come off the prozac. Is this going make me feel worse are the side effects bad?Also I was given beta blockers when i take them they make me have even worse panic attacks. Thanks Ruth

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                      10.11.2006 15:36

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                      Hi, I started using Cipramil today, i have checked out some of the reviews but noticed a lot are from a couple of years ago. Is there anyone that has used it recently that can tell me what they think. Thank You Taurus07

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                      07.12.2004 15:15
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                      • "self harm risk"

                      well, I could sit here and harp on about my depression and the drugs for hours, but I'm not going to as this is about the pills specifically. When I first went on Cipramil I thought it was the answer to all my prayers. The first few weeks were tough, but my GP told me that it would be so I was prepared. I've been on the pills for over two years (wow I can't believe its been that long) I've been trying to come off them for nearly a year, but I seem to hit a bump or twenty everytime I think I'm getting somewhere. I have found that I have become more paraniod since coming down a dose and also think that thought about suicide have increased and a self harm risk has reappeared. I desperately want to come off them, if only to get my sex life back on track, and try something else, maybe a psychiatrist, but its very difficult. Cipramil is good, but I feel that it should be taken at the same time as receiving treatment from a counsellor. Be warned, its not a great as it seems, and with everything in the news about SSRI's at the moment I think we all should be careful. My spelling sucks, sorry!

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                        06.07.2004 20:41

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                        • "disturbs your sleeping in a big way"

                        make or break - Advantages: makes you feel slightly happier, you feel a bit more relaxed - Disadvantages: alcohol and this drug is a deadly cocktail, loss of libido,difficult to get and maintain erection, disturbs your sleeping in a big way

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                        22.06.2004 05:34
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                        I've suffered from depression for 6 years, although I went untreated for 4 years. I'd never wanted to ask for help, I just thought I needed to grow up. But, even when I had the man of my dreams and a great job, things still weren't right. I went to my GP, advised him I wasn't feeling right and spent a while explaining my problems. He prescribed my Prozac which I took on and off for 9 months. They didn't work! When I went back and saw a new doctor (previous one had left) she told me I never should have been on Prozac in the first place. She very helpfully explained that Prozac is an 'upper', it makes you feel more get up and go. Then there are pills which are 'downers' such as Valium. What I needed was an in-betweener, something to maintain the balance between my highs and lows. Enter Cipramil. I'm always dubious and really didn't expect them to work. It took three weeks for me to feel the effects but I swear they really have helped. I don't seem as panicked about the usual things. Once the party girl I had began to have panic attacks about seeing the same group of friends I'd spent every weekend with for 7 years. Suddenly I could face them again. It improved my confidence, reduced the worries and helped me to regain control. The first symptoms are dry mouth which goes away after about three weeks, and a change of sleep pattern, but after three months things have settled down and I really would recommend it.

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                          11.09.2003 16:37
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                          I have had panic attacks for over 2 years now. I have tried a couple of medications. One was really addictive. Then I tried not using medication at all. Of course, that certainly didnt help me at all.So off to a new GP as I have moved house recently. He prescribed me Cipramil. I have only been on Cipramil for a week so I guess I cant really comment on the long term effects. But I can comment on the first week. People that are prescribed Ciprimil should be aware of one fact that isnt written on the leaflet that comes with the medication and in my case, wasnt told to me by my GP. This medication takes at least 2 weeks to work. In that two weeks, many people feel worse. But hang in there. Life returns to pre panic attack stage. If you work, my advice is to try to take some time off until the medication kicks in. But as always, please, discuss with your doctor. Of course, as with any medication, there are side effects and the leaflet that comes with all medications should be read and any side effects should be discussed with your doctor. Anyway, Ill write again after being on Cipramil for a few weeks. If what most people are writing is true, hopefully things will be better then. Next part to the story. Ive been using Ciprimil for about 3 weeks now. After all the aweful side effects subsided, it was like a new world for me. Where I hadnt driven a car for nearly 4 months, I was driving again. Im not taking time off work. I can go shopping. Its been wonderful!! My life has started again. I can live and do what I like without fear of an attack. I havent had an attack for 2 weeks now and counting. I am also living a bit more healthy, taking regular walks, cutting down on my drinking. Now to quit smoking cigarettes. I would definately recommend this product to anyone whos doctor prescribes it to them. PS. In Australia, doctors can get a deal with prescriptions on this medication . Pay for one pack and get the next free if you get 2 together. Makes it more affordable.

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