February 11th, 2009 (01:15 pm)
current mood: depressed
To answer a question that a noter brought up in my previous entry....
Yes there may be other antidepressants that have less side effects. But to be honest I have tried just about everything in the SSRI category - Prozac, Zoloft, Celexa, Lexapro, Paxil - plus Wellbutrin which is in a class of its won - with varying degrees of success. Some help more than others with the depression, but just about all of them have side effects in either the sexual category, the weight gain/loss category, or both. There is another class called tricyclics, they are older, predating the SSRI's, but most of those have even more and worse side effects, which is why they are rarely if ever used any more. So my docs tell me I am really out of options, unless I am willing to put up with side effects.
I was taking St Johns Wort (which is like an herbal version of an SSRI) for about 8 weeks, and it helped to some extent with the depression, but it reduced it only by about 50%, which meant I was still feeling pretty shitty. Now I'm off that, and taking 5-HTP, which works in a different way, and it helps too, but it still feels like its not enough.
Part of the problem is that I have depression for several different reasons. One, I have Major depression, which is related to brain chemistry and the brain not managing seratonin very well. I basically have a chemical imbalance, which is partially inherited - alot of people in my family are either bipolar or depressives. Two, I have PTSD (Post traumatic stress disorder) which is from my childhood and the abuse I grew up with. That also causes symptoms of depression, as well as anxiety. So I get it from both ends. The meds help with the major depression some by leveling out my brain chemistry and making it a little more normal. But I still have emotional problems and flashbacks and fucked up ways of thinking from the PTSD, and only therapy and time - LOTS of time - will help that. So the meds are not a complete answer, even on the best meds possible, I'd still be somewhat depressed.