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Crushing morning depression

Posted , 7 users are following.

greentea30029
greentea30029

OK, so I want to know if anyonen else suffers from this.  My morning depression is so bad,  I am almost suicidal.  It seems as the day goes by, the anxiety/depression gets a little better, and then by night time, I am my old self.  I do take medication...lamictal, paxil, and gabapentin and klonopin as needed.  Who else suffers from this.  Do you ever get over it?   Was a med adjustment necessary. I have working with my pdoc on this for 4 months.  Please help.  

2 likes, 20 replies

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  • Laserbeam
    Laserbeam greentea30029

    Posted

    You are talking about Dimural depression. Very common and I have it too. It commonly dies down during the day and by midnight it's practically gone. It almost makes you afraid to go to sleep because you know another morning is on its way. It's best to get out of bed to stop it from building while ruminating. I don't know if it will ever go away until you find a purpose for your mornings. I'm going to try going for a walk as soon as I get up. Good luck and remember that this is very common with depression. Hope you get better soon.

    Al

    • ann55375
      ann55375 Laserbeam

      Posted

      I have been told i have diurnal depression with anxiety. Its been three years now and tried seceral medications but body wont tolerate them.  It all came suddenly after a spinal op.  Imlive on low dose mirtaz, and diaz formthe anxiety, but still no better.  Every time dose increases agitation and suicidal,ideation pop up.  Dr is now wanting to augment with low dose

      risperidone but im not bipolar. Thoughts welcome from those depressed too 

    • greentea30029
      greentea30029 ann55375

      Posted

      Hi ann55375,

      You don't have to be bipolar to be put on a mood stabilizer.  They help many people who have depression with mixed features.  Often times if you have depression with mixed features, you agittion will increase. I find it the most uncomfortable state to be in.  I am not bipolar either,  I tried risperdone, but it did not work for me.  My doctor now has me on Lamictal with my paxil, but I also can take klonopin or gabapentin if my agitation gets bad.  Klonopin often isn't strong enough. Doc may try to get me completely off my paxil, and only on lamictal because it takes away depression without causing the agittion, and restlessness.

    • ann55375
      ann55375 greentea30029

      Posted

      Very interested you are on lamictal dr wants me on olanzapine to try i am scared it makes me worse.  I would like tomtry lamictal but he hasnt suggested it yet.  Dont ant tomtell him his job but all these other ones i have tried have made me worse.   Do younthinkmlamictal is a good option?
    • greentea30029
      greentea30029 ann55375

      Posted

      My doc sees a pattern in me.  I get very reactive to anything serotogenic.  That is why we are trying the lamictal.  Antipsychotics tend to make me psychotic.  I did try Olanzapine, and it made me crazy for a few hours, and then settled me down, but sort of in a depressive way.  So far lamictal has been the best, but I have only been on it for 9 days, so don't know how it will pan out.  I do know that the once crushing waking anxiety didn't happen the last 2 days, and I don't get as amped up on the lamictal.  Time will tell.  Klonopin doesn't work as well to calm me down anymore so I take gabapentin prn, but just a tiny tiny amount.  I actually have to take way lower than the lowest dose, otherwise it depresses me.  If you are sensitive to meds, I would suggest you try half of the lowest dose. I have heard that some people who can't take SSRI's can take the older ones.  One woman said she could never take an antidepressant, but she could take remeron which is an older tricyclic antidepressant.  Anyways, it is a trial and error process, and for people like us it takes alot of experimentation.  Hopefully you are in therapy too.  I think I need it just to get through the traume of taking these medications.

    • ann55375
      ann55375 greentea30029

      Posted

      Very interesting.  I think i might be better suited to lamictal.  I cant face olanzapine if it will send me crazy, ive had enough of others which did!
    • ann55375
      ann55375 greentea30029

      Posted

      How long did you take olanzapine for? Didyou notice if it helped at all?   I am not bipolar and just dont want any of these symptoms.  I want to ask about lamictal, do you think they would use it as augmentation
    • greentea30029
      greentea30029 ann55375

      Posted

      Olanzapine did help, but every time I took it, it would send me into a horrible mixed state before I calmed down.  I only took Olanzapine for a few weeks, but doc new it was not the right med for me.  So far lamictal seems to be helping me.  The last two mornings I woke up without anxiety or depression. I am still on the paxil, but it really spins me up bad.  Using gabapentin, and Klonopin to knock down the hyperness.
  • gill73026
    gill73026 greentea30029

    Posted

    I have  this too,but I also get dow around five oclocjk and recover about 8. have been classsified as rapid cycling bi polar. also my psych said he had never known such a disfunctional circadian rhythm. I take gabapenin too and its not bad for anxiety, otherwise I takw wellbutrin and have for a long time and its beginning to be innefective , also lamictol ( lamotrigine)  a stabliser as is gabapentin. I have said elsewhere I am experimenting with alternative treatments, so people seem to get great results where I had nothing, the current one I am getting a result so far,
    • ann55375
      ann55375 gill73026

      Posted

      Very interested in that, i just feel i want to explode with anxiety at the moment. Need help. New meds olanzapine on way but not got them yet, hoping it will help.
    • greentea30029
      greentea30029 ann55375

      Posted

      I feel for you Ann.  I have been trying 10 months to find the right med cocktail.  I am not bipolar, but do have mixed features.  This morning was the only time that I can actually see the light at the end of the tunnel, but I am still not there.   Anxiety and panic is actually my manic side.  I have had times where I was only depressed, I have had times where I have only had anxiety/panic.  'Then there are times when I have had both.  I believe for me lamictal has helped the most.  I wish I would have started on this one, and not tried any of the SSRI's, unfortunately that is the first line of treatment.

    • greentea30029
      greentea30029 gill73026

      Posted

      I have studied alternative treatment for a long time.  Tried to use alternative treatment for two months, but none of it helped, or made it worse.  There are a few things that are helpful, but I still need medication to keep things under control.  I just need to find the right one. I do not intend to stay on meds for the rest of my life if I can help it.
    • ann55375
      ann55375 greentea30029

      Posted

      I think i am atill at the stage of them trying the ssri route, although getting to the end of it as adding anti psychotic even with no bipolar its meant to help.  I would like ro try lamictal but he hasnt suggested it yet, is that because its the last line of attack?  You sound so much better, do you think the lamictal is the reason?  I do wish alternative route would help but imhave tried all  -  hypnotherapy, CBT, mindfulness, yoga.  I just cannot be at peace enough to meditate or relax,,its so tiring all this.
    • greentea30029
      greentea30029 ann55375

      Posted

      Ann,  I have had a few good days, but no where near recovered.  I get better at night, and before bed, feel pretty relaxed.  I am no where near the therapeutic level.  I am only on 37.5mg.  The therapeutic level is between 100 to 200mg.  I have to take things slow, because I am so sensitive.  Lamictal is often tried when ssrI's fail.  My doc wanted to put me on that first when the antipsychotics didn't work.  I wish I would have listened.

    • ann55375
      ann55375 greentea30029

      Posted

      Ah, very interested in that. I am not happy about the anti psychotic route. Do you think i could ask about lamictal? Like you, i am nowhere near the therapeutic dose of anti dep due to my sensitivity to it and all the others.  Its so frustrating and i feel for you as i know what it is like.  My self confidence is gone, self esteem too. My poor family have to see me going through all this, they would like to see me med free, ah if it were so easy!
    • greentea30029
      greentea30029 ann55375

      Posted

      Hi Ann, you could always ask.  Why don't you want to try an antipsychotic?  You can defintely ask your pdoc or lamictal.  My doc is open to suggestions, but the final call is on him.  I tried lithium first, and it made me really depressed.  He dosed me up to 600mg, and had the worst anxiety and agoraphobia ever.  I think since then my confidence in getting better has diminished.  I think if I started with the lamictal it would have been a different nstory.  My husband wants me to stay on meds.  I tried for a long time with alternatives, and different supplements, but to no avail.  Without meds, I was having panic attacks 3 to 5 times a day.  It was scary, and I couldn't even sleep.  I am not having panic attacks, but still have severe anxiety and depression, but for some reason it tends to lift at night.  I had a night mare with celexa and lithium.  I went into a deep dark hole, worse than when I started.  These meds are scary, but it seems most people find the right med cocktail and sometime.  I am praying for you Ann.

    • ann55375
      ann55375 greentea30029

      Posted

      Well, last night on upped dose of mirtaz i woke in a terrible nightmare stare.  I have bad dreams on it anyway but since upping it i have really felt i was living the dream, horrrific as it was.   Took ages to try to calm down.   I dont think i want to take this anymore. Do you think im wrong not wanting to try antipsychotic?  I dont know what it will do to me if im in this state already.  You didnt have a good time on them did you?  Do you think your breakthrough came with Lamictal?  I feel so bad today, dont want to even get up.
    • greentea30029
      greentea30029 ann55375

      Posted

      Ann, definitely ask your doctor about this.  Zoloft gave me terrible nightmares  and panic attacks once it turned on me.  All drugs work differently for everybody.  Antipsychotics work for some people, and sometimes they do not.  If you want to try lamictal, give it a shot.  I am not perfect, but I am more stable than when I was on other combinations of antipsychotics and antidepressants.  My doc loves risperdal because it works really quickly, you can take it as needed.  If you try an antipsychotic, you could try risperdal or olanzapine.  It doesn't take long for you to know if you will react badly.  I stll have issues, just not as many as I did when on the olanzapine.  Anticonvulsants have problems of their own.  For me too much can make me depressed.  I had a nightmare on lithium (which is an anticonvulsant) and I have not fully recovered from it.  It made me agorahobic and afriad t go to the store.  I am not recovered, and still have horrid anxiety issues, but I think I have been traumatized by the drugs I have tried to get better, yet I know I cannot live without them.   Ann I am praying for you.  Call your doc and ask if you can dose down on the mirtaz.  Keep me updaed sweetie

    • greentea30029
      greentea30029 ann55375

      Posted

      By the way, are you taking something to calm you like xanax, or klonopin?  How long have you been like this?  What kinds of meds have you taken.  
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