please help I'm at a real crisis

Speak to the Samaritans. You want to speak to your GP. Have you got a psychiatrist.? 2 weeks is a short while. I have to go out so that is all I can suggest for now.

Hi Sarah, I am really really sorry that you feel you are in a bad place. Like Nick, I really urge you to speak to The Samaritans: they really can help you. 

Could you see a different GP at the practice? Perhaps doing this as well might relieve some of the stress you are under. Speak to the GP and ask them to arrange for you to see the psychatrist again.  

I can relate to your situation. But you really must speak to someone who can help you and The Samaritans can help you right now.

Mirtazapine: I have been on it a long long time - my personal experience is that whilst it can help with the depression and sleep it can sometimes also rob you of motivation to do things - like connecting with family, friends and doing things like going to the gym, you know, stuff you feel comfortable doing and this in turn can lead to feelings of disconnection and isolation. Speak to The Samaritans tonight, talk to someone there, they will be able to help you. Best Wishes to You. 

Sarah, I tried citalopram and managed 5 days and couldn't take it anymore.  Was not sleeping and felt awful. Saw a different doc and he put me on 15mg Mirtazapine to assist sleep. It certainly did this but nothing more.

After 4 weeks, doc upped dose to 30mg but after 6 days, I couldn't face another day and was hospitalised for a week.

Consultant upped dose to 45mg. Came home a week ago, still taking 45mg, but also taking Diazepam most days and Zoplicone at night to help with sleep.

Still got high anxiety and cannot stand to be in house so go out everyday so that I'm not alone. Can't wait for 10pm to come so I can take the tablets and get some relief in sleep. Mornings are the worst but the general opinion is that tablets take 2-4 weeks before you start to notice an improvement. But waiting to feel better is awful.

I have rung the Samaritans and they are good to talk to.  Suggest you try this when you're feeling desperate.

Hang in there. You will get better and I hope I will too.

Hi again, it's Sharron :0) I'm glad if I have been able to make you feel a bit better. It is a lonely place to be, but a lot of people have been there - I'm not being patronising I promise you. I really would suggest talking to The Samaritans tonight if you are struggling. It's a positive thing that you are seeing a psychatrist on Thursday - they know how these drugs interact, although it is also good to talk to other people to get their personal perspective on what a particular tablet can do/has done for them.

Mirtazapine, I think, does work for some but not for others and I think it can be incredibly frustrating if you have been prescribed different ones to try but have lucked out on yet finding the one that clicks for you. Mirtazapine can take away your motivation and the will to do anything and it then becomes a vicious circle all on it's own. But like I say, I think it's great that you are going back to the psychatrist on Thursday and this will give you the opportunity to revise the plan to get you back on track. I really wish you Good Luck on Thursday and as previously stated, The Samaritans are there to help and they are good people that you can trust.

Hang in there Sarah. Really feel for you at the moment, but you are not alone, the people on here are a great help. What you say about the mirt is similar to how i felt lost all motivation and feelings, but did help with sleep which is an issue for me. It worked quickly for me in slightly helping my mood and sleep but then after month or so, the lack of motivation was alarming, used to love my sports and gym, but couldn't get myself going, sleep was ok though. I am off it now after a short time, and feel more normal, for good or bad, but it is early days on the mirt and everybody is different. I would say it is having some effect on you as you are having the side effects, so given a bit more time it could start to work.

Hang in there, and talk to people, it does help, you are not alone, and anything I or anybody on here can do to help I am sure we will

xxx

Hello Sarah,

I've been taking mirtazapine now since January, I take 30mg. I too had tried citalopram before this but that was awful for my insomnia and it wasn't making me feel any better, so I was changed to mirtazapine.

Back to mirtazapine, you should get back to speak to your doctor again, if you would prefer to try a different doctor, you can ask to see a different doctor. See what a doctor says, they will probably either suggest that you could change to something else, or try to stick with mirtazapine a while longer until it gets working. As others have said, try phoning the Samaritans, they can be very supportive, and don't be worried about phoning them more than once, phone them as much as you need to. Also, although you said you have been becoming more distant with your friends and family, try to get in contact with some of them. I know when I was really struggling, I found it difficult to go out anywhere so I can understand if you feel that way. Try to go out if you can, but if not invite a friend or family member over to yours, just have a quiet time watching a film and drinking tea. It is good to keep yourself busy, do you have a hobby and if not is there a hobby you could start up? I found going out walking helped me aswell, when I could get out of the house.

Best wishes!

Further to Sarah, maybe join a reading group or a choir. Do something maybe that you used to enjoy doing. Noone will force  you to socialise in such an environment. Hopefully the enjoyment will come. People often do this sort of activity to meet othe people and they themselves are lonely. Enjoy!