Worried!

Hi Anne,

sorry to hear about your breakdown. The worrying is all part of the illness. You have to try & be strong & connect with your higher self & realise that the anxiety is just negative thoughts.

I had one 15years ago & developed agrophobia. I managed to get through it all on my own but have since suffered with GAD. My mind is very overactive at the moment. It's so difficult to calm down. I find watching life coaches on you tube & yoga/pilates really help.

I heard that Mirtazapine makes people put weight on but you've lost weight.

I know how you are felling, it a hideous place to be but remember those OK days & try to hold onto that when you are feelling really bad. x

Anne, Like dinky said, weight gain is more the norm, not weight loss. You're on the maximum dose of 45mg and might be experiencing a negative reaction from it. I hope your Dr. didn’t suddenly put you on 45mg without gradually building up to it. My Dr. started me on 15mg for a while and the increased my dosage to 30mg for a while before the final dose of 45mg. to make sure I didn’t have an adverse reaction and let my system absorb it slowly. Your Dr. should recognize the possible problem. I would consult with your Dr. and ask her/him about the dosage, the possible negative reaction, and perhaps weening down to a lower doseage. Good luck and hope things work out.

Welcome Anne,

 I know how yo fel when your mind won't let you rest! it's very tiring! Take a look at your post.....it says...."I keep thinking I won't recover." From someone who has had a nervous breakdown and has PTSD with panic attacks. One thing I know for sure is that sometimes what we tell ourselves makes us worse! It's true...negative talk is so prevalent. i don't remember the exact number but we have alot of negative thoughts we all tell ourselves everyday. I know IT'S HARD. But do try to be nice to yourself! Tell yourself something like..."you know, I may not feel well today, but I know I will get better. I need to relax and be good to myself. It's going to be ok." Whatever you need to tell yourself that makes you feel better and brings you some peace. Write it down on paper and keep it handy.

You may want to check with the doc and do a med change. May those 2 aren't suited well together.

Do hope this helps....speak up if you need something!

Michele

Yes negative self talk is the sould destroyer in mental illness. Everyone I meet tells me i'm too hard on myself. We all do it, it's telling it to shut up & naff off out oud that helps a little, I do that every day now. Ive made myself a "little guide to a postive frame of mind" book that I read when feeling really low it helps. A good book that I'm reading at the moment is "change your brain change your life" I've figured out that I have an overactive basal ganglian. Lack of motivation & over worry is prevalent in the blood flow to that area of the brain. Nature programmes help me too & anything about the universe.

Professor Robert winston says the "The human brain is the most complex object in the know universe" ..

Why 45 mg...that seems way to high. I think you need to speak with your doctor and very slowly go down to 30, then slowly again...very slowly down to 15. That's what I would do I think you are on to much and the body is reacting poorly to that dose. Go back and and ask to be eased off. 7.5 is a good dose for sleep.

good luck....Keep advocating for yourself to go down the ladder...

Hi anne,

              sorry to hear from you. I'm from India. Just joined this site. Mirtazapine 45 mg is a pretty high dose. You were on Prozac & sertraline then relapsed.

At first find a good "Psychiatrist" (MD) at your area. Its a very common problem in Psychiatric arena. Dont worry.

With a medicinal career, I can feel for you.

Mirtaz. is a 2'nd or 3'rd line choice of antidepressant. Seems clearly that u r not doing well on Mirtaz. 45 mg. Lowering the Mirtaz. at 15 mg & adding a time-tested SSRI like Escitalopram (10 mg) may be a good option with your psychiatrist.

If u respond well, Escitalopram can be increased upto 20 mg/ day.

Deplin 7.5 mg may be taken into a/c for at least 6 weeks to notice improvement. 

Best wishes,