Why Do Antidepressants Take So Long To Work?
HTML-код
- Опубликовано: 6 апр 2021
- Antidepressants can take anywhere from 2 -6 weeks to see a therapeutic effect. You may notice a little improvement sooner than that, but the usual is weeks.
There's a couple reasons for this. The first is due to the way the drug works. Medications have to reach a steady state in your body before you can get a reliable effect. It takes approximately 5 half-lives to reach steady state. If you have a medication that has a half-life of 24 hours, it takes five days to reach steady state.
A second reason has to do with the delayed effect the increase in serotonin has on your thoughts. You have the increased serotonin, then a delay, then you have the downstream neuroadaptive effects which is reducing and increasing various receptors, then you have a change in mood that causes a change in emotional bias.
A cognitive model of depression is that negative thinking both causes and perpetuates depression. When you're depressed, you have more negative view of the world. Depression affects what you pay attention to. You're more likely to notice negative facial expressions, spot negative cues in your environment and draw negative conclusions about things. This is referred to as a negative bias or negative valence.
Thoughts, feelings and behaviors are all connected. There's still a model for endogenous depression where you develop depression soley based on brain changes. But we be still believe even that depression affects your thinking. It's debatable as to which came first, depression illness or thought depressed thoughts. But the mind and the body are one. And the best approach to depression is to address them both equally. The mind approach would be through therapy or self-help measures to address your mindset and the body approach would be diet, exercise, sleep hygiene and medication if appropriate.
WANT TO START IN THERAPY? Here's a convenient and affordable option
Betterhelp.com/drmarks
For a monthly fee, you get a REAL licensed therapist with whom you can meet weekly by phone, video or chat. You can also send daily messages.
You have access to webinars on various topics. The unlimited texting feature allows you to type out your concerns or questions and get a well thought out response from your therapist. Some of them will help you set goals, give you worksheets, etc. If you use this link you will get a 10% discount on your first month. betterhelp.com/drmarks This is an option I've researched. I get a referral commission if you sign up.
References
Wilson SJ, Bell C, Coupland NJ, Nutt DJ. Sleep changes during long-term treatment of depression with fluvoxamine - a home-based study. Psychopharmacology 2000; 149: 360-5.
Harmer CJ, O'Sullivan U, Favaron E, Massey-Chase R, Ayres R, Reinecke A, Goodwin GM, Cowen PJ. Effect of acute antidepressant administration on negative affective bias in depressed patients. Am J Psychiatry. 2009 Oct;166(10):1178-84. doi: 10.1176/appi.ajp.2009.09020149. Epub 2009 Sep 15. PMID: 19755572.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don't want to miss a video, click here to subscribe. goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
Who loves Dr Marks content? I think it’s seven shades of brilliance and gratefully bank her advice.
Love her videos breakdown things perfectly
Thanks a bunch!!! ❤️
Yes,she is clever and gracious.
Yes she is
She's amazing.
Lexapro feels exactly like you’re describing for me. The first week I could gradually feel myself getting back to normal. The second week I noticed it fixed my appetite! Not like a stimulant or appetite suppression but “normal” no over eating no emotional eating wanting breakfast curbed my night time soda and chocolate cravings I actually feel full “serving size” of different foods were almost spot on. 3rd week was a little lull but it was likely because I was walking the dog less that week for one reason or another. Praying it stays working it’s been almost a year now.
Nicole, Reduce negative thoughts to feel better. . Your breath is directly related to your mind [brain] causing negative thoughts-anxiety. For a relaxed life sit on a chair, back erect, eyes closed, be still and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Don’t fight with your thoughts. Slowly they will reduce and relax the mind. Deep inhalation-exhalation is not needed. Anytime of the day or night before sleep sit or lie down and observe your breath. Be as still as possible as it reduces negative thoughts. Make this a lifetime daily habit to have a good life. Best wishes Shyaaam Sir. -Counsellor.
What did you notice the first week ? Like what made you feel like you were kind of normal again
i wish i got those results
That was really helpful...thanks
Lexapro works great for me too Nicole. I'm on my 3rd stint now, tried going hero without it a few times. For anyone worried just prepare yourself to feel a little off the first 2 weeks which is completely normal. I personally have to start on 5mg for a week or 2 and then slowly go up to my prescribed dose of 10mg. It can sometimes create more feelings of anxiety and depression till you body adjusts so starting low can really help. I take some ginger, pro-biotics to help with the yuk feeling in the gut when you first start it, but this goes away fairly quickly. It's not addictive as well but definitely do a slow taper off when you're getting off it. I've been 9 months without it, there's no addiction, if your symptoms come back that's just you relapsing which is 100% OK to admit. If you were a diabetic you would need insulin, it's the same thing. Never be ashamed, it's not your fault and you are normal
THE BEST mental health channel on RUclips. Always thoughtful, organized, scholarly, and applicable. You should be a professor somewhere!
Ç
@@rovsanemahmudova3129 3:43 😊😊g GB C
I just upped my antidepressants yesterday and had a similar conversation with my psychiatrist. This video is really appreciated with how timely and informative it is!
I’ve been following you and knew you needed to see this. 😃
I’m glad this was timely!
CaptCozy, Take medication of the lowest dosage under guidance to prevent long term addiction. Do the following daily. . Reduce negative thoughts. Its quite simple but a desire for internal transformation is needed. Your breath is directly related to your mind [brain] causing negative thoughts and anxiety For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Slowly negative thoughts will reduce and relax the mind. Deep inhalation is not needed. Whenever you are free during the day or night before sleep sit or lie down still before sleep and observe your breath. Being still reduces negative thoughts. Do the above practice daily to have a good life. Best wishes and prayers. Shyaaam Sir. -Counsellor
Upping the dosage doesn't do anything but makes things worse. It's an addiction, you cannot get the high at the currenty dose so you take even more.
@Native722 yes exactly. Say it louder for the people in the back
I LOVE the half life information with the visual aid. I also love that you do not overly water down your content.
Hi Dr. Tracey, thanks for making this video talking about antidepressants. I'm sure so many will benefit from what you're sharing. It's also great to see another mental health professional helping people on RUclips!
Out of I think hundreds of videos that I have now watched, this has been the most helpful. Thank you so much for being so clear and not dumbing things down to vague terms!
Hello Dr. Marks. Thank you for your content. I will be starting Psychiatric Mental Health Nurse Practitioner Program this August. I've been using your videos and other study materials to help build a decent foundation for the last three years. I love how simple you keep the material. Thank you so much for taking time out of your busy schedule to create these amazing videos.
Sometimes I just wanna show your videos to people in my life who don’t understand. I told someone that mental illnesses can be caused by chemical imbalances such as low serotonin and he said “that term is just blown way out of proportion, what does ‘chemical imbalance’ even mean?”
It’s so frustrating when I know the information is out there but I don’t know it right on the spot when someone says something like this to me.
I love how you explain these things in a way that’s easy to understand! Maybe if I show videos like this to people I know they will understand too
Appreciate that you explain the science behind things, most channels just list the symptoms of disorders. You're great, thank you!
Hi, Doctor Tracey. I'm from Brazil and having found you through your videos has been a blessing (although I'm not religious, that is the word to use here). You've helped me a lot understand so many aspects of my current state, clarifying lots of issues, informing and making my visitis to the doctor much more productive and objective. Thanks for being such a kind person and being around helping people you don't even know.
Hi Bruno. I’m so glad these videos have filled a void for you. And I’m really glad they help you talk to your doctor. That’s part of my intent - to give you the vocabulary to use with your doctor and questions to ask so you can get more out of the sessions.
@@DrTraceyMarks you are awesome!!!!!!
🇧🇷🇧🇷🇧🇷🇧🇷🇧🇷🇧🇷
These videos are great. I like how you don't dumb them down (there are plenty of RUclips videos like that) but you explain them as if talking to an intelligent person.
Thank you so much for all your high quality content. It is exactly what I needed to hear!
I love this and am really glad you made this video. I've met many people who go through this for the first time not understanding how this works and often fall back into detrimental self-medicating (most common here are alcohol, cannabis, and opioids) that ultimately nulls the effectiveness of the treatment in general; due to our underfunded system, lacking of consistent care, affordable therapy, and education.
Also sorry this comment is going to be so long. I've had this weird question I was wondering if you had an answer to regarding bipolar: All I get online are people saying "ask a biologist" and biologists saying "ask a psychiatrist".
In general, when people lack sufficient sleep, they obviously end up fatigued, have heavy brainfog, mentally check out, etc, depending on how much sleep lost. But for people with bipolar, lack of sleep--even if just a few hours difference in one night--easily get thrown into mania or hypomania. I've been curious for the longest time why that happens and/or the biology behind that. I know bipolar affects circadian rhythm but other than that only have random assumptions like perhaps their body is attempting to compensate for it or something.
This is the description I've been looking for so long. So glad I found your channel. Thank you!
I found my way out to relief depression and got through it with the help of a wonderful and good Healer with so much best psychedelic you can ever imagine,he's really doing a great job in PTSD.....healermanchris @IG,hit him up to get your magical and healing shrooms
I have always talked to myself when bad thoughts came into my head. It was not until later in life I understood where these bad or negative thoughts come from. I have been on prozac for 10 years. It helps me to not feel so negative about myself. I have also have had some therepy. When something negative comes into your mind make yourself to throw it out of your mind. I also pray about it and think of positive Bible versus and leave my problems in Godś hands. But to answer my prayers I also need medication and therepy. Never feel something is bad about yourself, it just is and you find help for it. I am 64 years old.
@John Turk I have done well on Prozac. I have always been heavy, I did not gain more weight. I graved less sweets and eat less. My thinking is more positive, I still feel like myself. I love, hate, laugh, desire my husband. I just do not have all the negative thinking like nobody likes me. I do not get my feelings hurt as easy. I drive better because I am calmer. What I also do is look at happy stuff. What you read, watch on TV, music, affects your emotions. Therepy works. Do not feel bad about getting help. Asking for help shows how strong you are.
@John Turk I never gained weight in the first couple of years....taken in the morning can often diminish appetite. I also suggest you look at detoxing yourself from high glycemic index foods and sugar....
God’s words are powerful.
I journal.
@@adapoole4515 Can you throw a thought ut of your mind ? Take medication of the lowest dosage under guidance so that there are no side effects. Plan B must be as follows---Reduce negative thoughts. Its quite simple but a desire for internal transformation is needed. Your breath is directly related to your mind [brain] causing negative thoughts and anxiety For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Slowly negative thoughts will reduce and relax the mind. Deep inhalation is not needed. Whenever you are free during the day or night before sleep sit or lie down still before sleep and observe your breath. Being still reduces negative thoughts. Do the above simple practice daily to have a good life. Best wishes and prayers. Shyaaam Sir. -Counsellor
You are right on with your analysis. The first two weeks into taking these I would notice my worst time was waking up in the middle of the night, or the time just before I took the medication in the morning.
Wow, what a great video! All of the information in it was especially relevant to my circumstances. Thank you Dr. Marks. 👍
thank you, i finally feel like my life makes sense. i was so lost my entire life thinking something was wrong with me and i could never figure out what it was
I increased my Lexapro in mid-February and it now makes sense as to why I’m just starting to feel better. Thank you for your videos!
Lexapro is a lifesaver!!!
@@crystalmaldonado7521 Gradualy try to reduce to a low dose as these are habit forming. Reduce negative thoughts. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety. For a relaxed life sit on a chair, back erect, eyes closed, be still and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Don’t fight with your thoughts. Slowly they will reduce and relax the mind. Deep inhalation-exhalation is not needed. Anytime of the day or night before sleep sit or lie down and observe your breath. Be as still as possible as it reduces negative thoughts. Make this a lifetime daily habit to have a good life. Best wishes Shyaaam Sir. -Counsellor.
@@shyaaammeneen63 some people need this , life long. Don’t tell them to reduce their meds.
Wow what a brilliantly explained video, so interesting and makes perfect sense even though it does seem very complicated.
Thank you for another insightful and helpful post xxxx
Concise yet thorough. Complex yet explained simply...which is good for someone like me! Thank you, Doctor! Cheers!
Best explanation of medication working I ever heard! Thank you!
Love the way you describe the thought patterns. Especially perfectionism - it'll be what does me in. Explosive anger at best, apathy at worst - all the while kills any growth mindset toward life. Things are black and white, on or off, 1 or 0.
High five.
When she speaks, I actually understand. Great communicator!
This was very helpful. Depression definitely does change your entire world view, making you more aware of "negative" expressions. I didn't know antidepressants could help with this.
true , constant NEGATIVE THINKING like never go away.
Thank you so much for this video, I just recently was diagnosed with anxiety and depression, I was diagnosed over three months ago, took Escitalopram for just over two weeks, stopped taking it, went to the psychiatric one week ago, he told me I needed to start taking again my medicine and complete at least a month doing so…
It’s been a week of me taking this medication and it’s been hard, the depression worsens sometimes and the anxiety sometimes skyrockets, however I was told it would be normal and watching your videos have brought so much peace to myself, I like to know that I’m not alone in this, so thank you so much for that feeling and for all this great and easy to understand information!
Hello... How have you been doing now since you started ecitalopram. I stopped mine for sometime now
Such a great video. I’m on week 4 of SSRIs and this explains a lot of things. Also makes me excited to see if further improvements are yet to come in the next couple of weeks. Thanks
Same here,are you feeling beter now
Bcz on week 4 ,should i hope,,,,bcz i think you may be on week 8
After taking and stopping anti depressants, for over twenty years, due to side effects, I have been approved to start the TMS (Transcranial Magnetic Stimulation) treatments. I will also see a therapist as well. I hope this will, at last, be the final road on my long journey from hell to happiness. Your channel has been a light in the dark, to get me through to this point. The information you provide and that beautiful calm soothing voice, always makes me feel hope. Thank you.
psychedelic save me from being depressed,I felt depression after I lost my both parents same day;I was Fucking depressed,and I wanted to live this earth,
I came across this dude,wow I felt life again,he got the best psychedelic,he's really doing a great job in PTSD..My life is new now...healermanchris on instagram....
Dawn Love, Keep treatment simple with determination. Reduce negative thoughts. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety. For a relaxed life sit on a chair, back erect, eyes closed, be still and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Don’t fight with your thoughts. Slowly they will reduce and relax the mind. Deep inhalation-exhalation is not needed. Anytime of the day or night before sleep sit or lie down and observe your breath. Be as still as possible as it reduces negative thoughts. Make this a lifetime daily habit to have a good life. Best wishes Shyaaam Sir. -Counsellor.
Outstanding information! Thank you for simplifying a complicated subject.
Thanks a lot Denise!
Thank you very much for the reference of the scientific papers Dr. Tracey!!!
I think we're framing this question the wrong way. I think the right question to ask is: why does depression take so long to recover from? I had 2 depressive episodes that were very severe, where I had stopped eating, couldn't walk, couldn't stand up, couldn't understand people talking to me, etc. In both cases it took me about 3 months to make a full recovery, even with SSRI medication. However, I wouldn't say the medication was slow, just that recovery from depression is a healing process and healing takes time. Actually I could feel the SSRI start to work almost immediately, within a few hours I was getting better sleep, within a few days I was eating better, so it was doing something, it's just that if you have dug yourself into a very deep hole it just takes time to come out of it.
This is really informational. Thank you Dr. Marks!
this video was really interesting and well explained!
Dr Mark's, would you consider making a video about what happens to the brain of a patient that had a long term usage of antidepressants and finishes well their treatment? I'm talking about the long term effects of the drug / brain / mind
thank you so much for your work!
saludos desde Mexico
10000% See recent (2022) documentary "Medicating Normal" in the meantime… aired on PBS in May, available online (fee?). Cautionary tales/credible studies… BUT view critically, if nothing else it raises questions and highlights the lack of research on long-term efficacy & side-effects of psychotherapeutic drugs.
I'm on Sertraline and Alprazolam for about a month now. This video helped me understand how my medications work. Thanks for this!
May I ask is it for panic attacks or disorder they prescribed these two?
@@jaybyrd3240 i am diagnosed both OCD and OCPD with Major Depressive Disorder... so I guess these helps me in my condition.
@@mariellelaaa With the Sertraline did you notice it took awhile to kick in? I read so many different views on how it effects people
How r u feeling now...did your medicine work for you?
@@jaybyrd3240 Reduce negative thoughts. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety. For a relaxed life sit on a chair, back erect, eyes closed, be still and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for around 5-10-15 minutes or more. Don’t fight with your thoughts. Slowly they will reduce and relax the mind. Deep inhalation-exhalation is not needed. Anytime of the day or night before sleep sit or lie down and observe your breath. Be as still as possible as it reduces negative thoughts. Make this a lifetime daily habit to have a good life. Best wishes Shyaaam Sir. -Counsellor.
Hello, me again been kinda binging your content :D
can you make a video comparing BPD and ADHD? I was diagnosed with bpd years ago but going through your videos, it’s shocking how much ADHD resonates with my symptoms and experiences. And is it possible to have both diagnoses?
Psilocybin containing mushrooms saved my life. The drastically reduced my benzodiazepine withdrawal allowing me to quite illicit pill addiction after three years of heavy daily use before it would had became medically dangerous to quit. It has also helped me survive depression.
@Lillian Victoria I was having this constant, unbearable anxiety due to work stress. Not until I came across *dr.jeromespore* a very intelligent mycologist. He saved my life honestly
@Lillian Victoria Use dr.jeromespore to check him out on. 👇🏻
*l* *G*
@Vicky Desmond I feel the same way too. I put too much on my plate and it definitely affects my stress and anxiety levels. I am also glad to be a part of this community.
Tripping is not all that bad but one has to find a good mycologist to teach you the right things you need to know
Not just take a long time but I also have REALLY bad stomach pains as my body get to the therapeutic dose. Its really miserable and especially when you're in thr throws of a depression episode, pure hell. I'll be glad when new classes of these meds become readily available. Because a lot of us are really suffering
The suffering doesn't really begin until you have been injured by these toxins.
Eat and drink something when you take your meds.
@@RainbowKid71 They are toxic agents - not medication.
@@lovesilk1 why?
This video comes in my recommendation just one month after I got diagnosed with clinical depression four weeks ago after struggling for one year, more or less. Last Thursday I got my new set of meds and I'm hoping in the next time of consultation I'll be okay. Thank you for making this video so I understand how my medicines work, I really appreciate it.
I really appreciate the calm and thoughtful presentation of this information. Thank you!
This is amazing, you are so intelligent! ❤️ I love how you clearly describe how the mind and the body work in unison, I think that is the most thoughtful way to look at mental health.
Ghee I think alot of us think Dr Tracy is just awesomeness!!!!Just imagine inviting her for tea,with cake and snacks and just listning to her.The world looks so much better,listening to her.
😂 you are funny
The best explanation I've seen so far
We love you! You are the “pick” of our treatments! 😌
Could you make a video all about you? Who you are, what's your story , how you became a Psychiatrist, etc?
It’s against the ethics of psychology.
@@gabrielsmith5245 we are not her patients..
That is not necessary, you dont need to know her personal life. I'm surprised you even wrote that comment.
@@dinobussanich3017 welcome to RUclips? The social community based platform… 🤦🏻♂️🤦🏻♂️🤦🏻♂️☠️
@@dinobussanich3017 have you never watched a RUclips channel before? That’s what the whole platform is.
I’m currently in month 4 of trying to find a new antidepressant combination. This video was very helpful to me - that knowledge gives me a little more power to keep my hopes as high as possible. Thank you!
How u feel now
@@ghanshyampaliwal9360 took a couple months but found a good combo! Also was diagnosed and started treating ADHD which has helped out a lot too
Good to hear that u found ur combo.
Currently I'm taking lexapro, today is 9th day, It's been a roller coaster ride 😅
@@ghanshyampaliwal9360 I’ve known a few people who had great luck with Lexapro and I hope it helps for you too! Even if that’s not the one there’s bound to be a decent fit if you can keep up that hard work. Wishing you plenty of luck and hopefully some relief soon 🤞
Thanks for ur wishes & I also wish for you to find good life ahead
Here because I'm 3.5 weeks in and just feel not good. I sure hope things start to get better. Thanks for the video
how are you now?
How are you doing now? I am just 2 days now 😢
Oooh, Dr. Marks! I just discovered your channel with this video. Your presentation was so pleasant to listen to and it really adjusted how I understand my depression. Thank you! I look forward to watching more of your videos
Awesome! Understanding is power and strengthens your agency. That's my mission in a nutshell! ❤️
Thank you so much Dr. Tracey, Because you help me a lot with your video. Much love from Tanzania
You are such a GOOD doctor!💞
I was lead by the Holy Spirit to Dr Tracy. I really need this information. Now I'll listen over and over.
I'm happy to tune in to your channel...you are so divine.
Thanks Doctor! You care more about us than our own Psychiatrists!
Mine worked the first day. Probably because I haven’t done any drugs? I was all giggles and happy as and my stress levels and anxiety dropped big time within that day… after a week or two I’ve became more myself but more positive and my stress levels are at a all time low and I don’t feel as anxious anymore.. I’ve always felt hopeless but now I don’t care in a way where I feel happy about myself and loving myself more to feel hopeless… the negative thoughts are not there anymore… so happy that I talked to my doctor about my mental health.
Dr Marks, as usual, tons of appreciation for your exceptionally clear and informative videos! It would be a pleasure to be your student, I imagine, as you have a knack for making exceptionally complex things easily digestible even for a layperson. Question: how is this emotional bias underlying depression (as well as some other disorders, I assume) different from thought? Or is it a thought of sorts, just running deeply, at the unconscious level? Thank you!
First understand difference between emotions/feelings and thoughts. Then add the word "bias" … depressed -> negative distortion narcissist -> positive distortion (my unprofessional guess)
Thanks so much for this. Straight to the point video! Thanks Doc
Dr. Marks is a sensational doctor, would be wonderful if she could swing by Australia and help out some of us blighters down here...Best wishes all, Cheerio!
I'm learning so much from your videos, thank you.❤️
Thank you, Dr Marks. This video has been a God send.
Thank you so much for this video. It answered my questions. And I still have to wait a little bit more to see the changes in my loved one as the levels take effect. Please make a video if you have not on how substance use affects antidepressants. Thanks.
I just took some for the first time yesterday, im excited to take it again today. It felt great
Thank you soooo much Dr.Marks very helpful explanation
Thank you dr, tracy truly was helpful ♥️
Brilliant videos, love them. Would be good to know why pharmaceutical ketamine works so quickly and relatively persistently if efficacy is dependent upon a cascading action ending in gene transcription - unless the NDMA system is at the end of the causal chain? Is so, non-specific 5HT agonism doesn't seem like the optimal target/method of action given the lengthy causal chain to reach the therapeutic target system?
I've been on 100mg. of Desvenlafaxine (generic of Pristiq) for a little over three weeks. So far, I haven't felt any changes in my mood or depression. I had been on Lexapro for 15 years, but it was no longer working for me. I also suffer from chronic tinnitus (ringing/buzzing in the ears and head), so that has only added to my depression (or is perhaps caused by it). Anyway, I'm going to stick with the Desvenlafaxine for 8 weeks. If I still feel crappy, I'll try something else. Fortunately, I've had no ill side effects. Thank you, Dr. Marks for your insight!
Love your videos Dr. Marks!
6:30 I know it's not the actual topic of the video, but I would add psychotherapy as an important step on this road to correcting the negative thoughts. I think that the antidepressants alone are not enough. Active work on oneself with a psychotherapist is needed for sure.
Thank You for all your efforts dr tracey 🙏
Be well
Thank you and same to you. 😊👍🏽
I am on the start of week 3 on 10mg Lexapro and I am not feeling better. Also I started developing insomnia on day 10, and sleep used to be my only reprieve. I was considering aborting but I found Dr Marks' video and it is a little encouraging to try to hang in there. I like thw way she delivers advice.
Did it get better?
@@leahnemeroff2272 Yes and thanks for asking. After about 6 weeks on Lexapro 10mg, the horrible depression lifted just enough. Phew. Life still sucks but I can hang in there. D sucks. Peace to everyone.
I was on Lexapro for 2 week and was a nightmare. My doc changed my medicine cause lexapro wasn't for me. Too many side effects
Thank you so much Dr. Marks, you do a better job at explaining things than others and it makes sense without too much medical verbiage 😊🙏🏼
I've spent a year thinking about what comes first. Negative thinking or depression. And is it possible to stop depression by control of thinking. It seemed very perspective. And the Last time it did not worked, bc negative thinking made my emotions just uncontrolable. And there is a point then when you start to loose an energy so fast, that without citalopram it wouldn't work. But! I understood, that when you on meds you should learn to think positive despite anything, just litterally anything. It is a job - stay positive, do sport, take healthy food, make your microbiom healthy. And one more thing.. World is a mirror of what you think about it.
I like listening to you talk.
Thank you for the informational video.
This video came at exact right time. My sister on antidepressants sine two weeks ago, she was saying they are not working, i was trying to tell her to keep taking for a while more to see. Im going to show her this, its great perfect for explaining! Thank you
I hope your sister doing well
@@ayubsaleh6172 thank you, my sister feels a lot better now. She is engaging with life more. And she is more positive about the future.🌻
I’m glad she’s feeling better.
After how many weeks did he feel better?
After how many weeks did he feel better?
One of the people I immediately liked their video. Thank you
Thanks Alex. 😊
@@DrTraceyMarks the work you do is so important and has helped do much understanding myself and understanding other people in my life. I'm tearing up right now
@@Alex-zl5ht It gives me a ton of satisfaction knowing the information helps you. ❤️😊
Thank you for that, and thanks for talking slowly too....I have severe ME. and can't concentrate when people talk soooo quickly (a RUclips trait!)
OMG this is a perfect explanation thank you!
Thank you for the clarity
Thank you so much for your videos! They help me.
Dr. Marks! Can you do a video about neurological disorders(seizure disorder, cerebal palsy, etc) and antidepressants? What drugs we can't take or safe to take...Thanks
Thanks doctor..appreciate widely your efforts..now just want to ask ..does the same apply on the bipolar depressant episode? I mean the depression mechanism works tbe same way in both cases, the one you've said in this video and in the bipolar's ?
Regards
Mamoun
Hi Dr Marks. Sorry this isn't entirely related to this particular video, but I'm wondering what your patients' experience has been with combining Buspar with Lamictal for treatment of chronic anxiety and bipolar ii? I'll be adding Buspar to my meds soon and I worry a lot anytime I trial something new. Thanks!
You are a wonderful human being… blessings from Tijuana Baja California Mexico 🇲🇽 ❤❤
Amazing video. Thank you
Thanks for the information
Dear Dr Tracey thank you so much for all the info you share!
Could you make a video on this topic, please?
Is it common for daughters of Narcissistic Mothers to develop bipolar disorder? is it common to delevop a mental illness at all? if so, which illness is common these woman may develop due to having lived all their childhood/adolescence/young adulthood with a narcissistic mother?
Great info god bless you !
I have been on venlafaxine since February 9th. Currently on 75mg and doc moving it up to 150. I haven’t had any improvement in my main concern (anxiety) in fact, I feel as though it’s been heightened on this medication. Getting frustrated and don’t see the point in trying 150 but I will listen to my doc. She will take me off of it after 30 days on 150mg with no improvement.
My anxiety increased on escitalopram. I had a panic attack after 2 months on it. Never had a problem with panic attacks before.
I got a migraine within 20 minutes of taking prozak, I took it again the 2nd day and again got a wicked headache, nausea, and I couldn't sleep either. My doctor said to stop taking it. It took about 24 hours for the migraine to go away. I could feel my brain pulsating. My doctor said headaches or migraine were not a symptom of prozak.
BEST MENTAL HEALTH CHANNEL EVER!!! Why couldn’t someone have broken down stuff like this for me when I was younger? 😭
Good video. I always wanted to know what causes me to lash out at times when the anger doesn't match the situation..
Glad it was helpful!
Hi Dr Marks,
Could you make a video comparing different atypical antipsychotics for bipolar and their off-label use? There are so many drugs, and it seems one drug is not the same with two different doctors. I saw your video showing the chart with different drugs & indications, but I'm curious how something like lurazidone is really used. I can of course look at different forums and search 'lurazidone' and see who takes what dose and what their purported condition is, or I can ask my doctor what they think about it, read about it etc, but I'm curious about your practical stance on different drugs, or your recommendations for someone trying to optimize their treatment.
Very informative videos!
Barely going to finish the first week of Citalopram and these last two days have been horrible . Seeing that things might get worse before they get better is what’s motivating to continue ):
how are you feeling now, I feel desperate on the day 4 I need to know if I should chang it or not is horrible feeling I just wan to Crowl inside the bed and even that doesn't help
@@binamupadhyay4189 Hi Binam, how are you now?
Timely video. Thank you. If I could like twice, I would!
Thanks a bunch MeMe Mo 😊
Could you make a video about the differences between medications like escitalopran and bupropion?
How do they work and what are they used for?
I received Scippa and Lamolep for my anxiety and bipolar disorder. I was feeling so bad just after 2 days of the treatment, that I would rather have anxiety and mania with depression than any meds. 😥
I love your videos,you are so great..
I feel like she's talking directly to me❤
Hello Dr. Marks, thank you much for your videos. Your input helps me a lot with understanding my own mental state. So far I haven't had good experiences with Psychiatrists so it's amazing to have somebody who explains so many things is such detail so well. My question: would you consider making a video on 5htp supplements? So far I haven't met any professional who is either familiar with it or could explains why traditional medication is superior to 5htp. I have very bad experience with antidepressants and this is the only thing that seems to help me. Have a wonderful week. ( pls apologize my English)
Hi Evan. Thanks for the suggestion I’ll look into it. In the meantime take a look at this video I did on alternative medicines for depression. I talk about 5HTP at the very beginning but I don’t remember how much detail I went into since it was two years ago. I think I also talk about SamE
I've been taking 5-HTP for my bipolar depression for several years. It works well sometimes I have to raise the dose a bit to make it work. I've never been able to directly link a manic episode to taking it but it's hard to say. I used to stop taking it as soon as my manic episodes would start. Now I just take a low dose throughout the episode. I haven't been manic in almost 4 months and I'm taking 200 mg a day.
@@DrTraceyMarks thank you for your response. The video you’ve recommended was very helpful. I’m just wondering, if it is recommended to mix 5htp with SSRIs. You did mention it might not be a good idea for SamE. The Quarantine is really testing me right now so I was thinking to maybe start Citalopram again. Thank you in advance!
@@BeingBetter I’m at 300 now and it seems to work but I still have extrem lows some days when I don’t leave my bed. But then again it’s quarantine so 🤷♂️
@@evanmoskovoy6072 Quarantine is hard on anyone.
Thank you very much for your explanations I’ve been on any depressants 38 years on and off mostly on there’s times that I took them that within two days it was day and night I just like walked into the sunshine but I’ve done a lot of dealing with my thoughts and self-esteem and self worth and how I was affected so much in life with many things but I still seem to have obsession of the mind some of the times I do a lot of exercise and eating well I’ve worked at this a long time I’ve had to bump up my medication a little bit lately this January I’m a little concerned I do take responsibility for some of the mistakes I made with relationships my choices to be close with somebody is not usually the best thing when it comes to sexual things it’s very challenging because of the way the brain chemistry is and what happens when a person ejaculate It gives me depression after any advice or help that would be good thank you again