Tag: ANTIDEPRESSANTS

Posted on

There Should Be No Shame in Taking Antidepressants

We have all experienced feeling unwell at some point in our lives. When one has a headache, they reach for an aspirin or paracetamol, grab a Gaviscon tablet for acid reflux and carry their insulin to manage their blood sugar when they need to.

We don’t think twice about reaching for paracetamol when we have a headache.

Anyone diagnosed with a long-term illness has to rely on regular medications for relief as prescribed by their doctors and are grateful for the reprieve that the medication brings to them.

In the UK, 1 in 4 people will experience a mental health problem of some kind each year and 1 in 6 people report undergoing a common mental health problem such as anxiety, depression, and bipolar disorder in any given week but antidepressants are not spoken of as liberally as other medications.

There is a lot of stigma surrounding mental health to begin with, so it becomes a sensitive topic when someone has to start taking antidepressants for a mental illness or to let family and friends know about their diagnosis.

 

Here are some of the reasons why people who are struggling with mental health problems may not want to take antidepressants:

  • The fear of side effects deters people from taking antidepressants. There is a lot of negative talk regarding the potential side effects of antidepressants and some people believe that the medication will make them worse 

 

  • The cost of the medication may prevent a person suffering with mental health problems from obtaining repeat prescriptions for their antidepressants 

 

  • The fear of being labelled a pill popper, lazy, and mad by their peers and families 

 

  • Some people are not good at taking medication, they forget or miss doses, and some expect faster results so may stop taking the antidepressants before they kick in and then say that the medication is not working 

 

  • There is always a worry that one may become too dependent on antidepressants and not be able to function without them or that their problems could be accelerated because of taking the medication, so some people avoid taking their antidepressants.

 

We are surrounded by different types of people. Some are kind and sympathetic to those struggling and some can’t hide their annoyance when someone is open about their mental illness.

That causes a lot of people who have mental health problems to hide their illness and end up not taking their medication but there should be no shame in anyone taking their prescribed medication.

It is also important for people that are struggling with mental health illnesses to take their medications directly as prescribed by their doctor and not combine it with any other medication or substances in order to treat their symptoms correctly and to help them manage or overcome their problems.

When antidepressants are not used properly, they can result in unpleasant side effects, longer recovery, worsened health, substance abuse disorders, or even loss of life.

Here are some useful tips for taking your antidepressants:

  • Always try to keep an up to date list of your medications so that doctors do not prescribe antidepressants that counteract with your other medications

 

  • Make sure to check whether your antidepressants can be taken on an empty stomach, with food, or after food

 

  • Create a routine so that you don’t forget to take your antidepressants and take them at the same time daily to avoid overlapping your doses

 

  • Use a clear pill organiser with labels for the times and days of the week to help you keep track of your daily medication doses

 

  • Do not share your antidepressants with other people and do not double up on a dosage if for any reason you have missed your medication

 

  • Do not take other people’s medication and reduce your intake of alcohol and other stimulants while on antidepressants

 

  • Travel with extra medication when visiting family and friends in case you stay for longer than you had planned

 

  • Pack all your prescribed medications in your carry-on case if you are flying for safety in the event that your luggage gets lost and to protect them from damage

 

  • Do not go off your antidepressants cold turkey as that has more detrimental effects to your physical and mental health. Follow the directions of your doctor when you need to increase, reduce or stop taking the medication 

 

As with all medications, there is no one size fits all approach to treating symptoms of anxiety, depression, and other mental health illnesses. All antidepressants carry a suicide warning and can cause different reactions to the people taking them. At least 50 percent of people who take antidepressants report excessive weight loss, weight gain, loss of libido but the benefits and the improved quality of life that the antidepressants can provide, outweighs its risks.

 

Some people may also choose to treat their depression and anxiety symptoms using holistic treatments such as exercise, mindfulness, meditation, yoga, hypnosis, and natural supplements such as Multi-Vitamins with B6 and minerals, Omega-3 fatty acids, probiotics, and Vitamin D-3.

Some people opt for holistic practices such as exercise and vitamins.

There are many different views on how antidepressants work, however they are considered to be an important part of treating depression as they relieve the symptoms, help with emotional balance, and reduce the chances that they may come back.

 

People have referred to antidepressants as happy pills, but they do not make you happy. They do not instantly make you cheerful, but when you are prescribed with a combination that works for you, they allow you to perform better and engage in the things that will bring you happiness.

 

It is not recommended to stop taking any antidepressants abruptly as it can cause withdrawals such as severe depression, digestion problems, and sleeping problems. Only start weaning off your medications under the supervision of your doctor.

 

 

 

 

Posted on

Lockdown and Losing a Loved One

About 6 months ago I wrote an upbeat post at the beginning of the lockdown. I thought it would be an easy few weeks, working from home, shopping online, and not having to rush anywhere. A lot of us thought that it would pass quickly.

As I settled into lockdown and watched the infection and morbidity rates going up daily, panic started setting in. There was a national fear of food shortages and people were clearing out the shelves in the shops until they started rationing how many products each person could buy.

Our hospital, doctors, and dentist appointments were postponed or getting canceled to keep the facilities available for people who have been affected by Covid19.

Events were cancelled, churches and schools closed, so most parents had to home school their children, work meetings, and church were done via Zoom videos. We started coming to terms with our new normal, masks when out in public, no eating out, not seeing friends and family that didn’t live with us.

Our new normal                                                                [Image by Queven from Pixabay]
What I wasn’t prepared for during that time was my partner having a cardiac arrest and having to administer CPR to him to try and save his life.

Everything happened so quickly, I don’t even know how long I was doing CPR for, from the time I called 999 to when the paramedics came in and it was terrifying to see them come in wearing full hazmat suits because of the risk of Covid19.

I was allowed to go with him to the hospital, and the nurses gave me an apron, gloves, a mask to put on. It was so hot and claustrophobic under all the protective wear but all the safety precautions needed to be done.

My partner remained unresponsive, and he made a terrible gurgling sound which I have now learned is called the ‘death rattle’, it was such a hard noise to listen to as I was informed that these were his last hours and while it was uncomfortable for me to watch, he was unconscious and not in pain, even though it looked like he was.

Masks while essential, make it difficult to convey a message or show sympathy [Image by Cico Zeljko from Pixabay]
I had the doctors come and talk to me and it felt so impersonal, having a conversation about someone’s end of life when all I could see were their eyes. The masks, while essential, take away the emotion and compassion that one may be trying to convey.

I was crippled with fear and  I kept hoping he would pull through. I never thought that in my lifetime I would have to stand by and watch a loved one slip away. I prayed for a miracle even though I knew the chances of him having a full recovery were slim.

I was sent home and told to expect the worst within about 48 hours, most of which I spent on autopilot. My family is scattered all over the world and they tried their best to support via text, phone, and Whatsapp but I was too distressed to speak.

As I was leaving home for the hospital the next day, I got the call to say that he had passed away. I can’t even begin to describe what I felt at that moment, it was a lot!

It didn’t help that we were still on lockdown and I couldn’t even have a relative come over to help out due to being in isolation as I had spent time with my partner at the hospital.

Once people got the news, the phone calls started coming in. Some were from well-meaning people passing their condolences but some, I felt,  got rather intrusive and asking personal questions – like,  ‘was it COVID19?’, ‘did he have a will?’, ‘was the house in both your names?’ and ‘did he have life insurance?’.

I realised that I was trying too hard to talk to everyone that reached out to me and I was starting to feel overwhelmed with all the attention I was getting. When I mentioned that to a friend she said “you don’t need to answer all the phone calls or respond to the text messages straight away. People will understand that you’re having a tough time.” That brought a bit of relief to me.

I wanted to talk to everyone that called me

It has been 17 weeks since he passed away and I have been on an emotional roller coaster since then. I lost all my coping mechanisms, lost my zest for life and while I had been making progress and weaning off antidepressants, I now needed to have them increased.

While I had been on a good routine of eating well and exercising pre-lockdown, I started to comfort eat to numb my feelings of loneliness, grief, fear, sadness, and lack of sleep.

I used to have someone to encourage me, laugh with, eat with, and make plans with so it’s daunting to think of life on my own. Now I’m thinking of Christmas and the lockdown restrictions we are facing again and knowing that I can’t even visit my family in South Africa makes me sadder.

I am taking one day at a time and learning that I shouldn’t be so hard on myself, that its okay to cry, and that there is no right or wrong way to grieve a loved one. There are no set timelines on grief but I know that it gets better with time even though some days I wake up and the memory is as fresh as though it has just happened.

 

 

 

 

Posted on

People need support for mental health and not a magic potion

Its hard opening up to friends and family about your mental health or general health issues out of fear of being judged.

No matter how much we talk about our mental health there is still so much stigma attached to it in some communities.

On my recovery journey, I have encountered a lot of different people with different views on mental health.

The religious say that if you turn to God all, your health problems will go away.

If you say you are a believer, you get accused of possibly living in sin, so the depression comes from the guilt of your sins.

Then theres the ones that sell supplements and will not take no for an answer.

I am sure if someone offered me to have a trial of something and see how I felt, I would probably try and possibly buy if I liked the product.

But the persistence and the negative talk of antidepressants in their quest to make a sale is enough to trigger my anxiety when I have to be in the same place with them.

Don’t even get me started on the constant follow ups and links to testimonials where some people were cured by these supplements.

I have come to realise that we are all different, there is not a one size fits all approach in the  management and recovery of any mental health condition.

What works for one person may not work for the next.

How good would it be to drink a sachet of syrup and all my illnesses disappear?

The only downside is that you will be set back at least a couple of hundred pounds each month for some things in the name of ‘your health is your wealth” and you will be encouraged to sign up to sell the products so that you can get them cheaper for yourself, which may not be helpful to your health if you don’t sell and are help responsible not pulling your weight to meet enough people.

The digital age has made us live in a fast paced world with access to information on the internet and everyone tends to be a google doctor.

It’s important not to self diagnose when you have symptoms and see your medical practitioners to get help.

There are supportive networks that you can join ; where most people have experience with mental health from personal experience or being care givers.

There are people who will be there for you and some who will not want to hear about your mental health, it  is important to choose your company wisely.

 

 

Posted on

Signs of depression to look out for and how to get help.

Depression affects approximately 1 in 4 people of the UK population. Many people suffer from depression but are unaware of the signs or may choose to ignore them in the hope that the feelings may pass.

It may also be a case of not wanting to accept a diagnosis of depression due to the stigma attached to it and the taking of antidepressants or it could be cultural reasons that are holding them back from acknowledging that they need help.

The longer that treatment is delayed, the more difficult it is for depression to be treated, with a higher chance of recurrence. It can also contribute to or worsen other medical conditions.

Here are some signs of depression that you may look out for and if you or someone close to you has experienced any of them for 2 weeks or longer it would be good to see your family doctor to discuss treatment.

  • Loss of interest in activities that one used to enjoy, loss of libido and being in an extended state of irritable mood.
  • Trouble remembering details or concentrating.
  • Unexplained feelings of fatigue or lack of energy over an extended period of time. Fatigue that is brought about by depression is not associated with other causes such as an increase in physical activity or other conditions.
  • Feelings of guilt, low self-esteem, worthlessness, and helplessness. When someone is depressed, these feelings occur nearly every day and can be severe enough to be delusional.
  • Hopelessness and Pessimism.
  • Oversleeping or insomnia.
  • Restlessness.
  • Loss of appetite or mindless comfort overeating.
  • Aches and pains that won’t go away.
  • Constant sad, anxious, or feelings of emptiness.
  • Suicidal thoughts or attempts and self-harming. A person suffering from depression may have recurrent deliberations of suicide or attempt suicide.

If you are feeling suicidal please get help by going to your  A&E Department at the hospital or call 999 or call NHS 111 (England) or NHS Direct 0845 46 47 (Wales)

You may call the Samaritans on freephone 116 123 if you don’t want to go to A&E but want to talk to someone, they are open 24 hours.

You may also contact your GP for an emergency appointment or call the out of hors team.

There is help and treatment available, do not suffer in silence.

 

Photo by Nathan Cowley from Pexels

Posted on

“Most days I am strong, some days, not at all.”

For the best part of my life, I never allowed myself a moment of weakness. I am the first-born, a mother and honorary parent to 3 of my siblings and a provider for my mother, who all live in Africa while I am in the UK.

Year after year, I had to listen to their demands and help out. Saying no to anything was never an option.

I had to find a way to pay that bill they had defaulted on so that they didn’t have their electricity or water cut off.

I had to contribute to the family crowd fund for the uncle that had been diagnosed with a chronic illness.

I  had to contribute to the family during  bereavements, irrespective of if the deceased had a funeral policy, it’s just the decent thing to do.

As soon as I posted a holiday picture or a picture of a night out, the requests came in. The strange thing is, it was never demanded but asked in a way that made me feel guilty for living my life.

But one day, I reached breaking point. I was struggling with my health, physically and mentally.

It took me a while to realise what was happening to me because I thought was Superwoman.

I didn’t have the time to be ill, too many people were counting on me and no way was I going to be lying here feeling sorry for myself. I needed to get up and work and do the tasks that I needed to do.

But I couldn’t.

Getting up for work became a challenge, driving became a chore. Stopping for petrol was terrifying and answering the phone was even worse.

It felt like my life was being taken over, I was tired all the time, I slept all the time.

I was sad all the time and angry most times and constantly under a fog that I couldn’t even shake off.

I lost confidence in myself and I just could not do anything to help myself.

The days went quickly and became just a blur and all I could think of was that I didn’t want to be alive anymore.

I avoided talking to people and to the ones I spoke to, I said I was fine. I really felt like I was letting everybody down by being ill but never at one time did I think of myself. Just others.

When I finally realised that I needed help, and got the treatment that has helped me a great deal, I knew that I had to adjust my way of life.

I learnt that no matter how hard it was, I have to try to put my needs first, that is why I am such a fan of the quote, “You can’t pour from an empty cup.”

Recovery and rediscovery has been a very important part of my life in the last 18 months.

Most days I am strong, but some days, not at all.

There are days  when I am up early and raring to go and there are days where I struggle to even get out of bed.

There are times when I write an article and it takes me at least an hour tops to publish, and there are times when it takes me over two weeks to articulate myself in my writing.

I have learnt that I have to listen to my body and not work overtime when I don’t need to.

I have learnt that I can say no to a request and not lose sleep over it.

I have learnt that I can sleep and not feel guilty for switching off my phone.

I know that whatever happens now, I can take one day at a time and that my mental health is just as important as my physical health.

We watch what we eat, exercise and even take supplements to enhance our physical health and its heavily advertised but but mental health issues are always talked about behind closed doors.

We need to make time for therapeutic activities such as mindfulness, relaxation, personal care and getting in touch with nature.

Let us be kind to ourselves as we are to others.

 

 

 

 

Posted on

Indoda Ayikhali – Men Dont Cry

‘Indoda Ayikhali’ (Men don’t cry)

Growing up in a Black African home that is all I ever heard and grew up believing, that showing emotions is for the weak.

Our fathers, brothers and uncles were raised to be protectors, to act tough and hide their weaknesses. They were expected to be fixers when the family had problems and be fearless in dealing with them.

Men are expected hide their weaknesses.

Men who show their emotions are seen as weak, but men suffer mentally and emotionally as much as women, they just don’t show it as it is not socially acceptable to do so.

Most men with mental health illnesses deal with them by disconnecting themselves from people because they feel that is the manly thing to do.

Some bottle it up and ‘get on with it’ or even joke about it but not accept that there is a problem.

Sometimes they deal with it differently by being defensive, lashing out, acting irritably and refusing to cooperate with others.

Men are raised to behave a certain way, even women do not want to be involved with a man that they see as weak, so men bottle their feelings and hide their shortcomings.

This gender stereotype has led to a lot of young men taking their lives because they feel like they have failed their loved ones.

There is too much pressure to ‘man up’ that people do not seek the help they need.

Two thirds of the world’s suicides are committed by men because they are too ashamed to talk and get the help that they need.

Culturally, there are also some limitations when it comes to dealing with depression and other mental illnesses.

Sometimes illnesses are blamed on witchcraft and go untreated because they do not believe that it is medical.

What is depression they say? Stop being lazy!

Why do you want to adopt western values?

That is a rich man’s illness.

That is a white man’s illness.

Seriously, what has race got to do with it?

Do not stop taking your medication without supervision.

There is also a big misconception that medication makes people worse so those that are diagnosed avoid taking their medication or stop without supervision, only to make their symptoms worse.

Some men refuse to confront their mental conditions as they are convinced that they will be judged negatively by their loved ones.

It is hard for a man to admit he is suffering from a cold so how can he tell anyone that he is struggling with depression. They are told to ‘man up’ and deal with it.

There are some symptoms to look for when someone is struggling with depression

  • Changes in mood
  • Irresponsible behaviour –picking fights, gambling, excessive drinking
  • Drug abuse
  • Avoiding being with other people
  • Loss of libido
  • Constant complaints of fatigue
  • Loss of appetite or overeating unhealthy food
  • Irritability
  • Sleeping too much or too little

Some of the triggers to depression can be due to:

  • Financial problems
  • Death of a loved one
  • Break ups
  • Relationship problems
  • Stress at work
  • Health problems
  • Loss of work or earnings

When men struggle with depression, they find it hard to share it with anyone for fear of being judged. It takes a lot of strength to own up to shortcomings and vulnerabilities and take the proper steps toward doing something about it.

There is help and support for mental health problems. If you or your loved ones are experiencing any of the symptoms for prolonged periods of time it is advisable to see a medical professional.

Let us encourage boys and men to talk about their mental health and get the help that they need.

Staying silent isn’t being strong, speaking out is.

 

 

 

Posted on

Depression: Supporting loved ones

Experiencing depression can be very overwhelming to the sufferer and to close family and friends.

We all have moments of feeling down or sad but if these emotions persist over a long period of time or become severe, it may be a sign that someone may be suffering from depression.

It is important to support loved ones by encouraging that they seek help and reassure them that it is Ok to ask for help.

Encourage them to talk about how they feel as it may sometimes be hard for them to express themselves. Some people feel that it is a sign of weakness to share their feelings.

pexels-photo-590516

Sometimes its good to just listen, having someone to talk to and not be judged about how you feel or be told to ‘get over it and ‘we all go through it’ does not help the person experiencing depression. In fact, it forces them to shut down and be more private about their situation leading them to suffer in silence.

If you do not live with them, try to keep in touch more often. Sometimes they may not even have the energy to keep up with day to day things like making phone calls or leaving the house.

It may be hard to understand why your friend or family member is depressed especially if you have not experienced it yourself. Please try not to be judgemental or find blame as to why the person is suffering from depression. It is not easy to snap out of it, there is no magic button to switch off depression. Do not be critical of their situation or make it about yourself and say,  “we all get depressed, I have it but I manage, stop thinking too much”.

If they have been prescribed medication, support them to continue with their medication especially in the first few weeks while they adjust to the medication and experience some unpleasant side effects.

Encourage them to see their doctor if they feel worse with their medication or the side effects are continuous.

While it is tempting to help them with everything, it is important to encourage them to undertake their day to day tasks like cooking, cleaning and going to do their food shopping.

It is also important to look after yourself so that you have the energy to support your friend or family member. If you feel that you can not help them it is Ok to be honest and say that you can’t help and suggest that they seek help of professionals if they need to.

 

Posted on

Depression – Breaking the Stigma

 

Depression does not discriminate against race, gender, religious beliefs, financial status, age, and gender. As a black African woman that has experienced depression both personally and professionally, it has not been an easy topic to talk about with family, friends and acquaintances.

There are a lot of myths about depression and anxiety that cause a lot of confusion which can keep people from reaching out for help. Most people are afraid to ask for help among their peers, as they would be considered to be lazy or crazy.

Many people see mental illness as a weakness or personal failure and the following statements are usually made;

“Depression does not affect black people, its something the white privileged suffer from.”

“You need to get over it, find a hobby, take a walk.”

“Oh, stop being so sensitive!”

“Don’t take the medication, it will only make you worse.”

This makes people who are struggling with depression hold back on sharing how they feel.

Culturally we are taught to keep our feelings to ourselves. If you find yourself struggling at school, college or work, you cannot complain openly about things, as you feel conscious that you may be seen as being entitled, weak or merely just using it as an excuse for your laziness. Some depression is attributed to witchcraft or attention seeking and guilt.

We are conditioned from an early age to look out for others, help as much as we can, give as much as we can but it is not easy to say no, not today, I am tired, I need a break and just need to rest or have time to myself for fear of being seen as selfish.

We are constantly reminded that our lives are better than others who are living in impoverished countries. What have you got to be depressed about? You live in England; you have a job and a partner, think of people struggling back home or the ones in Ethiopia and Somalia who have no food or clean water.

The only time people cry openly is usually when there is a death of a loved one. Generally, crying is seen as a weakness and people tend to suffer in silence. We are supposed to be able to make it through anything. Our ancestors made it through slavery, we can make it through all the hard times, we have to keep going, and we have to be strong.

But what happens then when you have been too strong for too long? When you are tired of carrying other people’s problems and need time out? When you feel overwhelmed and need to find refuge in someone or somewhere?

While spiritual support is an important part of healing, the care of a qualified mental health professional is very important as with any other medical condition. Treatment should be sought earlier for it to be more effective.

We cannot simply ‘pray away’ depression or any form of mental illness. Why is it set apart from illnesses, such as cancer, diabetes and high blood pressure where one can get medication to help with their symptoms and be open about it?

The stigma surrounding antidepressants causes some people to accept their diagnosis but not share and not take their medication. They will be feeling worse each day, picking up their prescription every month after telling their doctor that they are no better and just stacking the medication in the drawer.

There is very little sympathy in some communities in relation to depression as people do not know how to handle it or what to say to someone suffering from depression. It is important that we come together to address mental illnesses and break the stigma attached to it because it can affect anyone.

If you start to feel like your life isn’t worth living or you want to harm yourself, get help straight away.

Either see your GP or call NHS 111. You can also call Samaritans on 116 123 for 24-hour confidential, non-judgemental emotional support.

See some other organisations that can help with mental health issues.