It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Depression Message Board

  • Need some opinions please (sorry for long post)

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 07-23-2006, 01:04 AM   #1
    BorkBork
    Junior Member
    (male)
     
    Join Date: Mar 2004
    Location: San Antonio, Texas
    Posts: 47
    BorkBork HB User
    Need some opinions please (sorry for long post)

    Hello

    I'm hoping some of you can give me some info, advice, or opinions. For about the past 5 years (I am a 27 year old male), I have been trying to figure out what is wrong with me and find a solution to the problem.

    I have been told by at least a few people that I'm depressed, but I am not really sure if I am, but I'm pretty certain I have a generalized anxiety disorder of some type at least. My main problem is that no matter how much sleep I get, be it 6 hours or 14 hours, I do not feel refreshed when I wake up. I also have fatigue most of the time and often wake up with morning headaches. When I do wake up I feel "drunk" and I remain this way for hours. I always feel very tense for no particular reason, as though I feel something bad is about to happen. My mind is not clear, my cognitive abilities are slow, mental reflexes are very slow, have trouble with decisionmaking, and have no motivation to do anything. I have to force myself to do everything, including things I enjoy practically all the time, and I feel like all of these problems are very gradually getting worse as the years go by.

    I have been seeing my family doctor now for a long time and she has done a physical exam, blood work, prescribed various medications including zoloft, wellbutrin, adderall, and none of them give me any results. She referred me to a pulmonologist to check whether I had sleep apnea or some other sleep disorder. I did a sleep study and was found to have what they deem "moderate" obstructive sleep apnea.

    Their severity scale was something like:

    1-5 = normal number of apneic episodes for the average person
    6-19 = mild sleep apnea
    20-39 = moderate sleep apnea
    40 and up = severe sleep apnea

    My score was 23. My blood oxygen levels during the study were completely normal and steady throughout the duration of their testing.

    Ok, so the pulmonologist prescribes a CPAP unit for me to use, it took awhile to adjust to it, but after 3 months of use, I found it to be no benefit. I still had the problem where I am sleeping too much and not feeling refreshed when I wake up. The company that leased the unit to me downloaded the data from the CPAP and it said that it was correcting 100% of the apneic episodes. So I decided to stop the CPAP. It was apparently correcting the apnea, but still I was getting no relief.

    I was then referred to an endocrinologist to have my thyroid checked. They did a thyroid ultrasound and found 3 small nodules on my thyroid and also found that I had a mild goiter. The endocrinologist concluded that these are problems that could become something to worry about later but that they aren't the source of my sleeping too much and all that. He has me on a small amount of thyroid medication which he says should keep my thyroid from enlarging further and to possibly shrink it back down some.

    After checking all that all that remains is psychiatric stuff.

    Many years ago I saw a psychiatrist who prescribed zoloft as my family doctor did recently, along with Prozac, Paxil, Effexor, Luvox, and Neurontin, at max dosages over a period of many months, all with no side effect improvements.

    I've been seeing a psychologist now for a few months, and he thinks that I have ADHD based on the symptoms I described to him, but I am not so sure about that. He ran some tests on me to test for ADHD and he said that on one of his tests I performed as poorly as someone who had suffered a head injury. There were a couple of other tests he administered as well, one of which was a computerized program that tested my impulsivity and attentiveness (I assume), which I also performed very poorly on. I was already on Adderall as prescribed by my family doctor, but the dose was increased in light of the new developments. Two weeks later I saw the psychologist again and he had me take two of the tests he gave me previously, and I scored extremely well compared to the first run. He seemed convinced that my score improvement was due to the Adderall, but the Adderall didn't give me any noticeable benefits during the time I took it. I believe the reason for my improved score was simply that I knew what to expect the second time around, and was less apprehensive about it. I also employed a more relaxed approach to the computerized test than I did the first time. So the results from the second test in my opinion don't seem valid. I believe that I may just have depression and the symptoms are overlapping which mimic ADHD.

    Right now I have just started seeing a new psychiatrist. He has me on Clonazepam right now at 1 mg twice daily as well as Provigil 200mg once daily. I take the clonazepam when I wake up and again when I go to sleep. I take the provigil as soon as my alarm goes off (have water next to my bed along with the pills). I pop the pill but am soon back asleep again. I've heard this drug is used by the military to keep soldiers awake for 40 hours straight while still being fully alert and functional as though fully rested, but for me I have noticed no change at all so far. I've taken it for 3 days now and so far have not experienced any increased "wakefulness". My understanding is that this drug is supposed to take effect quickly, unlike antidepressants which take days to weeks to build up in your system.

    I have a weird problem I think. I am immune to practically all psychiatric drugs it seems. I am also unaffected by caffeine (in fact if I have caffeine before I go to sleep, it makes me more relaxed) and alcoholic beverages. I'm sure I could drink enough alcohol to make SOMETHING happen but I actually do not drink at all. However what I have drank in the past didn't change my mood in any way. They say alcoholic beverages are supposed to make you more sociable and relaxed, I get nothing from it. I don't even get tipsy. But anyway, my point is that I've tried all kinds of medications. Stimulants such as caffeine have no effect on me, alcohol doesn't affect me, is there a label for people with this kind of problem? Or is it a problem at all? Maybe I am perfectly normal but just lazy like people say. Since I seemed to be treatment resistant to depression, assuming that's what I have, I suggested to my psychologist the new MAOI Emsam as another route of treatment since I hadn't tried any MAOIs yet and they are supposed to be good for treatment resistant depression, so I tried that for 6 weeks. Well guess what? It didn't do a durn thing for me either

    Here's what I would like to know from you guys please. My psychiatrist told me something I found hard to swallow but I will give him the benefit of the doubt, but would like your opinions as well. I told him about my immunity to drugs problem and he told me that I could well be immune to some extent, BUT then he said that I have to help make the drugs work. Apparently he thinks that my sleep problem is just me being undisciplined in keeping my hours, and my father is of the same mind, but I do not think so. The psychiatrist says the drugs will not work if I do not help them to work, in other words, make my sleeping/waking times regular. The sleeping problem though, is the centerpiece of my problems! If I could knock that out somehow I could put up with anxiety and mental dullness and I can live with being the butt of people's jokes because I'm so out of it and can't think quickly enough to respond to their insults with any degree of wit.

    Is it true these psychiatric drugs won't work if my sleep hours are irregular? I was hoping the drugs would be able to take care of that symptom. I find it hard to believe that that is all it comes down to after all these years of trying to find help. I realize that I need to put forth efforts to get well along with medications but I thought medications had a purpose?? I thought that I would be getting symptom relief from them.

    I had a job for 3 years that I loved, but I couldn't make it to work on time and while the boss who hired me was sympathetic toward my situation while I was seeking treatment, he retired, and the new boss didn't tolerate me coming in 6 hours late practically every day for very long, so I was given the choice to resign or be fired, so I resigned. Believe me I tried soooo hard to be able to get up and get to work on time, I didn't want to lose my job, but it was so difficult to get up on time, and eventually it cost me my job. I'd go to bed at a reasonable time and sleep 6-8 hours and would still be dead tired every day.

    Here is the big question though. My psychiatrist told me that it is unrealistic for me to expect to feel refreshed when I wake up in the morning. Is this true? I find it hard to believe because there are times, very rarely, when I do wake up and feel what I would call "refreshed". That is, I wake up and have no more desire to remain in the bed and want to start moving about. I don't understand why it is unrealistic to expect to feel refreshed upon waking after 8 hours of sleep. I don't like waking up feeling like I haven't slept at all. I want to go back to work but I will lose my job again eventually because of this problem. On average I sleep about 10-12 hours per night and don't feel rested when I wake up. I would like to sleep 6-8 hours and feel okay, is that asking too much?? I started having these problems around age 14 and I'm now 27. It didn't always used to be this way.....

    So anyway my psychiatrist wants me to force myself to normalize my sleep schedule somehow. So I will try my hardest to do what he suggests and see what happens.

    I just don't see how this will ever result in a permanent fix for me. Forcing myself to get out of bed every morning when I feel awful and sometimes have a headache for the rest of my life is a miserable existence.

    I also definitely think that the sleep problem is only one part of a bigger problem, probably depression, but maybe something else.

    Thanks in advance for any input and I apologize for this really long post. :P

     
    Sponsors Lightbulb
       
    Old 07-23-2006, 01:10 AM   #2
    BorkBork
    Junior Member
    (male)
     
    Join Date: Mar 2004
    Location: San Antonio, Texas
    Posts: 47
    BorkBork HB User
    Re: Need some opinions please (sorry for long post)

    Oh, also wanted to add that I've been researching CET (cranial electrotherapy stimulation) and since drugs haven't helped me I am highly interested in this. I did some testing with a similar device and had some positive results from it, although the device I used wasn't particularly intended for this use. :P

    I somehow doubt that my psychiatrist who likely knows nothing about it would be willing to prescribe it though, at least not anytime soon since I am a new patient.

     
    Old 07-23-2006, 11:37 AM   #3
    trg247
    Senior Veteran
    (male)
     
    trg247's Avatar
     
    Join Date: Jan 2005
    Location: ontario
    Posts: 3,762
    trg247 HB Usertrg247 HB Usertrg247 HB User
    Re: Need some opinions please (sorry for long post)

    I have severe Major Depressivr Disorder and a bunch of other things. My sleep schedule is from 3am to 1pm it varies a bit but not by much. I take way too many drugs but what can you do. I have heard that the meds can only do so much and I have to do the rest. I have honestly tried to keep a positive state of mind but it is very difficult to do. Anyway you are not alone and I wish I could have been more help

    trg247
    __________________
    Major Depressive Disorder With Psychotic Features
    Post Traumatic Stress Disorder
    Borderline Personality Disorder
    Generalized Anxiety Disorder

    Current Meds
    Pristiq
    Cymbalta
    Seroquel
    Temazapam

     
    Old 07-26-2006, 12:38 PM   #4
    patsycatsy
    Junior Member
    (female)
     
    patsycatsy's Avatar
     
    Join Date: Jul 2006
    Location: Gulfport MS USA
    Posts: 26
    patsycatsy HB User
    Unhappy Re: Need some opinions please (sorry for long post)

    Dude! I have GOT some opinions about your story, and since you asked for them..here they are:

    I spotted your post asking whether anybody has ever taken MAOIs. I've been clinically depressed since I was about eight I think, and I've taken all of them. I was really surprised to read they even use the Mowies any more; they're nasty. One wrong cheese hors d'oevre and sip of wine at a cocktail party and WHAM, you're pushing up daisies. I wondered why you weren't taking your SSRIs, or bipolar salts & such, like the rest of us. So I read all the threads you posted, and - just wow.

    You have been so let down by the medical community that you have been begging for years to help you. Not only have they NOT helped you, a few of them want to blame you for not sleeping correctly (eh?) or not taking control of your own mental health, or having the audacity not to metabolize antidepressants correctly.

    You're young, you have every right to expect to feel good more days than not, you have done everything you can do, in your search for wellness. I don't think you're a bit lazy or slow-witted - in fact you seem quite driven.

    Here's my opinion: I would lose this entire list of specialists and GP's you have been to, erase, and start over. I think that everything about your symptomology indicates thyroid and/or adrenal problems. When I was reading your stuff, I kept waiting for the part where somebody would snap to the obvious and get you to an endocrynologist for a thorough thyroid work-up. Well, you saw one and he found three small nodules and a goiter. His whole involvement seemed to be keeping that thyroid enlargement down, rather than figuring out why a young male person even HAS three small nodules and a goiter.

    Puh-leeese, ask around, call around, get on-line and do some research. Find the best endocrynologist in your area and get in there somehow. Get referred, wait six months, whatever it takes. You already felt lousy for years, a few more months won't matter. You have thyroiditis for some reason; rather than treating the inflammation, you need to know what set it off. Back to my humble opinion, I have a feeling you have Hashimoto's. Simply put, that means that your immune system was checking around your body one day a while back, looking for illegal aliens - microbes, splinters, viruses, organ transplants - just anything it didn't recognize and wanted outta there. Your immune system does that every day, that's its job. But THAT day, if my hunch is correct, something about your thyroid just totally ****** off your immune system, and it decided The Thyroid Must Die.

    So this war between your immune system and your thyroid broke out, and you're just the poor shlub trying to live with these warring factions. Here are some of the symptoms that people with this condition, and the subsequent breakdown of the weary thyroid have reported: fatigue that sleep won't fix, violent headaches, heartburn/GERD, queasiness, dry eye syndrome, rashes, increased cold-sore outbreaks, depression, anxiety, lack of concentration, ennui, listlessness. inability to read with comprehension, inability to metabolize drugs, weight gain, low blood pressure, slow heartbeat, low body temperature, long-bone pain, muscle and joint pain, puffy face, hair loss, dry skin, split-second blackouts, sexual disinterest, personal hygiene disinterest, inability to swallow, blisters inside the mouth, exacerbated allergies. And so on.

    The symptoms of depression and thyroid disorder/disease mimic each other - too often people seek treatment for one problem when the other one is the culprit. But this I know upclose and personal: untreated thyroid problems will make you very sick for a very long time. And that's depressing. Good luck with it, man. PatsyCatsy

     
    Old 07-30-2006, 11:08 AM   #5
    BorkBork
    Junior Member
    (male)
     
    Join Date: Mar 2004
    Location: San Antonio, Texas
    Posts: 47
    BorkBork HB User
    Re: Need some opinions please (sorry for long post)

    Hey Patsy,

    Thanks for your response, sorry I didn't reply sooner, I just noticed it today.

    I think I may have given the impression that they found the nodules and mild goiter and immediately came to the conclusion that thyroid was not the problem. This was not the case. In fact I had bloodwork done by the endocrinologist and there were no antibodies present that would suggest hashimoto's thyroiditis, and he said my thyroid levels were pretty much normal. I have been prescribed a low dose (.05 MG) of Levothyroxine and have been taking it for months. It hasn't given me any improvement, and I haven't expected it to, since the endocrinologist says that it is merely to keep the goiter at bay basically.

    My understanding is that the nodules are usually benign. One person likened them to moles that people get on their skin, but except they are located on the thyroid instead. So if that's the case then I would have to agree with my Doctor that it is probably not a big deal right now, but could be later on, just as moles can show signs of malignancy on the skin.

    Thanks for your reply I do appreciate it

     
    Old 07-17-2007, 08:00 PM   #6
    momof3rbd
    Junior Member
    (female)
     
    momof3rbd's Avatar
     
    Join Date: Jul 2007
    Location: USA
    Posts: 24
    momof3rbd HB User
    Re: Need some opinions please (sorry for long post)

    I suffered fromin ability to sleep for a long time-went to sleep disorder clinic it helped me although I don't consider my self cured A few tricks that helped me 1. take the hotest bath you can handle 2 hrs before ya go to bed soak for atleast 1/2 hr,this raises your body temp.your body trys to adjust which it will and this makes you tired in 1-2 hrs. don't eat 3 hrs prior to sleep, keep room dark , no tv , try a noise machine, they make white noise, the sound of rainfall etc..this relaxes my sub-counscious mind. During mid day sit and write down every single problem you have in detail describe how worried you ar or how depressed you are in detail.then put it out of mind until next day at worry time.
    I also was found to be hypothyroidism, I believe this diagnosis helped me w some sleep and depression problem.
    if you are really freaking out get out of the bedroom,I have gone shopping at 4 am ,cleaned my house at midnight whatever.
    your bedroom is only for 2 things1. sleep 2. sex don't use it for anything else ever gl Peace

    Last edited by momof3rbd; 07-17-2007 at 08:03 PM. Reason: spelling wrong

     
    Old 07-18-2007, 12:29 PM   #7
    Breezes
    Senior Member
    (male)
     
    Breezes's Avatar
     
    Join Date: Jul 2003
    Posts: 289
    Breezes HB User
    Re: Need some opinions please (sorry for long post)

    [QUOTE=BorkBork;2471639


    Here is the big question though. My psychiatrist told me that it is unrealistic for me to expect to feel refreshed when I wake up in the morning. Is this true? I find it hard to believe because there are times, very rarely, when I do wake up and feel what I would call "refreshed". That is, I wake up and have no more desire to remain in the bed and want to start moving about. I don't understand why it is unrealistic to expect to feel refreshed upon waking after 8 hours of sleep. I don't like waking up feeling like I haven't slept at all. I want to go back to work but I will lose my job again eventually because of this problem. On average I sleep about 10-12 hours per night and don't feel rested when I wake up. I would like to sleep 6-8 hours and feel okay, is that asking too much?? I started having these problems around age 14 and I'm now 27. It didn't always used to be this way.....

    [/QUOTE]


    My understanding is that your psychiatrist is right about not waking up feeling refreshed. Whether it's 6 or 12 hours, a depressed person is probably going to wake up feeling tired. The reason is too much time spent in the REM stage, which happens with depression. Excessive REM sleep is tiring, stressful, and not recuperative.

    Both antidepressants and exercise suppress REM sleep. For some reason, these meds often disrupt sleep. I use exercise as a sleep aid. It is stimulating, so I avoid doing it within a couple of hours of bedtime. I've found talking about bothersome stuff to be especially helpful.

     
    Old 07-19-2007, 04:40 AM   #8
    mycatwillow
    Senior Member
    (female)
     
    mycatwillow's Avatar
     
    Join Date: Jun 2007
    Location: Canada
    Posts: 266
    mycatwillow HB User
    Re: Need some opinions please (sorry for long post)

    I know that most times I feel tired & cranky when I wake up, but it usually goes away once I've been up for a bit, or have a shower. I don't mind it because in my opinion it's better than not sleeping which is a big problem for me.

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    CONFUSED with THYROID readings?? I need help? meds do nto seem to be working? bluetou Thyroid Disorders 17 05-12-2011 07:18 PM
    do I have MS *PLEASE HELP* Need opinions thanks Axa Multiple Sclerosis 17 06-30-2010 06:20 AM
    Need Help, Sorry So Long but need opinions. LostLinz Thyroid Disorders 0 08-15-2009 04:39 PM
    NEED ANSWERS - DEVICS vs. MS chill200 Multiple Sclerosis 6 07-29-2007 12:39 PM
    I need help deciding about fusion surgery splitter Back Problems 8 12-17-2005 08:21 PM
    I NEED HELP...anyone know about 10 level fusions? FriarJen83 Back Problems 10 05-19-2005 01:56 PM
    Need advice w/ dosage issue and doctor blueswimmer Pain Management 12 04-26-2005 08:19 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 04:40 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!