Thank you Suzanne. Funnily enough, I started to experience the signs of depression again after a friend of mine became highly anxious and depressed. I have spent the last three weeks trying to help her. She was admitted to hospital, but is being released tomorrow and I have to pick her up and stay with her for some days to help her adjust.
My daughter is suffering from post natal depression, and has asked me to help her with her twins for an indefinite period. I am an author and illustrator of children's book, but have lost my motivation. I also have degenerative disc disease and am taking gabapenton for intractable nerve pain. Trying to walk is so painful. Sleeping is disrupted every time I turn in my sleep.
Are you sure I can't increase my antidepressant? I am at the end of my tether!!
Yes, I am sure that it would NOT be advisable to increase your dose. 120 mg is the highest recommended dose: Here is the dosing information provided by the manufacturer to physicians>
MDD (2.1, 2.2)
40 mg/day to 60 mg/day
Acute Treatment: 40 mg/day (20 mg twice daily) to 60 mg/day (once daily or as 30 mg twice daily); Maintenance Treatment: 60 mg/day
60 mg/day (once daily)
More info can be found at:
Now that I have more information about your current situation, I have two additional thoughts.
1.Your pain is not being adequately managed by the gabapenton. I would suggest going back to that MD for re-evaluation. If pain is waking you up, the disrupted sleep will also add to feelings of depression and even anxiety.
2. You are carrying a heavy load for other people right now. While I appreciate your desire to help others, it may be time to look at establishing some boundaries. It may be too much for any one person to help both a friend in need and a daughter with twins! I hope that you can find yourself a supportive therapist that will help you figure out how much is reasonable to do for others, and paying enough attention to your own self-care to maintain your health and a positive attitude. With chronic pain, insomnia and depression you need a fair amount of down time to keep your energy up.
As they say on airplanes when they do the safety demo: If you're traveling with someone who needs help...put your own oxygen mask on first. If you are depleted, you won't be able to help yourself or others.