How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Kate McCoy, M.Ed, NBCC, LPC Your Own ...

Kate McCoy, M.Ed, NBCC, LPC
Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5515
Experience:  Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
54658078
Type Your Mental Health Question Here...
Kate McCoy, M.Ed, NBCC, LPC is online now
A new question is answered every 9 seconds

Hi, Ive been suffering from severe depression for a few months

Customer Question

Hi,
I've been suffering from severe depression for a few months now and have had bouts of it including a breakdown before. I got through those times though but am finding it very difficult to help myself in any way this time which is uncharacteristic of me as I am usually very strong willed. I've been off work for four months and have the support of a Mental Health team. I feel suicidal now but part of me is desperate to get my life back on track. I was taking Moclobemide and Quetiapine but changed to Mirtazapine with Quetiapine two weeks ago as I didn't feel the Moclobemide was working. I'm at the end of my tether with the suffering and just wondered if my lack of motivation and will could have been caused by being on the wrong medication and if the Mirtazapine might help me more? I realise that medication isn't a magic cure but I feel that I just need a mood lift to enable me to start helping myself as I can't cope at the moment. Do you think that the Mirtazapine will be able to help
Submitted: 2 years ago.
Category: Mental Health
Expert:  Kate McCoy, M.Ed, NBCC, LPC replied 2 years ago.

Hi, I'd like to help you with your question.

 

Yes, Mirtazapine could certainly help you. It is extremely common for people to have to try many different medications before finding one that works for them. This is because everyone's body chemistry is different and therefore, how you react to a medication depends on how your body reacts.

 

Mirtazapine takes from 1 to 4 weeks to work so depending on when you began taking it, you should start to see a difference around that time.

 

You also mentioned having a mental health team working with you. Are you also in therapy then? As you mentioned, medication is a good way to help lift your mood, but it often is much more effective if you add therapy to your treatment. A therapist can help you explore why you feel the way you do and help you use cognitive behavioral strategies to change your thinking and help you cope better. They can also provide resources as well as continual support. They can also coordinate your care and see that you are provided with the answers you need to feel better.

 

Self help is also a great way to address your symptoms and find answers to your issues. Here are some resources you may not have tried yet:

 

http://helpguide.org/mental/depression_signs_types_diagnosis_treatment.htm

 

Here is a guide on anti depressants to help you explore other options if the Mirtazapine doesn't work out:

 

http://helpguide.org/mental/medications_depression.htm

 

http://www.depressionalliance.org/how-we-can-help/self-help-groups.php

 

The Depression Cure: The 6-Step Program to Beat Depression without Drugs by Stephen S. Ilardi

 

Keep trying and don't give up hope. You may respond very well to the medication. And through addition support, you can recover and manage your life as you wish to.

 

I hope this has helped you,
Kate

Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5515
Experience: Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
Kate McCoy, M.Ed, NBCC, LPC and other Mental Health Specialists are ready to help you
Customer: replied 2 years ago.
Thank you for your reply-it has been very helpful. I've just really struggled to use self-help strategies over the last few months as I have done in the past at the moment-don't know if this is because my mood is so low. Can you suggest any reasons for this as this is unusual for me?
Expert:  Kate McCoy, M.Ed, NBCC, LPC replied 2 years ago.

Low motivation is a main symptom of depression. So your difficulty with having trouble following through and being motivated is normal and not unusual at all. A diagnosis such as Major depression means that you have some of the possible symptoms, but not necessarily all of them. It also means that you may address one symptom and develop another. As you recover, your symptoms may change over time. That is ok as long as you feel you can cope and develop ways to address them. That is when you know you are getting better.

 

The medication should help with your motivation. Also, you may want to enlist the help of a friend or family member to sit with you and go over self help resources a few times a week. If you have someone you can work with, they can act as your motivation until you begin to feel it yourself. Also, try making connections as much as possible with others either at home or on line. They can provide the prompts you need to move forward. It is not so easy to ignore connecting with others if you receive several messages from people on line or someone with you is saying let's look at this website.

 

Kate

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 

Related Mental Health Questions