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Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2568
Experience:  ADHP(NC), DEHP(NC), ECP, UKCP Registered.
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hello ive recenly been diagnosed with depression im a constant

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hello ive recenly been diagnosed with depression im a constant worrier ive been put on citalopram i cant sleep and get constant anxiey at the moment my mind feels numb and blank i so scared im going crazy please hep
How long have you been takin g citalopram?
Customer: replied 4 years ago.


4 days i know its not long but i dont feel depressed i dont feel sad and i dont cry ive lost interest in food and get 30 mins sleep a night im at my wits end

Strangely enough, the fact that you don't feel depressed does not indicate that you aren't! Your other symptoms certainly suggest that you are suffering drom depression

It is going to be a while before your medication starts to take effect - maybe a couple of weeks yet - , and then your anxiety levels should begin to subside.

You should understand, however, that medication alone is not the complete answer to problems like yours. Drugs are good at dealing with symptoms, but they do not get down to root causes.

For that reason, Vicki, I’m going to suggest that you would benefit from some Cognitive Behavioral Therapy.

Please ask your GP about it. It is often available on the NHS.

CBT is based on the fact that what we think in any given situation generates beliefs about, and reactions to that situation, and also causes the behaviour and feelings which flow from those beliefs and reactions.

These ‘automatic thoughts’ are so fast that generally, we are unaware that we have even had them. We call them ANTS (automatic negative thoughts) for short.

If the pattern of thinking we use, or our beliefs about our situation are even slightly distorted,

the resulting emotions and actions that flow from them can be extremely negative and unhelpful. The object of CBT is to identify these ‘automatic thoughts’ then to re-adjust our thoughts and beliefs so that they are entirely realistic and correspond to the realities of our lives, and that therefore, the resulting emotions, feelings and actions we have will be more useful and helpful.

Cognitive therapists do not usually interpret or seek for unconscious motivations but bring cognitions and beliefs into the current focus of attention and through guided discovery encourage clients to gently re-evaluate their thinking.

Therapy is not seen as something “done to” the client. CBT is not about trying to prove a client wrong and the therapist right, or getting into unhelpful debates. Through collaboration, questioning and re-evaluating their views, clients come to see for themselves that there are alternatives and that they can change.

Clients try things out in between therapy sessions, putting what has been learned into practice, learning how therapy translates into real life improvement.

Please visit this website for much more detailed information on CBT:

http://www.rcpsych.ac.uk/mentalhealthinfoforall/treatments/cbt.aspx

If you cannot afford to see a therapist, there are good free CBT based self-help resources here:

http://www.getselfhelp.co.uk/cbtstep1.htm

Also, there is a book called ”Feeling good - the new mood therapy” by Dr. David Burns. It has a hand book which gives you practical exercises to work through and further instructions on how to better use CBT. I really do recommend it.

Cognitive Behavioural Therapy Workbook for Dummies By Rhena Branch, Rob Willson is also pretty good.

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