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TherapistMarryAnn, Therapist
Category: Mental Health
Satisfied Customers: 5810
Experience:  Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
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Ive already posted a question earlier in the day but have

This answer was rated:

Ive already posted a question earlier in the day but have another question- sorry. I'm currently frightened and anxious and have felt quite depressed with irrational fears on and off since Christmas. Other than a serious bout of PND after my first child 5 years ago, I've pretty much been ok my whole life until Christmas/New year time.
My GP gave me diazepam 5mg on Monday and I go back for a review tomorrow. He initially suggested Citalopram but I'm worried it will make the situation worse. I had this drug when I was diagnosed with PND a few weeks after my first baby was born and within days of starting Citalopram I went from feeling tearful and low in mood to being agitated, confused with thoughts of death and suicide and was diagnosed as being psychotic.
Could this happen again?
Also, I'm concerned that my mood and the anxiety I've had since Saturday comes and goes frightfully fast as at the moment I don't feel too bad and can rationalise my fears but within a split second I'm convincing myself I've done something wrong then can barely breathe or function. Is this normal to go from one end of the spectrum to another so many times a day?
Thanks for reading

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

It sounds like you have an anxiety disorder with some possible mild depression. I say mild depression because it is common for depression to accompany anxiety. Sometimes people will feel depressed because they are anxious.

With anxiety, it is very normal to go from one end of the spectrum to the other in your though process. This is the nature of anxiety and causes a person to feel out of control. But you are not. It is a thought process that you can control with the help of therapy and self help at home.

You did not mention a diagnosis. Has anyone done and evaluation on you? If not, you may want to consider seeing a Master's level therapist to help you obtain one. It is important that you know what you are dealing with so you can receive the best treatment possible. Try asking your doctor for a referral. Or you can search on line for a therapist at or

If you had a bad reaction to your medication before, it is probably a good idea to not take it again. Some medication causes worsening of symptoms or can even cause new ones to appear. But it is very common for people to need to try several different medications before finding one that works for them. One medication that most people feels helps is Ativan (that is the name of the medication in the U.S.- check with your doctor about the equivalent in the U.K.). Ativan can be taken as you need it or on a prescribed basis.

I also highly recommend you see a therapist. Although medication can help you cope with the symptoms you have, it does not help you work through the problem and solve it. Therapy can help you find the root of the problem and find ways to recover your health through talk therapy and working on the issue at home. Anxiety is a highly curable disorder and therapy is very effective in treating anxiety.

Also you can work on your anxiety though self help. Here are some great books to get you started:

The Anxiety & Phobia Workbook (New Harbinger Self-Help Workbook) by Edmund J. Bourne- An excellent book I highly recommend.

The Cognitive Behavioral Workbook for Anxiety: A Step-by-Step Program by William J. Knaus

From Panic to Power: Proven Techniques to Calm Your Anxieties, Conquer Your Fears, and Put You in Control of Your Life by Lucinda Bassett

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

You can find these on or your local library may have them for you.

I hope this has helped you,

TherapistMarryAnn and other Mental Health Specialists are ready to help you
Customer: replied 6 years ago.

Thanks Kate, I'm really pleased that you offered your support so thoroughly - you're very kind.

I'm usually a calm and level headed woman despite the PND 5 years ago and whatever is happening to me now. I'm really frightened and fear that I'm causing irreversible distress and harm to my husband and daughters due to my current behaviour. I'm such a caring person and highly sensitive to others at times and I think this personality trait doesn't help my own health much.

I only had a review with my GP on Monday who gave me Diazepam at that appointment because I was in such a high state of anxiety. He is aware of how my condition deteriorated after I started Diazepam when I developed PND so that is why he has asked me to see him tomorrow for a full review.

Thank you once more

You are welcome!

Do not worry, you are fine and very normal. Anxiety tends to make people feel just the way you do. You are not unusual in any way. I can tell from how you write that you are a very caring and open person. That is good. It makes you more open to therapy and help.

You can talk with your family and let them know you do not want to frighten them and that you are working on the issue. Most people, kids especially, respond very well to honesty and openness. As long as they have an idea of what is going on, they usually will feel settled with it.

I think therapy and the self help books I told you about would help you enormously. You could probably use some reassurance and both therapy and the books will help you, most likely right away.

Please take care and if you find that you have more questions, please feel free to ask. We are here to help.


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