Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

Wasn't expecting people on here... Yes, I am having more…

Wasn't expecting people on...

Wasn't expecting people on here...

Doctor's Assistant: How is your mood? Are you experiencing regular sleep disturbances (e.g. trouble falling asleep, waking up early)?

Yes, I am having more trouble sleeping it seems... Dr prescribed me 10mg Celexa.. day 7..

Doctor's Assistant: Anything else in your medical history you think the Psychologist should know?

Seems I have anxiety now and end up feeling clostrophobic when I try to use my apnea machine.

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

Just since I started the medicine, considering tapering 5mg for a few days then stopping...

Show More
Show Less
Ask Your Own Mental Health Question
Answered in 9 minutes by:
8/9/2017
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 822
Experience: 10 years post-MSW experience
Verified

Hi, thanks for writing. I am sorry you aren't feeling your best. The side effects you are having (trouble sleeping, peaked anxiety, depression, headache, nausea) are all very common in the first 3-4 weeks of starting a medication like Celexa. Typically it is advised to ride out these activation side effects as they will dissipate as your body adjusts and just about the time the side effects break, the medication will begin to help reduce anxiety and depression symptoms. Riding it out is not indicated if you feel the side effects are more than uncomfortable and are actually intolerable.

In this case, if you have a goal of reducing the anxiety and depression with the help of a med, then you may want to 1) consider halving your dose with hopes you can tolerate the side effects, then doubling the dose after a couple of weeks. or

2) Ride out the current dose with hopes your side effects break soon. Or

3) Consider trying an alternative SSRI. They vary significantly in the way people react to them so quite possibly, trying a different med in the same class may have no/less side effects.

I hope this helps. I am here to chat more if you'd like...

LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 822
Experience: 10 years post-MSW experience
Verified
LeahMSWuofm and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Customer reply replied 6 months ago
Thanks, ***** ***** the Dr made his best decision based upon my responses to a questionnaire. The root cause of my depression was a 6-10 drink a day habit and a very stressful job, which I quit, and I'm now on a day schedule, rather then the night schedule I was on. I think My depression root cause is the alcohol abuse, stress, and staying up all night. I have stopped all of those behaviors for over a week, and my blood pressure has normalized. The med may not be necessary, I'm also on Clonidine, and that seems to help more... 0.1mg 2x daily.

Thank you so much foe the bonus and rating., i apologize for not replying earlier and I had to defer the phone call as we were celebrating my daughter's birthday and packing for out of town. I am proud of you for stopping habits which you know are not in your favor! The drinking and depression is a confusing cycle to figure out. Certainly, the ceasing alcohol can be contributing to peaked depression and also your anxiety. It can be a little tough to tell whether depression causes drinking or drinking causes depression but chances are they impact each other greatly. In this case, it may be ideal to give the Celexa a chance to start to work - it may be needed if the root of the drinking was to max some depression even if was a result of stress on the job and lack pf healthy habits.

In general, it sounds like you are on a very good track. you are being proactive with taking care of your health and have made significant changes which likely will pay off. So keep up the good work!! If all goes well, you probably won't need the Celexa for much longer than 6 months but typically, these meds are advised to take for at least that long a stretch if their purpose is to "get you over a hump."

Take care and thanks again,

Leah

Ask Your Own Mental Health Question
JohnMichaels,MS,LPC
Category: Mental Health
Satisfied Customers: 172
Verified
Phone call session started
Was this answer helpful?
Ask LeahMSWuofm Your Own Question
LeahMSWuofm
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 822
822 Satisfied Customers
Experience: 10 years post-MSW experience

LeahMSWuofm is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

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

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
Just been battling with anxiety and I'm trying to not let it
Just been battling with anxiety and I'm trying to not let it win … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
172 satisfied customers
Since childhood I've suffered from general anxiety, but
Since childhood I've suffered from general anxiety, but because mental health issues have a very negative stigma in my family I've never sought treatment. After the recent unexpected death of a family… read more
Bonnie Behee-Semler
Bonnie Behee-Semler
Licenses Psychologist
PhD
9 satisfied customers
Do i have OCD? Anxiety? Stress? Back in early September, i
Do i have OCD? Anxiety? Stress?Back in early September, i was on a business trip out of country and ended up receiving oral sex from a CSW. I went outside of my marriage, in which i feel guilty about.… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
Was on Paxil for 18 years for anxiety/panic attacks. The
Was on Paxil for 18 years for anxiety/panic attacks. The last few years on low dose 12.5 CR Paxil. My wife passed from cancer recently, and when the grief hit, my anxiety skyrocketed again. My primary… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have severe anxiety and just was wondering is there any
Hi. I have severe anxiety and just was wondering is there any ideal diet that contributes to your mental health staying well? Thank you.… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
I was diagnosed with social anxiety by my psychiatrist at 16
Hi Dr. Wilson, I was diagnosed with social anxiety by my psychiatrist at 16 years old. Fast forward 6 years, and I feel like I am still struggling. I am always nervous when it comes to social engageme… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
OKMH124211 What is the vest way to prevent anxiety, gain
OKMH124211 What is the vest way to prevent anxiety, gain more self confidence and get rid of tmj syndrome-sometimes teeth grinding affects night into daytime as a bad habit?… read more
Linda D.
Linda D.
Master\u0027s Degree
818 satisfied customers
I feel stressed, I don't know if my stress levels are normal
Hello , I feel stressed , I don't know if my stress levels are normal or do I need to seek medical help … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
Can stress in the workplace cause indigestion, stomach upset
Can stress in the workplace cause indigestion, stomach upset and bloating? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
I have a new job. It's highly stressful and I work hours
I have a new job. It's highly stressful and I work long hours sometimes 15 a day. I'm starting to have what I think are panic stacks. What do I do? … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Ever since my mom died I have extreme anxiety. Sleep. Good
Ever since my mom died I have extreme anxiety JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse? Customer: Sleep JA: Anythin… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
172 satisfied customers
My father has an alcoholic abuse for more than 5 years. How
my father has an alcoholic abuse for more than 5 years. How does family should behave to overcome this problem? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
I have a question regarding anti-anxiety and sleeping
I have a question regarding anti-anxiety and sleeping tablets. Can you help me with this? … read more
Linda D.
Linda D.
Master\u0027s Degree
818 satisfied customers
I have unbearable anxiety, Too much sleep makes it worse.
Too much sleep makes it worse. Xanax has qorked in past … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
822 satisfied customers
I'm having problems sleeping and having anxiety about bills
I'm having problems sleeping and having anxiety about bills and my new job as well as my children which my son was born a month ago and daughter is 4 just not feeling like myself just want to hide in … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
172 satisfied customers
Klonopin at nite to sleep and zanax by day for anxiety,
klonopin at nite to sleep and zanax by day for anxiety … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,012 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x