A member asked:

I am trying so hard to get through this depression, i will think "i will do this today, maybe that will help" but then my heart sinks and i think no, ill just stay in bed. cant live like this! just upped clexa dose to 40 mg.last night. help!

16 doctors weighed in across 8 answers
Dr. J Rodos answered

More to do: using antidepressats alone does not get you well!r there a list of things that help. your doctor can guide you to cognitive therapy, light, exrercise,laughter,and others. medication may have to be reevaluated and adjusted for YOUR response. remember, there some medical problems or medications that cause depression. these need to investigated. critical to report suicidal thoughts/plan to your doc.

Answered 5/14/2016

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Depression: You are doing right. Let the Celexa (citalopram) at the increased dosage go into effect. If you do not see an improvement in two weeks then you may need a change of drug or an addition of another

Answered 5/14/2016

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Depression: You seem severely depressed and may benefit from more intensive help like a partial hospital day program or even the hospital- for a few days -if you're feeling suicidal, unable to get out of bed or function. It will take time to feel better, but depression is treatable and you can get through this. Please call your doctor or psychiatrist and ask about these options for more help. Best wishes.

Answered 5/14/2016

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Create movement: Create small goals that you can achieve with your limited motivation when depressed. Taking a shower, walking to the mailbox, emailing one person.....this is movement and should be considered as achievement when you are having trouble getting out of bed. Also, give yourself credit for achieving these "movement goals" and don't wait for a specific outcome. Reward your efforts and steps toward goals

Answered 5/14/2016

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Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.

Answered 5/14/2016

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Sometimes the: depression is so overwhelming it takes your breath away. This is when you can't get out of bed, or do much else. Upping the meds is a good first start, because you probably have a physical component to depression. But you also need to get out of the house, mix with others, and see a therapist. Do you have a friend who can "motivate" you to overcome this enertia? You need extermal prompts

Answered 5/14/2016

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Please discuss: With your prescriber about your meds such as what has improved, what has not, any side effects, etc, and also re: referral to a therapist. Your incr. dose may take time. You might also benefit from group therapy depending upon several other factors, and without knowing you better, it’s hard to say. Your provider knows you and will probably be able to direct you to other resources. Good luck!

Answered 5/14/2016

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You rock!: You describe depression beautifully. It tells me that you would make excellent use of a good Cognitive Behavioral therapy. Look on Psychology today ¨Find a Therapist¨and get better! A good therapist, online or in person, can help you find relief.

Answered 12/29/2016

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