[David_334]

On Tuesday I went to see a mental health person at the hospital, I told him how I feel I was feeling and he was very supportive and he said we will up the dose of the sertiline 100mg in the morning and 150mg in the night I was like right okay, he explained to me because I am tall an broad the 50mg wouldn't work aswell so that's why he was upping the dose... I really liked talking to him he was dead down to earth!

He was telling me about behavioural therapy and that to help deal with anger

So I made a doctors appointment for this morning I had hardly any sleep last night, so I went the doctors this morning and he was like here is your 100mg see you next month, I was like er ok? I don't think he even read what the person from the hospital even said..

It's done my head in, I feel like I am alone ... Everything seems to be coming crashing down on me an am getting the point were I can't be bothered, my girlfriend is always going on and on about getting engaged I keep telling her when the time is right... And then she starts moaning and moaning!!!

Yesterday I said there is a job going round the corner it's only a 4 hr shift so there is no point it will just mess everything up, she flew of the sofa and was like legs do a job search now, I was like I don't want to right now!!! She started raising her voice I just got out the house an came back about 11pm I can't deal it it...

She is the bread winner in the house I try and do the best I can cleaning up an that, but I still get moaned at, since I've been on the sertiline.... I've been feeling a little bit happier lets see how the 100mg goes,

Another thing that does my head in I'm to a big sex fan once here an there, and when we to to bed I just like cuddles, then she starts an ill go no I don't want it get flipped on then it really does my head in I can do nothing wright am tired here so I'm going to try an get some sleep!

Sorry if it doesn't make sence my head is all over the place!!!


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[dragonfly2]

Hi David,

It sounds like you've gotten some confusing information from your doctors. I would call the second doctor and ask him to double check the orders from the hospital doc. To be honest, a total dosage of 250 mg of sertraline is over the daily recommended maximum. Going from 50 mg to 100 mg is a much more reasonable approach. There are some docs who will prescribe at higher rates than the manufacturers recommend, but they certainly wouldn't normally bump you up to 250 mg from 50 mg. The max is 200 mg. Could it have been that they said they'd start you on 100 mg in the morning and then add another 50 at night later if you needed it, for a total of 150 a day? That would make more sense.

I'm sorry your home life has also been stressful for you. How long have you been looking for a job? Could the 4-hr shift job be at least a starting point for you? Is it a job you would want to do? I know how tough it is to try to just function when you're suffering from depression. Adding work to that can feel very daunting. Sometimes it can be a good thing though and can help give your day some structure and give you a sense of purpose. And it would probably appease your girlfriend for a while and give you time to really start to feel the effects of the increased sertraline.

And yes, I agree with the other poster - try some melatonin for the sleep. There are other things to try as well - turning off electronics a couple of hours before bed, having a light protein-rich snack before bed (my daughter swears by peanut butter), not having a TV in your bedroom, making sure the room is dark and cool...things like that. The sleeplessness can be a symptom of the depression, so hopefully the increased med will also help with that once you begin to feel better.

Hang in there. Depression is very treatable, it just takes time.

[David_334]

Originally Posted by dragonfly2

Hi David,

It sounds like you've gotten some confusing information from your doctors. I would call the second doctor and ask him to double check the orders from the hospital doc. To be honest, a total dosage of 250 mg of sertraline is over the daily recommended maximum. Going from 50 mg to 100 mg is a much more reasonable approach. There are some docs who will prescribe at higher rates than the manufacturers recommend, but they certainly wouldn't normally bump you up to 250 mg from 50 mg. The max is 200 mg. Could it have been that they said they'd start you on 100 mg in the morning and then add another 50 at night later if you needed it, for a total of 150 a day? That would make more sense.

I'm sorry your home life has also been stressful for you. How long have you been looking for a job? Could the 4-hr shift job be at least a starting point for you? Is it a job you would want to do? I know how tough it is to try to just function when you're suffering from depression. Adding work to that can feel very daunting. Sometimes it can be a good thing though and can help give your day some structure and give you a sense of purpose. And it would probably appease your girlfriend for a while and give you time to really start to feel the effects of the increased sertraline.

And yes, I agree with the other poster - try some melatonin for the sleep. There are other things to try as well - turning off electronics a couple of hours before bed, having a light protein-rich snack before bed (my daughter swears by peanut butter), not having a TV in your bedroom, making sure the room is dark and cool...things like that. The sleeplessness can be a symptom of the depression, so hopefully the increased med will also help with that once you begin to feel better.

Hang in there. Depression is very treatable, it just takes time.

Hey dragonfly thanks for the reply,... The doctor has proscribed be 100mg in the morning and 100mg at night before bed

Thanks David

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