[Nike007]

Hello. Let me just clear up by what I mean. So when someone first sees some type of mental health specialist, they are usually asked general questions and depression always comes up because it is the most common mental disorder. They will ask how you feel in the last 2 weeks or so, etc..

But with the logic stated above, all the general screenings I had to answer to help my pdoc get a better sense of me, it always stated in the last 2 weeks if something has changed. But that was me seeking helps after 4 depressive years, so asking if anything has changed over the last 2 weeks, nothing has because I felt the same 2 weeks ago as I do now.

But, if my mood was compared before my little t (which is why I have mainly become depressed, which is because of parents' divorce btw), then a lot has changed. I started eating more, sleeping less, feeling sadder? (If that is a word), feeling worthless, etc.. But that started 6 years ago. My screening was done 2 years ago. It was completely missed because of the phrasing of both my pdoc and the questionnaire she made me fill out. I know it would be really hard to have a separate test for each person, but I don't want something like this to happen to future people like me who decided to seek help.

Anyways, has this happened to anyone or just me? I knew I shouldn't feel this way, but I do. My mom gets mad at me because I'm overweight, but that's because I eat more because I'm depressed. And I don't burn weight off as easily because I don't sleep enough, and I don't have motivation to do a lot of things, including exercise.

This is just my opinion on things. Thanks for any response .

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[eeyorestail]

Nike, I know my pdocs and ts in the past have given me questionnaires but usually they also ask questions about my longer history and want details. Have you talked to them about your concerns that the screenings aren't covering everything?

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[Nike007]

Originally Posted by krminnj

Nike, I know my pdocs and ts in the past have given me questionnaires but usually they also ask questions about my longer history and want details. Have you talked to them about your concerns that the screenings aren't covering everything?

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I think they did ask about my longer history but no symptoms associated with it. Like, they asked what happened x years ago and stuff, but not that it caused any types of depression.

I know my depression isn't MDD, but certainly pervasive depressive disorder.

And no, I haven't because I'm afraid that my family will judge me for being depressed. I can take them picking at my anxiety, which plays a part in why I am depressed, but I wouldn't be able to tell them that I'm depressed because they are considered the "public" and will say I look happy and I'm not depressed. That's like telling someone with a broken leg that it doesn't look broken so they should walk. No, that's not how it works people. I want to, but I'm scared of being judged for it. Thanks for the response .

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[eeyorestail]

Originally Posted by Nike007

I think they did ask about my longer history but no symptoms associated with it. Like, they asked what happened x years ago and stuff, but not that it caused any types of depression.

I know my depression isn't MDD, but certainly pervasive depressive disorder.

And no, I haven't because I'm afraid that my family will judge me for being depressed. I can take them picking at my anxiety, which plays a part in why I am depressed, but I wouldn't be able to tell them that I'm depressed because they are considered the "public" and will say I look happy and I'm not depressed. That's like telling someone with a broken leg that it doesn't look broken so they should walk. No, that's not how it works people. I want to, but I'm scared of being judged for it. Thanks for the response .

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I understand family pressures to put on a happy face, and also being judged. I wish it were easier to deal with for everyone. But perhaps you could do a cost/benefit analysis in your head--is it worth suffering through untreated depression in order to keep your family from judging you? Obviously you know your family the best and so only you know the answer to that. But also remember--if it HAD come up on the screening they would already know!

If you do talk to your pdoc or t about it and you get an MDD diagnosis instead of persistent depressive disorder, I wouldn't worry too much. Of course we always want the right diagnosis. But they are treated pretty much the same way so in practical terms it will make little difference.

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If you don't want to bring up the subject of depression with your doctor, you could ask for help with your sleep problem. If it's serious, they're very likely to prescribe an antidepressant to help your sleep.

In any case, anything you can do to get your sleep back into a normal pattern is very likely to help your other depression symptoms.

I am taking an over-the-counter supplement right now with 3 mg melatonin, 30 mg 5-HTP, and 200 mg L-theanine. It's a chewable tablet and is working very well for me. The one I take is made by Webber Naturals and is sold under the name Webber Super Sleep or Webber Melatonin Plus.

I have fibromyalgia, and I have a chronic sleep disorder along with it. It's not easy for me to find something that makes me sleep. The L-theanine in the Super Sleep is relaxing (it's used to treat anxiety).

I started taking 7.5-15 mg of Remeron/mirtazapine back in the spring for sleep/depression. It worked really well until a couple of months ago. I still take it, but I added the Super Sleep.

I hope that you find something to help. I don't know if your mom is the type of person who will read something if you give it to her. I know there are plenty of articles about how poor quality sleep can cause weight gain or make it more difficult to lose weight.

[Nike007]

Originally Posted by krminnj

I understand family pressures to put on a happy face, and also being judged. I wish it were easier to deal with for everyone. But perhaps you could do a cost/benefit analysis in your head--is it worth suffering through untreated depression in order to keep your family from judging you? Obviously you know your family the best and so only you know the answer to that. But also remember--if it HAD come up on the screening they would already know!

If you do talk to your pdoc or t about it and you get an MDD diagnosis instead of persistent depressive disorder, I wouldn't worry too much. Of course we always want the right diagnosis. But they are treated pretty much the same way so in practical terms it will make little difference.

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Thanks. Maybe I will do that. I'm not sure. I am changing pdocs so they will probably do a new screening and I may just answer it as if it were that transition period I had from being "normal" to depressed. I know I have gotten better since then, but I still feel the same.

I know. They are pretty much the same treatments. One has less symptoms than the other one does. I know I do get episodes though of MDD. I felt extremely terrible during those times so I know what a depressive episode feels like. That I would say was severe.

Thanks for the response .

[Nike007]

Originally Posted by jo_thorne

If you don't want to bring up the subject of depression with your doctor, you could ask for help with your sleep problem. If it's serious, they're very likely to prescribe an antidepressant to help your sleep.

In any case, anything you can do to get your sleep back into a normal pattern is very likely to help your other depression symptoms.

I am taking an over-the-counter supplement right now with 3 mg melatonin, 30 mg 5-HTP, and 200 mg L-theanine. It's a chewable tablet and is working very well for me. The one I take is made by Webber Naturals and is sold under the name Webber Super Sleep or Webber Melatonin Plus.

I have fibromyalgia, and I have a chronic sleep disorder along with it. It's not easy for me to find something that makes me sleep. The L-theanine in the Super Sleep is relaxing (it's used to treat anxiety).

I started taking 7.5-15 mg of Remeron/mirtazapine back in the spring for sleep/depression. It worked really well until a couple of months ago. I still take it, but I added the Super Sleep.

I hope that you find something to help. I don't know if your mom is the type of person who will read something if you give it to her. I know there are plenty of articles about how poor quality sleep can cause weight gain or make it more difficult to lose weight.

I am on an antidepressant at the moment. It is in my signature, but I'm on Lexapro at 10 mg. Anything higher is too high and anything lower is too low so. It hasn't helped a lot with sleep. I am always fatigue all the time and I don't know why.

I know. I am trying to get normal sleep. I am getting 5-6 hours a night on week days, and 10-12 hours on weekends. It's probably hurting my body with all the back-and-forth of sleep.

Thank you. I am not sure either. She said she has read about my condition of social anxiety, but she doesn't think it is severe as it is and says when she had to talk to the chiefs of a company she was anxious. It's not the same thing that she described as what I have. As stated, you can't expect a person with a broken leg to walk because it doesn't look broken. It doesn't work that way.

Thanks for the response .

Yes, if you're changing pdocs, that would probably be the best solution. You can even tell the pdoc that although you are having certain symptoms, that you are uneasy about receiving a diagnosis of depression.

Sometimes the antidepressants that help my depression the most give me insomnia and worsened anxiety. That is one of the things I dislike about psych meds. I don't like taking an antidepressant and then needing another med for sleep and a third one for anxiety.

I was doing well with Cymbalta + Remeron until about mid-August when the Remeron suddenly seemed to stop fixing my sleep.

Do you live in an area that's large enough to have meditation groups? Just wondering. Meditation can be done at home, of course. I've just never been disciplined enough to do it at home.

I've meditated regularly in the past and found it pleasant and calming. I don't know if you would like it.

That's great news that you're going to see a new pdoc, though.