How does one know when to consult a doctor about anti-depressants?


Question:
I've always been one to knock medical solutions for depression but I'm in my mid 30's now and I'm beginning to think that maybe there is something wrong. I've had a drinking and a dr%g problem for some time now and I really want to be free. I've stayed sober for a year with the help of AA but when the heat turns up, I run to what I know takes the emotional pain away. I'm at a point now where I just want to stop it all, maybe try AA again and consult a doc for some meds. Its either that or I dont think I'm going to make it. All Ive been thinking about for the last few weeks is how to end it which is so crazy that Im thinking about this. I have 2 wonderful girls.. In my mind, I'll down play it like.. what the hell am I thinking right? But still I cant stop thinking about it.. and I feel like Im lying to myself by down playing it, basically ignoring it. I know how much pain Id cause but still, my mind goes on and I want it to stop.

Answers:
I have gone through a similar scenario and unfortunately, I ended up losing a lot. I think it's great that your reaching out (regardless of the forum) and with two girls, you have a lot to lose yourself. It's time to take some action; for their sake.

It appears that you are self medicating, which is incredibly dangerous. There are much healthier ways to deal with adversity in life. It's also important to understand that depression is not your fault , but you're the only one who can cure it. I've seen many people fall by the wasteside who where clinically depressed and never did anything about it.

Here's what I would suggest;

1. Find a good Psychiatrist - It's important that you find someone you are comfortable with, where you can have an honest and ope dialogue, where they can give you a firm diagnosis on your condition. I had to interview many different Dr's, before I found someone who had experience in treating severe depression and addction. Once you get a firm diagnosis, the Dr. will be able to put together a medication plan, that may or may not incorporate antidepressants. Don't self diagnose; leave that to the professionals. You may have to try different medications as well, as everyone reacts differently to certain meds. It may take a few months before you get the right meds and dosage.

2. Seek a psychologist - Medication will help stabilize your mind, but should not be the end of your treatment. You should participate in cognitive behavior therapy, where you can analyze decisions and choices you make that effect your life. You'll be able to analyze what actions you'll need to put in place to get where you want to be in life. I am a strong proponent of group therapy, but you will get a lot more done with one on one therapy and can attend group therapy as well.

Also, it's important that you connect your Psychiatrist to your Psychologist so they can monitor your progress and adjust your treatments accordingly.

If you put faith in your doctors and more importantly, yourself, you're going to feel great and put all this behind you.

I've been diagnosed with bipolar disorder and have had addiction problems most of my adult life. I have everything under control now, but it took a lot of work and good Dr's to help me out.

Do it for the girls; they will appreciate it in the long run!

Good luck and please email me if you have any questions.
You should definitely see a doctor, if meds aren't the answer it still wouldn't hurt to talk about some of your problems with a doctor.


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