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is everything a sign of underlying dep???!!!

Posted by delna on July 10, 2001, at 11:28:25

LONG

Hi

I was wondering what u make of this:

I am on 300mg effexor and am totally fine.
I mean I used to have severe depression, sleep all day(20hrs at least), never leave the house and had no future plans and was perpetually suicidal . had no job, life, friends for years and no desire to even get a life. SSRIs didn’t help much- I felt less anxious and self destructive but I had no enthusiasm- so I continued the same lifestyle.
With effexor I love doing stuff eg working making friends and am full of life and plans. I am enthusiastica
The only crippling problem is feeling sleepy all day. I have always had this prob with sleepiness and hypersomnia which is certainly not being caused by the venlafaxine.
Overall the drug has changed my life- I feel normal.
But so sleepy. But I don’t sleep excessively like when I was depressed. I still jump up to go to work in the morning. I just feel sleepy at work and not 100% alert.
My psych insists that the sleepiness indicates that the depression (atypical) is still there and wants to switch me to parnate. The doctor believes that the parnate should deal with this sleepiness ( although it is sedating in some people- probably me! ) This is a scary process as it involves withdrawing from effexor (which is tough) and going on a drug that may improve the depression as well as effexor but not help with the sleepiness infact it may sedate me more.

I argued that I have no signs of atypical depression any more. I’m sleepy but I am not lethargic, apathetic, tired, sad etc anything. And also when provigil kept me awake those few days that it worked ,I was 100% good. Efficient and functional

I know I don’t have narcolepsy as the symptoms don’t quite match but I feel that if the low mood, apathy, depressive symptoms have gone and I am happy and raring to go, how can he say that the sleepiness is a sign of unresolved depression??

Shouldn’t he just add stimulants to effexor to control the sleepiness?

Thanks for listening
Any views welcome
delna

 

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URL: http://www.dr-bob.org/babble/20010708/msgs/69599.html