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Substance Abuse
What do you treat first?
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<blockquote data-quote="flutterbee" data-source="post: 99322"><p>Probably, then, zoloft isn't the right medication for him. I had to go through several before I found one that worked. And none of them worked when I was in the darkest part of a major depressive episode so I quit taking them. In fact, I was taking celexa when my last major episode (and by far, the worst) happened. I was begging for ECT (shock therapy) because nothing else was working. </p><p></p><p>CBT is Cognitive Behaviorial Therapy. What makes depression so hard to overcome is that the way a depressed mind thinks and views the world becomes learned behavior. IOW, even once the biological part of the depression has been treated - either with medications or (in my case) it's run it's course - the depressed way of thinking still exists. CBT retrains the brain. The longer depression goes untreated, the harder it is to overcome. And each major depressive episode increases the chances of having another. </p><p></p><p>When I'm feeling up to it, I'll share with you my very long personal story of going through what your son is. It's incredibly difficult for one who hasn't experienced it to understand. The best way to explain it is: There's a man drowning. A rescuer comes to his aid, but in his desperate attempt to keep his head above water and stay alive, the drowning man almost drowns his rescuer. The desperation felt with a severe depressive episode is very similar to that. At least it was for me. I was struggling to keep my head above water and couldn't see far enough ahead to realize what toll my actions were taking. For me, it <em>was</em> a struggle to stay alive because a very big part of me wanted to die more than I wanted anything else in the world. For several months, I didn't live; I merely existed. Friends and family would get upset with me because I slept so much or whatever. My response was...at least I'm alive. That was the truth. They couldn't understand it, but staying alive was about all I could do at that time. That took up all my resources, so there wasn't much left for anything else - being social, going for a walk, just normal stuff.</p><p></p><p>So, to answer your question, I would say if he's grumpy or agitated then yes, it could be because he's not on an AD.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 99322"] Probably, then, zoloft isn't the right medication for him. I had to go through several before I found one that worked. And none of them worked when I was in the darkest part of a major depressive episode so I quit taking them. In fact, I was taking celexa when my last major episode (and by far, the worst) happened. I was begging for ECT (shock therapy) because nothing else was working. CBT is Cognitive Behaviorial Therapy. What makes depression so hard to overcome is that the way a depressed mind thinks and views the world becomes learned behavior. IOW, even once the biological part of the depression has been treated - either with medications or (in my case) it's run it's course - the depressed way of thinking still exists. CBT retrains the brain. The longer depression goes untreated, the harder it is to overcome. And each major depressive episode increases the chances of having another. When I'm feeling up to it, I'll share with you my very long personal story of going through what your son is. It's incredibly difficult for one who hasn't experienced it to understand. The best way to explain it is: There's a man drowning. A rescuer comes to his aid, but in his desperate attempt to keep his head above water and stay alive, the drowning man almost drowns his rescuer. The desperation felt with a severe depressive episode is very similar to that. At least it was for me. I was struggling to keep my head above water and couldn't see far enough ahead to realize what toll my actions were taking. For me, it [i]was[/i] a struggle to stay alive because a very big part of me wanted to die more than I wanted anything else in the world. For several months, I didn't live; I merely existed. Friends and family would get upset with me because I slept so much or whatever. My response was...at least I'm alive. That was the truth. They couldn't understand it, but staying alive was about all I could do at that time. That took up all my resources, so there wasn't much left for anything else - being social, going for a walk, just normal stuff. So, to answer your question, I would say if he's grumpy or agitated then yes, it could be because he's not on an AD. [/QUOTE]
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