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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 28 to 52 of 52. Go back in thread:
Posted by linkadge on September 2, 2006, at 15:20:44
In reply to Re: Most depressed in morning » TENMAN, posted by Meri-Tuuli on September 2, 2006, at 15:12:58
I know some people who have winter depressions, can feel very blue in the evenings as it gets darker earlier.
Linkadge
Posted by Bob on September 2, 2006, at 15:20:58
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
>
> Perhaps its common, I don't know, but the emotions are impossalbe to process. Very strong, but impossable to process.
>
> Sorry for rambling.
>
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> Linkadge
I've had those feelings countless times. In my estimation is results from being extremely depressed, yet there is a part of you that can sense what other healthy people are experiencing. When I'm completely depressed, this is not as much of an issue, but when I'm partly depressed it becomes very much a concern. You are much more aware of what you're missing.Bob
Posted by Bob on September 2, 2006, at 16:04:43
In reply to Re: Most depressed in morning » Maximus, posted by linkadge on September 2, 2006, at 15:18:23
> Now now. I have taken chemical drugs on multiple ocasions.
>
> Let me just make it clear that I don't have anything wrong with the notion of taking chemical medications. The problem I have with them is that I just don't feel like myself on them. At high doses, they only seem to work marginally, and they often take away my ability to do school work, or play the piano.
>
> I was interested in wellbutrin, since it is supposedly freer of certain side effects, but I am not so sure it would be all that great for my symptoms.
>
>
>
>
> Linkadge
>
>
>
I wish to God I could get through my life without drugs. Boy do I wish. Your statement about not feeling like yourself, and not being able to engage in some activities is very descriptive. I couldn't have said it better myself. They way I feel on drugs has never really felt like before all of this.Bob
Posted by SLS on September 2, 2006, at 16:12:37
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
It sounds like something to be addressed psychologically as well as pharmacologically. I don't know.
- Scott
Posted by Maximus on September 2, 2006, at 18:00:16
In reply to Re: Most depressed in morning » Maximus, posted by linkadge on September 2, 2006, at 15:18:23
> Now now. I have taken chemical drugs on multiple ocasions.
>
> Let me just make it clear that I don't have anything wrong with the notion of taking chemical medications. The problem I have with them is that I just don't feel like myself on them. At high doses, they only seem to work marginally, and they often take away my ability to do school work, or play the piano.
>
> I was interested in wellbutrin, since it is supposedly freer of certain side effects, but I am not so sure it would be all that great for my symptoms.
>
I know that, i was just teasing you ;-)Serotoninergic drugs tend to "anesthesize" us. It is a trade off, but with perseverance this side effect often disappears by itself.
Now if you want to preserve your sharpness, Wellbutrin could be a clever choice. It is very activating, so go easy with the dose. Bye.
Posted by nafazodone lifer on September 2, 2006, at 19:14:08
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
Oh my gosh that is TEXTBOOK Major Depression - I suffered that bigtime till I started SERZONE 9 years ago, now I am on Generic Version NEFAZODONE, it helps me sleep better, thus making me happier in the morning, but I know the feeling of awaking in the morning only to have a MAJOR Dark feeling make me not even able to budge or stand the thought of a new day. You can beat it tho, tell yourself you will get the right med, and open them blinds let that SUNLIGHT shine in. LIGHT is like a drug to me, I need it, I crave it it helps fight depression for me.
Best Wishes, yours truly - Nefazodone Lifer
Posted by Phillipa on September 2, 2006, at 19:52:03
In reply to Re: Majority feel more depressed in the morning, posted by linkadge on September 2, 2006, at 14:59:58
Me neither I'm never hungry and just stay up late until l or 2 am. So l0am would be 8 hours of sleep. Love Phillipa ps that's why I'm backing off ad's and just sticking to the benzos that eliminate my symtoms.
Posted by Phillipa on September 2, 2006, at 19:58:43
In reply to Re: Majority feel more depressed in the morning, posted by Bob on September 2, 2006, at 15:20:58
It's boredom for me. I don't want to clean. Don't want to shop. But do something fun and my mood improves. I think we control our own thinking so much. Love Phillipa why does everyone seem to need a label of depression to experience these things? And shift work means an early riser can work then, a 3-ll worker functions best then. And some people just love working nights.
Posted by fuchsia on September 3, 2006, at 0:33:36
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
>
> Perhaps its common, I don't know, but the emotions are impossalbe to process. Very strong, but impossable to process.
>I also had a sensation of feeling like I was dying or dead. It was the worst when I was withdrawing from diazepam.
It was so so strong; if I hadn't read that people with depression could have this delusion then I would have thought it might be true that I was dead. Part of me knew it must be a brain state while the other part of me was experiencing being dead or being a ghost.
I was visiting my parents and I really felt sad that I was on the 'other side' as one might call it. They were alive and I was a wraith; it was strange that they could even see me.
I wonder if that is psychotic depression? It couldn't be if one part of you knows you aren't really dead, could it? I never even believed in ghosts but maybe I do now.
fuchsia
Posted by linkadge on September 3, 2006, at 3:38:28
In reply to Re: Majority feel more depressed in the morning, posted by SLS on September 2, 2006, at 16:12:37
>It sounds like something to be addressed >psychologically as well as pharmacologically. I >don't know.
I never close doors to treatment options.
Linkadge
Posted by linkadge on September 3, 2006, at 3:41:07
In reply to Re: Most depressed in morning » linkadge, posted by Maximus on September 2, 2006, at 18:00:16
Thats the problem, it only seems to come in time released nowadays. I guess they want you hooked on the highest dose, and don't want people cutting their tablets to find what dose is right for them.
Its a pain, cause I feel that even the lowest time released dose would be too much, I'm only 135 pounds, I don't need to loose any more. I've lost 15-20 pounds over the last few years. Im only 23 I wonder.
Linkadge
Posted by linkadge on September 3, 2006, at 3:53:49
In reply to Re: Majority feel more depressed in the morning » linkadge, posted by fuchsia on September 3, 2006, at 0:33:36
I see what you're saying. Part of me knew I wasn't dead I guess its just that the thought crossed my mind so many times.
I have a lot of other obsessions too. They make me feel very alienated. I'm sure there are others who have similar thought patterns, but you just don't discuss stuff like this. SSRI's do some for it, but its no life at all, you loose everything else too.
Linkadge
Posted by SLS on September 3, 2006, at 7:24:56
In reply to Re: Most depressed in morning » Maximus, posted by linkadge on September 3, 2006, at 3:41:07
> Thats the problem, it only seems to come in time released nowadays. I guess they want you hooked on the highest dose, and don't want people cutting their tablets to find what dose is right for them.
>
> Its a pain, cause I feel that even the lowest time released dose would be too much, I'm only 135 pounds, I don't need to loose any more. I've lost 15-20 pounds over the last few years. Im only 23 I wonder.
Another symptom of melancholic depression is weight loss and loss of appetite. Again, TCAs are indicated for this subtype of depression.
- Scott
Posted by linkadge on September 3, 2006, at 11:49:00
In reply to Re: Most depressed in morning, posted by SLS on September 3, 2006, at 7:24:56
Perhaps try amitryptaline or doxapin. My mother had a good response to doxapin. Clomipramine was fairly good too, but I couldn't really get deep sleep on it.
Linkadge
Posted by Phillipa on September 3, 2006, at 19:24:22
In reply to Re: Majority feel more depressed in the morning » linkadge, posted by fuchsia on September 3, 2006, at 0:33:36
No one answered fuschia's question about a psychotic depression. I'd like to know too. Love Phillipa
Posted by TENMAN on September 3, 2006, at 22:22:26
In reply to Re: Most depressed in morning » TENMAN, posted by Meri-Tuuli on September 2, 2006, at 15:12:58
> > I am at my best first thing in the morning. My mood will then progressively darken throughout the day until the evening when my depressions sometimes take over me. Sometimes in the morning I can feel almost normal before regressing again. Strange.
>
>
> Yep, I'm with you TENMAN. Thats like me exactly. My anxiety is sky high in the evenings. Luckily, thats also the most socially accepted time to have a beer or two, which is what I do to try and relieve the anxiety. Maybe not too good, but its all I've got anyway.
>
> So does that make us atypical depressives I wonder?
>
>I'm not sure what catagory depression that our type falls under Meri-Tuuli. Most of my symptoms fall into the atypical spectrum so I'd lean towards that.
Posted by elanor roosevelt on September 4, 2006, at 7:23:16
In reply to Re: Most depressed in morning, posted by SLS on September 3, 2006, at 7:24:56
i came to this site today with the same problem.
i've been on parnate for 3 months --40mg and today increased the dosage but was rethinking i might just try dosing later in the day.
before meds (was there a time?) i was an early riser which i believe was due more to anxiety than any sort of moral fortitude. Different meds have played with my mornings but the worse thing is when i wake up already almost paralyzed. Gotta move fast and get out of bed. How the hell do people lounge(alone) in bed i don't know. i have to get up right away or let the fear creep into my gut. i have to stay busy or the fear turns to terror. but if i can get up the energy gets going. i find a small clean-up project that i can take care of beginning to end. take a shower, face the world.
sunlight is good.
walking at a good pace outside is great.
Posted by Meri-Tuuli on September 4, 2006, at 17:23:08
In reply to Re: Most depressed in morning-Meri-Tuuli, posted by TENMAN on September 3, 2006, at 22:22:26
> I'm not sure what catagory depression that our type falls under Meri-Tuuli. Most of my symptoms fall into the atypical spectrum so I'd lean towards that.Yeah, I'd probably hazard a guess that I lean toward atypical depression too - and its strange, I actually sleep like a log most nights, and even use it as a form of 'escape' when really bad.
Kind regards
Meri
Posted by irishcatholic on September 5, 2006, at 10:57:15
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
Same here,
I even gave it an acronym for my journal:
MPUA
mood poor upon awakeningAlthough I would never have believed it early on, a long slow dance with Prozac has helped this immensely.
Posted by nicky847 on September 6, 2006, at 11:44:37
In reply to Re: Most depressed in morning, posted by linkadge on September 3, 2006, at 11:49:00
Just curious, do you find you dream "too much" while you are sleeping? Like your dreams are too active and you are not getting rest while you are sleeping? I've read that sometimes depression is traceable to a sleep disorder where the body spends too much time in REM sleep (dreaming, a state very similar to wakefulness) and not enough time actually sleeping. I believe there may be something to this.
Posted by linkadge on September 6, 2006, at 13:58:12
In reply to Re: Most depressed in morning, posted by nicky847 on September 6, 2006, at 11:44:37
I think that sleep regulates the cholinergic/noradrenergic axis. Supposedly stress leads to an increase in the sensitivity of the cholinergic axis. The increase in REM sleep may be a compensatory mechanism to try and process the change in stressfull events.
At any rate, too much REM sleep will lead to a cholinergic dominance over the monamines. As a result, one wakes depressed, emotionally and physically. You wake feeling "below" your problems, as opposed to on top of them.
The cycle continues though, since a lack of restul, rejuvinating sleep hampers the brains ability to get on top of its problems, which then again leads to enhanced REM sleep.
An antidepressant might break the cycle. Though, if the drug causes too much lethargy, cognitive problems, etc, it may actually hamper the ability to get on top of things, leading to more long term impairment.Even in the absence of stress though, some people may have a disposition towards enhanced REM, and subseqent depression. I think one study I read showed that bipolars were much more senstive to cholinergic agonists given right before bedtime, than reguar people.
Linkadge
Posted by kimcrazylady on September 7, 2006, at 18:15:21
In reply to Re: Most depressed in morning » nicky847, posted by linkadge on September 6, 2006, at 13:58:12
I hate mornings. I always have. It started when I was an infant and my mom worried I was "abnormal". I guess I am.
I suffer from atypical depression and parnate works well, but I dream way too much and feel like crap in the morning. It's like I've been awake half the night because of my dreams.
My doc suggested I go for a sleep study, and they diagnosed me with mild sleep apnea. I'm not sure I'm buying it though because it was all they talked about on my initial visit and at the sleep lab. Every question that I filled out on the chart that did not pertain to sleep apnea was kind of "glossed over". And, since my mom has it, they were sure I have it too.
What is funny is the lady observing me all night said I did dream a "whole lot" and I moved around during that period. She said she didn't see too many episodes where I quit breathing, but when they called with my results, that is all they mentioned.
I do suggest a sleep study for anyone who feels like crap in the AM, but don't let them put you into a cubbyhole.
I am not going forward with treatment until I've seen the test results and have someone else look at them. Ugh.
Posted by cecilia on September 8, 2006, at 3:30:39
In reply to Re: Most depressed in morning, posted by kimcrazylady on September 7, 2006, at 18:15:21
I'm surprised you still dream constantly on Parnate, usually the MAOI's, for those who can tolerate them, decrease dreaming. (I never had a problem with excessive dreaming on Parnate because I never slept on Parnate). I don't think I ever get any deep sleep, just constant unpleasant dreaming and ALWAYS wake up in excruciating emotional pain. But even if the sleep study shows you dream too much, what can they do about it? Cecilia
Posted by kimcrazylady on September 9, 2006, at 9:18:34
In reply to Re: Most depressed in morning » kimcrazylady, posted by cecilia on September 8, 2006, at 3:30:39
> I'm surprised you still dream constantly on Parnate, usually the MAOI's, for those who can tolerate them, decrease dreaming. (I never had a problem with excessive dreaming on Parnate because I never slept on Parnate). I don't think I ever get any deep sleep, just constant unpleasant dreaming and ALWAYS wake up in excruciating emotional pain. But even if the sleep study shows you dream too much, what can they do about it? Cecilia
I don't know. I have not been for my follow up. I hope there is something that they will be able to do so I quit having such bizarre dreams that really mess with my mind. When I get any answers, I'll be sure to post them.
Posted by joslynn on September 11, 2006, at 9:13:51
In reply to Re: Most depressed in morning, posted by linkadge on September 1, 2006, at 16:39:10
> Its a horrable feeling, worse than death itself, very hard to describe.
>Oh you don't have to describe it, I know that feeling exactly. That happened to me during my two most severe episdoes of depression. The first episode, I refused to take meds, and it did eventually go away, but I suffered for months.
The second time, several years later, I did agree to try meds, and the first combo was Celexa and Remeron. That did help.
Another thing that somewhat helped me from jumping out of the window next to my bed was getting out of bed immediately, throwing on clothes, and taking a walk in town. I would still be walking around with tears in my eyes but at least I saw people walking dogs, garbage trucks making their rounds, workers going to their jobs, just the general buzzing of life and it made me feel a teeny bit better. The hardest part was when I woke up so early it was still dark, and I was afraid to take walks in the dark alone. (Which is ironic, because I wanted to die, but there was still some sense of self-preservation.) That's when it's good to have friends in other time zones, who are awake at that time! Or call a 24-hour mental health crisis hotline.
For me, the absolute worst thing was to stay in bed. Bed became a truly terrifying coffin-like place when I felt that way.
This is the end of the thread.
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