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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by topdog on December 3, 2015, at 7:13:20
Hello,
Now, after off all medication my symptoms have changed quite a bit. When i wake up in the morning i feel extremely sick- so sick to my stomach like i was pregnant, but i'm a guy :S
Anyways, after noon i slowly start to feel better, by 6PM Eastern European Time, I feel fine- normal actually, but I know when I wake up in the next morning I will be back to square one. Is there any way to short circuit this mood variation?
Posted by Hugh on December 3, 2015, at 11:50:50
In reply to morning depression?, posted by topdog on December 3, 2015, at 7:13:20
It isn't unusual for people with depression to feel their worst in the morning, and to feel better as the day progresses. When I was in college, I felt nauseous most mornings. After I graduated, this morning nausea went away, so it was probably stress related.
You could try doing breathing exercises, a relaxing one in the evening and an energizing one in the morning.
http://www.drweil.com/drw/u/ART00521/three-breathing-exercises.html
Posted by SLS on December 6, 2015, at 8:06:40
In reply to morning depression?, posted by topdog on December 3, 2015, at 7:13:20
> Hello,
Hi.
> Now, after off all medication my symptoms have changed quite a bit. When i wake up in the morning i feel extremely sick- so sick to my stomach like i was pregnant, but i'm a guy :S
>
> Anyways, after noon i slowly start to feel better, by 6PM Eastern European Time, I feel fine- normal actually, but I know when I wake up in the next morning I will be back to square one. Is there any way to short circuit this mood variation?The circadian pattern of depression that you describe is what is referred to as "endogenous" or "melancholic". It often responds to tricyclic antidepressants (TCA). Imipramine works, but can produce unpleasant anticholinergic side effects. Desipramine and nortriptyline are better choices to start with. Melancholic depression was once considered the typical type that represented the majority of cases. The reverse circadian pattern (better in the morning) came to be known as "atypical". The name stuck, even though this type of depression is actually more prevalent in the outpatient population. Melancholic depression tends to be worse in the morning and often includes early-morning awakenings. Psychomotor agitation or retardation often exist. Psychomotor retardation is more common. Weight loss occurs more often than weight gain in melancholic depression.
Does this set of symptoms fit your presentation?
- Scott
Posted by linkadge on December 9, 2015, at 19:50:40
In reply to morning depression?, posted by topdog on December 3, 2015, at 7:13:20
I have had this problem in the past. I found the scopolamine patch useful for this.
Linkadge
Posted by Christ_empowered on December 11, 2015, at 8:58:05
In reply to Re: morning depression?, posted by linkadge on December 9, 2015, at 19:50:40
I've had that happen a lot. Wellbutrin has helped me considerably, but some of it remains. Maybe some sort of anti-anxiety/anti-agitation Rx stuff and/or supplements?
Posted by Horse on December 12, 2015, at 23:28:18
In reply to Re: morning depression?, posted by Christ_empowered on December 11, 2015, at 8:58:05
That's my pattern, too. Wellbutrin helps.
I'm thinking about a light box.
Posted by Horse on February 9, 2016, at 15:46:48
In reply to Re: morning depression? » Christ_empowered, posted by Horse on December 12, 2015, at 23:28:18
Ok, old thread, but I'm hoping provigil will help with delayed circadian sleep disorder. I know this isn't an alternative route, but has anyone here have any success or failure with this?
Posted by elanor roosevelt on November 22, 2016, at 20:53:26
In reply to Re: morning depression?, posted by Horse on February 9, 2016, at 15:46:48
i've been waking up so very cranky
this time of year i use a daylight lamp in the morning
i'v set it up with a jig saw puzzle and the two take some of the edge off
This is the end of the thread.
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