re: Middle aged males on antidepressants?

Celexa is often reported as having fewer side effects. It’s not very clear how true that is by and large though.

Just from experience, learn exactly what your personality is. Each type has specific needs to stay in balance. For example, depending on the system I am a green/blue hybrid, type-A, etc. I have to control every aspect of my life. If not. My anxiety goes up. There are test you can take. Start here before meds, man. Please.

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I’m a psychiatrist working in private practice here’s my input. First, never accept and take mental health medication from your GP. Many will write them but in my experience they often don’t have a full scope on which medication, dose and titration, and when to expect to see results. Second, SSRIs and SNRIs are very hit or miss medications. We often don’t expect to see results for 4-6 weeks and you’ll likely have to try more than one. You can also expect symptoms to get worse before they get better because with these medications dose has to be raised quickly to re

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As a GP, you don’t need to see a psychiatrist for simple depression or anxiety. We are well aware of how these medications work and their side effects. Just like with any problem, once a problem worsens outside of my scope, I have no problems sending a patient to see the specialist. But to say never accept mental health medication from a GP is asinine and insulting. If we sent you every patient with anxiety/depression, they’d never actually be able to get an appointment.

I got on them a few years ago. I feel better. They worked for me. The first few weeks they mess with your sex(hard to get off) and you’ll sweat, But after a few weeks you good.

Took Lexapro for about year.

It wasn't some big noticeable change, but I could tell something was different/better.

The worst potential side effect is difficulty achieving orgasm. Which I found odd about something that is supposed to relieve depression/anxiety.

No doubt there are shitty GPs out there and I don’t give benzos under any condition. If someone isn’t responding after a few different med changes/uptitration PLUS therapy/CBT, then they need a psychiatrist.

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The worst potential side effect is difficulty achieving orgasm

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Your wife probably appreciated more than the usual 2 minutes.

I take lexapro

Not really worried about low libido. I’d recommend taking a good vitamin D3 supplement, more sun, and L-citrulline

How easily can one get in to see a good CBT practitioner?