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how do I decide which issue to attack first - depression? anxiety? insomnia?

Posted on 1/7/21 at 7:26 am
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 7:26 am
I know I have anxiety problems but when I'm not freaking out about something, I'm usually too worn out/tired to do anything - seems like depression to me. I do have a lot of trouble sleeping, presumably due to the anxiety, so that could be a major contributing factor.

I'm trying to see a specialist but having trouble getting good advice on who to see, and when I do decide, I imagine it will take quite a while to actually get an appointment. I am on 10 mg Celexa (prescribed by my primary doc) and it seems to be helping some but not enough.

In the meantime, I feel like I need to try something to help more. Maybe something for my insomnia would help??? Any suggestions?
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 7:44 am to
P.S. I also suspect I am "on the spectrum" with what used to be called Asperger's syndrome (yeah I'm a little old so I still call it that).
Posted by lattin1
baton rouge
Member since May 2014
328 posts
Posted on 1/7/21 at 7:50 am to
I would highly suggest not looking for medical/mental health advice from strangers on an online sports forum. Make an appointment with a psychiatrist where you live and ask them these questions.
Posted by jfw3535
South of Bunkie
Member since Mar 2008
5456 posts
Posted on 1/7/21 at 7:54 am to
Find a therapist that teaches CBT methods of dealing with anxiety and stress. In the meantime, start trying meditation. There are dozens and dozens of apps you can download - Calm, Meditation, Serenity, Headspace, etc. Try those. They also have meditations on there that can help you fall asleep.
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 7:57 am to
quote:

I would highly suggest not looking for medical/mental health advice from strangers on an online sports forum. Make an appointment with a psychiatrist where you live and ask them these questions.


I mean I didn't post my question on the main Rant board, I posted it in the health/fitness board. And I get your point, and, like I said, am in the process of choosing and making an appointment with a professional. I am smart enough to do more research based on any advice given and not just blindly take it. But thanks for your concern.
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 8:01 am to
quote:

Find a therapist that teaches CBT methods of dealing with anxiety and stress. In the meantime, start trying meditation. There are dozens and dozens of apps you can download - Calm, Meditation, Serenity, Headspace, etc. Try those. They also have meditations on there that can help you fall asleep.



Thanks, I am doing nighttime meditations and they really help me fall asleep, but I often also have trouble staying asleep. I am currently taking 1mg melatonin most nights and, like I said, am doing the meditations to help me fall asleep, but I still wake up in the middle of the night. I have some meditations I use in the night to get back to sleep but they don't always work.
Posted by Dixie Normus
Earth
Member since Sep 2013
2854 posts
Posted on 1/7/21 at 8:10 am to
Are you active (i.e. working out, taking walks/runs, playing pickup sports, etc.)? Many times when people go into treatment for depression, the first thing they do is get them doing something active during the day as it releases endorphins. Don’t overdo it because you’ll burn yourself out. Start by taking a 30 minute walk a few times a week. Take more walks or a little longer walks the next week. Work some jogging or weight training in. Stimulate your body and it will have a positive effect on your brain.
Posted by zatetic
Member since Nov 2015
5677 posts
Posted on 1/7/21 at 8:16 am to
quote:

how do I decide which issue to attack first - depression? anxiety? insomnia?


Don't worry about that as they are all interconnected.

You first need to find what is troubling you. If you can't figure that out then talking to someone will help but you have to be honest with them. A lot of people have problems with life because they feel they have no purpose/direction. So if you don't have that, I would find some long term goal to achieve. Then break it down into short term and medium term goals and start achieving. And it really doesn't matter what other people say about what you want to do (as long as it is moral ) so just go do it. If you don't want to listen to haters of your ideas then don't bother telling people your goals because you will definitely get negative opinions.

Also joining a social activity of some kind can often cheer up a lot of people. Turns out a lot of people get depressed because they aren't a part of any healthy community/friendship group.

Other than that do the normal stuff, exercise, eat better, meditate, etc.
This post was edited on 1/7/21 at 8:24 am
Posted by KoozieKing
Baton Rouge
Member since Oct 2015
219 posts
Posted on 1/7/21 at 8:23 am to
My simplistic theory. Sleep is the most important. to get a decent sleep, you need to be tired. to get tired, you exercise, which has its own great benefits.

I credit exercise and sleep as the two most important factors in my own mental health.
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 8:41 am to
quote:

Are you active (i.e. working out, taking walks/runs, playing pickup sports, etc.)? Many times when people go into treatment for depression, the first thing they do is get them doing something active during the day as it releases endorphins. Don’t overdo it because you’ll burn yourself out. Start by taking a 30 minute walk a few times a week. Take more walks or a little longer walks the next week. Work some jogging or weight training in. Stimulate your body and it will have a positive effect on your brain.


Not nearly as active as I should be. I go for a 10 minute walk every morning before work, and most days that's all I do. I just can't find the time/energy to do more. I guess I could try to up it to 15 minutes for one or 2 of those days -- I am sure that will be manageable, and slowly increase my total.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
43374 posts
Posted on 1/7/21 at 9:24 am to
quote:

with what used to be called Asperger's syndrome


I didn't know this was unacceptable now.
Posted by irishTiger18
Chicago
Member since Oct 2019
705 posts
Posted on 1/7/21 at 10:32 am to
Here are some great tricks I've found to work for me regarding my sleep.

1. Improving Room environment: get the room very dark, buy black out shades, turn off all lights, maybe even including alarm clocks. Make the room cold, turn on fan, turn down A/C, maybe change what clothing you wear.
2. Look into supplements. Melatonin is what signals your brain to go to sleep. Take this 2-3 hours before trying to sleep. Glycine is a great amino acid that helps support deep sleep. So when you do nod off, you can maximize the time that you are sleepig.
3. Sunlight. Getting sun on your bare skin is so important for so many bodily processes. It will also help regulate your natural circadian rhythm (body's internal sleep clock).
4. Get active. I know you said you take a 10 min walk before work, which is great, maybe up those walk numbers if you cannot find yourself enough energy to workout. 10 min walk at lunch, 10 after work, 10 after dinner.

Finally, mental health is a journey. It is not like one day you're depressed and the next day you're cured. Take one day at a time.
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 12:21 pm to
quote:

I didn't know this was unacceptable now.


They call it "high functioning Autism" now because they wanted all forms of Autism to be included when they created "the spectrum." Now people complain about the "high-functioning" label because they say it's insensitive to the rest of the Autistic population

I guess we just can't have words that mean anything anymore. It's ridiculous.
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 12:23 pm to
quote:

irishTiger18


great suggestions! I already follow most of those but one I haven't heard about and sounds promising is Glycine. I will do more research on that.

I need to get out in the sun more but it's tough in the winter months since I work indoors all day.
Posted by Azazie
Member since Apr 2020
15 posts
Posted on 1/7/21 at 2:48 pm to
What’s your diet like and do you drink?
Posted by biclops
Member since Oct 2011
6187 posts
Posted on 1/7/21 at 2:53 pm to
quote:

What’s your diet like and do you drink?


I don't drink - always been scared to because of severe alcoholism running in the family.

I don't get a lot of variety in my diet but other than that I eat home-cooked meals including protein and veggies most days.

I eat an egg and a little bacon every morning for breakfast and usually have a turkey sandwich for lunch, then whatever the wife cooks for dinner.

When I am home I snack a lot more and have more junk food, but I keep it under control.
Posted by mceuph
New Orleans, LA
Member since Dec 2005
832 posts
Posted on 1/7/21 at 3:38 pm to
Bravo on getting help from your doctor. A great first step. I went through the same and still do occasionally. Keep in mind that there isn’t a magic off switch. It’s a journey with a series of gains and setbacks. Wishing you tge best, keep at it.
Posted by TideSaint
Hill Country
Member since Sep 2008
83538 posts
Posted on 1/7/21 at 3:42 pm to
Do you exercise?
Posted by Dixie Normus
Earth
Member since Sep 2013
2854 posts
Posted on 1/7/21 at 4:26 pm to
quote:

I just can't find the time/energy to do more.


The time is tough, I understand. You just have to make yourself find the time. Try this—for the next couple weeks, try to walk at least 1-2 minutes more than you walked the previous day. Start tomorrow with your 10 minutes. Walk 12 Saturday. Just slowly ease yourself into it.

One of the biggest hurdles people face in getting their mind right is that it will always be hard to find the time. I have a high-stress job that I usually put in at least 55-60 hours a week in and I’ve found that mornings are the only option for me. There’s no guarantee on what time I’ll get home on any given day, so I just have to get it done.

The thing that helps get up me the most is preworkout to be honest. I keep it right next to my bed and slam it when I wake up. Impossible to go back to sleep and not do something active after you’ve got some caffeine in you.
Posted by L1C4
The Ville
Member since Aug 2017
16231 posts
Posted on 1/7/21 at 4:28 pm to
If you have alcoholism in your family you probably have depression in your family.

So don't blame yourself if it's hereditary.

You may benefit from anti-depressants and anti-anxiety meds.

You should do your homework about them tho.
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