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re: Dealing with a older parent with depression/anxiety

Posted on 11/26/17 at 10:15 am to
Posted by SW2SCLA
We all float down here
Member since Feb 2009
23087 posts
Posted on 11/26/17 at 10:15 am to
quote:

shite like this is why we have such a huge mental health problem. It shouldn't be this difficult to seek non emergent mental health help.



There just aren't enough providers. I've been in the field for 8 years and the turnover is insane. There aren't a lot of people who are interested in it to begin with, and many that are get burnt out quickly
Posted by IonaTiger
The Commonwealth Of Virginia
Member since Mar 2006
33355 posts
Posted on 11/26/17 at 10:16 am to
That’s sad, nurse. Especially, since your Dad has only 3 years on me.

If he truly has clinical depression, you know that the only thing that will help is medication. Other things, such as a hobby, a job, exercise, etc., are helpful but the only thing that’s going to get those brain synapses working properly is medication. I am sure that you also know that it can take some time to properly adjust meds.

Laughter is also very important. This board has entertained me since I joined in 2006. While I may not post everyday, I normally read it at some point each day. I cannot think of a time when I did not laugh out loud at something I read here. Sometimes the humor is childish, crude, irreverent, but it is often quite witty. I enjoy and laugh at it all.

I’m sorry I don’t have a real answer for you, but I think the first order of business for your Dad is to get his meds properly adjusted. Good luck!
Posted by Dorothy
Munchkinland
Member since Oct 2008
18154 posts
Posted on 11/26/17 at 10:19 am to
quote:

I will say it is a nightmare trying to get a psychiatrist appointment. There is no way my dad would have been able to make an appointment on his own. I basically spent 4 hours on the phone calling around before I could finally find one that had an opening before February.


I hear you...try looking for one who will treat an adolescent. "Who referred you?" "Um, no one? You were on page 4 of the list of in-network providers from our insurance company." Either they weren't accepting new patients, or they didn't treat that age group.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 10:19 am to
Thanks SW2SCLA...I was hoping you would pop up in this thread with your psych knowledge


What would be a good prn med he could take for the anxiety?(obviously he would still need to be on a daily medication) I've noticed some days are better than others. But some days...it is really bad. I wish he had a medication that he could just take on days like that to help calm him down.


quote:

Also, I think a dog would be a great idea if he's interested in it.


They already have a cat and live in a pretty small mobile home so I think more pets wouldn't really work for them.


quote:

I hope he gets back to being his old self


I will just be happy if he can be relatively content. I realize the move to AZ has been traumatic to him and he really misses LA. The decision to relocate them wasn't one I rashly made. It was one made after intense discussion with the rest of my family on what we all thought was best for them longterm.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 10:23 am to
quote:

Who referred you?" "Um, no one? You were on page 4 of the list of in-network providers from our insurance company."


Yeah like 4 of the numbers I called from the insurance list...were emergency inpatient treatment centers. WHICH WAS NOT LISTED ON THE DAMN INSURANCE WEBSITE.


I did find a crisis network phone line here though. They have two numbers. One for a true crisis or just needing to talk to someone. Another one is called a "warm line" and is manned by people that have suffered from mental health issues themselves, basically you call that number just to have a person chat with you that can understand. Both numbers are 24/7/365. I've given both numbers to my dad and instructed him he can call either one if he feels like he can't call me(I'm at work or it's 2 am and he can't sleep cause he's too anxious).
Posted by SW2SCLA
We all float down here
Member since Feb 2009
23087 posts
Posted on 11/26/17 at 10:28 am to
quote:

What would be a good prn med he could take for the anxiety?(obviously he would still need to be on a daily medication) I've noticed some days are better than others. But some days...it is really bad. I wish he had a medication that he could just take on days like that to help calm him down.


There are your benzodiazepines (xanax, ativan, klonopin). Most providers won't prescribe them long-term due to their abuse potential, but they are very effective PRN medications for anxiety.

Vistaril is another option. Its actually similar to benadryl. We use a lot on the unit I work at.

In the past year we've also started using beta-blockers PRN for anxiety. They mainly reduce the physical symptoms associated with anxiety, but they may not be suitable depending on your father's health issues.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 10:29 am to
I want to thank everyone in here that has replied.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 11:12 am to
quote:

Other things, such as a hobby, a job, exercise, etc., are helpful but the only thing that’s going to get those brain synapses working properly is medication.


I agree.....but know that him laying in bed all day only makes him feel worse. He keeps telling me “I just don’t feel good enough to get up”. What complicates the matter more is my dad’s wanting to play the victim and have everyone feel bad for him. It becomes a challenge for me to help to encourage him without enabling him. He is also very stubborn and very set in his ways.


I can’t help him the way I need to if he won’t even try to do small things that could help in the long run.


ETA: I’m also trying to do what I can before his appt. on Dec 12. It’s not like he can go to the ER before then and ask them to change his meds(unless he was truly in a crisis).
This post was edited on 11/26/17 at 11:15 am
Posted by jeffsdad
Member since Mar 2007
25359 posts
Posted on 11/26/17 at 11:17 am to
You tried asking him about his friends? Even early childhood friends can bring someone a lot of joy. If you still llive where he was raised it a possibility. Never know, he may have a buddy that lives in driving range he would really like to see/.
Posted by IonaTiger
The Commonwealth Of Virginia
Member since Mar 2006
33355 posts
Posted on 11/26/17 at 11:18 am to
You're absolutely correct. If it is clinical depression, the vicious cycle is that until meds kick in the person does not/can not do anything to help himself.

While I know you care about your Dad, if it is clinical depression, there is really nothing that you will be able to do for him short of getting him to an MD who can get his meds in order.

I hope you will be able to get an appointment ASAP. I know you are trying and I know how frustrating getting an appointment can be. Best to you.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 11:19 am to
He doesn’t know anyone here in PHX besides family.

Even when he still lived in BR he didn’t have any friends that he actually stayed in contact with.
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
73841 posts
Posted on 11/26/17 at 11:20 am to
quote:

Get him the right meds. Try different ones until you find out what works for him


This. Sounds like he's first and foremost OCD, with the anxiety/depression stemming from that issue.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 11/26/17 at 11:22 am to
Thank you Iona


He has an appt dec 12. Thankfully my boss is very understanding and will allow me to adjust my work schedule that day so I can go with him.

I hate that I can’t help him more right now. I feel like I’m at my wits end most days and feel like I’ve failed him somehow. That there is something more I could do. I realize that isn’t how depression works...but man it’s hard.
Posted by Jim Rockford
Member since May 2011
106119 posts
Posted on 11/26/17 at 11:25 am to
quote:

I know the right meds are key


I know someone who is a non responder and suffers from depression and anxiety. Everything they have tried either has no effect or causes unacceptable side effects. Very frustrating to repeatedly get your hopes up only to be disappointed.
Posted by IonaTiger
The Commonwealth Of Virginia
Member since Mar 2006
33355 posts
Posted on 11/26/17 at 11:30 am to
You're very welcome, nurse.

I know first hand about clinical depression and feel for anyone who suffers it - and their loved ones.

And while I know that your training allows you to understand on an intellectual level that there is really nothing you can do except get him help, the fact that you are his daughter overshadows that and you feel that you MUST do more. Hang in there. I'll say one for your Dad and your family.
Posted by cj35
Member since Jan 2014
6153 posts
Posted on 11/26/17 at 11:38 am to
Look into acupuncture. Both for the anxiety/depression and the other medical issues. You likely would be able to scale back the medications he is currently on which will aid in alleviating some of his depression.
Posted by jeffsdad
Member since Mar 2007
25359 posts
Posted on 11/26/17 at 11:41 am to
I'm not your dads age, but not real far behind him. I talked to one of my closest childhood friends last year. Talked for 2 hours on phone. Had a great time. Just saying.Hadn't talked to him in twenty years at least.
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5640 posts
Posted on 11/26/17 at 11:43 am to
How about having him become a volunteer for some good cause?


Maybe taking some kids under his wing. IDK, something along those lines perhaps.

Helping someone else who is in need could bring back meaning in his life.

At 69 years old, he has a lifetime of knowledge and wisdom he could help someone with.

Maybe get in a dance group. There are several groups of grannies around here in NELA that are 'cloggers'.
They are pretty good and you ought to see the smiles on their faces.
Many of them are in their 70s 80s. You would think at how they dance and smile, they are teenagers.

Maybe your dad does have some sort of dementia. IDK

But if he could get some 'meaning' in his life.
Posted by member12
Bob's Country Bunker
Member since May 2008
33146 posts
Posted on 11/26/17 at 11:43 am to
quote:

There just aren't enough providers.


I read that insurance reimbursements for psych are trending downward, which will probably contribute to newer physicians avoiding the field.
Posted by Cosmo
glassman's guest house
Member since Oct 2003
132691 posts
Posted on 11/26/17 at 11:49 am to
Psych is already one of the least competitive fields
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