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Prozac for depression now with postpartum..add abilify?


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I've been on Prozac for about ten years for what's basically been called depression and or anxiety "issues". Basically I was a nut case before the prozac and without it. I've tried lots of other meds but it's the only one that's ever worked for me.

I was on 40mg up until last sunday. I just had my third child and could tell from past experience I was entering into the hell of postpartum depression. I didn't have it with my first child so it completely blindsided me when I did get it after my second. I guess I thought since I was already medicated I wouldn't have to worry about it. Yeah, not so much. Last time around I tried to change meds in the midst of it all which was a disaster.

This time my doctor (who's just my plain old family doc.) had given me a prescription for 60mg so I could of prozac so I could start that right away if I needed to. Well it was obvious I needed to and it's obvious to me that I still feel like complete crap and can't keep feeling this way.

I saw a commercial last night on TV for abilify and it made me curious. Is this something that can be added to prozac? Is this at all something I even want to think about? It scares me because I've come close to trying some meds that I later read more about and definately did not want to deal with the side effects and withdrawls from them.

I was hoping somebody might have some experience with abilify and could fill me in on their opinion. Thanks in advance for any insight you might have, it's much appreciated!

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Could you explain a little about the "lots of other meds?" That might help to refine the answers you get.

What specific symptoms do you notice that tell you that you're more depressed?

Also, maybe if you feel like things are moving into postpartum depression, this wouldn't be a bad time to see a specialist. Your family doc probably has a few people she likes to refer to most of the time (or your OB does, if you had a separate OB.)

I'm all about family practice continuing the maintenance antidepressants, if everyone's on the same page, but when it comes to big shifts in mood, or big med changes, that's probably psych-land. Especially postpartum, when things can kind of get weird fast, as you know.

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I just had my third child and could tell from past experience I was entering into the hell of postpartum depression.

First, congrats on your new baby! Postpartum depression is it's own level of hell, isn't it? I had it with both my kids.

This time my doctor (who's just my plain old family doc.) had given me a prescription for 60mg so I could of prozac so I could start that right away if I needed to.

Silver has given you really good advice. I don't know about Abilify, I can tell you that after I delivered my 2nd, I went on Prozac immediately (I nursed the first) and I felt better within a week or two, and continued to feel better so it wasn't nearly as brutal as it was the first time.

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Thanks guys. As far as the other meds it's been so long that I couldn't even tell you the names of them all. But when I first started out with therapy and meds years ago I saw a psychiatrist who I swear to god put me on a zillion different meds and combinations. I tried different things like wellbutrin,paxil, those types but there were many more than just those.

As far as how I feel with my "normal" depression it's hard to explain. Basically I just feel like I have no emotional skin. Everything pisses me off and saddens and devastates me to the extreme when it shouldn't. I cry and yell all the time. I treat my family and everyone like crap and then spend hours crying about it. I feel overwhelmed and worried and hopeless all the time. I don't know how well that explains it or if that even really does explain it well.

I have thought about going to a psychiatrist again but my first experience was so bad that I'm afraid to go again. We only have the same idiot available around here to go to so I'd have to go somewhere a distance away to see somebody else. I don't have a problem doing that though. My thing is last time around with the PPD I tried to switch meds and holy shit it was hell. So I don't want to attempt to switch right now. At least with the prozac I can usually maintain some sort of sanity. I guess that's why the abilify caught my eye because it was just something you "added on".

I suppose I really should look into seeing a psychiatrist though. Like I said I'm just afraid of seeing a kook like I did before. I also want to add my seven year old daughter has OCD. If you know anything about OCD it tends to sort of flare up and then subside. For my daughter like clockwork it hits her hard about a week before christmas and sticks around till about springtime. So knowing that we're going to have to work through the hell of OCD with my little girl is making this all even worse. It's one thing to feel batshit crazy yourself but it's another story having to watch such a young child go through it. It's hard.

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Basically I just feel like I have no emotional skin. Everything pisses me off and saddens and devastates me to the extreme when it shouldn't. I cry and yell all the time. I treat my family and everyone like crap and then spend hours crying about it. I feel overwhelmed and worried and hopeless all the time. I don't know how well that explains it or if that even really does explain it well.
Well, it sure explains pregnancy and post-partum emotions, period. Even without PPD. What I wonder is, are you like that when you're not pregnant?

I have thought about going to a psychiatrist again but my first experience was so bad that I'm afraid to go again.

pdocs are like any other professional, some suck and some are awesome. You just have to find one that is a good fit for you. Talk to your gp about your concerns and ask him or her if she can help you find a better pdoc, but in the meantime start you on something like Prozac if it worked before? Just an idea...

You can keep posting away here. Lots of us are crazy moms. It helps to know you're not alone. Somedays that's all that gets me through this crap.

Has your daughter been dx'ed by a children's psychiatrist?

I'm sure that's really rough. It's hard enough to be batshit when your kids are relatively stable.

My heart goes out to you.

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Yeah the description of me is me all the time without prozac...pregnant or not. With the prozac I can function.

It's been since the fifteenth I think since I raised my dose from 40mg to 60mg. I feel a bit better today and even felt a bit better yesterday. Hopefully raising the dose will help. We'll see.

Unfortunately we have a major shrink shortage around here. I'd have to travel to see someone and I just can't afford it right now.

My daughter was seen last year at mayo clinic by both a psychiatrist and and a psychologist. She got great care there and we were able to make it through the winter thank god. We just finished paying that bill off not long ago and will be paying off the credit card bills from the travel and lodging for god knows how long. It's only about two hours from here but it managed to cost a fortune with the gas and food and sometimes overnight stays we had to make because of early morning and all day appointments. It was worth it though. It kills me that we can't afford to take her there again because there isn't anyone anywhere near here who knows jack shit about treating OCD much less a young child with OCD. I learned that the hard way.

This lack of good mental health care is just another negative to living in rural Iowa....one of many! ;)

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