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I have always managed stress well and take no medications to date. Overall I am healthy and exercise and have a spiritual life and support from family and friends. But I'm struggling to stay positive, focused and spend too much time crying. (I care for my spouse with leukemia, vascular dementia, wounds, etc). Just wondering if medication has helped anyone through this challenging time.

Yes. As Alzheimer’s progresses with a loved one, so do your emotions and perhaps Hers/His as well, leading to frustrating interactions. Sometimes anxiety makes it hard to sleep and then you are even more worn out the next day. If your loved one lives at home with you, you may not have a break. Your life may make you sad/depressed alternating with anger. Often there is no escape with family or friends to help or finances do not allow for a caregiver/companion for your loved one. If you can afford help, do it. Allow yourself to go to a movie, even shopping for yourself. I suggest a support group either in person or on zoom. If need be, a psychotherapy group. But there is no reason to avoid taking a prescribed antidepressant. Lexipro is prescribed for both anxiety and depression.
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Reply to KathleenQ
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I went to community acupuncture for support and have taken courses for caregiving . I think talking to People who are in the same shoes is the best medicine - so you dont feel alone . There is a good course for Caregivers this weekend at Upaya Zen center tomorrow with Joan Halifax - I Have taken the course twice already . It is by donation . These are medical Professionals and Joan Has written about death and dying . I would suggest you get educated rather than taking a Pill .
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lealonnie1 Mar 30, 2024
Education is no substitute for medication when it's needed!!! You can learn everything in the world about being depressed and how to "fix" it, which doesn't always fix anything!
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I'm about to find out if Lexapro (anti depressant) will help. The doctor said it takes 2-3 weeks before I notice. I've been caregiver to my 94 yr old diabetic, dementia, wheelchair bound mother for the last 5 years. I'm 64 yrs old and I never had children because I didn't want to deal with diapers. In addition to doing all the cooking and cleaning, now all I do is help her with adult diapers all day. I'm miserable and I wouldn't wish this on my worst enemy. I have 4 other sisters, but no one helps. I don't blame them cause Mom wasn't exactly "June Cleaver". Every time someone says, "what a blessing it is to still have my mother" I just want to punch them in the nose. I worked until I was laid off 5 yrs ago. Since I was older, I didn't think I was going to find a job with the salary I was making so I asked Mom if I could just stay at home (our house is paid for). That's when I decided to stay home and take care of her. It's just getting harder the older we both get. Now I'm ready to start traveling and I'm stuck caregiving until she dies. Sorry to be such a whiner but I can't say any of this out loud.
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Anxietynacy Mar 22, 2024
Your not alone Ihate , to there is a lot of us where you are!
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I didn't start taking them to help me be a caregiver I ended up having to take them because I became a caregiver.
I'm from a suck it up buttercup, kind of family so I long hesitated to get the help I needed. Couldn't understand why I was struggling so much with something I was supposed to be glad to do. ( Not my idea, but other family members felt I should feel priveledged and grateful to be a caregiver)
Of course I loved my sweet mom, but she needed a lot even in independent and assisted living settings. I felt horribly guilty for being so resentful, then my husband developed multiple medical issues, our marriage started to unravel and it was an absolute poopstorm.
I felt passively suicidal at times. Mainly, just hoping I would not wake up and deal with another day but the thought of having my son have to pick up all the slack motivated my a** to get some help and fill the RX.
It did help me become a more stable, calmer caregiver and less of a crying, screaming banshee at times. I was able to calm down and get perspective on things.
I used to scream in my car driving home from my mom's place or some other myriad of appointment or errands. It helped a little but not as much as therapy and medicaiton. My vocal chords are happier about it.

My mom passed away in January of this year, I took care of her for 10 years and for now I am still on it as I am working my way through all the complicated grief.
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The other concern is caregivers getting stressed, burned out, and not realizing it but managing with more alcohol, cigarettes etc
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Anxietynacy Mar 22, 2024
Actually I was so darn determined to not let caregiving destroy me, I quite drinking and smoking, and started walking. I was a very light smoker and drinker, but stopped them both,
Mostly because of covid, smoking was to dangerous, and drinking just made me wanta smoke

Probably my dyslexia, I do things backwards. 😂

But your absolutely right.

And Sleep! That has been the one thing I've not gotten near enough of
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Oh I am so sorry to hear you are experiencing the symptoms you've described! Whether it be depression or anticipatory grief, you can take steps to ameliorate the distress by taking medicine AND going to a mental health professional for what I call 'chair time.'

If you are resistant to the idea of having to take an antidepressant, consider this proposal: suppose I told you that tomorrow you had to walk barefoot on hot coals. Or I could give you the alternative to wear tennis shoes...at any rate you'll be walking through fire, so why wouldn't you want to use protective gear? The right antidepressant is just like those tennis shoes. I hope this helps you.

Peace to you from Alabama.
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Anxietynacy Mar 22, 2024
June, I love that analogy, and your right, as for me I've been walking on the hot sand , for quite a while, it's been painful, but I could take it, I'm seeing the hot coals coming, everyday mom gets worse, I see the coals burning, it is time for me to put on some tennis shoes.

We all have different limits too. What is one persons limit of how much stress they can handle might not be another persons stress. It's a personal choice, not for anyone to judge either way!
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Personally, I don't think I could function on anti depressant medication. It is worth talking to your doctor, if you think it could help you get through this time.
If you are feeling so overwhelmed, I would suggest that medication be your last resort. First, get HELP! I mean, physically caring for your spouse and taking care of the day-to day.
Also, talking with a counselor, not just family and friends, who are more likely to provide biased feedback.
Accept that it IS a Challenging time. It is sad to see our loved ones in this altered state. You are likely grieving the loss, which feels uncomfortable when the person is still living.
And the physical challenges added to our emotional stress can be a LOT to bear!
I get it. I, too, cried a couple times a week. And I still get so frustrated I yell and cry, "I can't do this anymore!"
But, I walk away for a while, and continue trying, because I would rather face the difficult challenges than to be without my husband. My role as his caregiver for the last 8 years has become my identity. I don't know what I would do without him. In our case, he suffered a stroke 9 years ago which caused considerable brain damage, resulting in some paralysis, and dementia, as well as inability to communicate or eat solid foods. But, ironically, he is remarkably strong and healthy, so at this point, he could outlive me.
I still get sad and miss the wonderful man who no longer is. It's ok to cry.
I don't know if medication will do much to change your outlook and certainly won't change the circumstances.
Best wishes to you, and feel free to message me any time you just want to talk and unload.
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OldArkie Mar 22, 2024
CaringWifeAZ Your story could be my story! I am 84. My 86 YO wife was diagnosed with AD about 15 years ago and suffered a stroke (CVA) 6 years ago which wiped her memory away for most of her life. And she can't make new memories (15 to 30 minutes) but she knows I am her caregiver and her only contact to life. She doesn't remember we are married, or care, but, as you suggested, I will care for her as well and as long as we both can last! I am thankful she can pretty much dress and feed herself and tend to her toilet duties (I have to bathe her now and then) but as I often say, so many have it so much worse than us... I am thankful it is not worse, which I realize it eventually will be. It really gets lonely, though because effectively we are living alone! Good luck to you and yours!
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So I had a physical yesterday, everything is great. Not sure how I have a BP of 117/72 with all the darn stress. Probably all the walking I do to keep sain.
Anyways talked to my doctor, weighed the pros and cons. We decided to temporarily try me on generic Zoloft. Im glad I waited so long seeing that things are going down hill with moms health and mind now,
It feels like the right time.

I'll keep ya posted how it goes
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Please, yes, go to your "primary" physician, but for a referral to a doctor who is fully trained to decide if you need an anti-depressant and what to try. They have all the years of additional training to know what to try, what will not cause problems with any current meds you may be taking. Yes, like all meds, you may have to switch to something else if it isn't helping, and the "trial period" is longer than 2 weeks as someone stated. No, they don't remove sadness or the increasing bumps in the road of being a caregiver, but will support you. I have chronic depression and have taken meds for decades. Now they give me the strength in my 6th year of caring for my 91 year old husband who has dementia. I am 82. Family and visiting nurses and aides are a great support. The nurses and aides come from an organization that only deals with people who have dementia or Alzheimer's. We have the same persons who come each time - as well as a social worker - and seem like part of the family. They have also told me when it was time for my husband to go to their Respite Care for 5 days when they see I need a break, even before I do.
Never, never stop or decide on your own to change your med schedule! Call the doctor first. They have been an important part of being able to keep my husband at home. No, I don't know everything, but hopefully something here will give some help to anyone considering anti-depressants.
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hello LlamaLover!
yes, I did mean Propanolol-tried to correct but didn't do it correctly, sorry!
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Llamalover47 Mar 19, 2024
AddieD: I thought I would mention it as I take Propranolol as a migraine prophylactic drug. You're welcome.
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We are all struggling as caregivers.
I believe anti depressants are good for those who are clinically depressed.
However, there is a difference between being sad and being depressed. How can a person seeing somebody deteriorate not feel sad?
I know sadness overwhelms me from time to time, but overall I remain optimistic.
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strugglinson Mar 18, 2024
VEry good point from Evamar. If one is clinically depressed, antidepressants are needed
but regardless, caring for the dying is sad at the minimum, plus can generate a bunch of other emotions. And its stressful. No guarantees that an antidepressant will take away all that...
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Initially my Dr. gave me Propranolol. It helped a little with anxiety and high blood pressure as needed. We live in a state where Medical MJ is legal. My Propranolol RX helped me qualify for the Medical MJ card. I use it mostly at night. I had trouble getting to sleep, staying asleep, and waking from anxiety nightmares. The Medical MJ helps get me to sleep and get back to sleep after waking from bad dreams. I have 2 sisters that help as little as possible but love to tell me how I can do things better/different.
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Reply to InTheMiddle77
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Ive been on an anti depression medication for years. I think I need something stronger at this point. My anxiety and depression are off the chain.
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I sure do! If it weren't for venlafaxine and buspirone I'd have not made it this long. No shame in a bit of help.
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You are dealing with a lot of difficult situations simultaneously. It is natural to feel grief or "loss" or overwhelming stress with just one of the life events you listed. I would advise meeting with a psychiatrist that also embraces or can incorporate your belief practices. You need some help with dealing with your overwhelming stress symptoms - that is what a psychiatrist is helpful for. I have friends of my faith community that need antidepressants or other psychoactive medications to live normal lives. You also may need some help with developing new coping skills that are compatible with your faith. I would also suggest reaching out to friends, family, members of your faith community... who are willing to help you. These dear ones could help lighten your caregiving load or help with other tasks (laundry, housekeeping, yardwork, groceries, errands...). Most of these people want to help but do not know what you need. In the words of my faith, "Ask and it will be given to you. Seek and you will find. Knock and the door will be opened to you." Praying you find peace, rest and comfort during this trying period of your life.
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Tmmelody: Ask your physician for assistance/script.
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Reply to Llamalover47
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Yes, I take an anti-depressant: escitalopram 10-20 mg.
It does take the edge off of getting TOO involved.
Also, I find that yoga and especially, tai chi, calm and "smooth"
my energy.
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Yes, but you might have to go through a few to find out what works for you and your chemistry. I find that Propanol has worked well for me-it nips that "fight or flight" feeling in the bud long enough to give me patience to deal with Dad- it also alleviates the (what feels like) choke-hold that stress can cause.
If you can, you might consider going through a Psychiatric Nurse Practitioner or Psychiatrist. Also, it does help to talk about what you are going through with, at the very least, a family councilor for validation of your feelings and some relaxation techniques. You will know if you are a good fit on the first visit.

good luck!
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Llamalover47 Mar 17, 2024
AddieD: Are you referring to Propranolol?
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I do. It was just all too much for me to handle emotionally. There’s no shame in it. We all need to do what we need to do to be there for and honor those we love
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Reply to JRR1980
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OMG Yes!

Caregiver is so very stressful on so many different levels. I started a low dose of an antidepressant (Citalapram sp?) almost 2 yrs ago and I just asked the Dr to up my dose…which is still rather low, but I found myself getting “weepier”. I never thought I had a problem managing stress, but the antidepressant really does make a difference. FYI most take a while to work, and some people have to try different rxs before they find one that helps.

if you feel you may need something to help with stress, please discuss it with your Dr.
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I am on antidepressants myself but in combination with regular appointments with my psychiatrist. Talking with her helps me keep a realistic view and she also gives me the unbiased support that no one else can. She has a good insight into my needs and also knowledge of which meds can help me the most. Recently she put me on an anti anxiety med as well to help me through a particularly rough time. Personally I feel more comfortable having someone monitoring how I am doing and with the knowledge of my situation to make those tweaks when needed.
Antidepressants can be a life saver when you are going through difficult times. I know they also really helped my mother deal with the loss of abilities and such that she faces with her age. They helped me get her off the couch all day and encourage her to get out to interact with the world at least a little.
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The person I might be a caregiver for is always re-evaluated and meds checked before I would ever consider meds for myself.

Really, I am serious.

If my behavior changes, I first consider if there is a bladder or yeast infection, and medicate that. It is common for a yeast infection to cause tears.

There is no shame in taking psychiatric meds when needed.
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Yes. I had already been taking Zoloft for many years. My doctor increased my dosage and I asked for medication for my anxiety so she added Atavan. I try not to take it too often but it really helps me. I also speak to a therapist.
Good luck!
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Sertraline here (generic for Zoloft). I've tried most SSRI's...Wellbutrin made me very, very irritable. Buspar gave me frightening electric brain zaps. Paxil turned my bowels to concrete. Prozac was great for about 6 months but then it stopped working. Lexapro turned me into a zombie. Sertraline works the best for me, but nothing's perfect. Without a SSRI, my life is about 10 times more difficult to navigate. Without Sertraline, the majority of my energy goes to creating and maintaining my emotional equilibrium. With Sertraline, I'm no longer gridlocked in overwhelm mode, and I'm able to recoup all that energy and use it to rationally solve problems and make things better for myself and my LO. But that's just me.

In your situation, I'd suggest carefully exploring whether a SSRI would be helpful. How? I'd recommend starting off with very best Ph.D Psychologist you can find to do limited talk therapy. Why a Ph.D Psychologist? Because they are the best educated and best trained professionals to deal with talk therapy. They can't prescribe SSRI's, but they usually work in tandem with a specialist MD (usually a Psychiatrist) who can prescribe a SSRI *IF* you decide to try a SSRI.

I'd bypass your PCP because a PCP has almost zero time to effectively guide your with this. Likewise avoid any "new age" therapists or lesser educated practitioners who work only by throwing overdone wordspeak cliches at you. Find a therapist who is pedigreed, skilled, kind, and capable of understanding you and your situation. Someone that makes life easier for you, not harder.

Good luck with this!
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Anxietynacy Mar 17, 2024
Thanks lost in place, I've actually done some homework on this subject and have decided if I do need to go on an antianxiety meds. I would try Zoloft first. Actually was on paxil yrs ago, it wasn't good for me
Anyways it's good to hear from someone about it. I've got a few friends on it for yrs. And they hav no complaints
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Yes. Talk to your doctor. You deserve to feel better.
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Yes,
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Reply to Di1961
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I take Sertraline as an anti-depressant prescribed by my G.P. It has made life much better for me and has reduced my stress levels and increased my patience that is needed for my mum with dementia..The medication is also non-addictive .
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What helps one may not help another. I used to take antidepressants but they didn’t seem to work. I actually started watching Neville Goddard videos on YouTube. Helps me mentally when I am overwhelmed.
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Yes, I take antidepressants every night. It helps me deal with my husband and his issues without being too impatient. He is 87 and has most, if not all, of the things that we old timers encounter.
Take care of yourself; burn out can sneak up on you.
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Reply to Mbgore1
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Anti-depressants can be dangerous! Please consider natural alternatives instead of going to these drugs! In some cases people, people taking anti-depressants became suicidal.

There are things that can help that are completely harmless. Like using aromatherapy (lavender is calming, as well as many others). Supplements like St. John's wort, B and D vitamins. More omega3 as a supplement or in the foods you eat. Getting enough rest and prayer is ALWAYS helpful.

God Bless you and I wish you all the best!
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lealonnie1 Mar 17, 2024
Are there withdrawal symptoms from St John's wort?

Those who experience withdrawal symptoms tend to report feeling sick, dizzy and tense during the withdrawal period, especially if they stop taking it suddenly without slowly reducing their dose. For tips on self-care while experiencing withdrawal symptoms have a look at our page on self-care during withdrawal.

Some of the many side effects of SJW: stomach upset, diarrhea, hives or other skin rashes, fatigue, restlessness, headache, dry mouth, and feelings of dizziness or mental confusion. St. John's wort can also make the skin overly sensitive to sunlight, called photodermatitis.

Why do you only take St John's wort for 12 weeks?

Special Precautions and Warnings. When taken by mouth: St. John's wort is likely safe when used in doses up to 900 mg daily for up to 12 weeks. It can cause some side effects such as diarrhea, dizziness, trouble sleeping, restlessness, and skin tingling. St. John's wort interacts with many drugs.
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