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Mental Health (Expert Forum)
Obessional craving, sudden change in mood, general sadness
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.
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Obessional craving, sudden change in mood, general sadness
by Gilad, Feb 27, 2002 12:00AM
I suffer from GAD & was given Effexor for 6 mos which my psychiatrist changed to Paxil 20 mg for past 2 mos. During the past month I smoked grass 10 times & since then I have begun smoking a pack of cigarettes after 9 years that I stopped smoking.
I now have a sudden crave for cigarettes and can’t control it. I hate myself for giving into this crave but can't help myself, I shake all over if I can't have it. In addition, the past week I feel terrible sudden sadness and change in mood, even when I’m in a most relaxed environment.
I saw my psychiatrist yesterday, he has continued 20 mg Paxil + 10 mg Elatrolet and called me in 1.5 mos. I’m scared I don’t want a rerun of my uncontrollable old depressed moods. I suddenly feel scared, sad, shivery, depressed about nothing in particular. I was with family a few days ago having a relaxed time I suddenly felt the need to run away from there, just leave & lay under the covers. I could not do that.
Also I get very nervous if my husband or 23 yr old son worry or don’t feel good as they are my only support. I’m here only for the two of them.
Why is this happening, I was so high on the Effexor and doing OK on Paxil for 2 mos. Until last wee? If you’ve encountered something similar please advise me? Thanks so much. Good luck to you too.
I now have a sudden crave for cigarettes and can’t control it. I hate myself for giving into this crave but can't help myself, I shake all over if I can't have it. In addition, the past week I feel terrible sudden sadness and change in mood, even when I’m in a most relaxed environment.
I saw my psychiatrist yesterday, he has continued 20 mg Paxil + 10 mg Elatrolet and called me in 1.5 mos. I’m scared I don’t want a rerun of my uncontrollable old depressed moods. I suddenly feel scared, sad, shivery, depressed about nothing in particular. I was with family a few days ago having a relaxed time I suddenly felt the need to run away from there, just leave & lay under the covers. I could not do that.
Also I get very nervous if my husband or 23 yr old son worry or don’t feel good as they are my only support. I’m here only for the two of them.
Why is this happening, I was so high on the Effexor and doing OK on Paxil for 2 mos. Until last wee? If you’ve encountered something similar please advise me? Thanks so much. Good luck to you too.
Doctor's Answer
by Roger Gould, M.D., Feb 28, 2002 12:00AM
, Feb 28, 2002 12:00AM
It doesn't sound to me as if you are getting frequent enough contact and counseling from your psychiatrist. Are you just getting medication or are you getting counseling. Ask him or her to arrange for you to get either group or individual counseling so you can get to the bottom of this. Medications alone are not sufficient, and frequently there are breakthroughs of the underlying issues, just as you have described.
Also, you can call your psychiatrist again in another week rather than waiting all that time if things don't get better.
Also, you can call your psychiatrist again in another week rather than waiting all that time if things don't get better.
Member Comments (2)
by Gilad, Feb 28, 2002 12:00AM
To: Forum M.D.
I do see a therapist once a week for one and a half years. She recommended medication in addition to theraphy and I see the psychiatrist once in 2 mos. but he reviews all patients files periodically and is aware of whats happening in each case history. Thanks for taking the time to respond to me. Sarah
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