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Mental Health (Expert Forum)
Early Morning Anxiety
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.
Early Morning Anxiety
by Shannon Wyatt, Aug 25, 2007 11:32AM
I have recently fallen into a bout of anxiety -- this is my 2nd major bout -- the 1st occured 5 years ago. Everything seems to be progressing nicely this time around -- as compared to last time -- except for one major issue. Every morning (like clockwork) I wake up with a trembling/shaking of my body. This always happens one to two hours before my alarm clock is supposed to go off. I have no problem falling asleep at all. But every morning I awake to these tremblings/shakings -- that mimic a panic attack -- because I also experience rapid heartbeat and sweaty palms/feet. I have to do deep breathing and muscle relaxtion to get myself right -- and even then I'm shaking during the day. What do you think this is? I'm taking 40mg Celexa and no benzos. I used to take the Celexa in the morning, but take it at night now -- thinking the change would change my early morning shakings. This has not changed anything. I know tremors is a side effect of Celexa -- but I'm been on Celexa for 2 months now. All of the other side effects have gone away. But I still have these tremors/shakings/tremblings. Do you think 40mg is too much and I should cut back to 20mg? Your thoughts please as this is VERY frustrating -- as it happens every singe morning. Thanks!
Doctor's Answer
by Roger Gould, M.D., Aug 25, 2007 03:35PM
, Aug 25, 2007 03:35PMTo: Shannon
The shaking may be an anxiety break through, which would suggest you increase the dose; or a side effect of the medication. The best way to find out is to experiment by reducing the dose and see what happens, but this should be done under medical supervision.
