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Mental Health (Expert Forum)
me or the meds??
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.
me or the meds??
by blondie337, Nov 09, 2009 03:28PM
hi, would like some advice please i have been taken citalopram 20mg for bout 10 weeks now for anxiety and shaky hands and legs, the tablets have helped slightley with anxitey but not for the shakes, also my mood has been weird ppl say i am more hyper at times and ova the top but i dnt relise this, also one minute im happy then the next minute im crying, and the shakes in my hands are bad i make drinks somtimes and i cant make it as am shaking to much,wen i go to sleep i see flashing lights wen i close my eyes and during the day i see black dots sometimes. and always very tired, is this me or the tablets?
Doctor's Answer
by Roger Gould, M.D., Nov 11, 2009 01:03PM
, Nov 11, 2009 01:03PMTo: blondie
It is very difficult to sort out which is anxiety and which symptoms are from medication when you start out with anxiety symptoms. But in either case, you have reason to believe that the medication is not helping enough, and you may need either an increase in dose or another medication, so talk to your doctor about making these kind of changes.
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To me it sounds as though the shaking is part of the anxiety component of your disorder. It sounds like it was there prior to taking the med (so is not a result of the med).
I'm not sure about the mood swings. I don't know if they would be because your mood issues are resolving or you have been misdiagnosed or because of the med.
The fatigue could be related to your issues. Anxiety can make anyone exhausted.
I'm not sure about the flashing lights. The black dots are likely to be floaters and is possibly a separate issue. You could look up old posts on the eye health expert forum. The experts there answer lots of questions about black dots and lines, etc.
The pain in your neck may be due to your stress levels which cause your muscles to tense up and become sore.
I would discuss your concerns with your doctor. I don't know if your symptoms are indications for a dose increase or a change in med.
Are up in therapy? That may help you to better manage your anxiety and also understand why it is there.
Sorry I haven't be much help. I would follow up with your doctor.