Posted by Viridis on October 23, 2003, at 2:00:10
In reply to Agitated depression; anxiety bad in morning, posted by dannen on October 21, 2003, at 21:32:22
That's a pretty common pattern, and I've been there many times (bad mornings, improvement through the day). If you possibly can, I'd try to get the anxiety under control with a benzo -- Klonopin was best for me (Xanax is good too, but doesn't last as long, is harder to get prescribed, and may cause more tolerance issues).
For me, managing the anxiety was essential to further treatment. I can't tolerate SSRIs (Prozac, Zoloft, etc.) and Wellbutrin is even worse. Strattera (which I take for ADD) actually seems helpful as an antidepressant without the anxiety, and might be worth a try. But for the short term, at least, a benzo seems the logical treatment and might make the transition to an appropriate AD much easier, especially given the time it takes most ADs to induce a response.
The agitation you're experiencing is not healthy for your mind or your body, and if your doctor won't prescribe something that provides rapid relief, I'd look for another doctor.
poster:Viridis
thread:271647
URL: http://www.dr-bob.org/babble/20031021/msgs/272165.html