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Multiple symptoms

I am 40 years old, a first grade teacher, a mother of teenagers, and a wife. I was diagnosed with depression and adult ADD about 10 years ago. I took prosac as well as adderal which kept me stable and functioning well. For the past five years I have neglected to go to the doctor because the only psychiatrist in our area is about a 45 min drive and she does not accept insurance. I work full time and I have one child in college and another one starting in the fall and it seems that I am so overwhelmed by the time the day is over I just want to sleep. My symptoms are getting worse and seem to be multiplying. Now I have a great deal of anxiety (I am sure is caused from ADD and not getting thing done) I am sad all of the time, there is no joy in my life, I am always on the verge of crying. I want to be alone, and I get irritaded if I have to spend a whole day with no alone time. My children, my husband and most everyone stresses me out. The only time I have peace is when I am alone. I cry alot, I have alot of guilt because I feel this way because I love my family, but I do not enjoy time with them because the smallest crisis causes me to act irrational. I would never hurt anyone else but I feel emotionally fragile.
Do you know if there is psychiatrist that have therapy sessions online through video chat? I have medical insurance that includes mental health services.

Thank You

Hi Sherron, While I can't say

Hi Sherron,

While I can't say for sure, it sounds like you have a lot of symptoms of depression - feeling tired, wanting to isolate, the lack of joy, lots of sadness and tears, the guilt, and the irritability - all of these are symptoms of depression.

You do not need to see a psychiatrist for therapy - in fact, I would recommend a psychologist or clinical social worker for that instead. I don't know for sure, but I doubt your insurance would cover someone who does therapy online. I personally would not recommend online therapy, because there are subtle nuances of therapy that make face to face sessions much better and more effective.

I hope this helps and I wish you the best!

Dr. Lane


Thank you Dr. Lane, I appreciate your advice. I know there are psychologist that are closer in my area that will accept my insurance but can depression be treated effectivly without antidepressants? I know that I would benifit greatly from therapy but since depression is a chemical imbalance is it possible to get relief from the symptoms without medication?
I honesty dont care much about myself at this point, but I realize my issues effect my son who is eighteen and my daughter who is twenty. Even though they are older, they still depend on me for love and support and I really want to help my children as long as they need me.
Thank you so much for helping me and my family.

You're very welcome. As for

You're very welcome. As for your question regarding treating depression without antidepressants. In a nutshell, yes, but it depends on several factors.

Prozac seemed to help you in the past. But, you stopped taking it and in time, your depression returned. When you were diagnosed with depression and ADD 10 years ago, was medication the only treatment? Or did you have therapy as well?

My professional opinion is that most disorders should not be treated with medication alone. I'm a firm believer that the appropriate type of psychotherapy be part of the treatment process, with medication as an adjunct treatment only if needed - especially for depression and anxiety.

In many cases of depression and anxiety (and other disorders as well) medication isn't always necessary. It depends on the severity of symptoms. Many people, if they are willing to do the work, can learn to manage their symptoms and often reduct them significantly with appropriate psychotherapy.

Medication treats the symptoms, but doesn't address the underlying issue. Most people who battle depression and anxiety have deeply ingrained irrational thought patterns and beliefs that play a significant role in their disorder. Medication will not change those. That's why symptoms often return when medication is discontinued.

Without knowing a lot more about you, your symptoms, and your history, I certainly cannot say whether or not psychotherapy alone will help you. Part of it also depends on your willingness to do the work. Psychotherapy is much more than just talking to someone about your feelings. Without actually taking action and actively working on changing patterns of thoughts and behaviors it is rarely effective.

If you have the resources, I suggest you find a good therapist to work with. Cognitive behavioral therapy (CBT) is one of the best types of therapy for depression and anxiety, so if you can find someone who practices CBT (and has a lot of experience as well) that would be a good option. You can call a few therapists and ask them what type of therapy they practice. There are other types of therapy that also work, but CBT is one of the best for depression.

If you like to read, a book that has been around for years but still one of the best is "Feeling Good - the New Mood Therapy" by Dr. David Burns. His book is based on the priniciples of cognitive behavioral therapy and is very helpful for people battling depression who are willing to do the work to bring about change in their lives. I highly recommend it. But, just like therapy, you actually have to apply the priniciples for change to occur.

I hope this helps and I wish you the best!

Dr. Lane

Upon being diagnosed 10 years

Upon being diagnosed 10 years ago I was given medication without therapy. I know I need skills that will show me new ways of dealing with all of these intense negative emotions and this crushing sadness I am feeling right now. I am willing to do the work, but finaces are limited due to both children being in college, but I am going to purchase and read the book that you suggested.

Thanks again

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