This is Dr. David
what medications have you been prescribed that you have stopped taking?
you have tried citalopram?
it can take citalopram 4-8 weeks to start working.
if you stopped it too early, you might not have given yourself enough time on it.
I understand the need to take them for extended periods, but literally I cannot change my thinking and I will just stop.
it sounds like you need to be seeing a doctor or a psychotherapist more frequently.
you should ask your doctor to set you up for psychotherapy counseling sessions,
possibly once or multiple times a week.
while you are taking your medication
would you be willing to see a therapist?
Yes very much, I keep getting told CBT is good but I don't know what this means
cognitive behavioral therapy
is therapy which helps give you skills to cope with excessive anxiety
a psychotherapist can help teach you these techniques.
you have to ask your GP to set you up with a therapist.
for counseling sessions.
I have difficulty in asking for help becuase I don't know what exactly is going on with me,
It is only recently that I have become anxious..
ask your GP to tell you what diagnosis you have.
you could have generalized anxiety disorder
sometimes I can be eurphoric..
or a mood disorder
or bipoloar illness.
they seem reluctant to give any diagnosis.
you might need to see a psychiatrist specialist for diagnosis.
I would ask to be referred to see a psychiatrist for proper diagnosis.
..I want to do that, but I become very disorganized and fixate on external problems (housing work etc)
do you have any other questions?
you have to see a psychiatrist.
In my medical records there was mentioned that I might be 'schizoid cyclyothemic' when I was 21...
I am now 35 and no one has mentioned since seeing them again.
schizophrenia is when you can loose touch with reality.
cyclothermic means you can have mood swings up and down.
you should see a psychiatrist now and see if this diagnosis still applies to you
and if your medications like citalopram when taken regularly can help .
cyclothymic is a milder version of bipolar illness.
but only seeing a psychiatrist will be able to assess if you have bipolar illness or cyclothymia.
does this make sense?
I will be back in a moment.
let me know if you have other questions.
Yes, did you say I should see a pyschiatrist on a number of occasions?
yes, you should see a psychiatrist as soon as possible.
your GP can refer you to see a psychiatrist.
Ok thank you. Is there anything I can do in the meantime, such as homeopathic or dietry things to help reduce any episodes?
..or food supplements that can help sleep.
I would start to take your citalopram medication like your doctor prescribed to you.
boiled milk can help sleep.
and use the nitrazepam to help sleep
also avoiding caffeine
and exercising regularly daily can help sleep.
do you exercise?
best of luck to you
let me know if you have other questions
I used to regularly, I tried to keep up with running, but my energy levels have become so depleted I find it difficult to keep the routine. Thank you.
I hope your energy levels get better.