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Zee J
Zee J,
Category: Mental Health
Satisfied Customers: 473
Experience:  Expert
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I have had anxiety which turns into depression for 12 years.

Customer Question

I have had anxiety which turns into depression for 12 years. I am currently on Citalopram but in times of overload it doesn't seem to work and the symptoms I get are horrendous. Can't sleep, can't eat, feel sick, dry mouth, tight chest, neck and scalp. I would like to know if 1. Do you know of any treatment I could try, and 2. What other medication I could take with Citalopram to improve the effectiveness. Thank you.
Submitted: 14 days ago.
Category: Mental Health
Expert:  Zee J replied 14 days ago.

Hello and thanks for your question. I’d be pleased to assist you. Kindly answer following questions for further advice:

Age? Male or female?

Past medical history?

Any other medicines using?

Customer: replied 14 days ago.
Age: 32
Only Citalopram been used in the past. Anxiety and Depression due to a combination of work stress, losing a family member. This time is similiar but also an 11 year relationship break down.No other medicines used.Thank you.
Customer: replied 14 days ago.
Male
Expert:  Zee J replied 14 days ago.

Thanks for the information

Expert:  Zee J replied 14 days ago.

I would suggest augmentation

Expert:  Zee J replied 14 days ago.

For patients with mild to moderate depression who are treatment resistant and receiving augmentation with pharmacotherapy, several options are available. The most widely studied drugs include:


  1. Second-generation antipsychotics

  2. Lithium

  3. Second antidepressant from a different class

  4. Thyroid hormone

Expert:  Zee J replied 14 days ago.

Plus Psychological support would also give additional benefit

Expert:  Zee J replied 14 days ago.

Please do let me know if you have any further questions in future I would be happy to answer

Best of luck