Thank you all for responding to my last post. Okay, I've already picked up the medication from the p…

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Thank you all for responding to my last post. Okay, I've already picked up the medication from the pharmacy, but I haven't decided yet whether to take it or not. Honestly, I'm really scared. First, concentration and driving. I spend five hours a day driving. A sudden lapse in concentration is not typical for me at all (and definitely not now). It's already hard for me to focus on my tasks, and now this medication on top of it. I could tolerate stomach pain and nausea as side effects, but I'm terrified of having an accident and my performance dropping (which is the source of my stress). Second, weight. After I started counting calories, I developed binge eating disorder (BED) and gained 5 kg in 6 weeks. It doesn't visually affect me much, but it's there. There's a chance the medication will increase my appetite. My appearance is very important to me, and gaining weight now could send me into depression (I'm currently dealing with general anxiety). Third, I looked at other people's stories and realized that my problems are a drop in the ocean compared to their triggers for taking antidepressants. I feel like a fraud next to them. And this creates another problem - I can't allow myself to relax and make mistakes. Moreover, I perceive my condition as "laziness and procrastination" (thanks to Anya for articulating that thought). Although deep down I know it's not true. But I can't admit it to myself. Thanks to my parents for my upbringing (well, that's a problem for my whole generation, I haven't been able to unlearn it completely). Fourth, my therapist referred me to a psychotherapist. In addition to binge eating, I've developed shortness of breath, nosebleeds in the morning, waking up at 3-4 AM and being unable to fall back asleep (I wake up thinking about studies, repeating material in my head). My concentration has dropped. I've "treated" all this with a therapist individually, but my psychologist said it's the body's reaction to stress. Although I don't feel any particular stress. On the contrary, I'm quite happy, with only minor worries in my opinion. I understand that side effects aren't possible for everyone, everything is individual. But I really don't want to make the situation worse. I'm scared. I don't even know why I'm writing. Obviously, no one can decide for me whether to take it or not, but I'm leaning towards not taking it. And my psychologist says the next stage is panic attacks and neurosis. I've never dealt with this before, and this whole situation seems unreal, like it's not happening to me. Maybe I should just gather my willpower and pull myself out of this state? Hormones are all normal. Everything is absolutely normal. Thanks for reading.
It crept up on me 😂 I wake up and fall asleep thinking about bones 🤦️ I wasn't ready for this inte…
Comments
Gulya
If your cortisol is normal, I wouldn't take anything. I also didn't lower my cortisol with medication, I don't think this is the case. It's better to learn to control yourself than to rely on drugs 😵💫 but this is just my personal opinion, I'm not giving advice as I'm not a doctor 🤪
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Kristina
I'm not familiar with this, but I hope everything goes well for you.
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Marishka
Gulya This isn't something I can control. This stress is at a subconscious level with physiological manifestations. I don't feel it, I have no reason to be nervous, and I understand intellectually that there's no real cause for concern. But my body reacts this way. I knew it would be hard, but I didn't expect it to be THIS hard and this fast.
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Marishka
Kristina Thank you. Until yesterday, I wasn't in the loop either 🙈
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Svetlana TortyNaZakaz
What about taking magnesium glycinate? It also helps normalize sleep
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Marishka
Svetlana TortyNaZakaz Drinking for a long time
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Gulya
Gulya If I have doubts, I get a second opinion. I don't know if that's possible for you... If not, just follow your doctor's recommendations.
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Marishka
Gulya A second opinion will say the same thing, but the verdict will be 'you decide'.
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TaTa
I'm also for not drinking. Maybe for someone else the situation would worsen, but I don't think so for you. You're physically strong and everything will be fine. It's just stress and tiredness.
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Gulya
Gulya For me, 'decide for yourself' means it's optional. It's not a situation where the recommendation is strict. If even the doctor can't say for sure, then I guess you have to figure it out yourself. Flip a coin 🤪
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Katya
You should start with half a dose, and on Friday when you have two days off so your body can get used to it, then you can increase the dosage. Even half a dose was too much for my husband, he slept all day, so I reduced it to 1/4 of the minimum dose. It's best not to drive for the first two weeks.
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Marishka
Gulya This is how we say it here, to shirk responsibility. For absolutely any issue.
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Marishka
TaTa I'm thinking of not drinking either. I'm afraid I won't make it to university, miss the lecture, or won't absorb the material... and that will just bury me deeper.
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Marishka
Katya I was told to take a pill right away. And my weekends are not weekends.
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Gulya
Gulya Then drink up. If there's a problem, it needs to be solved. You say you can't do it yourself. Someone studied for many years to help.
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Katya
Katya I'm telling you from experience, 100% of a whole pill will be bad for you, and take the weekend off.
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TaTa
TaTa Lower the importance of these tasks for yourself to reduce anxiety.
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Gulya
Gulya So interesting. Ugh, I don't know. I wouldn't drink it 😕
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Marishka
Katya Thank you
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Marishka
TaTa Do you think I want to be in this state? 😁
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Marishka
Gulya I don't think so either.
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Suhareva Olga
Definitely do not start with the full dose. Start with 1/4.
They tried to put me on antidepressants, but even with 1/3, I was completely out of it and begging for it to stop.
And 1.2 of Atarax makes me feel sick. That's just how my body reacts, if I took a whole one, I'd probably die.
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Marishka
Suhareva Olga I was prescribed a whole one right away.

What was your "rollback" like?
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TaTa
TaTa No) just think about the possibility that you might be wrong about what's important to you. It might turn out that you're not in control of your life at all, and it's just chance, for example.
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Marishka
TaTa What should I give up? I'm giving up this state, but it exists.
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Alaguzova Mariya
I agree with the psychologist
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Marishka
Alaguzova Mariya Me too. But I don't want to take it, I'm scared.
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TaTa
TaTa I was writing to be there)
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sofia namgaladze
Why Sertraline right away, and not Cipralex?
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Marina
Sertraline doesn't affect attention at all. Not even a little. I took it for 2 years and was constantly driving.
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Marishka
TaTa I'm already skipping letters 😂
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Marishka
sofia namgaladze No idea. I'm only 2 days into this topic.
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Marina
Suhareva Olga Sertraline is prescribed at 1/3 dosage and taken under the cover of another medication, with doses increasing every 3 days.
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Marishka
Marina It varies for everyone. You're lucky.
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sofia namgaladze
Katya Weird, I was actually on AD from 1/4
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Marishka
Katya I was prescribed a pill right away. I remember how I was shaking from the low ferritin and vitamin D levels 🤦️
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sofia namgaladze
sofia namgaladze My main criterion was the steering wheel, and they told me Cipralex was better in this regard. It really doesn't cause drowsiness.
As for whether to take it or not, you need to soberly assess yourself and your condition. I thought for a year that I would get out of this state, but alas, everything got much worse. Panic attacks 2-3 times a night, incredible non-stop anxiety, I stopped sleeping. And a whole bunch of other things, I probably should have started taking it right away instead of waiting for a miracle.
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sofia namgaladze
Katya You'll be a sleepyhead for a whole week, then half a week, then a whole week, and usually they'll give you anti-anxiety meds to help you through it.
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Marishka
sofia namgaladze Well, that's roughly what my psychologist told me. But I'll try on my own.

And what's bothering your aunt? Is it your mom?
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Marina
Marina My psychiatrist also told me it doesn't affect concentration
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Alaguzova Mariya
Alaguzova Mariya Let's think this through. You're having trouble concentrating and you're afraid of "sleeping through" important events. Poor concentration is due to poor sleep. You're active, your nutrition is fine, your hormones are balanced, and you're working with a psychologist. This suggests your mental health issues have manifested physically, and medication might be necessary. Taking antidepressants should help you sleep better and improve concentration (in theory). However, as the other girls have already suggested, you should take a couple of days off.
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Marishka
Alaguzova Mariya Natasha, I didn't go on vacation with my husband and kids because I have lectures. I get 6 weeks of vacation per year. I work on weekends. I won't have a proper vacation for the next 2 years because I have a lot to learn even during my breaks. It's unrealistic. I've accepted it. I need to develop a strategy for priorities and let some things go.
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sofia namgaladze
sofia namgaladze I've had a string of events, like a snowball effect. First, my husband's brother passed away, then his sister a month later. Amidst all that, we started medical check-ups, and they found a tumor on my kidney. Luckily, it was stage 1 and they operated in time. Then my mom had a strange episode, we searched for the cause, and when we found it – shock. They started chemo, and my dad passed away. After that, it was a year of stressful treatment as my mom's tumor started to progress, and my own issues flared up. My mom ended up in intensive care, and I completely lost it, having panic attack after panic attack, sleeping no more than an hour a night. My sister took me to the doctor.
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Marishka
sofia namgaladze And all of this in just a year? 😱 My girls wrote down their stress triggers yesterday, compared to you all I'm a "slacker".
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sofia namgaladze
sofia namgaladze It started in October 2024, and by October 2026, I had lost my mom.
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Suhareva Olga
Suhareva Olga Withdrawal, what do you mean? I haven't even entered the dosage yet
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Suhareva Olga
Suhareva Olga Some take 1/2, 1/3, others 1/4.
I've generally known cases of AD to start with 1/4.

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Alaguzova Mariya
Alaguzova Mariya As you know. I hope everything works out for you 🤗
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Marishka
Alaguzova Mariya Should. Thank you
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Marishka
Suhareva Olga Horrible 😱 what people go through 😢
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Kristina Krasnova
My weight either dropped or stayed the same on Sertraline.
I didn't experience any decrease in concentration; on the contrary, I started feeling completely calm while driving and not getting worked up over little things.
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Marishka
I'm so scared.
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Guzel Hasanova
In Russia, find a good doctor who will be available to you online and can listen to you. And, after all, they won't tie you to the pills; these particular ones might not suit you, and the doctor themselves might tell you to stop taking them. Think of it as an experiment. In any case, you can stop taking them yourself at any time.
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Marishka
Thank you
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