My Antidepressants Haven’t Been Working

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From the U.S.: I’m a freshmen in college. I began taking Celexa, 20mg about 5 months ago. Right when I began taking them, I felt amazing. I was able to go back to the gym, go out with my friends, everything. That lasted about two weeks.

I am now back to how I used to feel. It’s extremely hard to leave my bed, my roommate yells at me for being so tired all of the time and wanting to be in bed, and my friends get mad at me for staying in on the weekends because I can’t get myself to go out.

I see my school’s therapist once a week, but I feel like I need to talk to a professional psychiatrist to help me cope with my feelings and ultimately make my depression easier to handle. I am extremely tired of feeling like this on a daily basis and I feel even more hopeless than I did before because the one thing I was counting on isn’t making me feel any better. Any suggestions?

A: Thank you for writing. I hope you are talking with your therapist about how you are feeling and I hope your therapist is conferring with your psychiatrist. Managing depression well requires a solid coordination of care. If the two of them have not been talking to each other, I suggest you make a follow up appointment with the psychiatrist who prescribed your medicine and sign releases of information so that the two of them can be in regular communication.

The good news is that Celexa is only one of a number of medications that can be helpful. It’s not at all unusual for people with depression to need to try more than one before they find the medication that is most effective for them.

Please don’t be discouraged. You did the right thing to seek treatment. You are doing the right thing to question whether you are getting enough care. Do talk with your therapist to determine the best next step.

I wish you well.
Dr. Marie

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