What Happened To Me? (In The Netherlands)
QUESTION:
Hello, Doctor Heller,
Here's a question from The Netherlands (Europe). In September last year I slipped into a depression after quite a hard year which involved moving house and getting a new job. For me it has been quite hard overcoming this depression. In my opinion mainly because at my work my illness has not been taken seriously, and problems at work continued (also because I thought I had overcome the illness and apparently overstepped my boundaries) I slipped back into the depression.
This is what happened when I was back at work after a couple of weeks after taking an anti-depressant (seroxat, in your country also known as Paxil. All over sudden I became extra sensitive of (in my opinion) other people's worries. It was although I could see how hard live was on others. This felt as a burden on me, I felt as if hardly anyone in my environment was happy, including myself. Apart from the seroxat I also was on stilnoct to get some sleep. Stilnoct, I was told, was a light sedative to help me to sleep. With the help from Dutch internet I later found out it is really a strong sedative, not suitable for people taking seroxat.
After almost two weeks of experiencing oversensibility for 'other peoples negative feelings', and because of a heavy workload at the time, I lost two whole days. I went to bed on a Wednesday night, to awake on a Friday night. This scared the hell out of me. On top of being scared like this I found a letter from the company I work for telling me I was very wrong not to notice them not being at work. This gave me another shock. These events made my company doctor decide to sent me to a specialist.
My question for you: do you know anything about the combination of the medication I took (seroxat(paxil) and stilnoct), and do you know of events of patients of yours like the one I told you about above (for all I know I slept for two whole days). I'm grateful for your answer.
ANSWER:
The screening test I use for my patients may be of enormous assistance to you. The generalized anxiety (GAD) and what I refer to as "fractured enjoyment" may be present. Paxil will make the generalized anxiety disorder significantly worse because Paxil (and other SSRI's) raise the serotonin levels, and in the genetic GAD, serotonin's one and two are already high. This makes the already worrying individual extremely anxious, worsening all the other things that could be wrong.
The most significant GAD symptom to me is that "the mind never shuts off and never has." That screening test will give you lots of information about where to go from here. These diagnoses are present throughout the world. Clearly some things are wrong or you would not be having problems right now.
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