PDA

View Full Version : Morning Anxiety/Depression help



WembleyBear
11-03-13, 12:27
Hi everyone

I'm suffering from severe early morning anxiety at the moment, I wake about 5am (an hour and a half before I need to get up) with what I can only describe as the 'jitters'. I feel full of dread for the day and restless, agitated even though I'm attempting to lie still. It's only come on in the last couple of weeks and I know there's negative thinking involved, but no amount of trying to think rationally, go with it or deep breathing makes any difference. It gets better as the day progresses and I can go home, and by early evening I feel normal and like I can take on the world. But the next morning it's like my brain just resets, and this continual cycle of rapid mood swinging is exhausting me.

I have a new job after being made redundant and it's only part-time but I have convinced myself that it's not working out and they'll probably sack me soon for under-performance. After a year of waiting to hear about my last job, I was relieved to go in the end. Now I have loads of stress about my new work! My current situation is: live with partner, am treasurer for our local (very busy) village hall, work 3 days a week at main job, studying 2 modules for my degree with Open University, and volunteer one day a week in a local primary school (I'd like to do teacher training once I complete my degree - it's a happy part of my week, but wondering if my nerves could stand the pace of being a teacher :-( if way I feel at moment is anything to go by). My father has been in and out of hospital 25 miles away - 20 weeks out of the last year in total and I travel twice a week to visit him. I also have hypermobility syndrome (causing pain in my neck joints) and IBS-C. I also have bad guilt around my sexuality as although I've accepted it, I grew up in a very religious family and they don't - they just ignore it (and my partner most of the time). Any attempts at addressing it in conversation are ignored or brushed off.

I am currently on Amitryptiline 50mg at night, which my doctor switched me to from Dosulepin 75mg (this had suited me very well and kept the anxiety at bay), and this does not seem to have as good an effect on anxiety and makes me groggy in the mornings if I take it too late in the evening. I have previously tried Cipramil (horrid side effects, anxiety much worse), Dutonin (good but drug was withdrawn), Lustral/Sertraline (much worse anxiety), Prozac (no effect), Paroxetine (mood fell through floor on this one, felt almost suicidal), Fluanxol (gave me inability to remain still, hilarious and frightening at the same time!)

There is 8 month wait to see counsellor on NHS where I live, saw a CBT counsellor privately but could only manage 3 sessions as it cost £80 a session!

Sorry for the enormous missive, but I'm really not sure where to turn at the moment or what to do next but I'm going to the GP on Thursday this week and wanted some kind of plan as they all seem a bit reluctant to help at my surgery (probably fed up with me going in - I'm sure they think I'm hypochondriac).

So, two questions after all that background:

1) Can anyone recommend any drug still available that might be of use to me? I don't seem able to take the SSRI/SNRI type and I can't afford not to go to work because of the side-effects.
2) Can anyone recommend a recorded Progressive Muscle Relaxation track that I can buy/download? I've had good results from this in the past, but if I try to do it unguided, my mind wanders terribly and it takes me ages to do! I'm looking for something 15-20 minutes in length so I can do it twice a day, with some soothing music in the background. There seem to be plenty of guided imagery/meditation tracks available but they don't do it so much for me. I found a few PMR tracks on older (pre-2008) threads on here but they mostly had annoying background sounds or were too long (> 25 mins).

If you've made it this far through my waffle, I hope you won't think I terribly self-absorbed, really want to sort this all out so I can enjoy my life again and make others happy too and stop feeling so useless.
All comments appreciated!

Martyn

Izzie2494
11-03-13, 12:37
Sorry to hear you are struggling, propranolol might been of use to you, I am on 10mg, it slows your heart rate down and stops the physical anxiety symptoms such as shaking etc. I find it very helpful! x

HoneyLove
11-03-13, 13:24
WembleyBear - sometimes this can happen because of low blood sugar in the mornings, a significant sign is that you start to feel much better as the day goes on.

Do you eat breakfast soon after you wake up? Or do you go to bed on an empty stomach?

WembleyBear
11-03-13, 13:42
Thanks for the replies.

Actually I have tried Propanolol, and you're right it does slow you down but because I'm very tall and gangly (6 foot 8) I already suffer from cold hands and feet in all but the warmest weather and I found the capsules made my extremities even more like ice blocks!

I have wondered about the blood sugar thing too. I usually have a couple of biscuits before I go to bed, but not always. And I always eat breakfast no matter how bad I feel, mostly within an hour of getting up, but I really do wonder if I should mention it to the GP this week, especially as it seems like my symptoms 'reset' themselves early each morning.

Martyn :blush:

HoneyLove
11-03-13, 15:19
I have wondered about the blood sugar thing too. I usually have a couple of biscuits before I go to bed, but not always. And I always eat breakfast no matter how bad I feel, mostly within an hour of getting up, but I really do wonder if I should mention it to the GP this week, especially as it seems like my symptoms 'reset' themselves early each morning.

Martyn :blush:

It can be worth chatting to your GP about alright, it's always worth asking about these things :) I find when I'm anxious/stressed my blood sugars need to be looked after a bit better. I go through phases of leaving a banana on my bedside locker and eating it first thing in the morning - it gives a quick blood sugar bost before breakfast.

If your diet is full of sugary foods/drinks or processed foods it might be worth adding in some foods that will keep your blood sugars stable for longer, especially in your evening meal. Just to see if it helps you in any way.

I know that lots of people find that their anxiety symptoms are worse in the morning, me included. I'm not really certain why this is, blood sugar can definitely have an effect but it's not usually the whole story. I find that once I get up and moving, trying not to dwell on the anxiety, that you soon start to feel a good bit better.

Hope you can get to the bottom of this one soon!