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How to deal with MDD, anxiety, and post op



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I have a history of Major Depressive Disorder and Anxiety. Even with the stress of pregnancy, and losing my daughter to foster care, and years of relationship issues with her father, I have still managed to deal with life without being hospitalized or put back on medicine. Post op - I feel my world spiraling again. My insurance in NJ doesn't cover psych - so I would have to go to a hospital and do the outpatient interviews. My PCP is booked for a while, and my surgeon thought cracking jokes about him not practicing psychiatry in this country would go over well. I don't want to battle the meds that cause me to gain weight again - hence why I had the surgery to begin with. Anyone who went through or is still going through this that can shed some light and advise me where to turn or how to handle this?

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It sounds like you have identified some options for yourself... going to to the hospital and having outpatient interviews, or waiting for an appointment with your PCP. These may not be your first or favorite choices, but I suggest you get both of those things going until you can figure out something better. As a psychiatric social worker, I can tell you that early intervention is the best thing for both Depression and Anxiety. Also, as for the weight gain that comes with some antidepressants, not all are created equal... talk with your whoever you end up seeing when you have your appointment and discuss this concern. There are lots of meds on the market that do not have this side effect. A good one right now that many people have lots of success with is Pristiq. In the mean time while you're waiting for your appointment (which I'm hoping you will schedule today especially since you've already identified might be a wait), please do some self-care and be gentle with yourself. You're just recovering from surgery. You're body and mind are in transition and that's no small adjustment. Allow yourself some grace. It's okay to feel overwhelmed at times, worried, frustrated, uncertain, however you feel. I'm so glad you reached out here. Keep talking to others! :)

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I have MDD and anxiety and it is really hard because i realized I self medicated with food so much. I'm not on any meds but to be honest if i feel bad i go to the gym. It gets my mind off of things and makes me feel something other than depressed or anxious. That may not be for you but try to find something just to keep you going so you don't fall into a depression.

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Ask yourself as they will at the hospital, "do you feel like harming yourself or others?"

If you're spiraling towards or at the yes of that question then get to the hospital. Beginning and tweaking the right meds suck but If it's between meds or worse case scenario...take the meds.

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Btw, I've taken seroquel for many years. NOTORIOUS weight gainer. I think I put on 60 lbs the first 3 months I was on it. Imo I used it as an excuse to eat. Now post op I realize it's purpose for ME, to help with insomnia. I'm on 400 mg and have lost 124 in 53 weeks.

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Thanks everyone. I have an appt w my pcp so I'm hoping he can prescribe me something. I gained about 50lbs being on meds for a year. Then i would drink or smoke cigarettes to get my nerves in check. Now i have none of the above and the stress has not gotten easier or gone away... I'm not to the point of hurting myself or others- but i can't take the always crying and wanting to stay in bed feeling. When I'm ready to quit my job and turn off everyone around me, it's been my cue over the years to get help

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Thanks everyone. I have an appt w my pcp so I'm hoping he can prescribe me something. I gained about 50lbs being on meds for a year. Then i would drink or smoke cigarettes to get my nerves in check. Now i have none of the above and the stress has not gotten easier or gone away... I'm not to the point of hurting myself or others- but i can't take the always crying and wanting to stay in bed feeling. When I'm ready to quit my job and turn off everyone around me, it's been my cue over the years to get help

You're being proactive. I admire that. It's very tough when things get so monotone, I'm glad you recognize what you need.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. LeighaTR

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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