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I have always managed stress well and take no medications to date. Overall I am healthy and exercise and have a spiritual life and support from family and friends. But I'm struggling to stay positive, focused and spend too much time crying. (I care for my spouse with leukemia, vascular dementia, wounds, etc). Just wondering if medication has helped anyone through this challenging time.

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Take the meds. I told my doctor I would try them for 1 year. I feel more in control by setting a time limit and then I can decide on if I want to remain on them for another year or start the withdrawal process.

Zoloft 100 mg: For me, it just takes the edge off.
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I take Xanax because my Dad passed away this past October 2023, and now I’m caring for just my mom who has always been a trigger for me. She’s a gossiper and is constantly on the phone gossiping with either her friends or my brother, sis in law, sister you name it. She tells them everything that goes on with me my kids. I talk to her about it but she just doesn’t get it, she’ll start crying that will trigger my anxiety. She over eats and is constantly on my case because she thinks I don’t eat. I told her, can we not argue about how much I have to eat to make you happy on top of everything else? It’s been so difficult since my parents moved in with me and I’m getting no hel from my brothers and sister. So Xanax and Wellbutrin has been the only thing that’s kept me sane throughout these years, in August it’ll be 5 years since they moved in. Moving my mom to a home or AL is not possible because she has no money either. She gives me 350 a month and thinks she’s helping me. She has to have cable and internet which is costing over 250. Plus I pay for her cell phone too. The money she gives me does not cover her expenses, but she tells me it’s my house so she shouldn’t have to pay my bills since the house will go to my kids some day, maybe my kids should help out? That’s so not fair! It’s a no win situation with her. She tells everyone she gives me money for bills when in all actuality they’re her bills.
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My response was for me only. I personally would not take a medication to cope, if there was an option. I realized I was not a caregiver at 65. I just could not deal with the unpredictability of Dementia. I guess I was lucky that I was able to place Mom in a nice AL and she acclimated well. So, for others, if there is no option then I guess finding the right med would be a good thing.
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Hubby having the nerve to wag his finger at his overworked wife is a real prize. Good for you to rid yourself of him!

At This point, I personally choose not to medicate myself to manage the stresses of caregiving. I admit I’m really struggling and have reached out to counseling. It rubs me the wrong way that I use meds then the situation is tremendously lopsided for me to bear all the burden. My current goals (and actions) are to address the demands that are causing the stress. It’s a work in progress, I may or may not succeed but that’s where I am today. Tomorrow may be different. My admiration and respect to all of us in this journey. It is a hellish road.
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I'm about ready to or at least anxiety agents and sleep aids.
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I use gummies to sleep at least once/week. I do the exercise meditation etc stuff too, but sometimes my mind just won’t shut it. It’s such a relief to eat half a gummy and know I’ll be asleep soon
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Rogerwyatt7890 Apr 2024
What brand and kind of gummy?
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I keep passing this post because its been pretty well responded to. But I have to say, if I had to medicate to care for someone, they would be placed in appropriate care.
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lealonnie1 Apr 2024
Appropriate care is not always available. What about the people stuck doing care every day who are having a hard time coping?

Would we not take Tylenol for headaches?? Or Alka Seltzer for stomach aches? It's the same kind of comparison. We need to all ask our doctor for help when needed, is the message to be taken from this post. If medication #1 doesn't help, ask the doc to switch to another type.
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As I've mentioned probably 200x times now, I am a believer in meds for anxiety and depression. I have both conditions. In my case it's hereditary. I see a lot of misinformation on here and it bothers me, because this misinformation can stop a person from getting help they truly need. Such as....

- Taking meds for mental health issues is NOT weakness or running from a problem. Problem isn't going to go away, but meds can keep you from being swallowed whole while you're dealing with problems. Why would you want to suffer when there's an option to lessen that suffering? You're not going to win a gold medal for suffering the most. 

- Thinking happy thoughts or just changing your attitude is not going to work. Yes it helps to think positively, but all the good thoughts or prayer or whatever cannot repair chemical issues in the brain. If you had diabetes, you wouldn't just wish for your pancreas to do its job. Your pancreas doesn't give two rusty nickels what mood you're in. If it can't do its job, you need to provide the help it needs. Same goes for brains. 

- Anxiety and depression aren't things you can tough out. Just slogging through it for years can kill you. Not hyperbole. 

- Times have changed. Meds aren't just for crazy people on the streets who mumble to themselves. No legit doctor wants to render their patient a drooling zombie. The goal is taking the edge off so you can function better. People think you take 'a pill' and then you're flying high, oblivious to anything bad in your life. This is just not true.
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Rogerwyatt7890 Apr 2024
Well said.
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Yes. As Alzheimer’s progresses with a loved one, so do your emotions and perhaps Hers/His as well, leading to frustrating interactions. Sometimes anxiety makes it hard to sleep and then you are even more worn out the next day. If your loved one lives at home with you, you may not have a break. Your life may make you sad/depressed alternating with anger. Often there is no escape with family or friends to help or finances do not allow for a caregiver/companion for your loved one. If you can afford help, do it. Allow yourself to go to a movie, even shopping for yourself. I suggest a support group either in person or on zoom. If need be, a psychotherapy group. But there is no reason to avoid taking a prescribed antidepressant. Lexipro is prescribed for both anxiety and depression.
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I went to community acupuncture for support and have taken courses for caregiving . I think talking to People who are in the same shoes is the best medicine - so you dont feel alone . There is a good course for Caregivers this weekend at Upaya Zen center tomorrow with Joan Halifax - I Have taken the course twice already . It is by donation . These are medical Professionals and Joan Has written about death and dying . I would suggest you get educated rather than taking a Pill .
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lealonnie1 Mar 2024
Education is no substitute for medication when it's needed!!! You can learn everything in the world about being depressed and how to "fix" it, which doesn't always fix anything!
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I'm about to find out if Lexapro (anti depressant) will help. The doctor said it takes 2-3 weeks before I notice. I've been caregiver to my 94 yr old diabetic, dementia, wheelchair bound mother for the last 5 years. I'm 64 yrs old and I never had children because I didn't want to deal with diapers. In addition to doing all the cooking and cleaning, now all I do is help her with adult diapers all day. I'm miserable and I wouldn't wish this on my worst enemy. I have 4 other sisters, but no one helps. I don't blame them cause Mom wasn't exactly "June Cleaver". Every time someone says, "what a blessing it is to still have my mother" I just want to punch them in the nose. I worked until I was laid off 5 yrs ago. Since I was older, I didn't think I was going to find a job with the salary I was making so I asked Mom if I could just stay at home (our house is paid for). That's when I decided to stay home and take care of her. It's just getting harder the older we both get. Now I'm ready to start traveling and I'm stuck caregiving until she dies. Sorry to be such a whiner but I can't say any of this out loud.
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Stelladvm Apr 2024
No, you are not alone. I share a lot of similar emotions and hate myself for it. And am in the awkward position where I would need to work more than I already am to afford to bring someone in periodically or I just do it myself. But I have so much resentment that I have been put in this position with an already very busy life (work, not fun, both my husband and I are self employed) that I am quickly accumulating unpleasant memories and behaviors I know I will regret when she is gone. Of me just not having any patience, snapping at her, rushing her, not spending ANY quality time with her, just getting tasks accomplished while being pissy. Oh, and always long silent drives to her numerous appts because I am just too done to make pleasant conversation, and honestly that is all she wants. (she is 89, has a daylight basement appt in my house and is homebound/in a chair post stroke then hip frx 2 1/2 yrs ago). I've not posted here and it feels good getting this off my chest.
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I didn't start taking them to help me be a caregiver I ended up having to take them because I became a caregiver.
I'm from a suck it up buttercup, kind of family so I long hesitated to get the help I needed. Couldn't understand why I was struggling so much with something I was supposed to be glad to do. ( Not my idea, but other family members felt I should feel priveledged and grateful to be a caregiver)
Of course I loved my sweet mom, but she needed a lot even in independent and assisted living settings. I felt horribly guilty for being so resentful, then my husband developed multiple medical issues, our marriage started to unravel and it was an absolute poopstorm.
I felt passively suicidal at times. Mainly, just hoping I would not wake up and deal with another day but the thought of having my son have to pick up all the slack motivated my a** to get some help and fill the RX.
It did help me become a more stable, calmer caregiver and less of a crying, screaming banshee at times. I was able to calm down and get perspective on things.
I used to scream in my car driving home from my mom's place or some other myriad of appointment or errands. It helped a little but not as much as therapy and medicaiton. My vocal chords are happier about it.

My mom passed away in January of this year, I took care of her for 10 years and for now I am still on it as I am working my way through all the complicated grief.
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Stelladvm Apr 2024
I read so much of me in you. Huge condolences and hugs to you as you work your way through this journey. I too know mine will be very coplicated......so much resentment and guilt over said resentment.
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The other concern is caregivers getting stressed, burned out, and not realizing it but managing with more alcohol, cigarettes etc
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Oh I am so sorry to hear you are experiencing the symptoms you've described! Whether it be depression or anticipatory grief, you can take steps to ameliorate the distress by taking medicine AND going to a mental health professional for what I call 'chair time.'

If you are resistant to the idea of having to take an antidepressant, consider this proposal: suppose I told you that tomorrow you had to walk barefoot on hot coals. Or I could give you the alternative to wear tennis shoes...at any rate you'll be walking through fire, so why wouldn't you want to use protective gear? The right antidepressant is just like those tennis shoes. I hope this helps you.

Peace to you from Alabama.
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Stelladvm Apr 2024
Vey beautifully said.
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Personally, I don't think I could function on anti depressant medication. It is worth talking to your doctor, if you think it could help you get through this time.
If you are feeling so overwhelmed, I would suggest that medication be your last resort. First, get HELP! I mean, physically caring for your spouse and taking care of the day-to day.
Also, talking with a counselor, not just family and friends, who are more likely to provide biased feedback.
Accept that it IS a Challenging time. It is sad to see our loved ones in this altered state. You are likely grieving the loss, which feels uncomfortable when the person is still living.
And the physical challenges added to our emotional stress can be a LOT to bear!
I get it. I, too, cried a couple times a week. And I still get so frustrated I yell and cry, "I can't do this anymore!"
But, I walk away for a while, and continue trying, because I would rather face the difficult challenges than to be without my husband. My role as his caregiver for the last 8 years has become my identity. I don't know what I would do without him. In our case, he suffered a stroke 9 years ago which caused considerable brain damage, resulting in some paralysis, and dementia, as well as inability to communicate or eat solid foods. But, ironically, he is remarkably strong and healthy, so at this point, he could outlive me.
I still get sad and miss the wonderful man who no longer is. It's ok to cry.
I don't know if medication will do much to change your outlook and certainly won't change the circumstances.
Best wishes to you, and feel free to message me any time you just want to talk and unload.
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OldArkie Mar 2024
CaringWifeAZ Your story could be my story! I am 84. My 86 YO wife was diagnosed with AD about 15 years ago and suffered a stroke (CVA) 6 years ago which wiped her memory away for most of her life. And she can't make new memories (15 to 30 minutes) but she knows I am her caregiver and her only contact to life. She doesn't remember we are married, or care, but, as you suggested, I will care for her as well and as long as we both can last! I am thankful she can pretty much dress and feed herself and tend to her toilet duties (I have to bathe her now and then) but as I often say, so many have it so much worse than us... I am thankful it is not worse, which I realize it eventually will be. It really gets lonely, though because effectively we are living alone! Good luck to you and yours!
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Please, yes, go to your "primary" physician, but for a referral to a doctor who is fully trained to decide if you need an anti-depressant and what to try. They have all the years of additional training to know what to try, what will not cause problems with any current meds you may be taking. Yes, like all meds, you may have to switch to something else if it isn't helping, and the "trial period" is longer than 2 weeks as someone stated. No, they don't remove sadness or the increasing bumps in the road of being a caregiver, but will support you. I have chronic depression and have taken meds for decades. Now they give me the strength in my 6th year of caring for my 91 year old husband who has dementia. I am 82. Family and visiting nurses and aides are a great support. The nurses and aides come from an organization that only deals with people who have dementia or Alzheimer's. We have the same persons who come each time - as well as a social worker - and seem like part of the family. They have also told me when it was time for my husband to go to their Respite Care for 5 days when they see I need a break, even before I do.
Never, never stop or decide on your own to change your med schedule! Call the doctor first. They have been an important part of being able to keep my husband at home. No, I don't know everything, but hopefully something here will give some help to anyone considering anti-depressants.
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hello LlamaLover!
yes, I did mean Propanolol-tried to correct but didn't do it correctly, sorry!
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Llamalover47 Mar 2024
AddieD: I thought I would mention it as I take Propranolol as a migraine prophylactic drug. You're welcome.
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We are all struggling as caregivers.
I believe anti depressants are good for those who are clinically depressed.
However, there is a difference between being sad and being depressed. How can a person seeing somebody deteriorate not feel sad?
I know sadness overwhelms me from time to time, but overall I remain optimistic.
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strugglinson Mar 2024
VEry good point from Evamar. If one is clinically depressed, antidepressants are needed
but regardless, caring for the dying is sad at the minimum, plus can generate a bunch of other emotions. And its stressful. No guarantees that an antidepressant will take away all that...
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Initially my Dr. gave me Propranolol. It helped a little with anxiety and high blood pressure as needed. We live in a state where Medical MJ is legal. My Propranolol RX helped me qualify for the Medical MJ card. I use it mostly at night. I had trouble getting to sleep, staying asleep, and waking from anxiety nightmares. The Medical MJ helps get me to sleep and get back to sleep after waking from bad dreams. I have 2 sisters that help as little as possible but love to tell me how I can do things better/different.
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Ive been on an anti depression medication for years. I think I need something stronger at this point. My anxiety and depression are off the chain.
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I sure do! If it weren't for venlafaxine and buspirone I'd have not made it this long. No shame in a bit of help.
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You are dealing with a lot of difficult situations simultaneously. It is natural to feel grief or "loss" or overwhelming stress with just one of the life events you listed. I would advise meeting with a psychiatrist that also embraces or can incorporate your belief practices. You need some help with dealing with your overwhelming stress symptoms - that is what a psychiatrist is helpful for. I have friends of my faith community that need antidepressants or other psychoactive medications to live normal lives. You also may need some help with developing new coping skills that are compatible with your faith. I would also suggest reaching out to friends, family, members of your faith community... who are willing to help you. These dear ones could help lighten your caregiving load or help with other tasks (laundry, housekeeping, yardwork, groceries, errands...). Most of these people want to help but do not know what you need. In the words of my faith, "Ask and it will be given to you. Seek and you will find. Knock and the door will be opened to you." Praying you find peace, rest and comfort during this trying period of your life.
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Tmmelody: Ask your physician for assistance/script.
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Yes, I take an anti-depressant: escitalopram 10-20 mg.
It does take the edge off of getting TOO involved.
Also, I find that yoga and especially, tai chi, calm and "smooth"
my energy.
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Yes, but you might have to go through a few to find out what works for you and your chemistry. I find that Propanol has worked well for me-it nips that "fight or flight" feeling in the bud long enough to give me patience to deal with Dad- it also alleviates the (what feels like) choke-hold that stress can cause.
If you can, you might consider going through a Psychiatric Nurse Practitioner or Psychiatrist. Also, it does help to talk about what you are going through with, at the very least, a family councilor for validation of your feelings and some relaxation techniques. You will know if you are a good fit on the first visit.

good luck!
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Llamalover47 Mar 2024
AddieD: Are you referring to Propranolol?
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I do. It was just all too much for me to handle emotionally. There’s no shame in it. We all need to do what we need to do to be there for and honor those we love
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OMG Yes!

Caregiver is so very stressful on so many different levels. I started a low dose of an antidepressant (Citalapram sp?) almost 2 yrs ago and I just asked the Dr to up my dose…which is still rather low, but I found myself getting “weepier”. I never thought I had a problem managing stress, but the antidepressant really does make a difference. FYI most take a while to work, and some people have to try different rxs before they find one that helps.

if you feel you may need something to help with stress, please discuss it with your Dr.
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I am on antidepressants myself but in combination with regular appointments with my psychiatrist. Talking with her helps me keep a realistic view and she also gives me the unbiased support that no one else can. She has a good insight into my needs and also knowledge of which meds can help me the most. Recently she put me on an anti anxiety med as well to help me through a particularly rough time. Personally I feel more comfortable having someone monitoring how I am doing and with the knowledge of my situation to make those tweaks when needed.
Antidepressants can be a life saver when you are going through difficult times. I know they also really helped my mother deal with the loss of abilities and such that she faces with her age. They helped me get her off the couch all day and encourage her to get out to interact with the world at least a little.
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The person I might be a caregiver for is always re-evaluated and meds checked before I would ever consider meds for myself.

Really, I am serious.

If my behavior changes, I first consider if there is a bladder or yeast infection, and medicate that. It is common for a yeast infection to cause tears.

There is no shame in taking psychiatric meds when needed.
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Yes. I had already been taking Zoloft for many years. My doctor increased my dosage and I asked for medication for my anxiety so she added Atavan. I try not to take it too often but it really helps me. I also speak to a therapist.
Good luck!
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