Twenty Two Years And Counting.
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I do have experience of taking this medication and i think i was on 20mg. You could see the doctor asking about uping the dosage but he/she will want to know the reasons for doing this. I wont ask the particulars of how you feel etc. Anyway just wondering if you have access to counselling etc of some sort? Medication should always be used in conjunction with some form of counselling. The medication should be more of a short term measure aimed at controlling the way you feel then counselling should look at the underlying reasons.
I hope this helps and should you have any further questions or worries please post back and will try to help.
This is my anti-depressant of choice, although I find 20mg works for me. The does may be a little too low if you are feeling down, so have a word with your GP about increasing.
I find the smoothest tranisition in changing doses is to alternate every other day for a couple of weeks, then go to two out of three dasy, and the onto the increased, or decreased dose regularly. This prevents any unfortunate swings while you adjust to the new amount.
I am some what surprised that you have not even been offered counselling but i suppose it depends upon the judgement your doctor has made of your circumstances.
NHS counselling services tend to be very overstreached though it can vary accross the country as to how ridiculusly long the waiting lists are. Furthermore when ever there are spending reviews (read cuts) of local services the axe always falls upon mental health services. A real shame given the fact that there is so much scope to help so many with their problems. Anyway thats enough of my ranting.
I would suggest the following website for information and advice. The Depression alliance also have local self help groups which I think I would attend if I could, and they run a pen pal service so you can write to someone who maybe in a similar situation to you.
http://www.depressionalliance.org/
As a large national mental health charity MIND have a helpline to offer advice and help.
You could always contact the samaritans should you be in a situation of despair. I didnt feel able to ring them so emailed and they were helpful though i must say they are more people to bounce feelings off they cannot offer advice etc.
Oh and just wondering what age range you fall in because you maybe able to get help elsewhere aside from those organisations mentioned.
I hope what i have said is useful and anything else you want to know then please ask.
Hi missmooncat. Loads of good advice so far. As FINA says, the usual starting dose for Citalopram is 10mg, and your doctor will normally ask to see you after a month, to discuss how it's working for you. I went up to a dose of 20mg about 6 months in, and eventually went up to a dose of 40mg a day. After taking this for a few years, I took myself down to 20mg a day (I luckily had no side effects, but wouldn't recommend doing this without advice from a GP) at the beginning of this year, and started taking 20mg every other day from February. I'm now completely off the medication and feel great.
I agree that you should have been offered counselling - my GP offered counselling from the 2nd month of taking Citalopram (i.e. once the medication had a chance to start working), and it was really helpful; I'd definitely speak to your doctor re this. The NHS will normally offer you 6 free sessions of counselling, and will then tell you about alternatives, if you feel you need to continue.
All the best. xxx.