Our expert says:
Interesting. As some ADs can cause mild nausea at first, some people lose weight on them. Fluoxetine is an effecive antidepresant, and may very well suit you. I have never understood why anyone prescribes Espiride --- it seems to be some sort of fetish peculiar to South African Gps and some shrinks. It is NOT a recognized treatment for social anxiety disorder.
1) weight gain is not certain on any of the ADs, but possible on many of them. Watching one's diet and exercise still does help. SO it may no have that effect on you.
2 ) It's unfortunate, bu i seems as though many psychiatrists run a very full program, and one may need to wait for an appointment. I think they should perhaps not see people as often or for as long, on follow-up, once the treatment is clearly working, and keep more slots open for emergencies and urgencies.
3) This would bother me a lot. It is absolutely imperative that any psychiatristy inquire carefully about thoughts of self-harm, let alone any episodes of hurting oneself, and to be very sure he understands exactly what is happening. He needs to discuss his directly with you, rather than treating it more superficially, like taking the temperature. It's best to find a shrink who takes you and your sadness seriously and respectfully ; I guess the problem is finding an alternative to see without waiting a long time. Maybe let this shrink deal for the moment ( until you find someone better ) with the meds, and consider seeing a psychologist or counsellor providing CBT ( Cognitive-Behaviour Therapy ) which is also an effective treatment for Depression, and would give you more control over your progress,
4) a Half-hour is more rushed than the usual psych appointment, and a skillful shrink shouldn't make you FEEL as though you are being rushed. But do not let any of this make you more depressed --- concentrate on the fact that you have the right to be feeling a great deal better before much longer, that you DESERVE the progress which you can achieve. As Liza says, don't give up --- you're worth it
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.