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Depression

Question
Posted by: Still Depressed | 2019/02/20

Q.

Still depressed

Good Afternoon Professor I am 53, on meds 40mg Citalopram per day and still feeling very depressed. I realise some of it is just me and a lot of it is circumstantial. In a nutshell my husband is battling to meet his targets at work which is a hectic sales environment so he is often tired and crabby, my parent has just been diagnosed with emphysema and lives with and is supported by us, my work contract is ending and we have so much financial stress. We don't own property and are getting older with not a lot of retirement savings. But I need help. I am reliant on state clinics. I've asked for counselling. I will see a Dr. Do you think they may prescribe something to go with my meds? I'd like your take. I tend to be exhausted and have a frayed temper. I do try to walk and eat well but vegetables and fruit are just so expensive it is hard to eat healthily actually. I try to keep the family healthy. I am looking for work.

Expert's Reply

A.

Depression expert
- 2019/02/20

Sorry to hear about this, SD.  While chemical factors are significant in making us vulnerable to a Depression,  so are stressing and distressing factors in life, such as you describe.  Meds can be useful, but they don't deal with the depression-promoting aspects of life, where counselling can help a great deal. 
On the medication front, many of us don't react satisfactorily to the first AD we try, so your doc needs to consider available alternatives, and their doses. For the second part of what you need, do push for counselling, and also explore what may be available both through the department / clinic you see,  and through a local branch of the national organization SADAG  ( the SA Depression and Anxiety Group ) in terms of support groups, where you can meet with others at different stages in dealing with such issues, and share support and practical steps you could take.

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