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Friends and family on SSRI's.

StevieP

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I'm not sure what I want this thread to be about. I guess I'll just start.

My college senior son recently informed me that he's going on Prozac. In my opinion, he's a great, normal kid just going through life, and shouldn't need to do this. He's had a non-typical upbringing (my ex and I split when he was 5. I re-married, she did too but is now re-divorced). I've been the 'custodial parent' since he was 13 or so. Both my sons moved here with lots of back and forth visitation up until his senior year in HS when she screwed up and they didn't talk much for a while. Relations have improved recently, but she just moved to FL a couple weeks ago.

He's a very smart kid. Takes advanced placement and honors classes throughout high school and college (scholarships). He's always been content to spend time alone, reading, game-playing, etc. He is musical, and plays several instruments including guitar and bass.

He's confident in many situations (with co-workers, school-, band-, and room-mates, etc.) I have SEEN him be an effective leader and organizer. He has a small circle of good friends, and a looser group of acquaintances.

At the same time he's awkward and uncomfortable in other settings (certain social and family situations, girls, etc.). He is not into sports at all. He's tall, slim, and most would say, handsome (minus a lifetime of bad haircuts). He does wear glasses.

He has a good understanding of a lot of the "bad" going on in the world (thanks to the Internet, and growing up with instant access to news and events), and seems to take a lot of weight on his shoulders for things that are out of his control. My wife said that a few years ago he related to her that he'd had thoughts of "what would life be like without him" but hadn't actually contemplated doing anything to harm himself.

He says he finds himself in an annoyed or frustrated mood (I think he gets a lot of this from me), and that as much as he tries, he can't "will himself" to be happy or in a good mood. I think he maybe regrets some choices he's made, wrt his choice of college major, and has some significant concerns as to how he's going to make his way in the world. He knows he doesn't want to go it alone in life, and doesn't want to grow to be a multiple cat-loving forty year-old virgin.

His counselor, and his mother (who I recently learned from him has been on it for two years), both recommended he consider Prozac. He's done a shit-ton of research, and really wants to give it a try to see if it helps provide the desired result -- that being a happier him who is more upbeat and sociable.

If it helps him enough to where he can find a girlfriend (or Hell, even just get laid), I think that monkey off his back would give him the boost of confidence to get OFF the pills and get on with life.

I'd like to hear from anyone who's either been on an SSRI such as this, or is involved with a close family member or friend, to gain some perspective above and beyond what's in the literature.

How prevalent and severe are the possible side-effects? As a father, I think I'm most concerned about the issue of "side-effects," whether physical or psychological. I don't want to lose any part of my son.

To make this "board related" I will say that I am already taking steps to keep my guns even more secure than they already are. All guns are always locked when not under my direct control. He's a chef, so I can't do much about other dangers he may come into contact with.

Thank you in advance for your thoughtful responses.
 
I've got a family member that suffered from anxiety, depression, hypersensitivity, and irratibility . They tried to deal with it for many years and avoided prescription meds, fearing stigma, or that it would change their personality. When the mood issues became too much for them to deal with, without any improvement, thhey finally went on Zoloft. The effect was very positive with no negative side effects.

That said, what kid in their early 20s doesn't have some issues adjusting to "real life"? If their situation and mental state is dire, then meds may help, but while they help a great many people improve their quality of life, I think they also become a crutch that many refuse to live without. Learning to deal with life on your own terms is part of growing up.
 
My favorite ex girlfriend was a brilliant young woman. Like super smart and capable. But she was in a serious depression most of the time I knew her and had this totally attitude about getting anywhere. We caught up recently and thanks to SSRIs she had a big turnaround. She talked her way into a full time position with benefits despite poor social skills and no work experience, and got into group hobbies.

For people who actually need them I think they're great. For people who don't need them, I think they're over-prescribed.
 
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Some people do well; some don't. I have a friend who has been on 'em (one kind or another) for years. Recently, he complained about something to his doc, and the doc changed the medication... and he ended up so ****ed up he was in the psych ward for a few days.
 
When I was that age I saw a few doctors about some life direction issues. Each and every one wanted me to start taking an SSRI after the first appointment, which is way too early IMO. I'm glad he's doing his research, and I would encourage him to stay off the meds for as long as possible. They have some very strange side effects.
 
Maybe have him check out I believe it is Valerian or check out St. Johns Wort before taking any prescription drug. Meditation, yoga or exercise may help him too without the need for drugs.
Good luck & best wishes to him.
 
Sounds a lot like me at that age which wasn't too long ago (although I had better luck with girls, no idea how). It's a tough time - social standing in school (including college) is still heavily based on being athletic and socially fluent, for lack of a better term. I turned to other outlets to get relief from a feeling of not fitting in, and as a result didn't finish college. Seems like he's on track to, which is great.

Most colleges also tend to have a huge social universe for an introvert - it's a lot to deal with. The reality is, I doubt they will help, but they're also unlikely to hurt much.

What's likely to have a much larger impact will be his transition to the adult / professional world. I work at a 60,000+ person company, but only have a few dozen people I work with that I deal with regularly - that's manageable. And unlike college, 25% of that population isn't being replaced every year. So that's half of it. The other half is that, post school, being bright and motivated tends to translate into money. Getting As in honors classes may not impress your peers in high school, but making 6 figures a few years later will. And that tends to help with the confidence, etc.

Last thing I'll say is, athletic or not, he should try some exercise first. There's no better cure for depression then getting on a bike (or even a treadmill) a few days a week. For introverts, the gym isn't necessarily a comfortable place, but if there's a nearby bike path, etc have him check it out. Some time alone in the sunshine, fresh air, and endorphins do wonders. Wish I had learned that 10 years earlier.
 
Yea, to add to my lifting comment, similar to what peter said, the endorphins from any strenuous exercise does wonders. Just healthy in general as well.
 
Anti-depressants in general can be very helpful for people. There is this huge stigma surrounding "mental illness" in this country that leads to people avoiding taking any sort of medication that can help them with issues like depression. I would avoid telling him that you don't think he needs to be on them. Tell him that he's an adult now and you support him completely. If he's having issues with depression, Prozac might help head it off and prevent it from leading into a deeper state of depression that could lead to horrible things like suicide.
 
IMHO I think basing your decision to take serious medication on an opinion. From a counsler and someone who is on it might not be a good start. Today too many docs and ordinary people jump to meds too darn quickly, agaij my opinion. They are not without side effects either which needs to be taken into consideration. Not sure if hes thinking about the firearm sport in the future but theres been several posts on suitability with SSRIs. Id have him switch to someone who has time to actually work with him and not someone who in 30 minute spurts advises to hit the pills. Life is tough, his upbringing while not typical is not unique either. I imagine I and more than a few on this board can point to a non typical upbringing. Maybe he jusy needs coping skills.and coaching on how to find his groove vs what others want. Sounds like a good kid and id hold on meds until he speaks and works with someone who knows how to work with him.
 
I agree that physical exercise can help, but if he truly has depression, the exhaustion can be overwhelming. Some people need the meds. True depression has been shown to have some hormone imbalances. I hope he can turn this around either way.

full blood panel, check vitamin D levels.

I know you're trying to help rule out other causes, but what exactly does "full blood panel" mean?
 
Disclaimer I 'm not a MD. However I am A psychiatric RN and I work in a Pysch hospital....Anti depressants do have real side effects..they are common....if he really needs the meds then the side effects are worth it. Prozac wouldn't be my first choice for a loved one. Several others are better and have less side effects. The most important thing you need to know is that a small percentage of people who are severely depressed and take anti depressant meds get better after a few weeks..and kill themselves...watch out for this!!! Another think..most SSRIs take 6 weeks to really kick in...good luck and feel free to PM me with questions.
 
The most important thing you need to know is that a small percentage of people who are severely depressed and take anti depressant meds get better after a few weeks..and kill themselves...watch out for this!!!

There are a lot of people who are suicidal, but who are so depressed and apathetic that they lack the motivation to actually put together a plan to kill themselves and carry it out. When the meds start working, often, one of the first things to come back is the patient's motivation. Unfortunately, they're still suicidal, and suicidality plus motivation sometimes equals tragedy. There was one class of antidepressants that's no longer commonly prescribed (tricyclics, I think?) that used to be indicated for use only in inpatient settings, in part because of the likelihood that that would happen.

A depressed person who has made up his mind to commit suicide, and has a specific plan in mind and a timeframe, can also seem suddenly and unusually cheerful for no apparent reason. To that person, suicide means an end to the world of emotional and mental pain that they're in.

I'm sorry if this discussion seems morbid.

OP, I'm hoping your son is in better shape than that, and it sounds like he is. He sounds like a good person whose brain chemistry has done him some dirt. Maybe he made some minor mistakes, insofar as his college major, but it's nothing that can't be worked around. Nobody ended up dead, unexpectedly pregnant, in jail, or with a life-altering injury, STD, or other illness. But, when someone's depressed, they tend to dwell on even minor screw-ups like it's the end of the world. Sounds like he's got you on his side, fighting for him and looking to see that he gets whatever help he needs. Lots of young people in his position don't have that much. Back when I was his age, there were a lot of teens and young adults whose parents were convinced that the kid just need to "change their attitude" or "toughen up" or some such BS. Brain chemistry does not work that way.

Oh yeah, and when it comes to dating, nothing turns someone off faster than someone who stinks to high heaven of depression. Lack of self confidence and self esteem and a downer attitude are attractive to absolutely nobody. That can be a really nasty vicious circle. Lack of dating success -> lack of self-confidence -> depression -> more lack of dating success. Self eating watermelon.
 
Read and share crazymeds.com with him and anyone you know involved. The PI sheets are no substitute for the real life data. Something like 1/20 will have nasty side effects to almost anything. Some other random number will have no enzymes in their system which will have any positive effect on SSRI's. But those same people may get all the lottery side effects and bonus withdrawal hits.

Also, find a TCM specialist with strong real world credentials and consult with them too..
 
Also, find a TCM specialist with strong real world credentials and consult with them too..

Or if not TCM specifically, a decent naturopath along with docs who are willing to work with integrative and complementary therapies.

In my case, St. John's Wort twice a day does a pretty good job of keeping the Aspie monster caged.

And speaking of, have they looked into some flavor of PDD such as Asperger's? Most practitioners are so focused on pediatric diagnosis they completely ignore the adult population, and dx in adults is made more difficult by the fact that most of us, over the years, have developed natural coping mechanisms to the point where we're usually able to "pass" - SpaceCritter, in person, seems almost human. Almost. [smile]
 
I agree that physical exercise can help, but if he truly has depression, the exhaustion can be overwhelming. Some people need the meds. True depression has been shown to have some hormone imbalances. I hope he can turn this around either way.



I know you're trying to help rule out other causes, but what exactly does "full blood panel" mean?
They draw 12 liters of blood and test for everything.
Kidding on the 12 liters, I guess I used a poor term. CBC Complete Blood Count
Something along these lines.
http://www.mayoclinic.org/tests-procedures/complete-blood-count/basics/definition/prc-20014088

Don't forget that "normal" ranges are based on statistics and may not be optimal for a given person.
 
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Hope this helps but +1 for exercise. My old company was family run. Two brothers took over for their dad's Telcom business. The third brother was a play by play guy for a bunch of women's sports at some college. I forget which one and it doesn't matter. So thing is one day the dude wakes up in a 750k house with a Lexus and just doesn't get out of bed for like 6 months. Loses the house the job the car. So my bosses make him our dispatcher. And the guy is popping more pills than the mom in requiem for a dream. Dude is still miserable for a year straight super dry no sense of humor nothing. Guy hit the gym for a week turned his personality around entirely. A month in he gave up all pills. I got let go after a couple months but it worked for him like a dream. I'd Def consider getting the kid 's blood flowing a bit
 
Hope this helps but +1 for exercise. My old company was family run. Two brothers took over for their dad's Telcom business. The third brother was a play by play guy for a bunch of women's sports at some college. I forget which one and it doesn't matter. So thing is one day the dude wakes up in a 750k house with a Lexus and just doesn't get out of bed for like 6 months. Loses the house the job the car. So my bosses make him our dispatcher. And the guy is popping more pills than the mom in requiem for a dream. Dude is still miserable for a year straight super dry no sense of humor nothing. Guy hit the gym for a week turned his personality around entirely. A month in he gave up all pills. I got let go after a couple months but it worked for him like a dream. I'd Def consider getting the kid 's blood flowing a bit

Anecdotally, I feel much better when I can get the bike into the woods on a regular basis. (The next few weeks of mud are gonna suck.)
 
Suggest lifting weights. Getting some size on you can do wonders for your confidence, which improves most aspects of life. It may sound superficial, and it is, but it works.

Have him do this first. It worked for me i now have a smokin hot wife who loves guns and a child life is good. The gym and picking up sports helped alot. This was 15 years ago
 
Suggest lifting weights. Getting some size on you can do wonders for your confidence, which improves most aspects of life. It may sound superficial, and it is, but it works.

Glad some guys said this, it was my first thought also. The benefits are as much psychological as they are physical, especially at that age. Personally i was in the gym 5-6 days a week for most of my 18-22 year old life. It helped me build confidence and find my place as a young man in the world...and get laid more...but that's more about the confidence than anything physical. It's amazing what putting even 15lbs of extra muscle on your bones will do for the way you feel about yourself, especially at that age.

I can understand the 21 YO virgin thing getting to him. One of my good friends is an attractive guy (so im told) who is absolutely hilarious/confident in group situations, but for whatever reason was always awkward and completely lacked confidence with girls. He didn't lose his virginity until he was 25, and that really messed with his head for the last few years. From the outside it was so easy to see that he wasn't getting laid at 25 simply because he hadn't gotten laid at a normal age, and so he was putting way too much pressure on himself, further driving his confidence down. He's now 28, soon to be engaged to an attractive woman with a 6-figure job and a great future...it just took him time to discover himself.

It doesn't sound like your son has legitimate depression or anxiety to me, based off your post. He sounds like he needs healthy outlets for his emotions, to find things he enjoys and is interested in, and healthy ways to gain confidence and grow as a person. The few times i've dealt with people who have legitimate anxiety/depression, they often cannot even articulate why they are anxious or depressed.

I'm not a fan of SSRIs or meds in general, as i feel they are overused and often do nothing to help people who are depressed because of other underlying issues (aka normal). I know they can be huge help for some people, but i've seen a few disasters also, both in friends and coworkers.

I wouldn't discount meds, but it sounds like there could be other options to try first.
 
Anecdotally, I feel much better when I can get the bike into the woods on a regular basis. (The next few weeks of mud are gonna suck.)

Right I'm itching to hit the links and hike this summer after being cooped up all winter. Although lol I did put on ten pounds up top in the arms and shoulders so beach season should be fun
 
I cannot offer any advice on the mess question bit just wanted to say I hope your son finds the things in his life to make himself proud and leed an positive life.
 
Natural drugs are still drugs.

I've met a number of Naturopaths, some were fine people, more often than not the term is just a cover for homeopathy.

Maybe have him check out I believe it is Valerian or check out St. Johns Wort before taking any prescription drug. Meditation, yoga or exercise may help him too without the need for drugs.
Valerian is primarily used as a sleep aid (it's also like crack catnip for felines, and smells horrible).

St. Johns Wort is a drug, just not a well-investigated one available in calibrated dosage. Unless you grow it yourself, take care with commercial preparations of St. Johns Wort.
 
Suggest lifting weights. Getting some size on you can do wonders for your confidence, which improves most aspects of life. It may sound superficial, and it is, but it works.

I agree with this 100%

It is tough at first, but after a month or two when you start to see results, it becomes kind of addicting in a good way.

I was kind of an outcast as a teen, but got into weights when I was 20. It changed my life at the time. You gain confidence, girls start chasing you and guys treat you with respect.

It's also a social thing and you meet some cool people if you go to the right gym. The problem is getting him started. Go with him hire a personal trainer three days a week that will hound him to go.
 
I've met a number of Naturopaths, some were fine people, more often than not the term is just a cover for homeopathy.

I don't know if "more often than not" is fair, but as with anything else, caveat emptor.

Valerian is primarily used as a sleep aid (it's also like crack catnip for felines, and smells horrible).

St. Johns Wort is a drug, just not a well-investigated one available in calibrated dosage. Unless you grow it yourself, take care with commercial preparations of St. Johns Wort.

There's probably a better literature on St J's than on most herbal products, especially since it's used frequently in Europe. And I've been known to use valerian tea as a tranquilizer during especially high-stress moments (smell is as advertised: household name for my tranq is "stinky tea").
 
rent the kid a hooker for a weekend and make sure the hooker plays the game where the kid thinks he picked her up by himself. Forget the pills. 20 years ago nobody was on pills and just grew out of or thru this shit. Let him grow his own confidence, not swallow it. Had family members that tried to kill themselves every time they got put on anti depressants Remember it practicing medicine, not doing medicine
 
rent the kid a hooker for a weekend and make sure the hooker plays the game where the kid thinks he picked her up by himself. Forget the pills. 20 years ago nobody was on pills and just grew out of or thru this shit. Let him grow his own confidence, not swallow it. Had family members that tried to kill themselves every time they got put on anti depressants Remember it practicing medicine, not doing medicine

If the kid's an Aspie (or gay, or, ...), not only will that not work, it would likely **** him up permanently.
 
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