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Should I go back on Anti-Depressants?



Been awhile since I have been here. I was doing well for a while, have lost weight from exercising and sill loving my job as an English teacher in Thailand.


Long story short I don't really have a reason as to why I am feeling so down and depressed, virtually everyday for the past 2 months. I have been thinking about suicide a lot again, and have been planning where I would like to go to so this etc.

But I don't want to kill myself. And when these moods come, they may last for five minutes or they may last for half the day.


So I cannot think of any reason as to why I am feeling so down every day for periods of time. Really the only thing I can think of doing is going back on the anti-depressants.


I am nervous though because when I went on them last time my depression seemed to increase and I actually did try and kill myself. I also put on more weight in 6 months. So it seems the side-effects of the anti-depressants are scary as shit. So I am very reluctant.


Also being in Thailand, where virtually everyone is nice but no one really seems to understand why I need the anti-depressants means I get pretty people looking at me as if I were very pathetic, which I am far from a fan of. This really is the original reason why I stopped taking the anti-depressants, I ran out and it was so hard to find more where I am living in Thailand that I just went off them cold-turkey. I almost fainted a few times and had trouble walking while my body was getting used to not being on them.


So yeah, I guess I need some help deciding whether or not I should go back onto anti-depressants. Or if there may be another way, or possible even another reason as to why I keep feeling so down.


Any help would be great.


If you have gotten this far, thanks for reading this. Smiley Happy



Re: Should I go back on Anti-Depressants?

There is a typo, it shouldn't say 'pretty people' it should say 'pretty bad looks from people'

Re: Should I go back on Anti-Depressants?

I would suggest that you go and see a specialist. Like a clinical psychologist or a psychiatrist. Especially if you have been prescribed with medication before.


I know I struggled at first to take my medication, and I was very adamant that I didn't need them. 11 hospital visits later I realised that it might be a good idea to stay on the medication, no matter what the side effects.


There are extra medications that you can add onto the anti depressants to help with side effects, or even medications that have more agreeable side effects in the first place. A psychiatrist will definitely be able to help you out in this regard. Often they just give out the most common meds, and if you don't complain enough, they will assume you are ok with the side effects. There is always an alternative.

Re: Should I go back on Anti-Depressants?

Hey Gar, thanks for coming and sharing with us Smiley Happy
I can't profess to know much about depression at all, never really having gone through it myself.

From what you have said though, I think that it would be a good idea to see a psychologist to work out why you feel this way or even just to talk it out. If a certain type of anti-depressant hasn't worked previously make sure to make that point clear to them, along with any other side effects like weight gain.

Also if you manage to find a psychologist or psychiatrist in Thailand I'm sure they will also be able to direct you to getting the right medications for you.


I hope that somewhat helps. 
All the best!

Re: Should I go back on Anti-Depressants?

Hey @Gar1986 


We can't give specific medical advice here on the forums, but from what you've said, it sounds like things have been pretty rough. If you're concerned about where things are headed I'd definitely suggest seeing a doctor and getting some advice on what your best options are in terms of treatment. I know you said your last experience with medication wasn't particularly positive, but it's important to remember that there are loads of different kinds of medication and that they all work differently for different people. There are still plenty of options if you and your doctor decide that's the most appropriate treatment for you.


Is it possible to see a Dr over in Thailand and ask whether they know of any Western doctors in the area? If you're worried about the cultural differences, perhaps it would be easier to explain how things are to someone more familiar. I'm not sure what the processes are about finding a doctor that you'd be able to talk to, but I imagine there would be some way. Or even just asking for a referral to a psychiatrist or someone who specialises in mental health. You might even be able to google it!


I'm sorry things have been slipping for you. It sounds like you're pretty self aware though, which is a great quality to have and can be really helpful in overcoming things like this. You can get through this. Let us know if there's anything we can do to help.

Re: Should I go back on Anti-Depressants?

Hi @Gar1986 , welcome back. Smiley Happy


First up, I had to make a couple of small edits to keep your post within our community guidelines.


Looks like you've got some solid advice there already. Although not as serious as your situation, I think I've been through something similar before. I travel a lot — I haven't been "home" for almost two years — and in a few places where the culture is very different, I had these unexpected mood swings that I can only assume were caused by something cultural. For example, I lived in Hong Kong for six months last year and I loved it there — I can't wait to go back and do it again some time — but there were times where I would suddenly feel really down and out of place, even though I thrived on all the differences around me.

Maybe it was a fatigue due to a lack of familiarity? I'm not sure.

I know it's not the same as what you're experiencing but perhaps my experience can help inform yours somehow…?

Re: Should I go back on Anti-Depressants?

Sorry I went out of the guidelines. I didn't realize I had.

Re: Should I go back on Anti-Depressants?

@Gar1986 wrote:
Sorry I went out of the guidelines. I didn't realize I had.

Not even a big deal @Gar1986 . Don't worry about it.


How are you doing?

Re: Should I go back on Anti-Depressants?

Thanks for the advice everybody.


I have asked a friend and one thing has lead to another. I have a name of someone who can at least prescribe me some anti-depressants. I have to wait until tomorrow it looks like before I can book in to see them. After that, actaullly seeing the person I need to see may take longer.


I am doing ok. Had a big time down spiral this afternoon, so I forced myself to go to sleep in order to ignore it.


I really do need to go back on the tablets. I will update here when I have managed to get some and have started taken them again.


Thank you everybody who has replied to this. It is most appriciated.

Re: Should I go back on Anti-Depressants?

Hey @Gar1986 


Glad your friend was some help - did you manage to get an appointment? Hang in there and let us know how you're going.