Resurgence of major depressive episode. Ideas?

Question

I was diagnosed as 'clinically depresed' a long time ago, like 15 years ago. I feel I have more symptoms of BPD or bipolar II. I am currently being treated with Zoloft, 100mg a day, and seemed to be doing alright - not great, but alright - for quite some time.

Recently, I stopped taking birth control pills. I was taking Seasonale, which I was told by my obgyn was a low dose pill. This has coincided with a dramatic resurgence of many of my problems, including anxiety disorders, major mood swings, and suicidal idealogy. I have held a job for the past six weeks, but my job involves approaching people and asking them questions. Which I know find I cannot do without suffering a panic attack. Things had been going well at home, but of course my mood and anger towards everything is now jeopardizing that.

Has anyone had issues with birth control pills and depression like this?

Unfortunately, I do not have my Axis I diagnosis. I was in no state to collect it when I was first diagnosed. Since then, my only 'official' diagnosis' have been clinical depression and post-traumatic stress disorder.

Answer 1

Yes. No matter how low the dose of hormone is in the pill you were taking, it still has a major impact on the hormonal balance of your body. You need to let the doctor know (the doctor that prescribes your Zoloft) that you are off this pill. He may want to either increase or change your medicine.

Answer 2

There is a huge difference between being clinically depressed and a major depressive episode. I've had both in my lifetime. The latter is by far the worse of the two, as you can probably guess by it's name. Bipolar Disorder is a different diagnosis altogether. Have you asked your doctor to test you for that?
Have you had any counseling at all? It helps. Sounds like a hormone problem is interfering with your emotional health. But then, I'm not a doctor...so go see the doctor again. That's the best way to find the answer. Not here.
Sarah is giving you good advice though, exercise does help. And counting whatever blessings you do have.

Answer 3

Although I am male and I have never used birth control pills I have long experience with SSRIs and I have had several major depressive episodes. I currently am on celexa and sometimes I take testosterone supplements. I would talk to your doctor about increasing your zoloft dose or even changing to celexa or wellbutrin. In addition you may add another anti-anxiety medication such as xanax. I believe that SSRIs disturbe the sex hormones and you could check into reports of the use of hormone therapy with your SSRI.

I know that the possibility of a recurring major depressive episode is scary.

Answer 4

It sounds like you need to talk with your doctor. He/she will be able to answer questions about your medication accurately.

I feel for you and the suffering you are going through. I, too, suffer from depression in phases and I know how miserable and consuming it is.

One thing that always helps me is getting daily physical activity. Going for a jog, playing tennis, even just a walk around the block. It should give you at the least a minor boost. Also do your best to think positive thoughts. I know depression is a serious disease and is not mere "negativity," but sometimes you can take control by forcing yourself to remember all the positive things in your life or about a particular situation.

It's a good sign that you are seeking out help. It shows that you are willing and eager to battle this disease from hurting you again. Keep up the fight. Work with your doctor, a counselor, friends and family to pull yourself out of it. Keep determined. You can overcome this. Good luck!

Answer 5

It seems your pain is deep. Its helpful to talk to others but it seems you should be speaking with a professional. Also there are many different types of depression you might want to ask your physician what is your Axis I diagnosis and if possibly there is an axis II. Becoming informed is your best defense. I wish you the best.