Over the years she had been on numerous antidepressants including fluoxetine Yoga poses meditation Prozac, sertraline Zoloft, paroxetine Paxil, nefazodone Serzone, bupropion Wellbutrin, citalopram Celexa, Yoga poses meditation and escitalopram Lexapro. Each medication had worked for some period of time, and then the effects just petered out. She had been doing well on Effexor for two years until the start of the school year when her student assignments almost doubled.
Her trusted classroom assistant was out on maternity leave and had been replaced by a woman who was inexperienced and disorganized.
Barbara, who prided herself on her organization and professionalism, felt overwhelmed, stressed out, and on the verge of tears.
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After breaking down and crying in the teachers' lounge, she became afraid of losing control.
When her physician tried to increase the dose of Effexor, her blood pressure rose by 10 points and she became anorgasmic.
She was interested in trying SAMe but worried about the cost of taking it at higher doses as a monotherapy.