Learn More about Psychiatry - Talkspace https://www.talkspace.com/blog/category/psychiatry/ Therapy For How We Live Today Wed, 24 Jul 2024 20:20:26 +0000 en-US hourly 1 https://www.talkspace.com/blog/wp-content/uploads/2021/10/favicon.png Learn More about Psychiatry - Talkspace https://www.talkspace.com/blog/category/psychiatry/ 32 32 8 Top Benefits of Seeing a Psychiatrist https://www.talkspace.com/blog/reasons-to-see-a-psychiatrist/ Wed, 24 Jul 2024 20:20:24 +0000 https://www.talkspace.com/blog/?p=33537 When it comes to mental health, seeking the right professional care is paramount. Psychiatrists, as medical doctors specializing…

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When it comes to mental health, seeking the right professional care is paramount. Psychiatrists, as medical doctors specializing in mental health, offer a unique and comprehensive approach to treatment. Unlike therapists or counselors, they can prescribe medication, bringing a valuable dimension to their practice.

People turn to psychiatrists for a variety of reasons. Some of the most common reasons people see a psychiatrist are to manage conditions like:

  • Depression
  • Anxiety
  • ADHD
  • OCD
  • Bipolar disorder
  • Eating disorder
  • PTSD
  • Schizophrenia
  • Changes in sleep patterns

Keep reading to discover the top benefits of seeing a psychiatrist and learn how these specialized doctors can help you lead a healthier, more balanced life.

1. Professional Diagnosis

The National Institute of Mental Health reports that 22.8% of adults in the United States experience what they refer to as “Any Mental Illness (AMI).” However, still so many people go undiagnosed. Getting a professional diagnosis for mental health disorders is one of the primary reasons to see a psychiatrist. Psychiatrists go through years of dedicated training that helps them accurately identify and diagnose mental health conditions. 

Proper diagnosis is crucial for creating an effective treatment plan. Without it, you might struggle with incorrect diagnoses (both self and professional) and inadequate treatments for years. Healing from trauma or mental health conditions starts with being able to address the root cause of the issue. Only a professional diagnosis can offer a clear, comprehensive understanding of a condition, so a complete treatment plan — including therapy, medication, lifestyle changes, or a combined approach — can be made. 

2. Prescriptions & Medication Management

One of the more popular reasons to see a psychiatrist involves medication. Prescription drugs can be a critical component of a treatment plan, and psychiatrists can prescribe mental health medications. When you see a psychiatrist, they can prescribe and monitor medication, if they deem it essential to your treatment. 

Psychiatrists understand how medications work for specific conditions and know how things like brain structure and function come into play. In short, these specialized doctors can help you see improved symptoms and enhanced daily functioning through a holistic, comprehensive treatment plan.

Psychiatrists decide what type of medication might be best for you by evaluating other things that can impact what you should take. For example, they’ll assess: 

  • Your health history
  • Symptoms you’re experiencing
  • Responses to previous treatment
  • Comorbid conditions
  • Other medications, supplements, and vitamins you’re taking 

Oversight like this ensures you get the best possible outcome from your treatment while minimizing potential risk.  

3. Comprehensive Treatment Options

Seeing a psychiatrist allows you to get comprehensive treatment options tailored to your specific needs. They’re extensively trained and equipped to craft combined therapeutic approaches that include medical intervention when needed.

Unlike some mental health providers, psychiatrists can prescribe medication as part of your treatment options, which can be essential to managing symptoms most effectively. While the focus is frequently on prevention, diagnosis, and medication treatment plans, some psychiatrists do offer psychotherapy (or talk therapy) to address challenges. They can also recommend helpful lifestyle changes or complementary therapies that enhance mental health care management, healing, and general well-being.

Getting a full range of treatment options from a mental health professional means receiving a personalized care plan that addresses the exact circumstances of your condition or situation. The result? Better outcomes and a higher quality of life during and post-treatment. 

4. Expertise in Complex Mental Health Conditions

Psychiatrists are experts in diagnosing and treating complex mental health conditions. The training they receive enables them to handle a wide range of multifaceted mental health conditions, like schizophrenia and bipolar disorder. Different types of psychiatrists may specialize in various areas, offering targeted expertise to address specific mental health needs.

As a result, one of the benefits of seeing a psychiatrist is their specialized knowledge, which enables them to understand how biological, psychological, and social factors can impact mental health conditions. 

“A psychiatrist has additional years of medical training after being a physician and further research fellowships in learning and treating brain disorders. As a specialist, a psychiatrist has an in-depth understanding and knowledge of the brain structures and neurotransmitters and their connections to other parts of the human system. They are also well-versed in the psychosomatic and psychotherapy to combine for best out of treatment.”

Talkspace psychiatrist Dr. Muhammad Munir, MD, DFAPA

Their advanced skills, education, and training mean you can achieve symptom stability and enjoy an improved quality of life.

5. Support Through Life Transitions

A psychiatrist can support you during major life changes and transitions, like the loss of a loved one, divorce, job transitions, becoming a parent, long-distance moves, or even severe health challenges — all of which can trigger psychological distress that might be difficult to overcome on your own. 

Psychiatrists provide skilled guidance and support during these trying times so you can learn to navigate your emotions in healthy ways through effective coping strategies. Time with the psychiatrist in a safe space lets you express your feelings and build resilience. You’ll gain insight and address the impacts of your life transitions to reduce stress, achieve emotional balance, and learn to adapt to your new circumstances. 

The support a psychiatrist can offer can be essential for your long-term well-being, ensuring big life changes don’t create prolonged mental health concerns.

6. Improved Personal Insight & Self-Awareness

Improving personal insight and enhancing self-awareness are powerful reasons to seek help from a psychiatrist. You can explore your thoughts, emotions, and behaviors in a structured environment that encourages reflection and learning. The process allows a deeper understanding of your experiences and can reveal underlying patterns or triggers that might contribute to your challenges.

Gaining insight like this can be empowering. It can help you make more informed decisions about your mental health, develop and use effective coping mechanisms, and implement positive change in your life. Achieving heightened self-understanding can aid in the healing process and promote lifelong well-being.

7. Confidential & Safe Environment

Knowing you’re in a confidential and safe environment is a fundamental benefit of seeing a psychiatrist. Strict ethical guidelines and confidentiality laws ensure patient privacy, creating a safe space to comfortably discuss your thoughts, feelings, and experiences without fear of judgment. Doctor-patient confidentiality fosters trust so you can work through your challenges. 

A confidential environment is the cornerstone of effective treatment. It allows you to be honest and vulnerable, which is incredibly important to progress and healing.

8. Regular Monitoring & Adjustment of Treatment

Regular monitoring and adjusting of treatment plans ensure effective, dynamic, and responsive care. Psychiatrists closely track your progress, identifying changes in symptoms and modifying medication accordingly. This proactive approach allows for the most effective care and can help prevent relapse and optimize therapeutic outcomes.

Fine-tuning your treatment is just one more benefit of seeing a psychiatrist. Personalized care adapted to your current state at any given time will lead to long-term stability and your best chance for improvement.

Take a Step Toward Better Mental Health 

Start on your journey toward better mental health. Seeking help from a psychiatrist can profoundly impact your overall mental well-being. You’ll get expert care and a tailored treatment plan as you navigate any mental health condition.

When you seek the help of a psychiatrist, you’re investing in your mental well-being for a better life. Online treatment makes the process more accessible than ever. Connecting with an online psychiatrist through Talkspace is simple, safe, and convenient. It’s also often more affordable than traditional in-office care, and may also be covered by your insurance.

Not sure how to find a psychiatrist? Reach out today to explore psychiatrist benefits through online treatment at Talkspace and get started on your road to recovery. 

Sources:

  1. Mental illness. National Institute of Mental Health (NIMH). https://www.nimh.nih.gov/health/statistics/mental-illness#part_2539. Accessed May 20, 2024.

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Understanding What a Mental Health Crisis Looks Like  https://www.talkspace.com/blog/mental-health-crisis/ Tue, 18 Jun 2024 16:30:25 +0000 https://www.talkspace.com/blog/?p=33391 Trigger warning: This article discusses mental health issues and suicide, but we believe having difficult conversations and discussing…

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Trigger warning: This article discusses mental health issues and suicide, but we believe having difficult conversations and discussing these topics in respectful and non-stigmatizing ways is important. If you or someone you know is in a life-threatening situation, please: 

  • Call the National Suicide Prevention Lifeline at +1 (800) 273-8255
  • Call or text 988 for the Suicide and Crisis Lifeline
  • Use these resources to get immediate help.

A mental health crisis involves an urgent, heightened state of distress that poses an immediate risk to an individual’s well-being or the safety of those around them. Mental health crises can result from exposure to abusive or dangerous situations in the home, school, work, or anywhere else. Anybody, at any age, from any background can have a mental health crisis — it’s not limited to those diagnosed with a mental health condition, and it doesn’t always mean there’s been a long history of trauma. 

According to the Centers for Disease Control (CDC), suicide is now one of the leading causes of death in the United States. Rates increased by more than 2.5% from 2021 to 2022. Recognizing the warning signs of a mental health crisis is vital for providing intervention and preventing escalation quickly and effectively. 

Learn about the signs and how to identify the different types of a mental health crisis, and find out what to do if you or someone you know is in crisis. What you know and how you react can literally save a life. 

What is a Mental Health Crisis?

A mental health crisis is a period of intense, often dangerous, emotional distress or instability that needs help beyond someone’s coping skills. It can include feelings of daunting despair or anxiety, hopelessness, helplessness, and intrusive, powerful thoughts of self-harm or wanting to harm others. 

The National Institute of Mental Health (NIMH) estimates that more than 14 million adults in the United States have a “serious mental condition” (SMI). If you experience a mental or emotional health crisis — your own or someone else’s — fast intervention is critical and can drastically improve the outcome.

Signs That You or Someone You Know is in a Mental Health Crisis

There are countless signs that you or someone you care about might be either heading toward or already in a mental health crisis and need help. Some of the more apparent signs include drastic mood or behavior changes, withdrawal, or suddenly expressing hope after a prolonged period of instability and despair. There are other, sometimes more subtle, signs as well. 

Emotional signs of a mental health crisis:

  • Intense feelings of sadness or despair
  • Overwhelming anxiety, constant worry, or panic attacks
  • Extreme irritability
  • Persistent feelings of guilt or worthlessness, often without cause
  • Loss of interest in previously enjoyed activities, environments, or people

Physical signs of a mental health crisis:

  • Changes in sleep patterns, including sleeping too much or experiencing insomnia
  • Changes in appetite that cause weight loss or weight gain
  • Headaches, stomach aches, or unexplained pain
  • Lack of energy or fatigue, even when getting enough sleep
  • Increased restlessness or agitation
  • Feeling unable to relax

Behavioral signs of a mental health crisis:

  • Sudden withdrawal from social interactions
  • Avoiding friends and family
  • Partaking in risky behaviors like substance use or abuse or reckless driving
  • Difficulty concentrating
  • Finding it hard to make decisions
  • Becoming forgetful
  • Increasingly isolating oneself
  • Spending excessive time in bed
  • Expressing feelings of hopelessness or having thoughts of self-harm
  • Talking about death or dying by suicide 

Types of Mental Health Crises

Unfortunately, there isn’t just one single type of mental health crisis to be aware of. They can result from an acute episode related to a psychiatric condition — like bipolar disorder or schizophrenia. They can also be the result of a traumatic event or overwhelming stress,

Because mental health crises can widely vary in nature and severity, each has its own challenges and requires a tailored, individualized approach to intervention.

Suicidal ideation and behavior

Suicidal ideation — having thoughts or fantasies about or contemplating dying by suicide — is a profound crisis. It indicates severe, extreme emotional distress and poses a significant risk of self-harm. 

Suicidal thoughts and behavior can be the result of several factors, including a mental health condition, trauma, overwhelming stress, or a combination of these that result in an inability to cope.

Panic attacks

A panic attack can induce sudden, intense fear or discomfort and cause physical symptoms like sweating, increased heart rate, shortness of breath, chest pain, or intense feelings of impending doom. 

Panic attacks can become a mental health crisis that requires prompt intervention. Support, coupled with access to mental health resources, help alleviate symptoms and prevent future episodes.

Psychotic episodes

A psychotic episode is defined as a break from reality that can include delusions, hallucinations, disorganized thinking, paranoia, and an altered perception of reality. 

Because there can be severe disruption in the ability to function, psychotic episodes often represent a mental health crisis that demands psychiatric assessment and care. It’s essential to ensure the safety and well-being of the person experiencing a psychotic episode, as well as those around them. 

Trauma and stress-related disorders

Trauma and stress-related disorders are triggered by exposure to traumatic events like sexual, physical, or emotional abuse, natural disasters, accidents, or witnessing or experiencing violence. They become a mental health crisis when they result in intrusive memories, flashbacks, avoidance behaviors, extreme depression or anxiety, or any other debilitating symptoms that impair the ability to function.

Addressing trauma and stress-related disorders may require therapy, medication management, and other support systems as one learns to cope with what they’ve experienced and reclaim a sense of safety.

Severe depression

Depression comes in many forms and levels of severity. It can cause persistent feelings of sadness, worthlessness, hopelessness, apathy, or a loss of interest in things once enjoyed. Depression is also associated with physical symptoms, like sleep disturbances, changes in appetite, and constant fatigue. 

In some cases, depression can escalate into a mental health crisis that causes extreme emotional suffering, including thoughts of suicide or self-harm. Addressing severe depression might require access to mental health professionals and therapy, learning and using self-help coping mechanisms, and medication.

Manic episodes

Manic episodes, a key characteristic of bipolar disorder, can present in various ways. While some may experience extreme “highs” with feelings of euphoria, others may exhibit symptoms that are less obviously negative, such as unusually good moods.

Symptoms of mania can include: 

  • Risky behavior
  • Decreased need for sleep
  • Erratic behavior
  • Mood instability (including irritability or rapid shifts in mood)
  • Difficulty concentrating

It’s crucial to note that mania is not always about feeling euphoric; it can also manifest in dangerous and disruptive ways to daily life.

Substance-induced crises

Excessively consuming (or experiencing withdrawal) from drugs or alcohol can result in significant cognitive or emotional impairment or behavioral dysfunction. 

Substance-induced crises may quickly turn into a mental health crisis resulting from severe intoxication, overdose, withdrawal, or a psychiatric complication like psychosis or a mood disorder episode. 

Address a substance-induced crisis as soon as possible, especially if detoxification is warranted. Substance abuse treatment can identify and then help address possible underlying addiction issues in an effort to prevent future relapse. 

Aggressive or violent behavior

Aggressive or violent behavior can include threatening, physically harming, or intentionally intimidating someone. This type of behavior can be fueled by anger or frustration, and oftentimes, psychological conditions or factors are also involved.  

Violent behavior involves loss of control, extreme hostility, violence, or uncontrollable impulsivity. Immediate intervention can sometimes work to de-escalate a situation, but addressing the behavior is almost always needed if you hope to ensure the safety of everyone involved. A psychiatric assessment, therapy, and medication can all be part of a comprehensive treatment plan that helps someone learn to manage their anger in more appropriate ways. 

Disorientation or confusion

Feeling disoriented or confused might mean experiencing a lack of awareness of one’s surroundings that’s accompanied by difficulty recalling information or thinking clearly. It can also directly impact decision-making abilities. 

If disorientation or confusion causes severe cognitive impairment, it might lead to an inability to function appropriately or independently. This type of mental health crisis demands intervention and assistance to determine any potential underlying issues. A combined approach using a professional evaluation, an assessment, therapeutic intervention, and medication is common. 

What to Do in a Mental Health Crisis

Mental health crises must be handled with empathy, care, and concern in a calm environment. You should always prioritize safety, remove threats, and encourage professional help if you see someone in a mental or emotional crisis. 

If you’re having a crisis

If you’re experiencing a mental health crisis, first and foremost, know that you’re not alone. Help is available, and seeking it is both brave and commendable. Don’t be afraid to reach out to someone you trust who will keep you safe as you navigate your journey. 

If you’re in crisis:

  • Find a friend or family member you trust
  • Seek professional support
  • Call a mental health hotline
  • Contact a crisis intervention service
  • Use self-care techniques and coping mechanisms — mindfulness, deep breathing, and grounding exercises are all beneficial in managing anxiety or stres

“The first thing to remember is you are not alone. Help is available. Please reach out even when it feels hard, call 911 or 988 in an emergency, or go to your local emergency room. Reach out to trusted friends, family, or a medical/mental health professional to take the steps to get the support and care that you deserve. Slow down, take a deep breath and remember thoughts and feelings are temporary and support is available to help you navigate these stressors.”

Talkspace therapist Jill Daino, LCSW-R

Responding to a crisis

If someone you care about is having a mental health crisis, reassure them that you care and love them and that you’re there to help and protect them. The most crucial part of responding to a situation is making sure they’re safe. Get help if you need support so you can offer them what they need. 

If someone you know is in crisis:

  • Be calm and empathetic
  • Reserve judgment
  • Listen actively and validate their emotions or words
  • Encourage them to seek help
  • Offer them resources and access to support services
  • Stay with them
  • Call 911 or get them to the emergency room if the help they need is urgent and beyond what you can provide

Resources & Support

Navigating a mental health crisis — whether it’s yours or someone else’s — can be a daunting, frightening experience. Awareness of the types of support and available resources can be critical.

  • Local mental health organizations: Local organizations can offer a range of services, from support groups to counseling, tailored to your community’s needs. They often provide valuable resources and can connect you with local mental health professionals.
  • Community centers: Many community centers offer support groups and counseling services that can provide a sense of community and understanding during difficult times.
  • National mental health organizations: Organizations, like the National Institute of Mental Health, provide information and advocacy and often have local chapters that offer support groups and educational resources.
  • Crisis intervention teams or mobile mental health units: These teams are trained to respond to mental health crises quickly and effectively, providing immediate support and resources.
  • National or local mental health hotlines: These hotlines offer immediate assistance and support, connecting you with trained professionals who can provide guidance and resources.
  • Online chat services: Services like Lifeline Chat and Text offer real-time support and guidance from crisis counselors.
  • Mental health professionals: Therapists, counselors, and psychiatrists can provide ongoing support, medication management, and crisis intervention tailored to your specific needs. At Talkspace, you can virtually connect with a licensed online psychiatrist or therapist for ongoing mental health support.
  • Support groups: Connecting with others in a support group who have shared experiences can provide valuable support and understanding, helping you feel less alone during difficult times.
  • Peer networks: Peer support can be a powerful tool in recovery, providing a sense of belonging and understanding that is essential for mental health.

By knowing where to turn for help, you can ensure that you or your loved ones receive the support and care needed during a mental health crisis. 

Get Help with Online Mental Health Treatment

Knowing the warning signs of a mental health crisis ensures you know what to do when it matters the most. Online therapy can be an essential tool for helping someone learn how to improve their mental health. It offers convenience, affordability, and accessibility, all while bypassing many of the traditional barriers to getting help — including long wait times, the need to travel, and cost. 

Talkspace is an online therapy platform that offers access to experienced licensed mental health professionals who are experts in dealing with crises. If you or someone you love needs help, start therapy with a Talkspace mental health care provider.

Sources:

  1. Suicide data and statistics. Centers for Disease Control and Prevention. November 29, 2023. Accessed April 21, 2024. https://www.cdc.gov/suicide/suicide-data-statistics.html.  
  2. Mental illness. National Institute of Mental Health. Accessed April 21, 2024. https://www.nimh.nih.gov/health/statistics/mental-illness.

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11 Alternatives to Zoloft https://www.talkspace.com/blog/zoloft-alternatives/ Wed, 18 Oct 2023 19:50:07 +0000 https://www.talkspace.com/blog/?p=32025 Zoloft (or the generic version, sertraline) is an antidepressant in the class of drugs known as selective serotonin…

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Zoloft (or the generic version, sertraline) is an antidepressant in the class of drugs known as selective serotonin reuptake inhibitors (SSRIs). Zoloft is considered a first-line treatment for depression and some anxiety disorders. Still, while studies show it can be very effective in relieving symptoms for some people, Zoloft use isn’t right for everyone. The drug won’t necessarily work the same way for every person — things like age, weight, severity of symptoms, and other factors can change the results of a drug from person to person. 

If your doctor has prescribed Zoloft (sertraline) but you’re not seeing the outcome you want, the side effects are too much for you to handle, or you’re hoping to find a more natural way to address your mental health, it might be time to look into Zoloft alternatives. 

While one can find Zoloft online, many people today seek a holistic approach to treating their mental health — entirely or in addition to a traditional treatment plan. Fortunately, options are available if you want to find alternatives to Zoloft for anxiety and depression. Read on for information about Zoloft substitute options, both through medication and with natural methods.  

Alternative Medications to Zoloft

If you’re looking for a new medication because you have difficulty with Zoloft side effects or are experiencing subpar improvement in symptoms, there are other SSRI medications you can try. All SSRIs work the same way, but different drugs can produce different results. 

SSRIs you might want to try instead of Zoloft include:

1. Prozac (fluoxetine)

Prozac is an effective SSRI that’s been prescribed for decades. Like Zoloft, Prozac blocks serotonin reuptake, increasing levels to improve mood and energy levels and regulate emotion. 

Prozac can be used for:

2. Celexa (citalopram)

Celexa is yet another antidepressant medication that’s widely used and typically an effective option for treating severe depression. Celexa can reduce symptoms of depression and other conditions by restoring chemical balance in the brain.

Celexa can be used for:

  • Major depressive disorder (MDD)
  • Generalized anxiety disorder (GAD) 
  • Obsessive-compulsive disorder (OCD)
  • Social phobia
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)
  • Bulimia

3. Lexapro (escitalopram)

Lexapro is used to treat anxiety and severe depression in some people. It’s known to regulate mood and reduce depressive or anxiety symptoms.

Lexapro can be used for:

  • Major depressive disorder (MDD)
  • Generalized anxiety disorder (GAD)
  • Obsessive-compulsive disorder (OCD)
  • Premenstrual dysphoric disorder (PMDD)
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)
  • Social phobia

Some research shows Lexapro might improve insomnia or other sleep disorders.

4. Paxil (paroxetine)

Paxil, another SSRI antidepressant, is FDA-approved to treat several mental health conditions, including depression and certain anxiety disorders. In some people, Paxil relieves sadness and improves mood while reducing worry or anxiety. 

Paxil can be used for:

  • Major depressive disorder (MDD)
  • Obsessive-compulsive disorder (OCD)
  • Generalized anxiety disorder (GAD)
  • Premenstrual dysphoric disorder (PMDD)
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)
  • OCD in children
  • Bipolar depression
  • Premenstrual syndrome
  • Irritable bowel syndrome

Alternatives to SSRIs to Replace Zoloft

SSRIs are not the only medication known to treat symptoms of anxiety or depression effectively. Several other classes of drugs can be effective for some people. If you’re looking for Zoloft alternatives that are not SSRIs, ask your doctor about the following classes of drugs.

5. Serotonin and norepinephrine reuptake inhibitors (SNRIs)

  • Cymbalta (duloxetine)
  • Pristiq (desvenlafaxine)
  • Effexor XR (venlafaxine)

6. Monoamine oxidase inhibitors (MAOIs)

  • Emsam (selegiline)
  • Parnate (tranylcypromine)
  • Marplan (isocarboxazid)

7. Tricyclic antidepressants (TCAs)

  • Norpramin (desipramine)
  • Pamelor (nortriptyline)

8. Atypical antidepressants

  • Wellbutrin (bupropion)
  • Remeron (mirtazapine)
  • Trazodone
  • Trintellix

Natural Alternatives to Zoloft

The popularity of natural treatments in the mental health field has increased over the years. Holistic approaches — including talk therapy, lifestyle modifications, and herbal supplements — may help alleviate symptoms related to mental health conditions without causing some of the side effects that Zoloft or other medications might have. 

9. Talk therapy (psychotherapy)

Talk therapy effectively treats depression, anxiety disorders, and other mental health conditions. Research shows that combining talk therapy with medication can produce far superior results than when one or the other is used alone. 

Cognitive behavioral therapy (CBT) has significantly improved the treatment of anxiety and depression. By identifying negative thought and behavior patterns, you can develop healthier coping mechanisms to change your reaction to people and situations.

10. Lifestyle changes

Making lifestyle changes — in addition to, or in an attempt to stop taking, medication — can profoundly impact overall well-being. For some people, an active approach to mental health can reduce or eliminate the need for other medicines.

Physical activity releases endorphins — the body’s natural mood enhancers — and has been found in studies to reduce stress and anxiety. Additionally, maintaining a focus on balanced nutrition ensures you get nutrients vital for brain function.

Other lifestyle changes that can be effective in managing symptoms of depression or anxiety include:

  • Maintaining a healthy sleep habit
  • Mindfulness practices like meditation
  • Yoga
  • Deep breathing exercises
  • Journaling 

11. Herbal supplements

The role of herbal supplements in treating depression and anxiety has become more popular. Some natural or herbal supplements that are believed to help reduce depression and anxiety symptoms potentially include:

*NOTE: You should not replace a prescribed treatment plan with herbal supplements without first talking to your doctor or mental healthcare provider. Never stop taking medication without discussing an appropriate taper plan to avoid Zoloft withdrawal

“Natural alternatives that have shown proven benefits similar to Zoloft include talk therapy and exercise. Talk therapy can help address the current stressors and provide coping skills to better the mood. Exercise can boost endorphins, provide better sleep and improve energy. All of these exercise benefits can help to alleviate symptoms of depression and anxiety.”

Talkspace psychiatrist Dr. Dion Metzger

Considerations for Switching to a Zoloft Alternative

Before switching any aspect of your prescribed treatment plan, it’s essential to talk to your doctor. You can discuss potential alternatives to Zoloft for anxiety, depression, or other mental health conditions. 

Before switching from Zoloft to another antidepressant or form of treatment, several factors must be considered.

Evaluate current health status

Current health plays an integral role in determining which medication would be best for treating your symptoms. It’s also important to disclose any current prescription drugs you’re taking to your doctor, so they can evaluate potential adverse side effects if you combine existing medications with a new regimen.

Side effects can be especially critical if you have specific health conditions like heart disease or diabetes. Even if you previously did so, review your full medical history with your healthcare provider as you discuss alternatives to Zoloft.

Look at potential side effects

All medications and even supplements have the potential for side effects, and not all known side effects will be felt by everyone. Side effects can range from mild inconveniences – like dry mouth or drowsiness, to severe concerns – like weight gain or sexual dysfunction, to serious or life-threatening concerns — like allergic reactions, chest pain, or thoughts of suicide. 

Understanding a drug’s unique profile and warnings can help manage expectations as you compare one drug against another to evaluate the benefits against any potential side effects you might experience.

Determine the efficacy of new medication or treatment

People can respond very differently to the same medication. Biological body chemistry, genetics, weight, age, and severity of symptoms can all impact the efficacy of any drug. In short, what works great for one person may not work at all for another.  

Be sure to talk to your doctor about what you should expect from a new medication or treatment, including how long it will typically take before you start seeing results. This will help you monitor how well a new treatment plan is working.

Evaluate the cost

Cost can be a huge barrier to treatment for many people. It’s important to know that the cost of medications can vary depending on whether they’re brand-name or generic, the dosage, and where you fill them. 

Sometimes, the same drug at different pharmacies — even in the same town — can have different prices. Be sure to ask your pharmacy for an estimate on cost before you fill a prescription and inquire about drug manufacturer discounts, coupon cards, or other ways to reduce the price of a new drug if cost is a factor.

Find the Right Alternative with Talkspace Psychiatry

Navigating alternatives to Zoloft can be a long and confusing process. Talkspace can help you with the transition. 

If you’re looking for a Zoloft substitute but aren’t sure where to start, Talkspace offers professional guidance and support from licensed online psychiatrists skilled in managing mental health condition treatment plans. Whether you need help treating depression, panic disorder, obsessive-compulsive disorder, or other mental health conditions, Talkspace is here to help. Reach out to Talkspace today.  

Sources:

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  4. Jackson EM. Stress relief. ACSM’S Health & Fitness Journal. 2013;17(3):14-19. doi:10.1249/fit.0b013e31828cb1c9. https://journals.lww.com/acsm-healthfitness/fulltext/2013/05000/stress_relief__the_role_of_exercise_in_stress.6.aspx. Accessed August 21, 2023.
  5.  Nahas R. Complementary and alternative medicine for the treatment of major depressive disorder. Can Fam Physician. 2011;57(6):659-663.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114664/. Accessed August 21, 2023.  
  6. White D, de Klerk S, Woods W, Gondalia S, Noonan C, Scholey A. Anti-stress, behavioural and magnetoencephalography effects of an L-theanine-based nutrient drink: A randomised, double-blind, placebo-controlled, crossover trial. Nutrients. 2016;8(1):53. doi:10.3390/nu8010053. https://www.mdpi.com/2072-6643/8/1/53. Accessed August 21, 2023. 
  7. Møllehave LT, Skaaby T, Simonsen KS, et al. Association studies of genetic scores of serum vitamin B12 and folate levels with symptoms of depression and anxiety in two danish population studies. European Journal of Clinical Nutrition. 2017;71(9):1054-1060. doi:10.1038/ejcn.2017.97. https://pubmed.ncbi.nlm.nih.gov/28656970/. Accessed August 21, 2023. 
  8. BIČÍKOVÁ M, DUŠKOVÁ M, VÍTKŮ J, et al. Vitamin D in anxiety and affective disorders. Physiological Research. Published online 2015. doi:10.33549/physiolres.933082. https://www.biomed.cas.cz/physiolres/pdf/64%20Suppl%202/64_S101.pdf. Accessed August 21, 2023.
  9. Larrieu T, Layé S. Food for mood: Relevance of nutritional omega-3 fatty acids for depression and anxiety. Frontiers in Physiology. 2018;9. doi:10.3389/fphys.2018.01047. https://www.frontiersin.org/articles/10.3389/fphys.2018.01047/full. Accessed August 21, 2023.
  10. Boyle N, Lawton C, Dye L. The effects of magnesium supplementation on subjective anxiety and stress—a systematic review. Nutrients. 2017;9(5):429. doi:10.3390/nu9050429. https://www.mdpi.com/2072-6643/9/5/429/htm. Accessed August 21, 2023.

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Celexa vs Zoloft: What’s the Difference? https://www.talkspace.com/blog/celexa-vs-zoloft/ Wed, 18 Oct 2023 19:48:48 +0000 https://www.talkspace.com/blog/?p=32035 Understanding the differences between Celexa (citalopram) and Zoloft (sertraline) is essential before you take either. Both medications are…

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Understanding the differences between Celexa (citalopram) and Zoloft (sertraline) is essential before you take either. Both medications are in the class of drugs known as selective serotonin reuptake inhibitors (SSRIs), which work by altering the amount of serotonin in the brain. Despite being in the same class, there are some key differences between Celexa vs Zoloft.  

Read on to learn everything you need to know about these popular antidepressant medications. Then, with your psychiatrist, primary care doctor, or healthcare provider, you can discuss if one of these drugs might fit into your treatment plan.  

Differences Between Celexa vs Zoloft

Like all drugs, there are significant differences between Celexa and Zoloft — from how they work, to what they treat, to how much you take. That’s why it’s so critical to learn as much as possible about these drugs before you decide to take either. 

Side effects

While there are potential side effects for any drug you’re considering, Celexa treatment has been shown to be effective in treating major depressive disorder with fewer side effects than some older generations of antidepressants. Understanding the possible side effects of any SSRI  with the help of a primary care provider, healthcare provider, or medical professional, is essential for effective mental health management.

Common side effects of Celexa treatment:

  • Nausea or queasiness
  • Drowsiness or insomnia
  • Dry mouth 
  • Increased sweating
  • Change in sex drive or function

Common side effects of Zoloft:

  • Headache
  • Nausea or vomiting
  • Sexual side effects
  • Diarrhea
  • Dry mouth
  • Dizziness or lightheadedness
  • Weight change

Conditions they treat

Celexa is FDA-approved to treat depression. It’s also used off-label to treat several other conditions. ‘Off-label’ means doctors have seen that a drug can be effective, but hasn’t been approved for use by the FDA for that certain use. 

Celexa off-label uses include:

Zoloft is approved for depression treatment and a few other conditions.

Zoloft is an FDA-approved drug to treat:

  • Major depressive disorder (MDD)
  • Panic disorder
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
  • Premenstrual dysphoric disorder
  • Social anxiety disorder

In addition to these approved uses, Zoloft can also be used off-label to treat:

Dosage amount

One difference between Celexa and Zoloft is dosage. It’s important to follow each antidepressant medication’s instructions for dosing very carefully.

Celexa is available in:

  • Tablets — 10, 20, or 40 mgs
  • Capsule — 30 mg
  • Liquid — 10 mg/5mL

Zoloft is available in:

  • Tablets — 25, 50, or 100 mgs
  • Capsule — 150 – 200 mg
  • Liquid — 20 mg/mL

H4 Which is stronger, Celexa (citalopram) or Zoloft (sertraline)?  

It’s common to compare the strength of citalopram vs sertraline. Both drugs increase serotonin levels in the brain, which can alleviate symptoms of depression and anxiety. However, the effectiveness of any drug will vary from person to person based on multiple factors, including diagnosis, age and weight, overall health condition, and other medications taken concurrently.

Similarities Between Celexa vs Zoloft

There are dosage similarities between these two medications — both generally start at lower doses and can be gradually increased based on response. 

Other similarities include:

  • Both are in the class of drugs known as SSRIs
  • Overlap in side effects like nausea, dry mouth, and change in sex drive or function
  • Many people tolerate SSRIs very well
  • Both drugs alter serotonin levels in the brain
  • Both can be used to treat depression

How they work

Selective serotonin reuptake inhibitor medications such as Celexa and Zoloft both work by increasing serotonin levels. Serotonin is a neurotransmitter in the brain that sends messages. Too little serotonin can trigger anxiety symptoms or depression; balancing levels can boost and stabilize moods. SSRIs like Celexa and Zoloft can treat depression, generalized anxiety disorder, and some mood disorders. 

Effective treatment for depression

Celexa vs Zoloft for depression can effectively alleviate depressive symptoms for many people. Increasing serotonin levels can result in a noticeable improvement in mood, and SSRIs are often considered first-line treatment. 

In studies, Celexa has been found to be incredibly effective in treating depression. The efficacy of Zoloft has also been researched, and the results suggest that the drug can reduce symptoms like loss of interest in activities once enjoyed and low energy levels, both common with depression. 

“Both Celexa and Zoloft are selective serotonin reuptake inhibitors (SSRIs). They increase serotonin breakdown in the neural synapse leading to an increased neurotransmitter that helps resolve depression symptoms.”

Talkspace psychiatrist Dr. Muhammad Munir
CelexaZoloft
ConditionsMajor depressive disorder
Panic disorder (off-label use)
OCD (off-label use)
Social anxiety disorder
PTSD (off-label use)
PMDD (off-label use)
Binge eating disorder (off-label use)
Major depressive disorder 
Panic disorder
OCD
Social anxietydisorder
PTSD
PMDD
Generalized anxiety disorder(off-label use)
Autism (off-label use)
Personality disorders (off-label use)
Disordered eating (off-label use)
Common Side EffectsQueasiness/Nausea
Dry mouth 
Drowsiness
Change in sex function or drive
Insomnia
Increased sweating
Headache
Nausea or vomiting
Sexual side effects
Diarrhea
Dry mouth
Dizziness or lightheadedness
Weight change
Key ConsiderationsPossible drug interactions

Alcohol can cause dizziness or disorientation

Not approved for use in minors

Available in brand name or generic
Can interact with other drugs

Safe at therapeutic levels; however, may exacerbate existing heart issues

Available in brand name or generic

Determine if Celexa or Zoloft Is Right for You with Talkspace

Figuring out which antidepressant is right for you can take some time, but online psychiatrists at Talkspace can help. Talkspace psychiatrists can help you find the right effective treatment plan to improve your condition, reduce your symptoms, and help you reach your goals. 

Reach out to Talkspace today to learn more about getting prescription for Celexa or Zoloft online. Find out if one of these antidepressants might be a good option to try. 

Sources:

  1. Keller MB. Citalopram therapy for depression: a review of 10 years of European experience and data from U.S. clinical trials. J Clin Psychiatry. 2000;61(12):896-908. https://pubmed.ncbi.nlm.nih.gov/11206593/. Accessed August 20, 2023. 
  2. Lydiard RB, Perera P, Batzar E, Clary CM. From the bench to the Trench. The Primary Care Companion For CNS Disorders. 1999;1(5). doi:10.4088/pcc.v01n0504. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181082/. Accessed August 20, 2023. 

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Paxil vs Zoloft: What’s the Difference? https://www.talkspace.com/blog/paxil-vs-zoloft/ Wed, 18 Oct 2023 19:48:06 +0000 https://www.talkspace.com/blog/?p=32040 Paxil (Paroxetine) and Zoloft (Sertraline) are medications popular for treating mental health conditions like depression and various mood…

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Paxil (Paroxetine) and Zoloft (Sertraline) are medications popular for treating mental health conditions like depression and various mood disorders. Both are in a class of drugs known as selective serotonin reuptake inhibitors (SSRIs), which are commonly used antidepressants. 

Trying to choose between using Paxil and Zoloft can leave many people feeling confused. It’s important to remember that selective serotonin reuptake inhibitor drugs can work differently for everyone — things like body chemistry and individual needs come into play when deciding which medication is most suitable. 

To make an informed decision about your treatment plan, it’s critical to understand the difference between Paxil and Zoloft. Before obtaining a Zoloft online prescription or getting a prescription for Paxil, you must look at their uses, side effects, and how they work. While your doctor should help you decide which drug will be most effective, you can continue reading to learn whether Paxil or Zoloft might be right for you.

 PaxilZoloft
Conditions They TreatMajor depressive disorder
PTSD
PMDD
Panic disorder
OCD
Generalized anxiety disorder
Major depressive disorder
PTSD
PMDD
Panic disorder
OCD
Some anxiety disorders
Common Side EffectsNausea
Weakness
Drowsiness 
Sexual dysfunction
Risk of bleeding
Weight gain  
Nausea or vomiting
Diarrhea
Dry mouth
Headache
Dizziness or lightheadedness
Sexual side effects
Weight change
Key ConsiderationsDrug interactions may occur

Increased risk of suicidal thoughts in some people

Available in brand name or generic
Can interact with other drugs

Safe at therapeutic levels; however, may exacerbate existing heart issues

Available in brand name or generic

Differences Between Paxil vs. Zoloft

To compare Paxil and Zoloft, it’s necessary to assess the differences between these drugs. Both SSRI antidepressant medications affect neurotransmitters in the brain to help maintain balance. Still, they work slightly differently, and which is best will depend on several factors. 

Conditions they treat

While both drugs are antidepressants and treat some of the same conditions, there are also  some differences in others Paxil versus Zoloft can treat.

Paxil is FDA-approved to address symptoms of: 

Paxil off-label uses include:

Zoloft is approved by the FDA to treat: 

  • Major depressive disorder (MDD)
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)
  • Social anxiety disorder
  • Premenstrual dysphoric disorder (PMDD)

Zoloft off-label uses include:

  • Autism
  • Disordered eating
  • Generalized anxiety disorder (GAD)
  • Personality disorders

Note that off-label uses for any drug have been seen as effective, but they’re not FDA approved. 

Dosage amount

Dosage can vary between Paxil and Zoloft, and it’s important to take either drug exactly as prescribed. 

Paxil is available in either immediate or controlled release forms:

  • Immediate-release — Start with 10 – 20 mg, increased by 10 mg weekly if needed, only as advised by a doctor; maximum of 50 mg daily.  
  • Controlled release: Start with 12.5 – 25 mg, increased by 12.5 mg weekly if needed, only as advised by a doctor; maximum of 62.5 mg per day. 

Zoloft is available in the following dosages and forms:

  • Tablets — 25, 50, or 100 mgs
  • Capsule — 150 – 200 mg
  • Liquid — 20 mg/mL

Side effects

When we compare Paxil and Zoloft, we need to look at each drug’s side effects. While some reactions can be the same, the drugs can affect everyone differently.

Common side effects of Paxil:

  • Nausea
  • Weakness
  • Drowsiness 
  • Sexual dysfunction
  • Risk of bleeding
  • Weight gain  

Common side effects of Zoloft:

  • Nausea or vomiting
  • Diarrhea
  • Dry mouth
  • Headache
  • Dizziness or lightheadedness
  • Sexual side effects
  • Weight change

Does Paxil have less side effects than Zoloft?

Before deciding if Zoloft is better than Paxil, or vice versa, remember that Individual responses can vary. Factors like health conditions, age, and concurrent use of other medications can all impact how a drug affects someone. 

Some research suggests Zoloft may be tolerated better in certain people, but knowing which drug is best for you will ultimately be decided by you and your doctor.

Does Paxil or Zoloft make you gain weight?

  • Paxil: Not everyone will experience weight gain on Paxil, but it’s important to note that about 1% of people in clinical trials did see weight gain related to taking the drug. Some research suggests that weight gain is more likely with Paxil than with other SSRIs.  
  • Zoloft: Significant research shows that Zoloft weight gain is temporary and moderate. While it can be expected for people on antidepressants to see weight gain as a side effect, studies show that Zoloft may have less risk of causing significant weight gain than other antidepressants. 

Similarities Between Paxil & Zoloft

Paxil and Zoloft share several similarities in how they work, the conditions they treat, dosage, forms, and how they are administered. 

Similarities include both medications:

  • Are both in the SSRI class of drugs
  • Block reabsorption of serotonin into neurons
  • Increase the availability of serotonin levels in the brain to enhance mood regulation
  • Are used to treat major depressive disorder, obsessive-compulsive disorder, and panic disorder

How they work

SSRIs like Paxil and Zoloft work by altering levels of the neurotransmitter serotonin in the brain. Serotonin carries signals in the brain from nerve cell to nerve cell. It’s believed to impact emotions, mood, and sleep positively. SSRIs stop serotonin from being transported and reused, keeping higher serotonin levels available to improve symptoms of certain mental health conditions like depression, anxiety, and mood disorders. 

Anxiety and depression treatment

Paxil and Zoloft for anxiety work in the same way, but efficacy can differ for individual people. 

Paxil treats various forms of anxiety, including panic attacks, social anxiety, generalized anxiety disorder, and post-traumatic stress disorder. It can relieve irritability and restlessness, which anxiety often causes. Zoloft is also known to be effective in treating a variety of anxiety disorders, including obsessive-compulsive disorder. Research shows it can effectively treat extreme forms of social phobia.

Paxil and Zoloft can both regulate mood and treat some forms of depression. 

“Zoloft and Paxil are SSRIs working on serotonin, a major neurotransmitter. They work by increasing leads to resolving symptoms. These treat depression and anxiety, and the selection between Zoloft and Paxil is based on the severity of symptoms. The dose needed is a combination of meds, tolerability, and side effects. For severe anxiety disorders, PTSD, and OCD, higher doses are needed. Zoloft used in much higher doses is tolerated better.”

Talkspace psychiatrist Dr. Muhammad Munir

Determine if Paxil or Zoloft Is Right for You with Talkspace

Finding the right SSRI antidepressant medication to treat your mental health effectively can be overwhelming. Understanding how each drug functions, its potential side effects, and suitability for a specific condition takes time and patience. 

Online psychiatrists at Talkspace can help guide you through the process. Connect with licensed and experienced therapists who specialize in mental healthcare. Together, you can compare Paxil and Zoloft to figure out if one might be better for you and your circumstances.

Contact Talkspace today to learn more about the difference between Paxil and Zoloft treatment options.

Sources:

  1. Bandelow B, Behnke K, Lenoir S, et al. Sertraline versus paroxetine in the treatment of panic disorder. The Journal of Clinical Psychiatry. 2004;65(3):405-413. doi:10.4088/jcp.v65n0317. https://pubmed.ncbi.nlm.nih.gov/15096081/. Accessed August 20, 2023. 
  2. Liebowitz MR, DeMartinis NA, Weihs K, et al. Efficacy of sertraline in severe generalized social anxiety disorder. The Journal of Clinical Psychiatry. 2003;64(7):785-792. doi:10.4088/jcp.v64n0708. https://pubmed.ncbi.nlm.nih.gov/12934979/. Accessed August 20, 2023.
  3. Nevels RM, Gontkovsky ST, Williams BE. Paroxetine-The Antidepressant from Hell? Probably Not, But Caution Required. Psychopharmacol Bull. 2016;46(1):77-104. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044489/. Accessed August 20, 2023.
  4.  PAXIL- paroxetine hydrochloride tablet, film coated. U.S. Food and Drug Administration. Accessed August 20, 2023. https://www.fda.gov/industry/fda-data-standards-advisory-board/structured-product-labeling-resources.  
  5. Deshmukh, MD R, Franco, MD K. Managing weight gain as a side effect of antidepressant therapy. Cleveland Clinic Journal of Medicine. 2003;70(7). https://www.ccjm.org/content/ccjom/70/7/314.full.pdf. Accessed August 20, 2023.
  6. Gafoor R, Booth HP, Gulliford MC. Antidepressant utilisation and incidence of weight gain during 10 years’ follow-up: Population based cohort study. BMJ. Published online 2018. doi:10.1136/bmj.k1951. https://www.bmj.com/content/361/bmj.k1951. Accessed August 20, 2023.

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9 Alternatives to Lexapro https://www.talkspace.com/blog/lexapro-alternatives/ Wed, 18 Oct 2023 19:46:04 +0000 https://www.talkspace.com/blog/?p=32030 Updated 6/12/2024 Lexapro (escitalopram) is an effective selective serotonin reuptake inhibitor (SSRI) commonly used to treat symptoms of…

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Updated 6/12/2024

Lexapro (escitalopram) is an effective selective serotonin reuptake inhibitor (SSRI) commonly used to treat symptoms of anxiety and depression. For some people, this anxiety medication can also be effective in reducing symptoms of premenstrual dysphoric disorder (PMDD), panic disorder, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and social phobia.  

While all SSRIs generally work in a similar manner, not all drugs will have the same effect on everyone. If you’re looking for Lexapro alternatives — either because it’s not fully treating your anxiety symptoms or because you don’t like the side effects of Lexapro treatment — there are several other medications to consider. There are also natural or holistic alternatives to Lexapro out there.

Some of the most common alternatives to taking Lexapro (escitalopram) are:

  • Other SSRIs: Paxil (paroxetine), Zoloft (sertraline)
  • SNRIs: Cymbalta (duloxetine), Effexor XR (venlafaxine)
  • Atypical Antidepressants: Wellbutrin (bupropion)
  • Buspirone (Buspar)
  • Natural Alternatives: Herbal supplements, lifestyle changes, cognitive behavioral therapy

Continue reading to learn about potential Lexapro alternatives in managing or relieving symptoms related to your mental health condition. 

Alternative SSRI Medications to Lexapro

Lexapro is a popular choice for treating depression, but other options are available in the same class of drugs. Studies show that trying a new drug in the same family — for example, a different SSRI — can often be as effective as changing to an entirely different class of drugs. Consulting your doctor or mental healthcare provider is crucial when considering alternatives to Lexapro, as they can provide expert advice and ensure a safe transition between medications.

Additional SSRIs you might want to consider include:

1. Paxil (paroxetine)

Paxil treats symptoms of depression, some anxiety disorders, and other mental health conditions. In some people, Paxil can effectively relieve sadness and improve mood while reducing worry or anxiety. 

Paxil can be used for:

  • Major depressive disorder (MDD)
  • Premenstrual dysphoric disorder (PMDD)
  • Post-traumatic stress disorder (PTSD)
  • Obsessive-compulsive disorder (OCD)
  • Generalized anxiety disorder (GAD)
  • Panic disorder
  • Bipolar depression
  • OCD in children
  • Irritable bowel syndrome
  • Premenstrual syndrome

If you’re interested in learning more about this alternative, check out Paxil online.

2. Celexa (citalopram)

Celexa is another antidepressant medication that can be effective for treating depression. By altering serotonin levels in the brain, Celexa can help manage depression and is used off-label to treat several additional conditions.

Celexa can be used for:

  • Major depressive disorder (MDD)
  • Social phobia
  • Bulimia
  • Post-traumatic stress disorder (PTSD)
  • Generalized anxiety disorder (GAD) 
  • Panic disorder
  • Obsessive-compulsive disorder (OCD)

You might consider seeking Celexa online if the benefits of Celexa vs. Lexapro appeal to you.

3. Zoloft (sertraline)

Zoloft is a well-known and popular SSRI antidepressant used to treat symptoms related to depression, anxiety, and other conditions. When comparing Lexapro vs. Zoloft, Zoloft works similarly by increasing the amount of serotonin in the brain to stabilize mood and emotions. 

Zoloft can be used for:

  • Major depressive disorder (MDD)
  • Obsessive-compulsive disorder (OCD)
  • Premenstrual dysphoric disorder (PMDD)
  • Social anxiety disorder
  • Panic attacks
  • Post-traumatic stress disorder (PTSD)
  • Generalized anxiety disorder (GAD)
  • Binge eating disorder
  • Bulimia nervosa

Interested in exploring this medication? Talk to a psychiatrist about getting Zoloft online with a prescription.

4. Prozac (fluoxetine)

Prozac has been FDA-approved to treat several mental health conditions for years. Another type of SSRI, Prozac, can block serotonin reuptake to help balance levels. For many people, Prozac is highly effective in helping to increase energy and balance emotions. 

Prozac can be used for:

  • Major depressive disorder (MDD)
  • Panic disorder
  • Premenstrual dysphoric disorder (PMDD)
  • Obsessive-compulsive disorder (OCD)
  • Bulimia
  • Generalized anxiety disorder (GAD) 
  • Body dysmorphic disorder
  • Post-traumatic stress disorder (PTSD) 

Want to learn more about how this medication works as an alternative to Lexapro? Discover our comparison of Prozac vs. Lexapro.

Alternatives to SSRIs to Replace Lexapro

There are other classes of drugs available if you’re looking for a Lexapro substitute. Talk to your doctor to find out if one of the following medications might be more beneficial in treating your symptoms. 

5. Serotonin and norepinephrine reuptake inhibitors (SNRIs)

  • Pristiq (desvenlafaxine)
  • Cymbalta (duloxetine)
  • Effexor XR (venlafaxine)

6. Atypical antidepressants

  • Wellbutrin (bupropion)
  • Trazodone
  • Viibryd (vilazodone)
  • Trintellix

Natural Alternatives to Lexapro

Many people today are looking for holistic alternatives to drugs. Some Lexapro alternatives might be worth asking your doctor about if you want a natural component to your treatment plan. 

You might consider using one of the following — either in addition to medication or in hopes of having a completely holistic treatment plan — therapy, supplements, and lifestyle changes are all potential options. 

7. Talk therapy (psychotherapy)

Much research has been done on the efficacy of talk therapy (also known as psychotherapy). 

Multiple studies have found that talk therapy can significantly improve outcomes, and when combined with medication, the results tend to be far superior to what most people see if they use just therapy or medication. 

Cognitive behavioral therapy (CBT) is widely used as a therapy for anxiety and works by helping people identify and change unhealthy thoughts and behavior patterns that can negatively impact their lives. 

8. Herbal supplements

Herbal supplements have been used for thousands of years in some cultures to treat both physical and mental health. In recent years, it’s become more prevalent in Western medicine, and some supplements are believed to be highly effective in treating conditions like anxiety and depression. 

Some of the more common supplements that might be an effective alternative to Lexapro for anxiety or depression may include:

“Most commonly used OTC supplements are 5-hydroxytryptophan 5-HTP, St. John’s wort, and S-adenosylmethionine (SAMe). Note these have mixed results and responses and are not FDA-approved. Some may help with mild depressive symptoms but not severe clinical depression. Psychotherapy, alone or in combination with medications, is an effective treatment for depression, with a proven early response, remission, and long-lasting results.”

Talkspace psychiatrist Dr. Muhammad Munir

*NOTE: You should not replace a prescribed treatment plan with herbal supplements without first talking to your doctor or mental healthcare provider. Never stop taking medication without discussing an appropriate taper plan. More research is needed on using these natural remedies for anxiety and depression.

9. Lifestyle changes

Many people adopt healthy lifestyle changes to improve physical and mental health. 

When combined with medication and/or therapy, making simple changes in your routine can often be quite effective in overcoming numerous symptoms related to a mental health condition. 

Some people find they can reduce or eliminate the need for medication by adding healthy life choices and talking to their doctor. 

Lifestyle changes that can help you improve many aspects of your life include:

  • Working out is proven to increase endorphins and improve mood
  • Eating well can help your mind and body
  • Staying hydrated is essential 
  • Keeping a healthy sleep habit can enhance mood
  • Yoga helps with anxiety
  • Mindfulness meditation can calm your thoughts
  • Journaling was found in research to help manage depression and anxiety
  • Doing deep breathing work enables you to relax and reduces anxiety symptoms

Considerations for Switching to a Lexapro Alternative

Before you change your treatment plan — whether switching your medication, changing the dosage, or stopping the drug altogether, you must have a conversation with your doctor. They can help you understand the potential impact of any changes. They’ll also help you determine if you need to implement a taper schedule before reducing or eliminating any medication to avoid Lexapro withdrawal symptoms. There are many things to consider before you decide on alternatives to Lexapro for anxiety or any other condition.

Your primary care physician or a mental health professional will review:

  • Your health status today: You should go over your current health status with your doctor so they can determine which drive might be best for treating your symptoms. It will also be essential to review all the medications, both over-the-counter and prescription, that you currently take if you’re considering switching drugs. Your doctor will want to ensure that there won’t be any interactions.
  • Common side effects of a new drug you might be considering: Before starting any new drug, you should review common side effects you might experience with your doctor. While some are minor and just something to be aware of, many drugs can potentially cause severe to life-threatening adverse effects that you must know about..
  • Efficacy of new medications: Two people can respond very differently to the same drug. Thus, your doctor will share with you what to expect regarding the effectiveness of a new medication. They’ll tell you about short- and long-term adverse effects and how long it might take to feel relief. This way, you can assess how well a new drug is working.

“Poor or partial response to meds sometimes requires combination or switching drugs. When Lexapro needs to be switched, it’s done carefully to avoid serious withdrawal and side effects like headaches, dizziness, fatigue, nausea, irritability, and agitation.”

Talkspace psychiatrist Dr. Muhammad Munir

Find the Right Alternative with Talkspace Psychiatry

Talkspace can help you navigate the sometimes challenging decision to seek out alternatives to medication. While that process might seem daunting, Talkspace providers can offer professional assistance in helping you manage your condition and symptoms with the best treatment plan possible.

Talkspace therapists and psychiatrists are experienced and qualified. With the convenience and accessibility online therapy offers, Talkspace can be a valuable resource as you learn to manage your mental health. Contact Talkspace today to learn more about what Lexapro alternatives are best suited to treat you and your condition.

Sources:

  1. Ruhé HG, Huyser J, Swinkels JA, Schene AH. Switching antidepressants after a first selective serotonin reuptake inhibitor in major depressive disorder. The Journal of Clinical Psychiatry. 2006;67(12):1836-1855. doi:10.4088/jcp.v67n1203. https://pubmed.ncbi.nlm.nih.gov/17194261/. Accessed August 21, 2023.
  2. Lydiard RB, Perera P, Batzar E, Clary CM. From the bench to the Trench. The Primary Care Companion For CNS Disorders. 1999;1(5). doi:10.4088/pcc.v01n0504. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181082/. Accessed August 21, 2023. 
  3. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918025/. Accessed August 21, 2023.
  4. BIČÍKOVÁ M, DUŠKOVÁ M, VÍTKŮ J, et al. Vitamin D in anxiety and affective disorders. Physiological Research. Published online 2015. doi:10.33549/physiolres.933082. https://www.biomed.cas.cz/physiolres/pdf/64%20Suppl%202/64_S101.pdf. Accessed August 21, 2023.
  5. Møllehave LT, Skaaby T, Simonsen KS, et al. Association studies of genetic scores of serum vitamin B12 and folate levels with symptoms of depression and anxiety in two Danish population studies. European Journal of Clinical Nutrition. 2017;71(9):1054-1060. doi:10.1038/ejcn.2017.97. https://pubmed.ncbi.nlm.nih.gov/28656970/. Accessed August 21, 2023. 
  6. Boyle N, Lawton C, Dye L. The effects of magnesium supplementation on subjective anxiety and stress—a systematic review. Nutrients. 2017;9(5):429. doi:10.3390/nu9050429. https://www.mdpi.com/2072-6643/9/5/429/htm. Accessed August 21, 2023.
  7. White D, de Klerk S, Woods W, Gondalia S, Noonan C, Scholey A. Anti-stress, behavioural and magnetoencephalography effects of an L-theanine-based nutrient drink: A randomised, double-blind, placebo-controlled, crossover trial. Nutrients. 2016;8(1):53. doi:10.3390/nu8010053. https://www.mdpi.com/2072-6643/8/1/53. Accessed August 21, 2023. 
  8. Larrieu T, Layé S. Food for mood: Relevance of nutritional omega-3 fatty acids for depression and anxiety. Frontiers in Physiology. 2018;9. doi:10.3389/fphys.2018.01047. https://www.frontiersin.org/articles/10.3389/fphys.2018.01047/full. Accessed August 21, 2023.
  9. Maffei ME. 5-hydroxytryptophan (5-HTP): Natural occurrence, analysis, biosynthesis, biotechnology, physiology and toxicology. International Journal of Molecular Sciences. 2020;22(1):181. doi:10.3390/ijms22010181. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796270/. Accessed August 21, 2023.
  10. Canenguez Benitez JS, Hernandez TE, Sundararajan R, et al. Advantages and disadvantages of using st. john’s wort as a treatment for depression. Cureus. Published online 2022. doi:10.7759/cureus.29468. https://www.cureus.com/articles/94821-advantages-and-disadvantages-of-using-st-johns-wort-as-a-treatment-for-depression. Accessed August 21, 2023.
  11. 1. S-adenosyl-L-methionine (same): In depth. National Center for Complementary and Integrative Health. Accessed August 21, 2023. https://www.nccih.nih.gov/health/sadenosyllmethionine-same-in-depth

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How Much is Celexa With & Without Insurance? https://www.talkspace.com/blog/celexa-cost-insurance/ Wed, 28 Jun 2023 19:16:47 +0000 https://www.talkspace.com/blog/?p=30441 Celexa (citalopram), a selective serotonin reuptake inhibitor (SSRI), is a frequently prescribed drug used to treat depression and…

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Celexa (citalopram), a selective serotonin reuptake inhibitor (SSRI), is a frequently prescribed drug used to treat depression and anxiety disorder. Celexa and other selective serotonin reuptake inhibitor medications work by increasing serotonin levels in the brain. 

The price of prescription medication like Celexa can vary based on things like whether or not you have insurance, the dose strength, and other factors. Filling a prescription for Celexa without insurance can cost between $200-$400 for a 30-day supply. With insurance coverage or coupons, the prescription drug can be much more cost-effective.

Continue reading to answer the question how much is Celexa without insurance (and with it) and to hear ways you can manage the cost so it’s affordable. 

Is Celexa Covered by Insurance?

Knowing exactly how much will Celexa cost with insurance can be tricky. It depends on multiple things, but your plan type is one of the most important factors. Generally, most major health insurers will cover at least some form of antidepressant medication like Celexa. 

Employer-sponsored health plans typically cover Celexa as well. The same is also true for Medicaid and Medicare, which normally cover Celexa when it’s prescribed for depression.

Cost of Celexa Without Insurance

How much is Celexa without insurance? Celexa’s price without insurance can widely vary, depending on where you purchase it, the dosage, and whether you get the brand name or generic version. 

With the use of a coupon or savings card, a 30-day supply of 10mg tablets of Celexa without insurance can cost, on average, around $40 to $50. The price drops significantly when you look at Celexa’s generic cost without insurance — in fact, it can be as low as less than $10 for a 1-month supply. That said, though the generic version of Celexa (citalopram) is one of the least expensive SSRIs, the FDA has only approved it to treat depression.

Research shows that the cost for a 1-month supply of 10mg Celexa (citalopram) tabs depends on the pharmacy you fill your prescription at.

Factors that impact the cost of Celexa

Several factors can affect the price of prescription medication like Celexa, including the dosage you’re prescribed, what pharmacy you use, where you live, if you get the brand-name or generic version of the prescription drug, and if you have coupons or manufacturer discount cards. Keep in mind that in order to even get Celexa, you need a prescription from a doctor or psychiatrist so you’ll also want to factor in the cost of a psych

“Managing the costs of prescriptions can be overwhelming. It’s best to work closely with your provider to understand the treatment plan and, of course, the anticipated outcomes. Ask questions but don’t hesitate to pursue a self-education regarding the cost of dosages and the anticipated course of treatment. Cost can certainly impact any stress that comes with taking a new prescription, so it’s never a bad idea to also inquire about your healthcare coverage to plan.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW 

Cost of Celexa With Insurance

The monthly cost for Celexa when using insurance is contingent on your plan’s deductible and copayment. It’s not difficult to get financial assistance or a patient assistance program for medications like Celexa. Check your policy or call your insurer for more information. 

How to Get Celexa Without Insurance

If you don’t have health insurance or your current plan doesn’t cover Celexa, it’s true that the cost of this medication can add up over time. Nevertheless, there are a variety of solutions that can make Celexa more economical, including:

  1. Asking your doctor for the generic version
  2. Looking into patient aid initiatives from drug makers
  3. Comparing costs at different pharmacies
  4. Buying Celexa online

“There are online options to source prescriptions without insurance, but I encourage you to do your homework about your treatment plan first to avoid further stress with the unknowns. Work with your clinician regarding generic options and if other cost-effective medications might be available. We can feel empowered by taking control of our understanding and by learning that feeling well can be without limitations, even if we anticipate a financial change due to health needs.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW 

Affordable Online Mental Health Treatment

The stress of wondering how much Celexa costs without insurance can be overwhelming, especially for your mental health. For those without insurance, online psychiatry platforms provide an accessible and affordable solution. Online platforms like Talkspace mean you can now access convenient and affordable mental healthcare from licensed professionals, even making therapy without insurance a possibility.

If you’re curious about the cost or side effects of a Celexa prescription, get connected with a Talkspace psychiatrist to get your questions answered.

Sources:

  1. “Citalopram Prices, Coupons & Savings Tips – Goodrx.” GoodRx. Accessed March 1, 2023. https://www.goodrx.com/citalopram

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How Long Does It Take for Lithium to Work? https://www.talkspace.com/blog/how-long-for-lithium-to-work/ Wed, 28 Jun 2023 19:13:02 +0000 https://www.talkspace.com/blog/?p=30890 Lithium is a medication used for managing bipolar disorder symptoms and symptoms of other conditions. It helps balance…

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Lithium is a medication used for managing bipolar disorder symptoms and symptoms of other conditions. It helps balance mood swings and avert manic episode phases. In multiple studies, it’s been shown to reduce suicide attempts drastically. If you’ve recently started — or are considering starting — Lithium therapy, you might be wondering how long does it take for Lithium to work

First, it’s essential to know that it can take some time to experience the full effects of Lithium medication. Most people find that Lithium starts to work within a couple of weeks, but the results are different for everyone. 

Continue reading as we explore how long Lithium takes to work, how you’ll know when it’s doing its job, and what you should do if you’re not getting the results you’re hoping for.

Timeline to Work

The timeline for Lithium medication to start working will vary from person to person. Some people begin noticing the medicine working within 2 weeks, but it can take up to several months for some people before optimal results are felt. Research shows it can take roughly 1 – 3 weeks on average for Lithium to fully work to the point that there’s a significant remission of symptoms.

How long does it take for Lithium to work for depression? 

First, note that Lithium therapy is only approved for treating bipolar depression. That said, for some people, it can begin to relieve symptoms of depression within 1 to 3 weeks.

How long does it take for Lithium to work for bipolar disorder?

For most people, Lithium will start working to reduce symptoms of bipolar disorder within several weeks. Again, it’s important to remember that results can vary, and Lithium treatment will not work the same way for everyone.

How Do You Know If Lithium Is Working?

We don’t fully know how or why Lithium is a mood stabilizer, but we understand it works by acting on the central nervous system. Lithium can help stabilize emotions and mood swings, making it easier to cope with symptoms of bipolar disorder and depression

Especially in the beginning, your doctor will likely closely monitor how Lithium affects you through regular checkups and blood work.

What are the immediate effects of Lithium?

It’s possible to have mild Lithium side effects when first taking this drug. For example, many people experience increased thirst, mild hand tremors, and nausea. These side effects can be uncomfortable, but they indicate that the psychiatric medication is having some effect. 

If symptoms and side effects increase or worsen to the point that you are uncomfortable or unable to continue taking the medication, reach out to your doctor as soon as possible. Your dosage may need to be adjusted, or you might need a new medication altogether.

“It will reduce the symptoms of depression or mania. This will lead to the mood feeling more stable. Please discuss any concerns with your doctor.”

– Talkspace psychiatrist Dr. Dion Metzger

Factors that Affect the Onset of Action for Lithium

Several factors can affect the onset of Lithium. Whether you’re just starting to take this psychiatric medication, you’re considering beginning it for treatment, or you’ve been on Lithium for quite some time, it’s important to understand the different factors that might affect how Lithium works.

  • Dosage: Your dosage can always be a factor in how well or how quickly a drug works. So, if you don’t feel your Lithium dose is working quite the way it should be, ask your doctor whether your dosage is correct.
  • Sodium: Sodium can have a significant impact on how Lithium works in the body. Talk to your healthcare provider about your diet, and don’t change your sodium intake suddenly while you’re on Lithium. 
  • Caffeine: Caffeine is another drug that has the potential to impact how well Lithium works. Be mindful of your caffeine intake. Talk to your healthcare provider if you’re worried it’s affecting how well Lithium treatment is working.
  • Alcohol: Like many medications, alcohol can have an impact on the efficacy of a Lithium dose. Avoid or limit your alcohol intake if you’re on Lithium for bipolar disorder or other mental health conditions. 

“Ibuprofen and diuretics can increase Lithium levels in patients so it’s advised to discuss with your doctor if you’re taking any of these medications.”

– Talkspace therapist Dr. Dion Metzger

What to Do When Lithium is Not Working

If you think this drug isn’t working how you expect it to, talk to your doctor. They might want to adjust your dosage or look into alternative treatment plans.

Get Personalized Mental Health Treatment with Talkspace

Talkspace is an online therapy and psychiatry platform that can help you effectively manage symptoms of bipolar disorder or other mental health conditions you’re living with. Our experienced mental health experts are here to help you gain control through personalized treatment plans designed for your exact needs. Whether that includes a prescription for Lithium online or not, an online psychiatrist is here to help you find the right treatment.

Get in touch with Talkspace today to learn more about how we’re changing the face of mental healthcare through convenient, affordable therapy access available to you anytime. Whether you’re wondering how long for Lithium to work or you have any other questions about mental health medications, Talkspace is here to help.  

Sources:

  1. Lewitzka U, Severus E, Bauer R, Ritter P, Müller-Oerlinghausen B, Bauer M. The suicide prevention effect of lithium: More than 20 years of evidence—A narrative review. International Journal of Bipolar Disorders. 2015;3(1). doi:10.1186/s40345-015-0032-2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504869/ Accessed March 20, 2023.
  2. Chokhawala K, Lee S, Saadabadi A. Lithium. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK519062/  Published February 26, 2023. Accessed March 20, 2023.

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How Much is Lithium With & Without Insurance? https://www.talkspace.com/blog/lithium-cost-insurance/ Wed, 28 Jun 2023 19:12:07 +0000 https://www.talkspace.com/blog/?p=30872 Lithium, the generic form of Lithobid, is FDA-approved to treat symptoms of bipolar disorder, mania, and depression. The…

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Lithium, the generic form of Lithobid, is FDA-approved to treat symptoms of bipolar disorder, mania, and depression. The cost of Lithium medication without insurance vs. with it can vary depending on things like the dosage, form, strength, and where you fill your prescription medicine. Generally speaking, a 30-day supply of generic Lithium can cost around $20 for 300 mg tablets or capsules, while brand-name Lithobid might be as much as $1,300 for 100 tablets that are 300 mg each.   

It’s clear the price wildly varies, so knowing how much you should expect to pay and how to keep your cost down is essential. How much does Lithium cost without insurance vs. with it? Read on to learn more.

Is Lithium Covered With Insurance?

The short answer is yes. Most insurance plans offer coverage for Lithium, though prior authorization may be necessary, and certain limits could apply. For example, some insurance plan policies have restrictions on how much they’ll reimburse per month or year. This is why it’s important to check with your healthcare provider before filling any prescriptions for Lithium online or in person.

Medicaid and Medicare both cover many medications used in mental health treatment, including Lithium. However, the extent of Medicaid coverage for certain drugs — including Lithium — varies from state to state, so be sure you check your cost before filling your first prescription medicine.

Cost of Lithium Without Insurance

Lithium cost without insurance can vary greatly depending on where you purchase it and the type of medication you choose. On average, a Lithium prescription without insurance for a month’s supply could cost between $50 and $200. However, prices might be higher if you use extended-release formulations or brand-name versions. The good news, though, is that several resources are designed to help bring down the cost of medications like Lithium, including coupon cards and manufacturers’ discounts. 

“Our resources have increased in the past year with multiple sites that may be able to decrease the costs of medications. These sites can be researched on the Internet, and the information can be brought to the pharmacist. Some sites may tell you which pharmacy has the lowest price for the same medication. This was unheard of just a few years ago.”

Talkspace therapist Dr. Karmen Smith LCSW DD

Factors that impact the cost of Lithium

Various factors can affect Lithium’s cost. The price of the drug, what (if any) insurance coverage you have, and where you get it can all affect the total price.

Type & strength

The type and strength of a Lithium prescription can impact its price. Lithium comes in various forms, from tablets to capsules, and has strengths spanning 300 mg up to 600 mg per dose all of which can impact Lithium’s side effects. Higher doses can cost more, so if your doctor prescribes a more potent dose, this could add to your financial burden.

Where you purchase it from

Where you purchase Lithium from can also affect its cost significantly. Prices vary between pharmacies even when factoring in insurance coverage, incentives like loyalty programs, or coupons and rebates for generic drugs. Keep in mind that online retailers might be cheaper than brick-and-mortar pharmacy locations. 

You’ll also need to factor in the cost of a psychiatrist, who is responsible for prescribing you Lithium.

Cost of Lithium With Insurance

The cost of Lithium with insurance depends on the type and amount of coverage you have. With insurance and a coupon card, you can bet a 100-capsule prescription of 30 mg Lithium for as little as $15. 

Generally, most health plans provide some or all the cost for medications like Lithium. However, keep in mind not all plans are created equal, and coverage differs depending on your provider. Some plans may have a lower copay or coinsurance rate. If you have a high-deductible plan, your out-of-pocket costs may remain high until you meet your deductible. 

Check with your healthcare provider to see what they offer before purchasing Lithium. If your insurance plan does cover it, you may get discounts depending on which pharmacy you use.

How to Get Lithium Without Insurance

Fortunately, there are ways to get Lithium without insurance, so the drug is more affordable and accessible. If you’re hoping to get Lithium cost without insurance down, use these tips.  

  1. Check with local pharmacies: Once you have a valid prescription from a doctor, contact local pharmacies in your area that may carry Lithium — most will. If cost is a concern, it’s important to compare prices at different pharmacies. Some may offer discounts or other incentives that help make the cost more manageable.
  2. Look into discount programs: Many pharmaceutical companies offer patient assistance programs (PAPs) to reduce the cost of medications like Lithium. They might provide discounts on out-of-pocket expenses and help people access their medications at lower costs than retail prices. Some PAPs also cover co-pays and deductibles, so it’s worth looking into these options before purchasing any medication without insurance coverage.
  3. Use mail-order services: Mail-order pharmacy services have become popular for those seeking cost-effective access to medications with or without insurance coverage. By cutting out the overhead associated with stocking products in physical stores nationwide, mail-order pharmacies can offer lower prices than traditional brick-and-mortar stores. If you get your prescription for Lithium online, you may also see cost savings.

“After you have researched and are still debating about filling the prescription, remind yourself how important your mental health is to you. Some suffering from depression, for example, may not want to spend money on themselves. They may justify the cost of not following through with the medication. Someone may need to remind you that you are more than worth the cost.”

Talkspace therapist Dr. Karmen Smith LCSW DD

Affordable Online Mental Health Treatment

Ensuring access to affordable mental health care is paramount for our collective well-being. Talkspace provides a simple and cost-efficient way to get mental health services from the convenience of your own home.

The cost of Lithium medication without insurance can be high, but options are available to make it more affordable. Understanding what affects the cost and how you can afford Lithium is critical, especially if insurance isn’t an option. Accessing mental healthcare online is a convenient, affordable, and accessible way to get the care you need.   

Sources:

  1. Lithium: Basics, side effects & reviews – goodrx. https://www.goodrx.com/lithium-er. Accessed March 22, 2023. 
  2. Lithobid prices, coupons, Copay & Patient Assistance. Drugs.com. https://www.drugs.com/price-guide/lithobid. Accessed March 22, 2023.

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Lithium: Uses, Side Effects, Dosage https://www.talkspace.com/blog/lithium/ Wed, 28 Jun 2023 19:11:39 +0000 https://www.talkspace.com/blog/?p=30856 Lithium is a commonly prescribed mood stabilizer used primarily to treat bipolar disorder, which affects an estimated 2.3…

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Lithium is a commonly prescribed mood stabilizer used primarily to treat bipolar disorder, which affects an estimated 2.3 million Americans. It regulates sodium transport in nerve and muscle cells, which affects mania. While Lithium is effective in many cases, it does come with the risk of potential side effects — some severe — ranging from memory problems to kidney damage. However, when taken as prescribed and monitored by your doctor, Lithium can be a powerful treatment for psychological conditions. 

By understanding how Lithium treatment works, we can better understand its potential benefits and risks in managing our mental health conditions. Keep reading to learn what Lithium is used for, how it works, makes you feel, and what you need to be aware of. With this drug information, you’ll be able to decide if Lithium is right for you.

What is Lithium?

Lithium has been used as a reliable and successful treatment for bipolar disorder for more than 50 years. It can help regulate mood swings and manic episode occurrences associated with bipolar disorder. Manic symptoms include aggression, extreme hyperactivity, poor judgment, feeling like you don’t need sleep, and anger.

While Lithium can be an effective mood stabilizer for bipolar disorder, it must be used cautiously.

How does Lithium work?

Lithium has been established as a top-tier mood stabilizer, supplying rapid aid during manic occurrences, decreasing suicide attempts among those suffering from bipolar disorder, and helping to maintain long-term signs.

Lithium alters sodium transportation across cellular membranes, modifying intracellular pathways that regulate neurotransmitter release and receptor function. By modulating sodium transport across cell membranes, it’s widely believed that Lithium reduces inflammation in the brain, thus making it effective for treating bipolar disorder.

How does Lithium make you feel?

When first taking Lithium, some people report feeling nauseous and shaky. It’s also not uncommon to experience dry mouth, diarrhea, or a metallic taste in your mouth. Once the drug begins working, though, Lithium can relieve or eliminate symptoms of mania, allowing you to calm down and regain a sense of control. 

Efficacy

In research, Lithium therapy has been found to reduce the frequency and severity of bipolar manic episodes. Some studies show that the drug can reduce symptoms of suicidality. 

Lithium Uses

What is Lithium used for? Primarily, Lithium is prescribed to treat mania in people living with bipolar disorder, also referred to as manic depression, and to reduce the intensity when manic episodes do occur. 

Lithium for bipolar disorder

When used to treat bipolar disorder symptoms, Lithium can begin working within several weeks. However, it must be consistently kept at the same Lithium level in your body to be as effective as possible. 

Lithium for mania

Lithium can also be prescribed to treat mania. It’s effective in reducing the intensity of manic episode occurrences. 

Off-label uses

Sometimes drugs are used off-label, which means they weren’t originally intended to treat a condition but have been found effective. Lithium is sometimes used to treat the following mental health conditions off-label:

  • Major depressive disorder as a complement to therapy
  • Bipolar disorder without a history of mania
  • Vascular headaches
  • Neutropenia

Pros & Cons of Lithium

Pros of LithiumCons of Lithium
Effective in treating bipolar disorderRisk of Lithium toxicity
Available as a low-cost generic versionNeed to have regular blood tests
Reduces suicide riskMight not be a good option for people with severe kidney issues
Can be a good option for people with liver diseaseIncreased risk of interaction with other drugs
Can stabilize impulsivity & reduce aggressive behavior 

“Lithium can help you feel better and has been proven to stabilize mood and reduce negative symptoms. Conversely, it may also cause negative effects such as weight gain, skin dryness, drowsiness, and fatigue.”

Talkspace therapist Cynthia Catchings, LCSW-S

Side Effects of Lithium

Taking Lithium for mental health issues can have serious side effects. Though memory problems and confusion are two more common Lithium side effects, they are far from the only ones. Not everyone will experience side effects or will experience different intensity of side effects.

Side effects of Lithium may include:

  • Diarrhea
  • Nausea
  • Dry skin
  • Dry mouth
  • Increased thirst
  • Metallic taste in the mouth
  • Mild hand tremors
  • Drowsiness
  • Gradual weight gain from Lithium

In rare cases, Lithium toxicity can occur. Symptoms might include:

  • Feeling light-headed
  • Fever
  • Shortness of breath
  • Weakness or dizziness
  • Increased thirst
  • Increased urination
  • Balance problems
  • Memory problems
  • Loss of bladder or bowel control
  • Seizure

Other serious side effects can include:

  • Serotonin syndrome
  • Kidney damage
  • Hyponatremia
  • Pressure in the brain
  • Swelling in the eye
  • Brugada syndrome

Lithium Dosage

Lithium medication should be taken as prescribed, and dosing instructions must be followed carefully. Lithium is available in capsules or tablets for oral consumption. It comes in extended-release forms and is also available as an oral syrup or compounding powder. 

The appropriate dosage of lithium can vary widely depending on the individual and the specifics of their condition. It is typically prescribed within a certain range, which can be anywhere from a few hundred milligrams to over a thousand milligrams per day, but the exact amount is highly individualized. You should always consult with a doctor to get a prescribed dosage.

How to take Lithium

Always take a Lithium drug exactly as prescribed. Do not change your dosage or stop taking Lithium without talking to your doctors. If you’re taking tablets, swallow them whole. You should not chew, crush, or break pills. If you’re taking liquid Lithium, measure the dose carefully using the dosing cup or device you were given. 

Additional Considerations

Lithium treatment can cause impaired reactions, so you should not drive or operate heavy machinery until you understand how it might affect you. Make sure you stay hydrated and work out with caution. Ask your doctor about your regular diet and how much sodium you get. Note that any drastic change in sodium intake can alter how Lithium works for you. 

“Consult with your doctor about the possible positive and negative effects. Before your appointment, making a list of questions or concerns can help you be better prepared and make informed decisions.”

Talkspace therapist Cynthia Catchings, LCSW-S

Drug Interactions

There are several drugs — both prescription and over-the-counter supplements — that might interact with Lithium medication. Tell your doctor about everything you’re currently taking, and be aware of the following medications that are known to potentially interact with Lithium:

  • Fentanyl
  • Buspirone
  • St. John’s wort
  • Certain migraine medications like triptans
  • Tramadol
  • Some antidepressants
  • Some antipsychotics
  • MAOIs

Warnings

If you’re pregnant or thinking about getting pregnant, you must let your doctor know before you start or continue taking Lithium. If you’re taking Lithium, you should use birth control to avoid becoming pregnant. 

Be very cautious about taking too much Lithium. Even taking just slightly more than the recommended Lithium dose can cause severe reactions, including Lithium toxicity, which can even lead to death if not treated. If you have any symptoms of Lithium toxicity, contact your doctor or go to the ER immediately. 

Symptoms include:

  • Extreme drowsiness
  • Muscle weakness
  • Feeling light-headed
  • Blurred vision
  • Sudden mood changes
  • Irregular heartbeat
  • Ringing in the ears
  • Slurred speech or confusion
  • Seizures

Lithium Alternatives

Despite its potential benefits, Lithium medicine carries certain risks and side effects that must be considered. While it’s known to work well, Lithium therapy isn’t right for everyone. Depending on your condition, symptoms, and how you react to medications, your doctor may believe a different drug would be better. 

Some drug alternatives to Lithium medication for bipolar disorder can include:

  • Latuda
  • Vraylar
  • Seroquel 
  • Symbyax

Another non-drug alternative that’s commonly used includes talk therapy. Types of therapy that are known to be effective in treating bipolar disorder include:

Online Lithium Prescription Through Talkspace Psychiatry

Before taking Lithium, understand the dosage instructions and potential interactions with other medications or substances. Lithium medication can help improve symptoms when taken as directed. 

Take the first step toward improving your mental health by signing up with Talkspace for clinically proven mental health and psychiatry services. Our trained, experienced psychiatrists can help you get a prescription for Lithium online if they determine it’s right for you. Talkspace can help you find balance and develop healthier coping strategies with Lithium-based treatments that address your symptoms so you can get back to living life. 

Sources:

  1. Bipolar disorder: Symptoms, treatments, recovery rates. Mental Illness Policy Org. https://mentalillnesspolicy.org/medical/bipolar-facts.html Published January 23, 2019. Accessed March 23, 2023. 
  2. Machado-Vieira R, Manji HK, Zarate Jr CA. The role of lithium in the treatment of bipolar disorder: Convergent evidence for neurotrophic effects as a unifying hypothesis. Bipolar Disorders. 2009;11:92-109. doi:10.1111/j.1399-5618.2009.00714.x. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800957/. Accessed March 20, 2023. 
  3. Sarai SK, Mekala HM, Lippmann S. Lithium Suicide Prevention: A Brief Review and Reminder. Innov Clin Neurosci. 2018;15(11-12):30-32. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380616/. Accessed March 20, 2023.

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