Psychiatrist Questions Psychiatrist

Anxiety and depression?

I am a female and a mother of 2. My problem is there is a constant feeling of lump or tightness in my throat. Like when you fight back tears. And I feel emotional for no reason, most of the time during the day. But the tightness is always there. I suffer from depression and anxiety for the past 7 years. And now on 150mg sertaline for the past 2 years. I was on nexito 20mg for 5 years before that.

Female | 30 years old
Complaint duration: 1 month
Medications: Sertaline 150mg
Conditions: Depression

8 Answers

If you're still feeling emotional for no reason and the tightness in your chest is always there, your meds are not working and I'd suggest you talking to your psychiatrist. If your psychiatrist is not listening to you or reluctant to change things up, go see another psychiatrist. You can call your insurance to find one in network. Box breathing daily and long exhale breathing can be helpful with the anxiety and tightness in your chest. You can try to rationalize when you get teary, but you still may tear up or cry. Try to keep up self-care and self-compassion. Combine them with your kids. For example, taking the kids outside to play may also give you fresh air, sunshine and exercise.
Experiencing this tightness and feeling emotional must be so difficult. Medications can be very helpful however, in order for the medications to work their best therapy most always needs to be included as part of the overall treatment plan. When treating depression and anxiety it is
crucial to seek therapy in conjunction with medication.
Both are very good medicines. The first thing I always do is make sure there is no medical condition that might be causing anxiety or depression or the lump in your throat. Once an internist or neurologist has examined you and cleared you have another medical condition, and if it is medically safe to be on Zoloft., Many people would consider doing two things: one would be cognitive behavioral therapy that would include stress reduction techniques, and then slowly increase the Zoloft to potentially 175 mg for several weeks, and potentially 200 mg after that. Should be cognitive behavioral therapy and higher dose of Zoloft not be effective, I would likely switch to another medication category with a different mechanism of action. This might include Cymbalta, Effexor, Pristiq, Trintellix, And so forth. Frequently anxiety and depression coexist in certain people. It’s better to mostly focus on your symptoms that are bothersome to you then trying to nail down a label. Hope this is helpful. All the best!

Lance Steinberg MD, Inc.
Assistant Clinical Professor
UCLA (Geffen) NPI
That could be due to anxiety. Talk with your providers about medication
adjustments and possibly psychotherapy options as well.
Thank you for your inquiry, although I'm not exactly sure what your question is. It sounds like you may be experiencing symptoms of depression and anxiety, although I would recommend you seek services from a mental health professional for an accurate diagnosis and treatment plan. I hope this helps.

The lump in your throat is a sign of anxiety. Nowadays anxiety and depression are considered to be going hand in hand. But maybe it helps to know that anxiety keeps mixed feelings from getting into awareness. So if you are both angry and sad or angry and loving or even angry and guilty and loving towards people around you at the same time, anxiety keeps it down. High anxiety may be experienced in getting teary eyes.
I hope it helps.
It sounds like your antidepressant is not adequate. Consult with your physician.
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