Karen,

About a year after my husband's diagnosis and initial surgery, I could feel myself slipping into a depressive state. I'm sure that the events surrounding OC were a catalyst, but this was not unfamiliar territory for me as I had experienced episodes like this ever since I was a teen. This one was the deepest though and I sought out the help from my Primary Doctor. She prescribed Lexapro 10mg. I was told it could take 2 to 3 weeks before I would feel the effects kick in. By week three, I had no improvement and maybe I was a little worse. My doc changed me to Celexa (citalopram) 20mg. Within days I was feeling better. That in conjunction with cognitive therapy helped me tremendously.

I have chosen to stay on it as I have not experienced any of the recurrent lethargy, lack of motivation, and sadness that seemed to sneak up on me over the last 35+ years. By nature, I am an optimistic person and filled with energy. Family members could not believe I suffered from depression because I learned how to mask it and pretend it wasn't there. Forcing myself to be positive during those sad periods was an exhausting and challenging task.

My doctor said I could wean myself off the drug if I choose but she also said that there is no harm to stay on it especially since I feel so much better. I have decided to stick with this as it works for me. I don't consider antidepressants a crutch.

Titration is critical with antidepressants. I was counseled in the beginning that it may take weeks to months to get the dosage right. it is important to make your doctor aware of any change in behavior or worsening conditions. (I sound like a commercial!) Also, finding the one that works best is key.

My best to you and Alex!
Anita

@Eric: I enjoyed your thorough explanation of low T. Very informative.
-A