Welcome to HCM!
I have read the query and can see that you have been through a lot in your life recently. you have been on
citalopram no 30 mg with
Valium but it is not helping. When I have such patient, where there is lot of ongoing
stress and severe symptoms, I have seen excellent results with-
sertraline or
Venlafaxine. The dosage I started low and then increased after monitoring the response over a period of 2-3 weeks. your doctor will know about it.
# citalopram can be taken any time day or night, if it is not helping in morning, it is highly unlikely that just changing time will make effect. changing the drug is need.
Along with the medicine , once there is some initial improvement- I think it will be helpful that you enter into a supportive
psychotherapy sessions..these two will make you come back to life soon.
Please take care of your diet and water intake, good nutritious diet is equally important...donot punish your self for what has happened, you never wanted any of this...if possible include all this in your daily diet-
1. three - four servings of salad, what ever you like
2. walnut 1-2 daily, may be almonds also
3. sprout
4. donot skip meals
5. please donot stay alone, this never helps
6. take a walk outdoors
I can understand it is very difficult phase of your life, but please remember even this will pass..have courage..
Hope the reply helps you
wish you good health!
Dr. Manisha Gopal
MD Psychiatry