Is it safe to take an anti-depressant after a brain injury? My wife never took them before her brain injury. Her depression is a result of her injury, it seems, and she just can't seem to kick it. It's been more than a year now. I'm wondering about their effectiveness and safety after a brain injury.
About the author: Brian D. Greenwald, MD
Dr. Brian Greenwald is medical director of Center for Head Injuries and the associate medical director of JFK Johnson Rehabilitation Institute. He is a clinical associate professor in the Department of Physical Medicine and Rehabilitation at UMDNJ-Robert Wood Johnson Medical School.
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Joanna replied on Permalink
My TBI, which turned out to be Diffuse Axonal Injury, led to changes in my brain & subsequent depression. I’ve been on antidepressants for the most part of the 18 years since.
Depression was especially bad after I was told I could go back to work (7 months after the DAI), which I found highly stressful. Not surprising, considering I had forgotten how to teach, felt exhausted most of the time & couldn’t find words, remember anything, multitask, plan or organize.
I was put on Citalopram at a low dose & given Xanax to help with sleep. The latter didn’t work when I was at my worst & I used Stilnox which finally worked.
I still suffered from anxiety and I tried various other antidepressants which didn’t work for me (Mirtazapine, which increased my anxiety; & Sertraline, which seemed to have no effect; Xanax which helped in the early days but didn’t relieve the immense anxiety I was feeling).
Finally, I drove to a psychiatric hospital in tears, where I had a long interview with a doctor & nurse. The doctor prescribed Paroxetine 20mg which I am still taking and Xanax .5mg which had an immediate effect.
The latest psychiatrist I have been seeing for around a year prescribed Trazadone as I often suffered from insomnia. It really did the trick at 100mg! The slow-acting Retard version at 150mg meant I didn’t really wake up during the day & had terrible trouble with aphasia, memory & concentration.
In my opinion, there is a place for antidepressants in the treatment of TBI/DAI survivors. The correct medication has to be found & this is hard to go through.
I have tried to reduce my need for them by using mindfulness, meditation & yoga to keep myself calm, but I am still taking them.
Anonymous replied on Permalink
Thanks for your information I am recovering from a head injury and having a very hard time with post concussion syndrome I’m concerned about returning to work it’s been over six months
Ang replied on Permalink
I am not a doctor but I just survived a attempted murder on my life I do have traumatic brain injury but I've been trying to do alot of research and imo working 6 months out should be the least of your worries please worry about healing and how to do that tbi is dangerous and apparently hard to work with to try to better yourself goodluck sweetheart hope things work out well