I’m 20F, and I could really use some advice from people who have been in a similar situation.
I started taking hormonal birth control (Yaz Plus) 2 months ago for PCOS and during my first month, I experienced a pretty intense depressive episode. I would get ready, go to university, come home, and start crying for seemingly no reason.
I felt emotionally overwhelmed and couldn’t handle things the way I normally would.
Looking back, I think I’ve struggled with my mental health for a long time. I’ve always been anxious, I tend to spiral over the smallest things, I overanalyze social interactions, and I often feel out of place around other people. I can get incredibly overwhelmed by thoughts about my future and things that other people seem to handle normally. I’ve also struggled with attention and concentration, (to the point that i can’t sit down and read a book no matter how much i want to) for as long as i remember and I’ve wondered whether I might have ADHD.
I think the birth control may have intensified feelings I had already been suppressing or made me more aware of them. Before this, I often felt emotionally numb, whereas during that episode I would suddenly cry about things I hadn’t really allowed myself to feel.
I need to admit something else, too. During that period, I started taking my mom’s escitalopram without a prescription. I know that was very irresponsible, and I’m not planning to continue self medicating. I took small portions of the 10 mg tablets, and I remember feeling noticeably better. I felt more motivated, could concentrate on studying. I understand that responding positively to an antidepressant doesn’t necessarily mean I need one, but it made me wonder whether professional treatment could actually help me.
I recently spoke to my mom about how I had been feeling, and she immediately booked me an appointment with a psychiatrist.
The thing is, I’m absolutely terrified of gaining weight from psychiatric medication.
I already struggle with my body image because of PCOS, and I’ve spent a long time feeling uncomfortable in my own body. I’m scared of finally getting some relief from my mental health issues only to gain weight and feel even worse about myself. I know weight gain isn’t inevitable with every medication, but I keep reading stories about people gaining a significant amount of weight on antidepressants, and it scares me enough to consider cancelling the appointment altogether.
Part of me also wonders whether I’m overreacting. Maybe this was just a reaction to the hormones, maybe I’m being too sensitive, or maybe my problems aren’t serious enough to justify psychiatric medication. I keep thinking that other people manage their lives without needing medication, so why can’t I?
Now I’m torn between two options, and I genuinely don’t know which makes more sense.
Should I wait until I finish this month’s pack of Yaz Plus, speak to my gynecologist, and ask her to switch me to a different birth control pill to see whether my mood improves? Maybe the depressive episode is primarily hormonal, and changing brands would be enough.
Or should I go ahead and see a psychiatrist now, rather than waiting, since I was already struggling with anxiety, overthinking, low moods, and possible ADHD symptoms before starting birth control?
I’m worried about going to a psychiatrist too soon and being prescribed medication I might not actually need. At the same time, I’m worried about delaying help for problems I’ve been dealing with for years just because I’m scared of the side effects.
I know strangers online can’t diagnose me or tell me which medication I should take. I’m mostly looking for personal experiences and some perspective because I feel very conflicted. I want to get better, but I’m afraid of what getting better might cost me physically.
Thank you to anyone who took the time to read all of this.