I just turned 57, and yah, I'm one of the smallest percentage of old (relatively speaking) folk here.
My depression began at puberty, and I'd guess that's also when my anxiety began too. It wasn't until I was about 32 that I had a kind of cumulative episode of anxiety gathering into a force and catching up with me for intense and unbearable moments, or then even days. This was when I saw a general practitioner MD, and he prescribed and I began taking xanax, which was an immediate lifesaver and allowed me to go on. I was still not willing to take an antidepressant, but the xanax worked so quickly and resolved my anxiety pretty completely. It wasn't until I was 37 that I was willing to begin taking an antidepressant, which helped both my depression and anxiety once I found the right ones that worked for me. Lexapro, and now cymbalta for it's help with my fibromyalgia, along with wellbutrin are the antidepressants I've found most helpful.
After a career as a librarian and archivist, and then as a college English instructor, I contracted lyme disease w/out it being detected for 1 1/2 yrs. During that time it did a real number on me, causing serious arthritis and leading to other permanent rheumatological conditions. Even after a three-month treatment period of IV antibiotics, my symptoms have never seemed to subside. I soon contracted fibromyalgia, though was able to continue to teach, with an understanding Dean, until I was finally diagnosed with lupus a few years ago.
A lot of my physical illness has increasingly involved staying at home more than ever, and even in bed a lot, with chronic pain and some difficulty being mobile and doing all the backpacking/outdoors and politically activist things I used to. This meant a lot of time being alone, when all my life I'd had many friends to do things with before. Eventually, living so much like a hermit actually made it very difficult to be among groups of people I didn't know, which is now what I call my social phobia. More recently, due to a immunelogical skin condition on my scalp that's caused me to lose most of my hair, and a newly crippling intensity of arthritis in one knee, I've found it not only self-conscisious-making and physically difficult, but scary at various levels to go out -- leave my apartment -- which is what I now call my agoraphobia, which has come and gone before, but has been pretty serious for the past year.
I still have GAD, but at a much lower level since I don't usually face so many challenges if I stay home. And I do have panic / anxiety "attacks" which I've been taking xanax all this time for, and which still works very well, though I take much less than ever and mostly take a low dose of to help me fall asleep. This means I've been taking xanax for 25 years, and though I do of course have a dependency on it, it's not the same as having an addiction, and I don't have to increase my dosage at all. I'll probably have to start taking my previously regular dosage of xanax, I'm sure, when I begin taking on the challenge to go out more, be more mobile, and be among people again, which I'm determined to do in the near future. Yoga and exercise and mindfulness meditation all help me enormously these days.
