A 52-year-old woman with hypertension and a history of depression associated with the use of beta-blockers, developed fatigue, malaise, and clinical signs and symptoms of depression, including suicidal ideation, within five weeks after starting enalapril. The depression gradually resolved with substitution of a thiazide diuretic and a low sodium diet. Rechallenge resulted in recurrent depression.
A 41-year-old man with hypertension became agitated, anxious, depressed, and unable to sleep four weeks after starting enalapril. The psychosis resolved when enalapril was stopped, and recurred upon rechallenge. [ Ref ]
The listener needs to connect with the text through you, the singer. Avoid singing anything by rote . Give life and energy into each and every word. Understand what you are singing and why you are singing it. Even when you are rehearsing, and not singing “full out,” keep your character fresh by connecting with the energy, emotion, story and motives which are driving the text. Avoid simply singing a series of notes with vowels and consonants attached to it. Each time you sing the song, challenge yourself to find a deeper connection with it than you did the last time you sang it. Singing with this much commitment and mindfulness can be mentally and emotionally exhausting, but this is as it should be.