Depression is back
Posted , 6 users are following.
Hi,
My primary diagnosis is Generalized Anxiety Disorder and I have a mood disorder and a personality disorder. I take 300mg of Venlafaxine and 200mg of Amisulpride. These help but in the last 6 months my depression is getting worse. I think I didn't realize how bad it had gotten but in hindsight I have most of the typical features. There is not much room to up the Venlafaxine and the anti-psychotics cause bad side effects at higher doses. What other medication options are there in the UK. I don't want to stop what I am on because it does work to some extent. My psychiatrist says there are more options but my appoinment is a little way out still. Technically I am dischared from primary mental health care but my psychiatrist is seeing me as a one-off as my GP is not well placed to advise. I think the issue is that life has been throwing me some curve balls recently, sick parents, pressure on my relationship etc. I have felt very suicidal again and that is scarry as I started to make plans.
BW, BM.
1 like, 12 replies
stephen92640 Bogmonster
Posted
gill73026 Bogmonster
Posted
You could try this mix might help you too.
There is always something turning up isnt there to make you dip I get suicidal too though having a husband who has problems himself and is dedicated and three grown up kids and a grandchild I cant quite do it. I am 70 so is husband I have had two heart attacks from stress and he has just had bad medical report this is much life throws at you and its hard to stay not depressed in that, you have to try and accept you can change anything by not caring for yourself first. If you are depressed you might not be able to communicate well with your partner, I think its important to keep explaining an eve apologising, its is hard to know what else to do except possibly change meds/. Gill
Bogmonster gill73026
Posted
BM
borderriever Bogmonster
Posted
I gather you have tried talking out your concerns and looked at ways to control your negativity.
Only you can address your concerns and the best way to do that is to split each problem into small bites, then address each small bite of concern until each has been sorted. If you get stuck move onto your next problem and work on with that until you get stuck and move onto the next on. Eventually your problems will become smaller and others will disappear.
Address your concerns and try vaious diversions to clear the mind of your worries and concerns, Hopefully you will be able to move on and approach different oppertunities that will come to mind
BOB
amanda35274 borderriever
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Bogmonster borderriever
Posted
I'm working with a private psychotherapist and we are working through issues. She is very good but it is not enough to stop me slidding into depression I think a lot of it is due to chemical imbalance and no amount of problem solving is going to make it all go away. I need meds to get through each day and that sucks.
BM
johnkov Bogmonster
Posted
Right, if 300 mg venlafaxine and an antipsychotic do not work, it is time to try the 'last resort' medications - irreversible inhibitors of monoamine oxidase (MAOi). In the UK there is a rule which says that these drugs have to be prescribed by a psychiatrist - a GP cannot start you on this group of meds. Now, MAOi are the most potent antidepressants in the psychiatric arsenal. They've been around for ca. 60 years, but as their safety profile is not as good as SSRIs, they remain underprescribed these days. The main problem is that they interact with almost all other medications, including many compounds available in OTC formulations. So if you're on MAOi and get a cold, you can't just go to a pharmacy and get paracetamol. Also, they interact with certain types of food (cheese, beer, yeast) and require the patient to follow a rather strict diet. But they help - phenelzine (Nardil) is considered to be the 'gold standard' in the therapy of depression and all anxiety related conditions. So... don't give up yet, there is still hope for you. Talk to your pdoc and see how it goes.
Bogmonster johnkov
Posted
BM
gill73026 johnkov
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I bet you havent had wellbutrin ( not and ssri) ot lamotrogine or gabapentin, the only ones that work for me and also you can take huge amounts of gabapentin to reduce anxiety( which is often what pople are suffering from before the depression sets in. So you are taking huge doses of what I consider a nasty drug which merely gags but doesndt take away depression. I Have a friend who is on MAO"s and finds them quite effective and has no trouble with them, I dont know that she is adhering to all the restrictions you mentioned. Do try wellbutrin it has no side effects atall that I have encountered, it works on dopamine mostly if not entirely a whole other approach to the usual
amanda35274 Bogmonster
Posted
Bogmonster
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BM
gill73026 Bogmonster
Posted
ventavaxine it the worst medication I have ever had, it made me into a zombie I felt but couldnt express, was totally unmotivated and just looned around all day feeling empty.