Posted by Ines on April 19, 2007, at 13:27:03
In reply to To Ines, posted by Deniseuk190466 on April 18, 2007, at 4:24:43
Hi Denise,
I think you can habituate to drugs, but that doesn't seem to be the case. Maybe your first depressions weren't treated fully? I've read that depression becomes harder to treat the longer you've had it for/ the more episodes you've had, particularly if episodes were never fully over.
I haven't tried that much- SSRIs, mirtazapine, reboxetine, (and St John's Wort). None of them have worked at all... :-(. I got horrible anxiety on reboxetine, so I know exactly what you mean. I just had an appointment with a psychiatrist for the first time today after a while waiting for refererral. Feeling quite low about it- the pdoc was lovely, but said he thinks mood stabilisers might be the way to go. Either that or no ADs and intensive CBT+ therapy. He wouldn't diagnose- said he doesn't like labels, but from his med suggestion I can only infer he thinks I'm bipolar spectrum. I'm just so tired of it all... want a solution fast, I've been struggling for over 10 years now... He also said I was extraordinarily competent, maybe I didn't realise how much worse it could be if I wasn't so good at managing it myself, but to be honest that didn't make me feel better at all. OK I manage to cope reasonably outwardly, but it hurts to so much inside, and I'm so tired because pretending takes up so much energy, I think he didn't quite get that. Anyway, enough wingeing.
I wonder if it's worth you talking to your GP/ psychiatrist and explaining just what you've explained to us here? Not about wanting short trials of a med (that might put them off), but about wanting to try full therapeutic dose straight away. As far as I'm aware, the reason they start on low doses and buid up is so that people can build up tolerance, and so they won't drop out of the trial. If you explain diving straight into it has worked for you in the past and that you are willing to risk side effects being that much more unpleasant to begin with, maybe they'll agree. I take your point about going full hog if you're gonna feel crap anyway.
Ines
poster:Ines
thread:750751
URL: http://www.dr-bob.org/babble/20070419/msgs/751352.html