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Re: List of conventional ADs exhausted » tensor

Posted by Jedi on February 22, 2008, at 2:49:02

In reply to List of conventional ADs exhausted, posted by tensor on February 21, 2008, at 1:45:21

Hi,
There is a school of thought that unless you have given an adequate trial to an irreversible MAOI, your depression can not really be called treatment resistant. I have tried over forty-five combinations of ADs and augmentors. The only thing that has worked for my atypical depression and social anxiety is Nardil with clonazepam. And it put the hammer down.

What country are you from?
Good luck,
Jedi

> Have tried and given each antidepressant/antidepressant combo and augmenting substance a fair trial. Nothing really works in the long run. Currently I'm struggling to manage to drag myself to work. But there's never any surplus energy. Also, I seem to cycle between depressed states and episodes of 'more energy' but not hypomanic, i.e. 1-2 two weeks of energy. 1-2 two weeks without. I'm now taking Remeron 30mg + 30mcg of T3. I think T3 has done some improvement but it can't touch the 'down-episodes'.
> I'm seeking a more stable mood and a higher mean of base-line. However, I lack a reference for what is 'normal', I'm I just whining? My pdoc has put me on behavioral activation, where I do exercises and fill out mood diaries.
> Do you think medication-wise I have reach the end? I have not tried MAOI nor antipsychotics and with the mixed results I read on this board I'm not sure I want to. MAOI are not really used here. Any ideas, opinions greatly appreciated.
>
> /Mattias


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URL: http://www.dr-bob.org/babble/20080221/msgs/814046.html