Posted by Jedi on April 3, 2008, at 1:38:28
In reply to Please help. No med at all is helping me!, posted by alexa35 on April 2, 2008, at 20:08:33
Hi,
The gold standard for atypical depression is still Nardil. I've been on it for over 11 years and it has saved my life. With the limited information you give on your symptoms, your depression could be atypical.Atypical depression is actually the most common subtype of depression in outpatients. "According to the DSM-IV, as opposed to major depression, the patient with atypical features experiences mood reactivity, with improved mood when something good happens. In addition, the DSM-IV mandates at least two of the following: increase in appetite or weight gain (as opposed to the reduced appetite or weight loss of "typical" depression); excessive sleeping (as opposed to insomnia); leaden paralysis; and sensitivity to rejection." If this sounds like you, then Nardil will probably work.
Not all psychiatrists will prescribe Nardil. You have to be a pretty stable patient. Do some research on PubMed searching for phenelezine and atypical depression. Pick the best abstracts and articles and send them to your doctor before your appointment. Let me know if you have trouble with this, I probably have some articles saved on the subject.
Good Luck,
Jedi> I've battled depression for years. I'm in CBT therapy 1-2 times each week. The past 5 months the depression is feeling unbearable. Some of this is due to personal things going on and the fact that the company I work for is insane. Past 2 years I have tried Zoloft, Prozac, Effexor and Cymbalta. Then gave up for 9 months and was on nothing. Found exercise to be effective.
> Then 2 months ago the depression became unbearable - can't get out of bed in the morning, can hardly function, 12 hours of sleep a night and all weekend.
> Dr. put me on Adderall. This seemed to work for a week...Then nothing and still nothing. He added Wellbutrin, which in the past was the one AD that might have worked a bit for me. I am up to 400 mg a day and nothing!! I am exhausted, moody and feel even more depressed. How can this be????
> Is there anything else to try?
> My dr. advised against trying an SSRI or SNRI ever again since they make me zombie-like.
> He also advised against Lamictal.
> This is the 5th psychiatrist I have seen and he is supposed to be very good.
> I have no idea where to go next. Do any of these drugs work???
> Provigil maybe?
> Anyone know of natural supplements? I really felt the most improvement from 1 hour of cardio a day but now feel too tired to do even 5 minutes.
>
> Thanks. Am at a loss. I don't wish depression on anybody....
poster:Jedi
thread:821265
URL: http://www.dr-bob.org/babble/20080330/msgs/821303.html