Posted by yxibow on November 11, 2008, at 19:43:58
In reply to Re: Suppose you have unipolar depression --, posted by desolationrower on November 11, 2008, at 15:40:24
> I think some of the anticonvulsants could make one's depression worse - the ones like carbazepine, valproate, topiramate, that are mainly used against mania. Same thing for the (ugh) antipsychotics.
Lithium actually is one of the fastest agents against suicide. But there are definite side effects, monitoring salts, weight gain, etc.
And antipsychotics, at a low and sensible dose and one of the less harsh ones like Seroquel (MED, minimum effective dose) do augment antidepressants (and anxiolytics).
That doesn't mean one needs to go down that road right now unless they have TRD (treatment resistant depression)
I would disagree about anticonvulsants -- AEDs such as Lamictal are actually antidepressants in their own right. And they help augment antidepressants (and anxiolytics), its just finding the right one sometimes.However of the panoply of them Trileptal is preferable to Tegretol which has some "unclean" side effects.
This is going to sound contrite to those with BP but small touch of mania might not hurt someone with deep unipolar depression, they could use the stimulation.
> Probably just as important, not taking a real antidepressant means your (potential) unipolar isn't being treated.
Most likely true unless you have dysthymia and you can worth through it in therapy without an antidepressant, but its hard.
-- tidings
Jay
poster:yxibow
thread:862336
URL: http://www.dr-bob.org/babble/20081106/msgs/862401.html