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Double depression and dysthymia: Treatment Ideas?

Posted by SLS on January 23, 2009, at 6:03:04

A friend of mine is a 52 year old woman who has had double depression for most of her life. Double depression is the superimposition of major depressive episodes over chronic dysthymia. Right now, she is in a terrible depressive episode. She refuses to try any drugs at this point, and she has tried most of them, albeit mostly as monotherapy.

Wellbutrin in combination with Ritalin helps her. She must have some bipolar diathesis because she was hypomanic for awhile when she was younger. Lithium monotherapy kept her well for over 8 years until a new doctor discontinued it because "she had been on it long enough". She relapsed into depression within 4 weeks. Lithium did not work when she restarted it. She once responded to a combination of Nardil and Sinequan (doxepin), and briefly to Effexor and Lamictal monotherapeutically.

Thank you to everyone who replies.


- Scott

 

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poster:SLS thread:875571
URL: http://www.dr-bob.org/babble/20090104/msgs/875571.html