Posted by SLS on September 2, 2012, at 7:27:04
In reply to I would like your med suggestions..., posted by rjlockhart37 on August 30, 2012, at 22:35:09
> for once im gonna listen to what this online community has seen over the past couple of months in my postings...so im working with a nurse practitioner at my doctors office. She's moved me to Lamictal and Fanapt and tonight zyprexa is going to be discontinued....the clonodine is being discont. too
>
> So...let me give you an overview
> 1) Major Depressive
> 2) Anger problems
> 3) slow..somewhat disorganized thoughts, in both social and anaylitical [work and school] situations
> 4) No feeling pleasure exepct when I fake im having a good time usally with friends.
> 5) Emotional remorse from failure.
> 6) Withdrawn personality in social sit. expect when I fake my social pleasure.
> 7) Off topic things in converstions or responses to people.
>
> have at it...i need to hear suggestions so I can tell my practitioner to move around.
>
> rj
I think all of your symptoms can be explained by major depressive disorder as it often presents in young people. Young people with MDD exhibit anger and irritability as symptoms. It is possible that you also have ADHD inattentive type. However, the difficulties you have with slow thoughts is also a symptom of MDD.For now, I would treat your condition as uncomplicated treatment-resistant MDD and work with your doctor to develop therapies with this diagnosis in mind. If you do indeed have comorbid ADHD, I would go to an expert who treates ADHD for a definite diagnosis. Your doctors should then be better prepared to develop a treatment plan for you. In order to make progress towards achieving remission, I think it is critical that you work with your doctor to follow the plan. If you and your doctor get "stuck" and run out of ideas, you might think to go for a consultation for ADHD. Then, consult with doctors who specialize in TRD. It usually doesn't hurt to get second opinions. These consultants should communicate with your doctor and help him make adjustments in your treatment plan.
Cognitive impairments tend to worsen over time when chronic depression remains unresolved. Slowed thinking is a very common symptom of depression. One's functional IQ deteriorates, even though intellectual potential can remain intact, although buried and inaccessible. At some point, though, I believe these capacities suffer as the brain deteriorates during extended periods spent in the depressive state. Thankfully, when treatment is successful, the brain seems to regain the lost tissue volume associated with severe depression.
For some people, there is a general lack of mental energy. This can cause one's life to become disorganized. The cognitive function to organize is there, but not acted upon. With ADHD, disturbances in cognitive function impairs one's ability to organize despite there being enough mental energy to act.
Are you looking for people here to prescribe drugs to you?
At this point, I think it is time for you to obtain consultations and second opinions with the goal of having these consultants report to your doctor their findings so that everyone is on the same page.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1024519
URL: http://www.dr-bob.org/babble/20120830/msgs/1024693.html