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Treatment add-on options

Posted by chrismeurer on October 8, 2017, at 16:49:28


Good day everybody, my first post here. I've been treating anxiety/depression for over 2.5 years now. I feel that the depression is always more noticeable when i'm calm; when i'm anxious it's like there's no space for the depression and I end up feeling mainly the anxiety. Have tried a lot of drugs and other therapies. Right now i'm taking 150 mg/d clomipramine, 15 mg/d buspirone, 10 mg/d abilify and 80 mg/d propranolol. I live in Brazil and would like to try a MAOI, but never met a doctor willing to prescribe it.
Right now the anxiety appears to be under control, so i'm noticing the depressive symptoms more - anhedonia, lack of energy, lack of motivation and difficult concentrating, as well as suicide thoughts. Yes i'm seeing a psychiatrist.
Would like to know some thoughts and opinions about add-ons and other treatment options so I can go to my appointment tomorrow with some suggestions. I'm also having neurofeedback sessions.

Thank you.

Other:
Paroxetine up to 60 mg;
quetiapine up to 200 mg;
bupropion 150 mg;
lithium up to 900 mg;
Depakote;
Escitalopram 15 mg;
Lamotrigine up to 300 mg;
olanzapine with fluoxetine;
Pregabalin up to 300 mg;
duloxetine 30 mg;
desvenlafaxine 100 mg;
risperidone;
mirtazapine up to 45 mg;
CBT and psychoanalysis;


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poster:chrismeurer thread:1095335
URL: http://www.dr-bob.org/babble/20161215/msgs/1095335.html