Posted by SLS on October 31, 2017, at 21:45:44
In reply to Re: thinking of making a change, posted by baseball55 on October 31, 2017, at 19:10:01
> > How do you account for the reduction in time spent in depression since your 4-year bout?
> Partly a good response to parnate and lamictal - also able to use abilify on a prn basis, since I can't tolerate it long-term. Partly DBT, which taught me coping skills. Partly psych-dynamic therapy which helped me deal with emotional issues (I think depression itself is biological, but emotional issues give it themes and content - for me, extreme suicidality and hopelessness that I will never be cared for - the result of childhood violence and neglect. Partly 12-step groups, which gave me a caring community who've come to my aid whenever I've been really depressed.
Your story is heartbreaking. Thank you for sharing it.
The brain and mind are often conceptualized as two separate entities. In my way of thinking, they are inextricably yoked. The brain determines the mind as the mind sculpts the brain. "Psychobiology" is a term that I favor when trying to understand mental illnesses.
It seems that you have a good handle on things. Childhood history is important in the formation of the adult brain. You and I share some common issues. Chronic childhood trauma (Developmental PTSD) can explain some of the features of my condition. Interestingly, I feel better when taking Parnate, Lamictal, and Abilify. I have also had some success with Nardil and Effexor. You might even consider intranasal ketamine. I am not aware of a symptom profile most responsive to it, but it is cheap and fast to trial if you can find a willing doctor and a compounding pharmacy.
http://ecompoundingpharmacy.com
Is the problem with Abilify related to weight-gain? Akathisia? Insomnia? Anxiety? If so, you could try asenapine (Saphris) in its place if you are looking for an antidepressant augmenter.
My doctor prescribed prazosin to me several years ago. It has helped a great deal for depression. His thought process was that my childhood history of abuse and neglect yielded a developmental PTSD. Since prazosin has been found to be helpful in PTSD, he thought I should give it a try. It was a brilliant deduction.
I currently take:
Parnate
nortriptyline
Lamictal
lithium
Abilify
prazosin
- 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:1095641
URL: http://www.dr-bob.org/babble/20161215/msgs/1095676.html