Posted by ed_uk on December 15, 2004, at 11:22:52
In reply to After the appointment, posted by tensor on December 15, 2004, at 10:17:29
Hi Mattias :-)
Regarding ECT..... I think it's too early to be considering ECT. There are so many other treatments that you haven't yet tried! If ECT produces an improvement, it generally only lasts about 4 weeks. To maintain the effect, you would need to have 'maintenance' ECT every few weeks.
Reducing the dose of Remeron will probably make you feel a lot better! Do you have side effects from the Remeron? eg. drowsiness, weight gain.
My experience of high doses of SSRIs (sertraline 200mg) is that they tend to be effective in 'numbing' unpleasant emotions eg. sensitivity to criticism, anxiety.
Lamictal could be a helpful drug to add to your current treatment. It can elevate mood and improve motivation. People often complain that it 'poops out' though...... Lithium is especially useful for people who are feeling suicidal.
Other treatments to consider... nortriptyline (Noritren), Aurorix and the old MAOIs. Did you ask whether the MAOIs are on the market in Finland?
Regards,
Eddie.
poster:ed_uk
thread:429845
URL: http://www.dr-bob.org/babble/20041211/msgs/429880.html