Posted by SLS on June 18, 2005, at 21:52:37 [reposted on June 20, 2005, at 22:58:42 | original URL]
In reply to Re: Exercise for severe depression » SLS, posted by 4WD on June 18, 2005, at 15:58:00
> > Hi. Marsha.
> >
> > I have the BIGGEST smile on my face right now.
> >
> > You are something special.
> >
> > I guess your prayers are still helping as Trileptal is still working.
> >
> > I am still anxious, though, because I haven't made it past the two-week mark yet. Also, I can't say that the trend is towards further improvement. I don't think I feel better this week than I did last week. I am worried that my response has plateaud. However, I believe that for me, any true antidepressant response will take weeks or months to develop into something more robust. I am impatient. I think I will be much more patient once I become convinced that the trend is towards further improvement two to four weeks from now.
> >
> > > (I'm not particularly religious; my concept of God has more to do with trees and nature and quantum physics than it does with hymns and vestments).
> >
> > Great minds think alike. Great hearts feel alike.
> >
> > I guess...
> >
> > Thanks for everything.
> >
> >
> > - Scott
>
> Wow. A big smile. I'm glad you had a day with a smile in it.
>
> I've read in your previous posts that you often notice improvement during or after dosage changes up or down. And you've got quite a range of upward dosing possibility for the Trileptal left, right? I mean you can still go up quite a bit. So if the plateau stays the same now, won't the improvement likely start back up when you increase dosage? As long as you can maintain the plateau of improvement you've got now?
>
> I was reading something last night about the difference in melancholic depression and atypical depression and I thought about you. You feel better in the morning and worse at night. I feel worse in the morning and better at night. The former is the pattern for atypical depression. My pattern fits the description for melancholic depression. It seems to me they ought at least to categorize ADs as to which ones work better for the two types of depression.
>
> And thank *you* for everything.
>
> Marsha
>
They sorta do categorize. You would be likely to respond to a tricyclic if you are:1. Melancholic.
2. Morning is the worst time of day.
3. Early morning awakenings.
4. Psychomotor retardation.
5. Poor appetite
6. Elevated cortisol / DST non-suppressor
7. Feelings of guilt
- Scott
poster:SLS
thread:511331
URL: http://www.dr-bob.org/babble/20050617/msgs/516365.html