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Re: I am getting desperate » wildcard

Posted by Jedi on October 9, 2005, at 10:05:03

In reply to I am getting desperate, posted by wildcard on October 8, 2005, at 19:01:49

> I don't know where to turn?! I take 225 Effexor XR and 300 Wellbutrin XL, a prenatal vitamin w/ an iron supplement and am still fatigued?? Blood tests have been done but nothing yet and this is not me. I can hardly get out of bed and when I do, not for long. Any suggestions??

Hi Wildcard,
People here are going to think I'm a broken record, but one of the symptoms of atypical depression is extended sleep.

Atypical depression was recently validated by a twin study. The patient should have two out of four of:

1. Increased appetite with weight gain of 10 lb or more when depressed
2. Hypersomnia of 10 hours or more per day or 2 hours more sleep than usual amount of sleep when not depressed
3. Heavy, leaden feelings in arms and legs
4. Longstanding pattern of interpersonal rejection sensitivity, not limited to episodes of depression, that results in significant social or occupational impairment
Link:
http://www.mhc.com/Algorithms/Depression/atypical.htm

MAOIs are the medication of choice for treatment resistant atypical depression and social anxiety.

May the force be with you,
Jedi


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