Posted by polarbear206 on December 12, 2008, at 16:57:46
In reply to Treatment Resistant (Refractory) Depression, posted by CaptainAmerica1967 on December 12, 2008, at 1:42:34
I think that this is probably more of a bipolar spectrum than unipolar/refractory depression. This started when you were young, you have atypical symptoms. Describe them. Hypersomnia, hyperphagia, leaden feeling in extremities? etc.. sleep deprivation can cause you hypomania, or does it look like increased energy and goal directed? Hyperthymic personality? All of the multiple drugs and treatments that failed. If you trialed a mood stablizer with an AD, was the AD dose on the high or low side? Lamictal must be titrated slowly and good response is somewhere around 200mg. Have you ever worked with a psychopharmacologist? Do you keep any detailed log of sleep patterns, appetite, enegy levels, moods, etc.. Do you notice a seasonal pattern with your symptoms? Worse in the winter, etc.. Psycheducation.org has the best info out there for you to dig deep on the topic. I'm just throwing some random stuff out here. Tell me what ya think. Sorry, in a hurry.
poster:polarbear206
thread:868231
URL: http://www.dr-bob.org/babble/20081204/msgs/868335.html