Posted by phidippus on June 12, 2015, at 18:16:11
In reply to Re: I'm just so tired of the same fight... » phidippus, posted by b2chica on June 12, 2015, at 17:42:35
>i have Not been on any MOAI's or TCA's
I think its time try one or the other. I recommend Clomipramine not only because its the gold standard for depression, but is a standard for the care of OCD, which you seem to have a slight case of: you often talk about intrusive negative thoughts that become obsessive and lead to self-harm (which is also a bit borderline).
>Adderall and Gabapentin.
Adderall works because it treats your depression and may treat an underlying ADHD.
Gabapentin helps because it is a glutamate inhibitor and helps with intrusive/recurrent thoughts
>Never done ECT or Lithium
ECT can be helpful, but I don't think its going to help with the intrusive thoughts. You don't need Lithium.
>i tend to do terrible on mood stabilizers
Probably because you don't need one and they just make you more depressed.
>have dx of bipolar (mixed) or psychotic depression.
i have never had that 'high' of moodYou are not bipolar. Please get a new diagnosis.
Psychotice depression? Maybe. Do you see things? Do you hear things? If you do, then its a better diagnosis. I'm not goingg to ask if you become delusional, mainly because you won't know if you are. Do you have strange thoughts? Who cares? You don't have to be psychotic to have strange thoughts.
You have more than one thing going on with you-maybe ADHD from your strong response to adderall. Definitely MDD as you fight depression contionuously. OCD or borderline-intrusive thoughts that lead to self harm. How was your childhood? Did you suffer from any abuse? Knowing this would tell me more.
Have you stopped the Latuda?
Eric
poster:phidippus
thread:1079621
URL: http://www.dr-bob.org/babble/20150520/msgs/1079705.html