Posted by porkpiehat on March 16, 2016, at 14:08:02
In reply to Re: depression time periods » porkpiehat » J Kelly, posted by SLS on March 13, 2016, at 15:07:55
To answer this, yes, impulsive, anxiety, easily angered (seldom at once though)
More impulsive at higher doses of SSRI...at low or no dose SRRI it hits me around 2:30 every afternoon...distracted and racey, boundry issues, expansive
> Sorry...
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> The original post was meant for » porkpiehat
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> > Hi Scott,
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> > Not sure if this post was for me or porkpiehat.
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> > Jade
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> > > Hopefully, your doctor can tease out bipolarity if it exists.
> > >
> > > Your unmedicated diurnal pattern approximates that of melancholic depression rather than atypical depression. Melancholic depression responds well to tricyclics. My guess is that SNRIs would be of some help. However, bipolarity sometimes allows a TCA to produce a switch into mania. I think your idea of exploring Lamictal makes sense at this point. If you maintain a partial response to it, I would then look into adding Abilify. You can then think about adding antidepressants. Lamictal is not a very good antimanic drug, but Abilify should be. Since Abilify also confers antidepressant effects, you might not need a standard antidepressant. If you do, Abilify will hopefully protect you from a manic reaction.
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> > > You might consider adding N-acetylcysteine (NAC) now if you anticipate using Lamictal. NAC can take several months to work, but some researchers believe that it complements Lamictal for treating depression.
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> > > Do you have anxiety? Impulsive? Easily angered?
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> > >
> > > - Scott
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poster:porkpiehat
thread:1087059
URL: http://www.dr-bob.org/babble/20160306/msgs/1087232.html