Posted by Robert_Burton_1621 on July 2, 2018, at 5:23:59
In reply to Re: Who here feels better at night?, posted by bleauberry on June 28, 2018, at 14:03:34
Prefect, I would be much more inclined to attribute your diurnal variation of mood - "horror", severe anhedonia in the mornings, beginings of improvement in the early afternoon, and marginal relief at night - to a biological depressive disorder; as Scott says, the variation you describe is classically indicative of "melancholic" depression. I certainly experience precisely the same, painful, variations, and alcohol does "help" at night to "loosen-up" my affective and cognitative capacities, "frozen" as they typically are by the effects severe depression. But I cannot ignore the fact that, whatever be the episodic anxiolytic effects of alcohol, cumulatively it worsens depression (the CNS effects are similar to those of benzodiazepines, apparently) and of course can lead to dependency. I would avoid alcohol as much as you can: that advice must also apply to myself. In its place, the very best thing you can do it pursue treatment of what sounds like a severe biological depresson. My view is that "treatment" means "remission": do not be swayed by psychiatrists who advise - usually as a function of the inadequacy of their own psychopharmaceutical knowledge - that you ought not "expect" any "miracles" from medication (after all, who would expect miracles?), and that you ought accept a regime which is patently not fully effective.
In regard to cortisol and the HPA Axis, there may be anomalies, and these may be implicated in the aetiology of depressive illness; in my case, however, I had my blood cortisol levels assessed and they were perfectly normal.
One blood test that I would recommend is thyroid secreting hormone: TSH. have you had this tested before, to exclude autoimmune thyroiditis?
I am not sure whether "adrenal fatigue" is a recognised medical or clinical condition.
The supposition that you may have undiagnosed Lyme disease strikes me as implausible, going simply on the symptoms you describe.
poster:Robert_Burton_1621
thread:1099318
URL: http://www.dr-bob.org/babble/20180521/msgs/1099379.html