Posted by CheckTest on August 8, 2018, at 8:43:32
In reply to Re: ECT or switch up medication or stay put, posted by linkadge on August 8, 2018, at 7:38:29
Thank you for reading! Yes I didn't realize how long it got as I was writing off and on over the day.
I believe I was on mirtazapine and effexor in the past, but effexor never really made much of an impact. No 'California rocket fuel'. I think the mirtazapine was pushed up to see if it would be more activating, relatively. More multimodal. I did notice things were getting brighter (visually outside) as I started 45.
I believe my Psych is concerned about getting too far down. I've had the unfortunate pattern of dropping precipitously from otherwise functioning at a reasonable level, and it has spooked him. Also some progress on suicidal planning.
Major symptoms include the suicidality, excessive guilt, insomnia with sleep disruption and early awakening (though insomnia has been a constant even when feeling fine), no appetite. Anhedonia. I vary between emptiness at times, but worst is more of a writhing feeling that gets dangerous. Psychomotor retardation that is obvious to others generally (affect, voice basically slow slurred).
Anxiety is variable, it is hard to say with the interplay with depression. So far good on the mirtazapine.
I tried methylfolate again a few months ago, but probably didn't give it long enough. I might even have some deplin left over.
Yeah. I never could figure out choline. Sometimes it really did help, but doses never really lined up.
Thanks again. I will give zinc a shot (maybe I tried it?) along with keeping up the ritalin. Probably will go to the consult for ECT, see what they say, and try the scopolamine before going to a full course.
poster:CheckTest
thread:1100159
URL: http://www.dr-bob.org/babble/20180728/msgs/1100164.html