Posted by SLS on July 13, 2022, at 21:52:02
In reply to Sleepy and unmotivated, posted by NKP on July 11, 2022, at 10:37:16
Two suggestions if you are still experiencing depression:
1. Effexor 300 mg/day
2. Lamictal 200 mg/dayIf you have early morning awakenings and feel worse in the morning than you do at night, you might have more of a melancholic depression rather than atypical. If you tend to lose weight when you are more severely depressed, that would figure in the symptom cluster for endogenous / melancholic depression. I think psychotic depression tends to be an expression of this type of depression rather than atypical. Also, anxiety and psychomotor retardation are more likely to be an expression of melancholic depression.
It is possible that your depression has not been adequately treated, and that this would explains sleep difficulties. There are many other reasons why one can have sleep difficulties.
Again, if your depression has not been sufficiently improved, raising the dosages of Effexor and, especially, Lamictal could produce superior results.
Overall, I would say that someone with an anxious melancholic depression with or without psychotic features can be soothed with antipsychotics.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.The only thing necessary for the triumph of evil is that good men do nothing.
poster:SLS
thread:1120069
URL: http://www.dr-bob.org/babble/20220530/msgs/1120075.html