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Re: Melancholic depression - what med is the best choi hansi555

Posted by yxibow on September 13, 2008, at 2:13:22

In reply to Re: Melancholic depression - what med is the best choi, posted by hansi555 on September 12, 2008, at 14:52:46

> Thank you
>
> So do you think Effexor/Cymbalta would be good against the Melancholic features?
>
> Asked my psycologist today if she thought I did better, worse or the same as patients w similar depression but not on drugs, she said it was more or less the same...

Its hard to say -- some melancholic depression has early hour awakening and worsening in the morning, so if you're anxiety sensitive, it wouldn't be the best idea I imagine to take at night. Effexor could aggravate the sleep features.

But this is just hypothetical.


It also sounds from the DSM like a depression somewhat related to dysthymia which I have in a major fashion. But I am probably projecting.


Sometimes the best palleative for that is forcing oneself (which I find hard) to do things, a more psychodynamic approach. And through doing things that are positive and reinforcing for you, projects that you might enjoy even if you don't think you would, things that resonate with you, you discover you are more capable than you think.


But medication may be necessary too along with this so it is worth a trial. Remember that it does take time to build up -- Cymbalta I think takes a long time to kick in for a lot of people.

I don't recall my impression of Effexor but I imagine you might feel something (good or bad as all psychotropics can do) sooner just because its very activating.


-- best wishes

Jay

 

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