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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by rculater on June 3, 2010, at 17:48:23
I don't understand the difference between 1. Melancholic depression 2. Atypical depression and 3.Dysthymia.
Ive been diagd with last 2 but think Number 1 is suitable also. Is there a difference between these 3 ?
Ive tried most SSRI's over the years apart from Citalopram with mixed results (weight, sex, sleepy problems)Tried a TCA (nort) for a bit but gave up on it due to peeing every 5 minutes.
Tried SNRi's -(EFX) worked for a bit, should have dosed up but came off - had terrible time coming off so wont ever try again. Duloxetine gave me insomnia for 3 weeks - came off.
Tried a pretend MAOI (Moclobomide) - didt do much at all.
Dont really want to go nardil/parnate route - sounds scary.
Any hope/advise ?
Thanks Babblers
Posted by Phillipa on June 3, 2010, at 17:57:51
In reply to Melancholic depression definition, posted by rculater on June 3, 2010, at 17:48:23
This link gives good discriptions of all types of depression. Hope it turns Red. Phillipa
http://www.depression-help-resource.com/types-of-depression.htm
Posted by Christ_empowered on June 3, 2010, at 19:02:32
In reply to Melancholic depression definition, posted by rculater on June 3, 2010, at 17:48:23
Diagnosis isn't very useful in psychiatry. Only bad psychiatrists (usually the younger ones...the male ones more than the female ones) look at your diagnosis and then try to make up a treatment plan; that approach only works with real illness, like cancer.
The best you can hope for from psych drugs is a reduction in certain symptoms. So, if you're feeling slowed down and you gain weight during your "depression," maybe something stimulating (possibly Ritalin or an amphetamine) could be helpful. If your problem is agitation, try a sedating antidepressant, low-dose neuroleptic, or benzo..maybe even a "mood stabilizing" anti-convulsant. If you're like most mental patients, you'll end up on a combo of drugs (like wellbutrin+celexa, for instance).
Good luck.
Posted by bleauberry on June 3, 2010, at 19:11:21
In reply to Melancholic depression definition, posted by rculater on June 3, 2010, at 17:48:23
I personally do not take much faith in the names given to various types of depression. Bottom line, you feel like crap period. Doesn't matter if it has a name or not, because no one can reliably match a drug to that name. Too much overlap and subjectiveness in deciding which name fits. As you pointed out.
It does not look like you have had any experience in tweeking the dopamine system. It seems to me it would make sense for you to consider something like:
Low dose of the ssri you tolerate best along with a low dose of ritalin.
Low dose amisulpride.
In the herbal category:
Rhodiola Rosea
St JohnsWort
DLPADon't underestimate their power.
No matter what you do, it appears you are sensitive to side effects. So you have to ignore the routine dosing instructions and instead go on the low side. Half the dose you are told to take.
This is the end of the thread.
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