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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 linkadge on August 8, 2022, at 15:11:47
I know this sounds insane.... but sometimes I want my depression to get worse.
Linkadge
Posted by SLS on August 8, 2022, at 18:21:33
In reply to I want to go down the wrong path..., posted by linkadge on August 8, 2022, at 15:11:47
> I know this sounds insane.... but sometimes I want my depression to get worse.
>
> Linkadge
How much worse was your depression in the past than it is today?If your depression were to get worse, would you then give yourself permission to stop trying so hard to function?
That is a familiar feeling to me.
As I suggested previously, it might be time for you to take a "SRI holiday". Your receptors / second messengers might have to re-establish a baseline state before you can reintroduce a SRI.
In the "old days" (1980s and 1990s), if someone were to relapse while taking Nardil, the drug was removed from the treatment regime for 3 months. Reintroducing Nardil afterwards often resulted in "recapturing" the antidepressant response. One of my doctors had a patient who he had to cycle between Nardil and Parnate in order to have the patient remain functional.
- Scott
Posted by Jay2112 on August 9, 2022, at 12:26:08
In reply to I want to go down the wrong path..., posted by linkadge on August 8, 2022, at 15:11:47
Have you tried say a larger dose of THC at bedtime? Worked for me. The next day was *so* much easier.
Jay
Posted by SLS on August 9, 2022, at 15:38:12
In reply to Re: I want to go down the wrong path..., posted by Jay2112 on August 9, 2022, at 12:26:08
Perhaps combining trimipramine with an MAOI would potentiate an antidepressant response and promote good sleep at the same time. I think most doctors would choose Parnate before Nardil because it has a reduced liability for side effects.
- Scott
This is the end of the thread.
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