
Suggest Treatment For Feeling Irritation And Sadness Despite Having Anti Depressants

A mood stabilizers needs to be added.
Detailed Answer:
Hello
I have read your query and understand your concerns.
You currently feel extremely sad and irritable. You have irrational thoughts and behavior and continuous feeling of rage.
I have some suggestions for you:
1. I would like you to describe more about your irrational thoughts and behavior. What kind of thoughts and behavior you have?
2. Your description suggest two possibilities at present. These are agitated depression and bipolar disorder. For both the disorders, a mood stabilizer is needed. Divalproex is a better choice over lithium in such cases. Along with that, an antidepressant would also be required. My choice would be sertraline in such cases. The dose can be titrated depending on the response.
3. You must also consider taking cognitive behavior therapy from a trained psychologist. Drugs when combined with CBT show excellent results.
4. The next option would be Electroconvulsive therapy (ECT). This is safe treatment provided it is executed correctly.
5. I would also advise you to get your thyroid levels checked, if not done already.
6. Quit smoking, alcohol if you do take.
7. Practice relaxation techniques like deep breathing and meditation.
Visit your psychiatrist to discuss further on these issues. Any dose changes and drug initiation are to be done under your doctor's supervision.
Hope this helps you.
Any further queries are welcome.
Thanks.


ECT is an option.
Detailed Answer:
I an sorry that my advise wasnt of any help to you.
But still i would suggest you to discuss about ECT and rTMS as a treatment option for you with your psychiatrist.
I wish i could help.
Take care.

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