Brief Answer:
It is normal- I will explain below

Detailed Answer:
Hello,
Thanks for posting again to me at healthcare magic.

I think it is difficult to say whether it is normal or abnormal because scary thoughts beyond a certain limits can not be considered normal and they are part of disease and disease is never normal.

Now regarding the phenomenology there are two explanations offered.

First they explain that when you have severe depression your thinking process is limited or better to term clouded. Although thoughts remain there but brain have no capacity to bring them to conscious mind. Once the antidepressant started the brain gets more energy to deal with these scary thoughts and brings them to conscious mind so they can be dealt appropriately. In other words it can be said that antidepressants help the brain to deal with these dark thoughts.


The second explanation is related to progressive nature of illness. The scientists offer that the disease process leads to development of symptoms slowly and bad thoughts may be at the another end of ladder. Over the time person gets one symptom, than another symptom and so on. As we know antidepressants take time to act sometime the individual feels that the thoughts were brought by the new medicine because of some perceived temporal relationship between them. Infact this is delay in action of antidepressant action which makes development of such associations.

To conclude it can be said that even if these thoughts happen the antidepressant is there to help you and there is little possibility of worsening them due to use of medications.

Regarding lamictal, as you said the mood part is quite good and it can be hoped that thoughts will be dealt similarly with continuation of medication. I think one week of effective dose is not that much sufficient and we can expect further improvement over course of time.


I hope this answers you.
Thanks again

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Brief Answer:
I understand

Detailed Answer:
Hello,
Thanks for reverting back to me.

I understand your speculation but it rarely in the way you think. They put it there because patient never gets to know that he may develop these scary thoughts and doctor never tell this on most occasions feeling that the treatment process may not be started due to fear of scary thoughts.

But I must assure you that like the depressive mood, the dark thoughts likely to go away with continuation of treatment process.

Sometime therapy also helps in this regard and if the scary thoughts continue, the option of therapy can be explored.

I hope this helps you further.
Thanks again.
Brief Answer:
I think you need to discuss these thoughts on next session

Detailed Answer:
Hello,
Thanks for reverting back to me.

I am glad to know that therapists are with you and they can help you tremendously in regard to these thoughts.

I request you to discuss these thoughts on your next session.

Thanks again.

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