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How Can Persistently Worsening Depression Be Treated?
Hi, I have been dealing with depression for a very long time. I have tried many antidepressants and I have gotten some positive results, but the results don t last. I have heard that you can combine antidepressants or other medications for a better control of your depression and I was doing my own research to see what medications were being combined with antidepressants. My PCP hasn t been much help, so I thought if I did some of the leg work and came back with my own suggestions I might get a better result. I don t like the way that I feel and I want to get my depression under control. My depression has gotten a lot worse and I need to fix it.
Thu, 27 Sep 2018
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
It is good to know that you are better than before & you are continuing to take the medications. Apart from medications Psychotherapy, cognitive & behavior therapy work quite well to get rid of depression. However, medications like antidepressant, anxiolytic & SSRI treat depression effectively. Do not depend on medications too much. You should try to combine medication along with therapies to stay away from depression. Take the help of therapists, psychiatrist, ER doctor & also from from your friends & near ones. Take plenty of sleep, avoid stress.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nupur K.
I have reviewed your query and here is my advice.
It is good to know that you are better than before & you are continuing to take the medications. Apart from medications Psychotherapy, cognitive & behavior therapy work quite well to get rid of depression. However, medications like antidepressant, anxiolytic & SSRI treat depression effectively. Do not depend on medications too much. You should try to combine medication along with therapies to stay away from depression. Take the help of therapists, psychiatrist, ER doctor & also from from your friends & near ones. Take plenty of sleep, avoid stress.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nupur K.
I find this answer helpful
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
If we follow the guidelines it suggests that antidepressant should be tried to its maximum tolerable dosage to see its effect. If there is no response other antidepressant can be tried and if there is a partial response then another antidepressant or a augmenting agent is preferred. Augmenting agent can be thyroxine or lithium or low dose antipsychotics. If its severe depression then even ECT or rTMS can be tried.
Hope I have answered your query. Let me know if I can assist you further.
If we follow the guidelines it suggests that antidepressant should be tried to its maximum tolerable dosage to see its effect. If there is no response other antidepressant can be tried and if there is a partial response then another antidepressant or a augmenting agent is preferred. Augmenting agent can be thyroxine or lithium or low dose antipsychotics. If its severe depression then even ECT or rTMS can be tried.
Hope I have answered your query. Let me know if I can assist you further.
I find this answer helpful
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