HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Therapy For Depression

i have been depressed since childhood/ have been taking 200mg of zoloft and it helps some, 10 yrs or so ago i had ect and they helped alot/ I am depressed and anxious still/ am estranged from family and have no friends as i feel everyone is against me. i dont know what to do i did have a very traumatic impoverished abusive childhood
Mon, 22 Dec 2014
Report Abuse
Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have depression since childhood and are taking Sertraline 200 mg per day. You have received ECT also and it caused improvement about 10 years back. As you are not getting relief with Sertraline even with high doses so I would advise you to consult a psychiatrist to add some more drug as augmentation agent to your therapy. If a patient fails to respond to one drug then for resistant depression augmentation drugs are used. Drugs as Lithium carbonate, Lamotrigine, bupropion, mirtazepine when added along with sertraline will cause improvement of symptoms. You can visit your psychiatrist for prescription of these drugs.

Along with this attend Cognitive Therapy sessions which will help to reduce your symptoms. If symptoms remain persistent even after that then ECT is treatment modality that should be given attention.

Thanks, hope this helps you.
I find this answer helpful
Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Therapy For Depression

Hello thanks for asking from HCM You have depression since childhood and are taking Sertraline 200 mg per day. You have received ECT also and it caused improvement about 10 years back. As you are not getting relief with Sertraline even with high doses so I would advise you to consult a psychiatrist to add some more drug as augmentation agent to your therapy. If a patient fails to respond to one drug then for resistant depression augmentation drugs are used. Drugs as Lithium carbonate, Lamotrigine, bupropion, mirtazepine when added along with sertraline will cause improvement of symptoms. You can visit your psychiatrist for prescription of these drugs. Along with this attend Cognitive Therapy sessions which will help to reduce your symptoms. If symptoms remain persistent even after that then ECT is treatment modality that should be given attention. Thanks, hope this helps you.