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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Depression

I have had depression for over twenty years. I am om meds for same. I am 47 years old. Just recently I seem to find things difficult. Dealing with everyday things, people ie to speak or have any interaction is people/family is a huge effort. I do interact but then I just seem worn out with the effort I have to put in. I always dealt with these feeling by saying it will pass but I just feel like wanting to go live on my own and I know that would not be the answer. Meds are 150 mg Effexor xl.
Tue, 11 Nov 2014
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Psychiatrist,  's  Response
Hello
Welcome to HCM.
You problem of depression seem to appear again.

There are two lines of management in your case.
One is to increase the dose of effexor by 37.5mg. However as we increase the dose, you might face the side effects of the drug. And the most important to take care of is drug induced hypertension.

Second line of management is to go for psychotherapy session. You can go for cognitive behaviour therapy, behavioral activation programmes which will help you to actively involve with the people.

Please talk to your psychiatrist about this.
Thanks.
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Suggest Treatment For Chronic Depression

Hello Welcome to HCM. You problem of depression seem to appear again. There are two lines of management in your case. One is to increase the dose of effexor by 37.5mg. However as we increase the dose, you might face the side effects of the drug. And the most important to take care of is drug induced hypertension. Second line of management is to go for psychotherapy session. You can go for cognitive behaviour therapy, behavioral activation programmes which will help you to actively involve with the people. Please talk to your psychiatrist about this. Thanks.