Posted by bleauberry on August 22, 2017, at 8:57:04
In reply to Chronic Resistant Major Depression Is Curable, posted by bleauberry on August 22, 2017, at 8:21:39
I'll never forget the story my doc shared of a patient who had been on all sorts of psych meds and treatments for depression who felt best on 1 drop of lexapro. Just so you know, 1 drop is 1/10th of a milligram. There is no way that could help somebody's depression, right? If it did then it had to be a placebo effect, right? Well, actually no. It was real. She crashed without that drop.
I mention this just to plant a seed - sometimes we get bogged down into finding a predetermined dose, a so-called normal dose, titrating up to the highest dose as fast as we can, or whatever. Sometimes people get better by thinking outside the box. I am reminded of another patient who responds well to prozac but only at 120mg a day and it has to be brand not generic. Another one got cured with rhodiola, a great herb for depression, but at a dose of 1200mg instead of the more common 500mg.
My own personal experience found the most benefit in the psychiatric arena with these:
Prozac instead of other ssri's, Zoloft second choice
Zyprexa instead of other ap's
Ritalin, Modafinil, or Adderall
Parnate was good for mood but very troublesome in terms of side effects and quality of life.One of the two Lyme expert M.D.s I got treatment from claimed that he had the most success with Lexapro.
In any case, these meds can help our quality of life if we get the choices and the doses right. But for the next level, a step up, remission, we will likely need something the psychiatrist cannot prescribe for us.
poster:bleauberry
thread:1094565
URL: http://www.dr-bob.org/babble/20161215/msgs/1094568.html