Persephone Posted June 21, 2009 Share Posted June 21, 2009 Normally, I think my pdoc is great and totally trust his judgement. However, at my last appointment he started me on Abilify and said if it didn't work, he wanted me on a MAOI. I think this is incredibly drastic. Just for some background - I have recurrent, refractory depression. I've gone through just about every SSRI on the market in previous episodes and have gone through nearly all the modern non-SSRIs with no effect in this episode. But isn't there a whole lot else out there? Lamictal? Lithium? Thyroid hormone? I find it hard to believe that your response to one AAP predicts if you'll have a response to other mood stabilizers. But maybe he has a point. Running around suicidal is probably not safe while spending two months titrating onto Lamictal, which may or may not work. Hospitalization is not an option - not only am I not insured, I was hospitalized twice as a teenager and both times were horrible and traumatic. Does anybody have any advice? Should I just go on a MAOI (abilify isn't doing jack)? Should I insist on a trial of lamictal or lithium first? Not only are MAOIs a pain in the ass, but the only thing left after that is ECT. Thanks guys - I know no one IRL who has been on half as many meds as I have. Link to comment Share on other sites More sharing options...
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