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I have tried to tell the docs that the anti depressants are not working. They want to raise the risperdal and I'm going to say hell no to that. I just want dopamine. The pleasure center of my brain back. They want notes from a tdoc and I'm having a hard time finding one. This is grueling. It has never been this bad to where I don't want to face the day at all. Idk what to do guys. I'm in a pickle.

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Sorry you are going through this.  Such a PITA.

The first thing that came to mind was to go IP ... if IP, they could set up a tdoc for you, you could also get a 2nd opinion form another pdoc if you wanted to about going on another med and you would get somewhere.  I know it sucks to be IP, but it would solve everything at one time. 

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A tdoc would be great for you, Sonic. If you can't find one, ask your pdoc for a referral. I'm sure he has a list of tdocs who are accepting new patients.

Is your med list in your signature accurate? Are you on 3 antidepressants? It looks like you have maxed out or are close to maxing out the Paxil while the doses of your other meds are relatively low. Effexor at 75 mg is largely just an SSRI. Have you ever taken a higher dose of Effexor? It starts to effect norepinephrine at 150 mg. 

Please don't make any changes to your meds without your pdoc's approval.

Edited by jt07
Posting on no sleep
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Ya at one time I was on the highest dose of Effexor but it made me break out and still did nothing for my depression. I have to say I have been dealing with this depression for like four years. It has just gotten to the point where I just gave up. I know I need to keep fighting. Stay away from hardcore drugs and just try to be patient. It just has been a hassle doing this.

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I agree with melissa. If you are in bed all time, completely given up, not functioning etc it is often advantageous to be treated IP at a clinic for subacute conditions. For one, it allows you to be treated intensively, receive a second opinion on your care and have a high level of support. Also, if your life at home has sunk to just wafting around your house without the will to do anything or go anywhere the level of activity in a clinic is much higher than at home. It is a more conducive environment for recovery, especially with the emotional support of therapy programs, nurses, frequent pdoc visits. If you choose to socialize a little with other patients that can be very helpful too. Much better than being alone all the time at home. They can also help you find a psychologist for your ongoing care. They may have consulting psychologists there who you could meet. I realize that there are sometimes other considerations such as insurance coverage, responsibilities at home (work, children, pets etc.) that make the admitting yourself tricky but if there are no major obstacles in the way, do consider it.

There are some other options that could give some of the benefits of inpatient treatment while out in the community. You could ask your psychiatrist for a review of your care by one of his colleague or another pdoc of his choice. It can be reassuring to know you are on the right path even if you are currently on the most suitable treatment. Sometimes fresh ideas can really help too, when you have been struggling to regain stability and function for a number of years. If your pdoc wants you to choose a tdoc, you could ask him for a recommendation. There are also group therapy programs which can help give a sense of routine, socialization etc that are run on an outpatient basis. If you are functioning well enough to get yourself there and engage with it then that can provide some of the benefits of inpatient treatment. Community based outreach programs can provide some regular support in your own home or in office. Whatever you choose to do, I hope you start feeling better soon :)

 

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  • 2 weeks later...

:sleepy:Hi.i am kim and I get it.i haven't stayed in bed but I literally am on my couch most of the day.i drag to wash a dish.i have thought of going ip.i don't know what to do anymore.why is it almost impossible to mobilize and function? I worry I am perhaps dying? Feels like it. I am new on board.any words of wisdom would be helpful .thank you.kim

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