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2 minutes ago, looking for answers said:

lithium was a big help for me

Thanks. Which part of your depression did lithium help with? Energy? Thoughts? Irritation?

Been following your threads, the docs are still unsure if you're MDD or BP2 right?

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thoughts and irritation, passive death wish, anxiety to an extent

 

docs cant make up their mind on bp2 vs mdd yeah, but i dont think i will ever get a straigh diagnosis. WHich is fine, as long as things are working

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5 minutes ago, looking for answers said:

thoughts and irritation, passive death wish, anxiety to an extent

 

docs cant make up their mind on bp2 vs mdd yeah, but i dont think i will ever get a straigh diagnosis. WHich is fine, as long as things are working

Hmm, that's exactly what gabapentin does for me.

How often do you have to get tested for your lithium blood levels? Every 1 or 2 months?

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1 minute ago, argh said:

Hmm, that's exactly what gabapentin does for me.

How often do you have to get tested for your lithium blood levels? Every 1 or 2 months?

every monthing initially then it spreads out, im at like every 2-3 months not, once stable you can go a year........

my levels fluctuate with nothing changing so......were still checking here and there

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To be honest, diagnosis in psychiatry is a muddy business, because it's phenomenological, which means that it's based on constellations of symptoms rather than anything objective, like a blood test or scan or something.

Now, there's nothing wrong with that, nor does it mean that the diagnosis is invalid.

However, in my opinion, MDD is probably not a single illness.  It's probably a whole bunch of endophenotypes.

So long story short, it doesn't surprise me that anticonvulsants work better than antidepressants for some people.

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My dx is OCD (pure-o)/depression/anxiety. Not bipolar, never have been anywhere close to mania.

I have tried different SSRIs/SNRIs/NDRI with AAPs and they had partial results.

Recently I was perscribed Lamictal. 2 hours after the first tiny dose my symptoms disappeared for almost a day later. I am still on 25mg, on my way to the target of 200.

It may have been the placebo effect, but given past experience I have a good feeling about this one.

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6 minutes ago, HydroCat said:

My dx is OCD (pure-o)/depression/anxiety. Not bipolar, never have been anywhere close to mania.

I have tried different SSRIs/SNRIs/NDRI with AAPs and they had partial results.

Recently I was perscribed Lamictal. 2 hours after the first tiny dose my symptoms disappeared for almost a day later. I am still on 25mg, on my way to the target of 200.

It may have been the placebo effect, but given past experience I have a good feeling about this one.

That’s great!

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36 minutes ago, tryp said:

To be honest, diagnosis in psychiatry is a muddy business, because it's phenomenological, which means that it's based on constellations of symptoms rather than anything objective, like a blood test or scan or something.

Now, there's nothing wrong with that, nor does it mean that the diagnosis is invalid.

However, in my opinion, MDD is probably not a single illness.  It's probably a whole bunch of endophenotypes.

So long story short, it doesn't surprise me that anticonvulsants work better than antidepressants for some people.

Thanks, that's pretty much in line with what my pdoc told me.

I trust in her opinion and diagnosis completely and have full faith in her direction.

Just something in my head going "Ok, we'll treat the symptoms and it's working, things will be fine...but it doesn't fit in a box....really brain? Things are going well and we're doing this now?"

9 minutes ago, HydroCat said:

My dx is OCD (pure-o)/depression/anxiety. Not bipolar, never have been anywhere close to mania.

I have tried different SSRIs/SNRIs/NDRI with AAPs and they had partial results.

Recently I was perscribed Lamictal. 2 hours after the first tiny dose my symptoms disappeared for almost a day later. I am still on 25mg, on my way to the target of 200.

It may have been the placebo effect, but given past experience I have a good feeling about this one.

wow, that is awesome!

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21 minutes ago, argh said:

Thanks, that's pretty much in line with what my pdoc told me.

I trust in her opinion and diagnosis completely and have full faith in her direction.

Just something in my head going "Ok, we'll treat the symptoms and it's working, things will be fine...but it doesn't fit in a box....really brain? Things are going well and we're doing this now?"

wow, that is awesome!

same here, pdoc said lets treat the symptoms

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2 hours ago, tryp said:

To be honest, diagnosis in psychiatry is a muddy business, because it's phenomenological, which means that it's based on constellations of symptoms rather than anything objective, like a blood test or scan or something.

Now, there's nothing wrong with that, nor does it mean that the diagnosis is invalid.

However, in my opinion, MDD is probably not a single illness.  It's probably a whole bunch of endophenotypes.

So long story short, it doesn't surprise me that anticonvulsants work better than antidepressants for some people.

Agreed. After all MDD is Major Depressive DISORDER, ADHD is a disorder, so are other conditions in psychiatry. If we knew what caused it and it had a single cause it would be a Disease. Everything in psychiatry is a Disorder, a group of symptoms that may or may not be related. After all psychiatrists only have behavior to guide a diagnosis. It takes time for behavior to fully show itself. The meds used to treat are general and work for several symptoms. This points back to everything being a disorder. Not knowing the cause points to the possibility that there may be several possible causes for any disorder. So they are slow to put a definite diagnosis on a patient especially when treating the symptoms works.

My pdoc has also said "I treat symptoms".  

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Thanks everyone. I guess i needed to hear what I already sort of figured.

 

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I am diagnosed as MDD and have been since I was 12 years old. I have never been diagnosed with bipolar disorder. However, one medication which has helped me immensely and has been a magic med for me has been the anticonvulsant Tegretol (carbamazepine). It immediately quashed all my suicidal ideation and pulled me out of the deepest depression. I can't say that it ever made me "undepressed" but it keeps the lows from getting too low. I tried going off it in the past, and it always ended badly with me crawling back to it on my knees. Abilify together with the Tegretol allow me to spend some time in the "undepressed" zone.

No one has ever suggested changing my diagnosis based on the fact that Tegretol works so well for me.

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1 hour ago, jt07 said:

I am diagnosed as MDD and have been since I was 12 years old. I have never been diagnosed with bipolar disorder. However, one medication which has helped me immensely and has been a magic med for me has been the anticonvulsant Tegretol (carbamazepine). It immediately quashed all my suicidal ideation and pulled me out of the deepest depression. I can't say that it ever made me "undepressed" but it keeps the lows from getting too low. I tried going off it in the past, and it always ended badly with me crawling back to it on my knees. Abilify together with the Tegretol allow me to spend some time in the "undepressed" zone.

No one has ever suggested changing my diagnosis based on the fact that Tegretol works so well for me.

Thanks JT. Magic. Yeah that's how I feel about the gabapentin.

If you don't mind me asking (PM works too), your DX, atypical MDD. What does that mean in this context? Treatment resistant?

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Atypical MDD is depression marked by sleeping too much, lethargy, and eating too much. Typical MDD is marked by trouble sleeping and eating. The truth is that despite the names, atypical depression is more common than typical depression.

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1 hour ago, jt07 said:

Atypical MDD is depression marked by sleeping too much, lethargy, and eating too much. Typical MDD is marked by trouble sleeping and eating. The truth is that despite the names, atypical depression is more common than typical depression.

Interesting. Minus the eating too much, as I’ll barely eat, atypical fits me too.

thanks for the clarification.

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12 minutes ago, argh said:

Interesting. Minus the eating too much, as I’ll barely eat, atypical fits me too.

thanks for the clarification.

Those are very gross classifications. I'm sure a lot of people don't fit neatly into either one.

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I'm diagnosed with MDD and gabapentin has a similar effect for me. It just smooths everything out, so that I'm calmer, less anxious and irritable, don't ruminate as much, and my mood is better.

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@Juniper29 I tried gabapentin for one week. It was very sedating and calming for me. I started to feel shaking when I took it twice a day. Then started getting panic attacks. Did you experience shaking as a side effect?

 

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