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On the med side...have you ever tried an atypical AP? 

For me finding the right therapist was HUGE for me to make progress...I would try not to give up...but I also understand that is easier said than done. You could come out In the first meeting about what you think your needs are regarding the doctor needing to give serious realistic feedback becuase this is must helpful for you. Also, try to remember on the med side that there are tons of options, if SSRIs don't work there will be other ways, and a good pdoc will be able to get creative. I'm sorry that your symptoms are returning...I hate it when I start to backslide it's so frustrating

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I would say that thing with aaps is there is a very wide spectrum of effect/side effect profile...there are other options that can treat BP (and bp depression) that are way less sedating than seroquel 

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