Common reasons for depressive symptoms not improving after considerable time: 1. Inadequate dose of medication 2. Improper type of medication 3. Inadequate or improper use of medication- missing doses or not taking them long enough at the correct dose 4. High stress levels or triggers 5. Lack of managing stress or life events like lack of routine, diet, exercise etc 6. Use of alcohol, cannabis, nicotine or other illicit substances whilst using medications reduces their efficacy Please review the above and consult with your psychiatrist for further assistance. If the symptoms have not improved despite using a considerable dose of stalopram, you may need to add another type of antidepressant and/or (both) consider CBT additionally. Please do so after consulting with your doctor

Yes sir ..along with medicine please also join counselling sessions called CBT - Cognitive Behavioural Therapy... We will start once you consult..need to change your cognition ..just consult

Hello I'm sorry to hear that you have been suffering persistently. SSRIs are the first line treatment in depression, if you're taking good doses also, if you still aren't improving we have to look for reasons which are many including wrong diagnosis and insufficient dose. Kindly consult for detailed evaluation so that well thought plan of management can be sorted for you.