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Depression meds(psychiatrist)
I have been to 3 psychiatrists till now. I have taken ssri, snri, benzo, atypical antipsychotic but nothing helped me much. The protocol mostly followed in India for depression is:
1.Escitalopram
2.Escitalopram+atypical antipsychotic
3.fluoxetine+atypical antipsychotic
4.SSRI+SNRI+Atypical antipsychotic
*Benzo-when needed for a month
After this therapy is given more significance as they know tricyclic and MAOIs doesn't help much.
Everything fails and it is said that u need to maintain your depression for ur whole life.
Why u people make us suffer so much if u don't have good treatment. Some say that it is completely treatable and some say that it needs to be managed but no one knows what is going to happen. This leads to seeing new doctor and more and more frustration. Please give me a detail answer about this.
Answers (6)
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Dr. Arjit Gaurav
Psychiatrist
12 yrs exp
Gandhinagar
There r 30% case of resistance depression
May Need ECT
Don't waste time in wondering
Contact competent psychiatrist in ur city
A lot of good psychiatrist in delhi
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Dr. Ramya Sampath
Psychiatrist
11 yrs exp
Chennai
A combination of medications plus CBT will be useful
Next Steps
life style modifications like exercise , reducing caffeine, sleep hygiene will help
Health Tips
Do check your vit d3 levels thyroid levels as a problem there can cause treatment resistance
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Dr. Nikita Rajpal
Psychiatrist
13 yrs exp
Delhi
There are efficacious antidepressants available. Those that you have mentioned are efficacious antidepressants. Antidepressants take their time to act so you have to be patient. They start showing their response in a week or two and complete improvement may be achieved by 4 to 6 weeks. In certain cases(about 1/3rd), depression may be treatment resistant. In such cases following strategies can be tried
1.combining two antidepressants
2. adding agents like lithium/ thyroxine to the antidepressant
3. ECT/ rTMS
4. combining medications with psychotherapy
Next Steps
Please discuss the above mentioned strategies with your treating psychiatrist
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Ms. Ananthi
Counselling Psychologist
13 yrs exp
Chennai
Hi. First of all you need to consult a psychologist for problems like depression, stress, tensions, frustration, loneliness, aggression, too much of anger, sadness , grief , low concentration and low confidence issues.
You will have to get proper counselling and therapy first. Then you will guided to psychiatrist based on chronic conditions.
Medicines help to an extent. Many people don't know where to tell their problems.
All kinds of problems for people can be analysed by psychologist and hence do try to get therapy along with or without medicines.
You need not carry out your life with depression and stress all through years. We are there to help you out.
Next Steps
meet a psychologist or get an online counselling from us.
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Ms. Hema Sampath
Counselling Psychologist
18 yrs exp
Bangalore
I differ with your conclusion.
I would like to suggest you to consult a psychologist to understand yourself and about your issues better..
You can choose to Consult either online or offline through this portal.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.