Depression?

i have been like this for four years now.  My psych has tried several anti deps, tried to augment with seroquel, tried duloxerine, lofepramine  etc. And i have ended up on mirtazapine which i cannot get up on dose, he is now titrating it down

 He says i have anxiety which i have diazepam for.  I dont think he knows what to try next.I think I have bad depression but i dont think he is listening to me.  I find it hard to wake every day, yet i sleep fitfully,i have no,pleasure in anything, i feel nauseous, i dont want to go out as i find everything a huge challenge. I just want to stay in bed all day. I do not have panic attacks, just no energy.

what i am not sure is if i stop the mirtazapine will this lift? Or is it 5mg diazepam causing the depression?

can anyone help.

Hi Ann

I would recommend trying a different psych. I've lived all over the country and find some are more knowledgeable than others, even though their credentials are similar. I wasn't even diagnosed as being bipolar until I was 46 but had been diagnosed with everything else in my 20's. There are so many meds out there but trying them, giving them time to work at the right dose and then tapering off to try something else if it doesn't work takes time and can get really frustrating. Do you have anyone that can go with you to a med appt? Sometimes drs visits can be overwhelming so it might be nice to have another set of ears to hear what is being said and advocate on your behalf. Good luck and know you have people in your corner.

I’m so sorry. You are really having a tough time with meds. I have been on many too. The dr just kept changing them or would up the mgs and wait to see what happens. I find that i need to change meds at least once a year because they stop working. You don’t want to stop any meds suddenly by yourself. You need to talk to the dr first before doing that. So, it looks like options are up mgs, change meds, or have the dr make recommendations on what you may need to do next. How long have you been on current meds? It could take weeks before they start working. Hang in there try to be patient. Contact the dr ASAP and let them know how you are feeling. Please call the dr. If you are feeling really bad you may need to go to the hospital or urgent care. Best of luck oh and you can always keep coming back here to talk and ask questions as much as you like or need to. Try to go where the lighting is bright like a store or outside for some reason brightness helps

Hi Ann. I agree with Lynsky that is sound advice. What do you think about what he said? Diane b

Hello Ann55375

I am sorry you feel like this Ann and I  hope that being on this forum will help you.?I wish you the very best for 2018.

Has therapy been offered to you? I am asking because for me besides taking an antidepressant, it has brought major improvement. When I stopped therapy,  I spiraled down again! I am starting again next week. All the best!

Hi ann

That sounds like very good advice from lynsky,four years of suffering is just far too long.I have suffered at least 3 to 4 major depressive episodes at various stages throughout my life,and even with drugs,counselling,it still took a good year before I eventually felt fully well,back to my usual self.you know my story,have been 45mg mirtazapine 6 years for major depression (it didn't work immediately,took many months,and dose kept increasing). Have been 100% swell mentally now for 5 years,but can no longer cope with the horrific nightmares,so titration get down.It seems so wrong you have been suffering four years,maybe asking for change of psychiatrist would be a good move.if you are desperate,please phone crisis team,as sounds like you need to see someone now,and not wait March,they may be able to help facilitate this.we are all here and feel for you Ann.

Hi ann

That sounds like very good advice from lynsky,four years of suffering is just far too long.I have suffered at least 3 to 4 major depressive episodes at various stages throughout my life,and even with drugs,counselling,it still took a good year before I eventually felt fully well,back to my usual self.you know my story,have been 45mg mirtazapine 6 years for major depression (it didn't work immediately,took many months,and dose kept increasing). Have been 100% swell mentally now for 5 years,but can no longer cope with the horrific nightmares,so titration get down.It seems so wrong you have been suffering four years,maybe asking for change of psychiatrist would be a good move.if you are desperate,please phone crisis team,as sounds like you need to see someone now,and not wait March,they may be able to help facilitate this.we are all here and feel for you Ann.

Yes i have phoned for an earlier appointment, will try again when open on wednesday.  Have had three separate sessions of cbt but it just doesnt work for me.  I think psych has given up with me as i have been told to stop mirtaz then no plan??  He has tried so many  with me, ssris, tricyclics, none did any good just bad side effects.  Now left lowering mirtaz which didnt work and diaz. To keep me quiet.  Totally fed up with it all.  Beautiful grandchildren here and i cant enjoy them.

oh how i wish i could try a decent psych.   We had a good one but he retired, since then a locum, then a new consult but very young and doesnt seem to have experience.  I dont know how to get a change as we are all grouped in this one area under same man.  Only way is to go prvate, not really any choice in this area up north. Wish i lived in London where there seems to be plenty.

when psych cant find a med you tolerate i dont know what he will do.

Before you got your diagnosis did you hve ups and downs? All i get are downs with anxiety thrown in.  I wonder how they decided you were bipolar?   I also wonder if lamictal will help me as many have great success on it.  I am pretty well floundering around in this and just cannot get a good med, feeling low and anxious together is the pits.  My hubby comes with me to psych appts. Not much chance of changing as this is third one ive had due to retiral, locum and now young one who cant see past ssris.  Not sure where to go from here.

Depression and anxiety is the worst illness I have ever endured,and I've had quite a few to contend with.really hope you can get appointment with a different psychiatrist,as I believe you are within your right to ask for this,nobody should have to suffer for so very long.

Yes you are right none of us should have to suffer. Keep looking until you find the right doc and meds. Such a frustrating disease it plays games with your mind and brain, it makes you feel bad about yourself. Don’t give up keep up the fight.

Good luck and stay in touch. Don’t forget you can go to the hospital or urgent care. You are always welcome here all of the time.