Posted by ChicagoKat on October 9, 2012, at 21:05:26
In reply to Depression comes full circle, posted by jono_in_adelaide on October 9, 2012, at 18:40:41
> I'm starting to see some evidence that psychiatry is again, after a 25 year break, begining to unerstand that theres more than one type of depression
>
> -atypical/reactive/anxious/neurotic - responds well to SSRI's or failing that an MAOI
>
> -endrogenous/biological/melancholic/psychotic - responds well to an NARI or TCA, failing that at NARI + an SSRI
>
> Unfortunatly too many PCP's still think depression = SSRI, and when that doesnt work, they are stumped as to what to do next.
>
> Hopefully the messages trickles down fast!
>
> I had a deep endrogenous depression, and SSRIs did absolutly nothing, it was only my reading on the net that led me to ask (insist) on a trial of adding nortriptyline to the SSRI, and when I did, within five days I could feel my self getting better.Interesting post. Cos I've been told I'm an atypical/reactive type, and I responded really well to SSRIs til they pooped out on me. And look at how well I'm responding to an MAOI now. And I'm really glad the Nortryptiline has helped you, but it may explain why it did not do much for me.
poster:ChicagoKat
thread:1028219
URL: http://www.dr-bob.org/babble/20121009/msgs/1028237.html