Posted by SLS on May 3, 2013, at 0:04:19
In reply to A Cry for Help!, posted by lillabella on May 2, 2013, at 14:27:21
You are amazingly resolved and resilient after all of these years.
You certainly are a challenge, but I get the feeling that you are treatable based upon the fact that you have responded favorably in one way or another to some of your previous treatments. Your brain is still responsive. For quite awhile, mine wasn't. I have been a total flat-liner for most of the last 30 years. I was lucky if a treatment could budge me for more than 3 days.
Have you thought about having rTMS?
Have you tried ECT?
What other antipsychotics have you tried.
Remeron?
I would have thought that Trileptal would be helpful.
You might be headed in the direction of using an antidepressant, antipsychotic, and mood stabilizer.
Don't be discouraged if no one has a miracle answer for you by tomorrow. It will take people some time to digest the information you have provided.I am one of those bipolar cases for which mania presents itself only as a reaction to antidepressants. Otherwise, I am chronically depressed. However, I have been feeling substantially better taking:
Parnate 80 mg/day
nortriptyline 150 mg/day
Lamictal 300 mg/day
lithium 450 mg/day
Abilify 10 mg/day
prazosin 6 mg/day
minocycline 200 mg/dayIf there is a history of childhood trauma, neglect, or PTSD, you might want to take a look at prazosin. To me, it feels like a very clean antidepressant without a tendency to feel overmedicated or uncomfortably activated.
I am beginning to think of minocycline as being "aspirin for the brain". It reduced inflammation and helps to squelch overactive glutamate circuits. Some people experience an improvement in depression during the first week. Minocycline also acts as a neuroprotective and promotes neurogenesis. So far, it has not been observed to increase serotonergic tone like lithium does. Minocycline might thus reduce depression without triggering mania, mixed-states, or activation/agitation.
Lou Pilder makes it a habit of changing subject lines so that his name appears prominently and repeatedly. The theme of the thread is lost unless someone makes it a point to reset the subject line to its original verbiage.
Good luck.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1043087
URL: http://www.dr-bob.org/babble/20130501/msgs/1043116.html