Posted by linkadge on August 11, 2019, at 14:07:51
In reply to came up with something, maybe..., posted by Christ_empowered on August 10, 2019, at 20:27:22
I find that I often have mood congruent 'cognitive distortions'. A good sign that it's psychotic depression is that the delusions cease when your mood improves.
If fluoxetine is working, I wouldn't think that Effexor is any better. You can augment fluoxetine with remeron (as a substitute for abilify), but it's going to be more sedating. Nortriptyline or desipramine would give you more of a boost. You could switch to something like levomilnacipran if you want a more balanced reuptake inhibitor.
For the abilify, you could try a cross taper with another med. I wouldn't come off it quickly (although, it may be less likely to cause dopamine supersensitivity, owing to its partial agonist action).
Linkadge
poster:linkadge
thread:1105680
URL: http://www.dr-bob.org/babble/20190728/msgs/1105686.html