Is there something else going on other than depression
I was diagnosed about 20 years ago with depression, I didn't get the right treatment for it then, but about 15 years later I did. For the last 5 years I have been on medication for my depression, but I feel as if things are not working properly still, its as if my mental health is getting worse rather than better, especially in the last 3 years. I find myself being impulsive, irrational, anxious, irritated and angry sometimes, my thoughts constantly race about the same things over and over, and other times I find myself to be depressed and tearful. It seems to have gotten worse over the last couple of months where I will have about a week where I am feeling good and able to do things like exercise and eat healthy but then I will all of a sudden fall off the wagon for no reason and just have zero energy or motivation to do anything. Should I be looking at changing my medication? I wonder if something else psychologically is happening with me, I do see a definite pattern with me of mood swings and ups and downs, but I thought the medication would help with that. Currently on 187.5mg of Venlafaxine per day.
Symptoms: Irritated, impulsive, angry, thoughts racing
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The symptoms that you have mentioned, the duration of illness that you are having and the nature of cycling that you have noticed, suggest you may be having a bipolar depression. This is different from the unipolar depression and doesnt recover only with the antidepressant. Venlafaxine is a good drug for unipolar depression but for bipolar depression, mood stabilizers are the drug of choice along with antidepressants. The common drugs used for this illness is lithium 400mg-1200mg, Valproate 500mg-1500mg or oxcarbazepine 300mg-900mg. These medications are also used in treating resistant depression and hence worth a try.
These medicines generally start acting in 3-4 weeks and if its bipolar depression then the symptoms should start reducing.
Do meet your doctor and discuss these new medications.
Hope this helps,
Wish you a good health.
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