“Depression treatment?”
I have had a very bad mood with anxiety and fatigue for 10 years. My doctor prescripted separately zoloft 100mg, venlafaxine 300mg, paroxetine 20mg, fluoxetine 40mg, escitalopram 20mg, brintelix 20mg, valdoxan. Always with some auxillary such as depakine 500mg, amisulpride 50 mg, sifrol 0.18 mg, tofranil 25 mg, anafranil 10 mg. I also tried Modafinil 200mg. There was not any improvement. Blood test is perfect. Vitamin D is ok. Could you give me some advice or some drugs to try? Thanks a lot.
Male | 43 years old
Complaint duration: 01/01/1980
1 Answer
Hello,
If you want to treat "mood" and "anxiety" with the goal to improve those symptoms and increase energy, I recommend finding a clinical psychologist that provides psychopathology testing. A psychopathology assessment will determine if these symptoms meet diagnostic criteria, and to what extent. An interpretive psychopathology report will break down the specific "symptoms" you are experiencing and provide a treatment recommendation and plan. A treatment plan may include both cognitive behavioral therapy and medication. The psychologist will work with the patient to measure the reduction of their impairment with the goal to increase functioning. Often times patients come in, seeking help for a specific set of symptoms, but a more thorough evaluation reveals another underlying issue. If a patient comes to me and tells me that their current medications and treatment aren't working, then we need to take a closer look and consider making a modification. A good treatment plan means you should be seeing improvement and are headed in the right direction. I recommend making an appointment with a clinical psychologist to assist you with your diagnosis and treatment plan, in addition to your prescribing provider. A psychologist works in tandem with the prescribing doctor, P.A. or N.P to provide the best continuity of care. Hope that was helpful and you find some relief for your symptoms!
If you want to treat "mood" and "anxiety" with the goal to improve those symptoms and increase energy, I recommend finding a clinical psychologist that provides psychopathology testing. A psychopathology assessment will determine if these symptoms meet diagnostic criteria, and to what extent. An interpretive psychopathology report will break down the specific "symptoms" you are experiencing and provide a treatment recommendation and plan. A treatment plan may include both cognitive behavioral therapy and medication. The psychologist will work with the patient to measure the reduction of their impairment with the goal to increase functioning. Often times patients come in, seeking help for a specific set of symptoms, but a more thorough evaluation reveals another underlying issue. If a patient comes to me and tells me that their current medications and treatment aren't working, then we need to take a closer look and consider making a modification. A good treatment plan means you should be seeing improvement and are headed in the right direction. I recommend making an appointment with a clinical psychologist to assist you with your diagnosis and treatment plan, in addition to your prescribing provider. A psychologist works in tandem with the prescribing doctor, P.A. or N.P to provide the best continuity of care. Hope that was helpful and you find some relief for your symptoms!
