Psychiatry & Neurology | Psychiatry Questions Psychiatrist

I'm having issues with depression and cognition?

I'm a 27 year old female. I lived with depression for years, last year I decided to seek treatment. Initially, I was prescribed sertraline, it didn't really work for me so I was prescribed Escitalopram. The problem I had with both was that it reduced my motivation further. Also, both caused breast enlargement. About 4 months ago buproprion 150mg was added along with my usual escitalopram 10mg. Due to the breast enlargement issue, I'm only taking buproprion. I still have problems with memory and cognition. How can I improve it?

Female | 27 years old
Complaint duration: 8 years
Medications: Metformin,multi vitamins,buprorion,occasionally melatonin and propranolol 20mg
Conditions: PCOS

2 Answers

Once again, you are another person taking medication for issues that have been buried probably since early childhood. Now you think they are inborn issues. If you get quiet, what do you think and feel? These are clues to what you are trying to medicate away. You have a fear of feeling and expressing feelings, but that's how we heal. I am not talking about triggers today that seem to be cause or feelings for "no apparent reason". I am talking about buried and unexpressed feelings which cannot ever go away unexpressed. Grab a pillow and some privacy and give the little girl a voice.
Important to understand drug effects ... see link...
https://my.clevelandclinic.org/health/treatments/9301-depression-medicines
and
https://www.ncbi.nlm.nih.gov/books/NBK361016/
Plus understand the impact of depression and thinking/memory
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