flute4peace
Drama Llama
Posts: 6,757
Jul 3, 2014 14:38:35 GMT
|
Post by flute4peace on Nov 6, 2018 18:52:59 GMT
After years of struggling with MDD and severe lack of functional motivation, I've done genetic testing and am (not surprisingly) SSRI-resistant. Has anyone else dealt with this? What has worked for you? I have a meds apt this afternoon with a new psych and am trying to remain positive, but it's not easy. I would welcome and appreciate any and all experience/advice.
Thank you.
|
|
|
Post by crimsoncat05 on Nov 6, 2018 19:00:51 GMT
I believe birukitty had medication resistant depression... I think? hopefully she'll see your post. And good luck with your new doctor!
|
|
flute4peace
Drama Llama
Posts: 6,757
Jul 3, 2014 14:38:35 GMT
|
Post by flute4peace on Nov 6, 2018 19:02:47 GMT
I believe birukitty had medication resistant depression... I think? hopefully she'll see your post. And good luck with your new doctor! Thank you! I need it. The last one told me he had no idea what to do with me because he couldn't figure me out. Being told by a psychiatrist that he can't figure you out isn't real good for the self-esteem.
|
|
|
Post by crimsoncat05 on Nov 6, 2018 19:14:38 GMT
Being told by a psychiatrist that he can't figure you out isn't real good for the self-esteem. that's horrible! No bedside manner there, at all. Also sounds like he needs some extra training, both on how to interact with patients, and for patients with Rx-resistant conditions! Because I can't imagine you're the only one. Yes, it's your issue, but HE'S the medical practitioner; he's supposed to be the one with the expertise. Mine is chronic depression rather than MDD, and I can take Rx, for which I'm extremely grateful. But my current counselor (I'm seeing her for weight / emotional eating issues) is also very big into all the other life factors that can affect your mood-- regular sleep being the #1, not eating too much sugar, not drinking alcohol, coming up with ways to be kind to yourself regularly, etc. IIRC you already eat healthy and take pretty good care of yourself, though...
|
|
|
Post by shevy on Nov 6, 2018 20:10:38 GMT
I just saw an ad for this: NeuroStar I don't know how it works yet, because I've not been to my doc to ask about it. I'm not diagnosed with SSRI-Resistant, but I've been on 8 different meds in 2 years with no success. I'm on the last one my genetic testing suggested for me now.
|
|
|
Post by justcindy on Nov 6, 2018 20:31:39 GMT
side note question here.....how did you get genetic testing? Did you request it, or did your DR recommend? It's just a blood test, right?
|
|
|
Post by scrappintoee on Nov 6, 2018 20:53:41 GMT
OP... Huge .(( hugs))!!! I hope/ pray you’ll find something to help! There are many other things besides SSRIs, such as MOAI inhibitors. There’s also another class of anti-depressants whose name escapes me now (also NOT SSRI) that maybe could help you? As mentioned above, birukitty did say that, and that Vitamin B12 was what worked for her after MANY years of treatment-resistant depression 😰 For my dear friend’s seveeeeeetely depresed Aunt, Prozac USED to help her, but not anymore. I recently encouraged her to have whatever test birukitty had done to see if MAYBE that will help her! This poor lady is suffering HORRIBLY! Her doc recently started her on injections of ? (ugh, the drug’s name escapes me now, but it’s used to anesthetize animals, I think? ) So far, it hasn’t helped; however, the doc says it needs more time. I will post again later to tell you the name of the drug. ((hugs))
|
|
|
Post by shevy on Nov 6, 2018 20:56:12 GMT
side note question here.....how did you get genetic testing? Did you request it, or did your DR recommend? It's just a blood test, right? It's a mouth swab. Your doctor has to order it. Ask your doctor. It's from genesight.
|
|
|
Post by scrappintoee on Nov 6, 2018 21:05:41 GMT
There’s another pea here who’s mentioned a specific test either she or her daughter had that also helped determine which med would work best. I hope she sees this thread.
Her user name might have the word “love” in it? She has a pretty smile, and I’ve told her a few times that she could be Matt Damon’s sister; for realzzz, their facial features are so similar! 😀 (oops, sorry to ramble! Tooo much coffeee today!)
|
|
|
Post by dewryce on Nov 6, 2018 21:38:00 GMT
I believe birukitty had medication resistant depression... I think? hopefully she'll see your post. And good luck with your new doctor! I believe she has an MTHFR gene mutation. Basically that's where you body doesn't process one of the B vitamins correctly (folate IIRC) so you have to take a special form of it that your body can process. It's a long name and I don't remember it. But it is definitely worth looking into while you are having all of your other testing done. DH hasn't had the test, but was prescribed the vitamin and he can tell when he doesn't take it. Now his insurance won't pay for the Rx (Deplin) because you can buy it over the counter, but that's an additional $50 a month for us. Good luck!
|
|
|
Post by crimsoncat05 on Nov 6, 2018 21:42:08 GMT
I have read some literature about that Neurostar treatment, too... I don't know anything specific about it, though. thanks for putting birukitty's info in here, dewryce-- I knew it was something very specific, but couldn't remember what. I believe she tried many treatments for yeeeaaars, including electroshock therapy, and has had some negative long-lasting effects from that.
|
|
|
Post by dewryce on Nov 6, 2018 21:46:28 GMT
I have read some literature about that Neurostar treatment, too... I don't know anything specific about it, though. thanks for putting birukitty 's info in here, dewryce -- I knew it was something very specific, but couldn't remember what. I believe she tried many treatments for yeeeaaars, including electroshock therapy, and has had some negative long-lasting effects from that. I've have talked with many people that have memory issues due to the treatment. Which is a shame because it was recommended to me and gave me hope. But with all of my other issues that cause cognitive problems (thyroid, fibro, sleep apnea, low vitamin levels) I am not about to risk any more damage.
|
|
|
Post by mom on Nov 6, 2018 22:25:16 GMT
After years of struggling with MDD and severe lack of functional motivation, I've done genetic testing and am (not surprisingly) SSRI-resistant. Has anyone else dealt with this? What has worked for you? I have a meds apt this afternoon with a new psych and am trying to remain positive, but it's not easy. I would welcome and appreciate any and all experience/advice. Thank you. I am no help with experience but I just wanted to send you a big hug and tell you I will be thinking about you! It must be so scary to not know what to do and which medicine to use that will help you. Sending you love!
|
|
|
Post by jeremysgirl on Nov 7, 2018 0:04:13 GMT
I'll tell you that I am bipolar and for a while I needed an antidepressant. I had a hard time with SSRI one's. Some didn't work at all and some threw me into mania. My most successful med (not SSRI) was Wellbutrin. And the generic is cheap.
|
|
|
Post by birukitty on Nov 7, 2018 2:24:03 GMT
I'm so sorry everyone. I didn't see this until now because I've been down all day with a migraine.
Anyway what I have indeed is a defective MTHFR gene. I have two markers for that gene. It is diagnosed through a simple blood test. For me it meant that my body can't process B12 through regular supplements-vitamins and even injections. Because this went on so long I ended up getting treatment resistant depression that lasted for 10 years. I was finally diagnosed by my Integrative Medicine doctor. He prescribed a form of B12 supplement that my body can process. It's not covered by insurance because it's a supplement. I buy it at his office but I can order it online too. It's made by Designs for Health and is called Homocysteine Supreme. I wouldn't take this without getting tested though.
So flute4peace, I'm not SSRI-resistant like you, but what I have tied in to treatment resistant depression. I tell everyone I can that has had depression for a long time without getting results to get the blood test for MTHFR. My annual B12 results weren't that low and yet I had it. Since it's just a blood test it can't hurt. Was it included in your genetic testing? If it wasn't I'd ask for it.
I wish you the best of luck in fighting this and in finding a doctor who cares-someone who listens to you and respects you. That's half the battle right there, isn't it?
|
|
RosieKat
Drama Llama
PeaJect #12
Posts: 5,398
Jun 25, 2014 19:28:04 GMT
|
Post by RosieKat on Nov 7, 2018 3:57:53 GMT
We've used GeneSight and it's been a great help on determining meds for my daughter. I pretty much credit having it done with probably saving her life.
I've not had it done, but I do have treatment-resistant depression. What finally worked for me was buspirone, an older, non-SSRI one. I also have some genetic mutations that aren't MTHFR but related to that cycle and need to take certain forms of B12 and folate. (This was determined via other methods, not GeneSight. Both were simply spit tests.) Just because most of the newer antidepressants are SSRIs does not mean there aren't plenty of other options. I'm happy to either PM or answer other questions here, I'm just kind of tired right now!
|
|
|
Post by scrappintoee on Nov 7, 2018 5:26:35 GMT
flute4peace.....I hope your appointment was helpful! I know you already know there are MANY more things besides SSRIs that can help you, and I hope it's ASAP!!! ....(( hugs )) I finally googled, and it was KETAMINE injections that my friend's Aunt has started recently for her severe depression. Prozac hepled her for years, but not any longer. www.webmd.com/mental-health/news/20170706/ketamine-and-depression-faqFor me, Lexapro worked for years, then I guess it just STOPPED. Thank God that my doctor decided to try Zoloft back in May, and....OMG.....my old personality and energy came back! No more sleeping up to 16 hours a day and having absolutely NO HOPE that things would get better. H ironic that RosieKat just posted an hour ago....It has been bugging me since I posted 8 hours ago to remember her user name! ( She was who I was referring to in my earlier post). I had FINALLY remembered that her name had the word "cat" in it, but couldn't remember the rest. Oh, and rosiekat....I've told you on previous depression threads that I'm SO happy you and your dd are better. birukitty....(( hugs))! Ugh, I'm sorry you suffer from such horrible migraines, too. And I hope my friend's Aunt and everyone else out there who suffers will get further testing and find something that works! Depression is such a cruel, cruel bitch !!!!
|
|
|
Post by Linda on Nov 7, 2018 12:43:20 GMT
I'll tell you that I am bipolar and for a while I needed an antidepressant. I had a hard time with SSRI one's. Some didn't work at all and some threw me into mania. My most successful med (not SSRI) was Wellbutrin. And the generic is cheap. also bipolar and I've also had success with Welbutrin.
|
|
RosieKat
Drama Llama
PeaJect #12
Posts: 5,398
Jun 25, 2014 19:28:04 GMT
|
Post by RosieKat on Nov 7, 2018 13:57:02 GMT
She was who I was referring to in my earlier pos LOL, I thought so, but I'm always surprised whenever people remember me so I always am doubtful! And thank you!
|
|
|
Post by mrssmith on Nov 7, 2018 14:55:34 GMT
I didn't know this was a thing and I hope that maybe my DH would do this for his chronic depression. He and his therapist say "medication won't help."
|
|
|
Post by crimsoncat05 on Nov 7, 2018 15:29:08 GMT
I didn't know this was a thing and I hope that maybe my DH would do this for his chronic depression. He and his therapist say "medication won't help." is this because they KNOW, or is your DH just resistant to the *idea* of taking medication for depression? or maybe him not wanting to admit that it's something he can't just 'fix' on his own? I know someone like that... 'medication won't help' and that's all based on trying ONE medication for two weeks, 10+ years ago. Since that one didn't work, therefore 'medication won't help' at all. And I'm very surprised (and disappointed, honestly) that his therapist would agree or go along with that assessment-- without any evidence or basis for that conclusion-- at least that's how it sounds. ----------------------------------------------------------------------------------- I've taken Lexapro for years and it still works (knock on wood), but I'm now also taking Contrave, which is an appetite suppressant / anti-addiction RX- one of its ingredients is buproprion (the ingredient in Wellbutrin, I think), and I can tell that I do better when I'm on both of them together.
|
|
|
Post by mrssmith on Nov 7, 2018 19:39:28 GMT
I didn't know this was a thing and I hope that maybe my DH would do this for his chronic depression. He and his therapist say "medication won't help." is this because they KNOW, or is your DH just resistant to the *idea* of taking medication for depression? or maybe him not wanting to admit that it's something he can't just 'fix' on his own? I know someone like that... 'medication won't help' and that's all based on trying ONE medication for two weeks, 10+ years ago. Since that one didn't work, therefore 'medication won't help' at all. And I'm very surprised (and disappointed, honestly) that his therapist would agree or go along with that assessment-- without any evidence or basis for that conclusion-- at least that's how it sounds. ----------------------------------------------------------------------------------- I've taken Lexapro for years and it still works (knock on wood), but I'm now also taking Contrave, which is an appetite suppressant / anti-addiction RX- one of its ingredients is buproprion (the ingredient in Wellbutrin, I think), and I can tell that I do better when I'm on both of them together. DH has taken meds and they have made him feel wonky, but I feel that there are many options. He says the therapist has also said that though. That is in response to my suggestion that he try them again. My therapist was fairly surprised that another therapist would say that too. Maybe he will try again some day.
|
|
|
Post by scrappintoee on Nov 7, 2018 22:18:08 GMT
flute4peace....How did your appointment go? I hope you’re feeling hopeful that something besides SSRIs will help you! I ALSO know that the WAITING to see if something works can be difficult! ((( hugs!!)) Ugh, when I first started on Zoloft back in May, I was sooo excited to see if it was going to help, but knew it could take 4-6 weeks. I started losing hope, BUT then about 6 weeks into it, I realized I was my old self again! DH heard me singing, and was amazed, saying he hadn’t heard me sing in a long time. 😀 I didn’t even realize how significant the singing was until he pointed it out. RosieKat.....I totallllly remembered you because I had posted / read sooo many posts here about depression when I was feeling totally helpless last year. I think one of the reasons I remember yours & jeremysgirl’s and other posts from Moms who deal with their children’s and/or their OWN mental health issues is because I cannot imagine the extra pain, stress, etc. of seeing your precious child(ren) suffer! 😰 dewryce....I’m so sorry that you also battle other issues along with bi-polar! I’m curious if you take anything for the fibro? Also, you mentioned sleep apnea —-I hope you have a good c-pap mahine! We all know that pain AND sleep issues can affect our mental health significantly! I am usually in a LOT of physical pain due to lots of arthritis; HOWEVERRRR, as I’ve been telling everyone lately....I can handle my PHYSICAL pain wayyyy better now that I’m not depressed! 😀 But I also get SOME help (SOMEtimes)from prescription-strentgth Aleve. I’m afraid to take it twice daily (as prescribed) because of the stomach risks. I also take Kratom which helps sometimes, too. OP....I feel like I just highjacked your thread and was about to delete alllll the stuff I mentioned about chronic arthritis pain; however, you may want to research KRATOM and talk to your doc about it for your depression. There are MANY Kratom fans who say they were able to stop RX meds for their depression soley by switching to Kratom. That did NOT work for me when my Lexapro (SSRI) stopped working; BUT I think supplementing with the Kratom compliments / potentiates the Zoloft.
|
|
|
Post by dewryce on Nov 7, 2018 22:55:16 GMT
scrappintoee Thank you, it's a lot to handle but there are def others worse off. Yes, I use a CPAP religiously. I don't take anything fibro specific due to scary side effects and weight gain. I need to, we tried to treat it more naturally but found it is too severe for that. Once I find a Rheumatologist I can trust again I will have to bite the bullet and take the meds. I have psoriatic arthritis too, so I understand your pain. And yes...lack of sleep and even the depression can make the pain so much worse. Keeping those two in check is half the battle won
|
|
|
Post by birukitty on Nov 8, 2018 1:49:53 GMT
Another idea if you are having severe difficulty finding medication that works for chronic depression or other chronic conditions is medical marijuana. If you state is one of the states that has passed a law that allows it's use medically you might want to consider checking out the law to see if you can get your medical marijuana card. Each state has different conditions (chronic) that it lists that qualifies for it's use.
Here in Maryland there was a long list and I applied for it for my chronic migraines. The paperwork involved applying online to a government site and then I had to see a doctor who evaluated my medical records and decided if I was a chronic migraine patient. I was so I got my card. Then I was free to go to the medical marijuana pharmacies here in Maryland and buy what I wanted. It's really confusing when you start but luckily there are wonderful websites to help you. There are all kinds of strains of medical cannabis and they all have different effects. Some are great for pain and some are great for migraines, some are great for depression. There's an amazing website called leafly.com that lists an amazing amount of strains and charts what they are good for medically so you can search for what you need. Finding them locally is another matter. If you live on the west coast it's much easier to find strains than living on the east coast. There are a lot that are good for depression. There's also a website called weedmaps.com that is somewhat helpful but I like the first one much better.
I thought I'd mention this as a source of finding relief for depression because it has helped me enormously for my migraines. The other day my insurance company (who I pay $1500.00 a month to) decided to not cover my Zomig prescription any more. It's what I take when I get a migraine to stop the pain. Then they decided they wouldn't cover it for 6 weeks. My doctor got on the phone and argued with them and now I get 2 doses every 30 days. I get 2 to 4 migraines a week so that only covers 1/2 a week. If I didn't have the medical cannabis I'd be in excruciating pain for all of those other days waiting for 28 more days to pass until I could get more Zomig. The medical cannabis kills the pain of the migraine very quickly. Most of the time I have to re-dose but at least it gets rid of the pain so I can continue to live my life pain free. It's been a huge blessing for me.
I'm not a pot head. The last time I smoked marijuana was when I was in college in 1979 before this year when I got my card. I don't consider this pot. I consider it medicine. It works like medicine. And I'm grateful to have it.
|
|
|
Post by johna on Nov 8, 2018 11:30:47 GMT
My doctor quit prescribing anti-depressants for me a long time ago. He said, "nothing seems to help, and you've been like this since I have known you". To be honest, I don't have a chronic, can't-get-out-of-bed in the morning depression. I just have depression. I mean, it's part of my being, I guess. I am doing better than I used to. I just won't try meds for it, since I don't have issues functioning. I know that I'm very fortunate. I will say that I don't always have motivation to do the things that I want to do, and I hate that.
I do know that I can't immerse myself in tragic stories, or other people's pain. I have a hard time not taking on other's pain. So, I limit what I will read after tragedies and such. I have to protect myself, even if that is selfish.
|
|
|
Post by dewryce on Nov 8, 2018 13:32:56 GMT
My doctor quit prescribing anti-depressants for me a long time ago. He said, "nothing seems to help, and you've been like this since I have known you". To be honest, I don't have a chronic, can't-get-out-of-bed in the morning depression. I just have depression. I mean, it's part of my being, I guess. I am doing better than I used to. I just won't try meds for it, since I don't have issues functioning. I know that I'm very fortunate. I will say that I don't always have motivation to do the things that I want to do, and I hate that. I do know that I can't immerse myself in tragic stories, or other people's pain. I have a hard time not taking on other's pain. So, I limit what I will read after tragedies and such. I have to protect myself, even if that is selfish. There's a specific name for that isn't there? For chronic, low-level, functional depression? I'm sorry you haven't found any medication that has worked even a bit, but glad you have coping strategies that help. Have you considered therapy to gain even more coping mechanisms, build a big arsenal? Hopefully soon a new category of medication will be discovered that does work with your chemistry.
|
|
|
Post by crimsoncat05 on Nov 8, 2018 16:32:32 GMT
^^^ that is what I have-- I think it's now called 'persistent depressive disorder.' Depression isn't just where you can't get out of bed, don't shower, and can't leave the house for months at a time.
(from WebMD) Dysthymia, now known as persistent depressive disorder, refers to a type of chronic depression present for more days than not for at least two years. It can be mild, moderate, or severe.
I would say my depression is mild-to-moderate... Even before the medication and counseling, I could always 'function' in that I'd go to work, feed my cats, etc. But more than that?? nope. I doubt anyone I worked with would have been able to say I was depressed, if they were asked, but I wouldn't get any *joy* from anything I did, if that makes sense. After I started taking medication (I was lucky that I didn't have to try a whole bunch of different Rx to find one that worked), I slowly realized that I felt *pretty good* some days, instead of just "blah" and I was amazed, thinking that was how "normal" people felt. After I started feeling better, I realized I'd probably been depressed for YEARS before that; I just didn't know it.
I've worked with maybe 4 different counselors over the years, and they've all given me different ideas for how to handle things based on what I was going through at the time. I would ALWAYS recommend seeing a counselor or therapist, whether someone takes Rx or not-- and if you don't like one, then find another one you feel comfortable with.
|
|
|
Post by johna on Nov 10, 2018 0:22:07 GMT
[input type="checkbox" class="ui-manager-checkbox"] Post by dewryce on [abbr data-timestamp="1541683976000" class="o-timestamp time" title="Thu Nov 08 2018 08:32:56 GMT-0500 (Eastern Standard Time)"]yesterday at 8:32am[/abbr] My doctor quit prescribing anti-depressants for me a long time ago. He said, "nothing seems to help, and you've been like this since I have known you". To be honest, I don't have a chronic, can't-get-out-of-bed in the morning depression. I just have depression. I mean, it's part of my being, I guess. I am doing better than I used to. I just won't try meds for it, since I don't have issues functioning. I know that I'm very fortunate. I will say that I don't always have motivation to do the things that I want to do, and I hate that. I do know that I can't immerse myself in tragic stories, or other people's pain. I have a hard time not taking on other's pain. So, I limit what I will read after tragedies and such. I have to protect myself, even if that is selfish. There's a specific name for that isn't there? For chronic, low-level, functional depression? I'm sorry you haven't found any medication that has worked even a bit, but glad you have coping strategies that help. Have you considered therapy to gain even more coping mechanisms, build a big arsenal? Hopefully soon a new category of medication will be discovered that does work with your chemistry. Yes, I have been in both individual and group therapy. I believe it has helped me. My faith helps, as well. I always try to remember that others are a lot worse off. thanks for caring!
|
|
RosieKat
Drama Llama
PeaJect #12
Posts: 5,398
Jun 25, 2014 19:28:04 GMT
|
Post by RosieKat on Nov 10, 2018 2:35:24 GMT
DH heard me singing, and was amazed, saying he hadn’t heard me sing in a long time.
|
|