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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Depression

HI
I have depression from last 5 year. I am not able to find a job for me. Whenever I feel that I should get a job and apply for it I feel stressed out and I never apply for it. I feel traped,low sad and in fear whenever I think of applying for a job and feel that its not possible for me to attend an interview. Also I have sleep problems. I hardly get any sleep at night. Its sleepless nights and in the early morning I get a sleep of 5-6 hours.
For this I have consulted a doctor and he has given me depran forte at night and I am using it since last 3 years. I get sleep almost at 3a.m. at night and wake up at 12 a.m. In morning. I take medicine at night around 9 p.m. although I have taken this medicine for 3 years I have not been able to apply for job until now as I still feel fear and I feel I cannot do it. Why is that the case still when I am taking medicine from last 3 years.
Help me on this please.
Fri, 10 Mar 2017
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Psychiatrist 's  Response
i guess the dose of medicine is not enough for you. i wonder why your doctor didnot increase the dose. also i prefer using escitalopram and clonazepam as separate medicine not as combimation like you are taking . escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep,fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals . onces escitalopram starts showing its effect . clonazepam should be tapered and stopped . as long term use of clonazepam may decrease your thoight process. hope this would help you
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Suggest Treatment For Severe Depression

i guess the dose of medicine is not enough for you. i wonder why your doctor didnot increase the dose. also i prefer using escitalopram and clonazepam as separate medicine not as combimation like you are taking . escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep,fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals . onces escitalopram starts showing its effect . clonazepam should be tapered and stopped . as long term use of clonazepam may decrease your thoight process. hope this would help you