Question: I have clinical depression. In the last week it has been severe. The dr & therapist wanted me to go to th hospital because I was constantly thinking & talking about suicide. My psychiatrist added two medications that could "help" the anti-depressants I've been taking.

Yesterday about 10AM it was if a fog lifted I felt things change. After a few minutes I felt better. It kept getting better over the next hour or so. For a while i became quite hyper. That settled out and now I’ve feel better than I have in many months. I had taken Friday off as my birthday day holiday. I had decided to go to the hospital. After whatever it was that happened I had to ask my Sister what day it was I found it hard to believe it was Friday. It's as if the last week didn't happen. I remember working but no details. I remember being upset but not why. It’s as if it was a dream. I vaguely remember some things but can’t put in details. I’m not complaining just curious. The medication must have started working but I don't understand the memory gaps or how I could continue to work and apparently do good work. I manage an IT department and I researched and wrote a paper for a network expansion project. Any explanation?

1. Dose and dosage of the drugs you are taking
nuvigil 150mg 1 in morning, propranolol la 160mg 1 in morning, lamotrigine 25mg 1 in morning, ativan 1mg 1 in morning-1 in evening and another if needed, pristiq 100 mg 1 in morning, bupropion xl 300mg 1 in morning


2. Duration of depression and treatment

I’ve had depression and anxiety of and on since I was a teenager. Two years ago my new psychiatrist added welbutrin. I was much better for quite a while. About 4 months ago depression recurred and in the last 3 weeks has been severe.

Two years ago I also started seeing a therapist. He uses cognitive therapy.



3. Had you taken alcohol, cannabis or any substance at before the problem mentioned in your question

I don’t drink or use drugs other than as prescribed and never have.


4. Any history of head injury, high B.P, Diabetes or any other medical condition, past or current

I have high blood pressure that is controlled.

5. When Did you write the paper on network expansion, during this period of abnormality or in past

During the last week.

6. Did you have disorientation to place, person during this period ( answer to this question can better be given by your sister), in addition to seemingly disorientation to time (in your question).

At the time I knew where I was, kept to my schedule, visited the psychiatrist and therapist. Now and starting when the fog lifted it doesn’t seem as if a week has passed.