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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for major depressive disorder

Hi Dr, I was diagnosed with major depressive disorder 7 -8 years ago. Took about 18/12 to get the right meds, am currently on efexfor venlaflaxine 375mg daily. I have been really great, but in the last 6/12 I am not as good as I was, if I didn t have to go to work I would stay in bed, I don t enjoy living, I wouldn t to myself as it would be so damaging to my nieces and nephews, but equally so I still wish to wake up dead, to be told I have cancer, if I was given that diagnosis I would choose not to be treated, can one get depressed ontop of depression, or am I just failing to continue to hold on to things that have worked before, or is it a case of needing to change my meds which I don t want to do as I no longer have the same support group around me having moved. in fact I don t have anyone around me that I share with
Mon, 22 Sep 2014
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Psychiatrist 's  Response
I can understand your pain. Depression is not simply a state of ‘mood’. It becomes a part of life of the depressed person. The continuous mental pain seriously influences the quality of life and you may feel that life is really not worth living. But depression is an illness and it is treatable. It is prudent to make the best of your existence in this lifetime itself; there are no second chances. You need to get back to your treating professional and have yourself assessed in depth. Maybe this is a hormonal influence, possibly there is some life event that is irking you or something in your environment that is not to your liking.

There is always hope and scope for betterment. Medication and psychotherapeutic techniques can help you perceive the beauty of life; to ensure that it becomes socially, emotionally and economically more meaningful. Do not refrain from seeking help. A good psychiatrist and therapist can help you through the process with different psychotherapy modalities. Please feel free to reach out anytime for further help.
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