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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medicine Can Get Me Out Of Depression Which Iam Suffering From Past 3 Years ?

I am currently on 60mg Paxil daily and 4mg Klonopin to help control depression and anxiety . I have been on this regimen almost 3 years. I feel it is not enough...I still have bouts of depression, where I won t get out of bed for a day or two. I have been unemployed for 9 months w/o much motivation to get the ball rolling. Out of work = out of insurance = out of money. Any options? Any advice? Not suicidal. I just need something to help motivate me.
Sun, 3 Jul 2011
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  User's Response
Hi Eric
Welcome to HealthcareMagic
You are already taking high doses of medication.
I understand your condition and problem. You can go for 3 choices.
1. Psychotherapy
2.Adjuvant or alternate medication which are superior in efficacy .
3. Continue same treatment which will be valid in psychotherapy also like CBT.
You can always contact me anytime at my email or give me a call whenever things go out of control.
I will try my best to help you.
Thanks!
Good Luck!
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Psychiatrist Dr. Keerthish Shetty's  Response
Hello Eric,
If you are on your current medication for last 3 years and if you feel there is no significant improvement, then a change of medicine or addition of 'augmenting agent' (medicined used to enhance the effect of primary medicine) can be tried. Discuss this with your psychiatrist.

Lack of motivation can be a problem (as you mentioned), but at some point of time, it becomes necessary to force yourself into doing something productive. Even a minor change like playing some game or physical exercise can help you in the long run.

Regarding the cost factor, you can try consulting psychiatrist for a single time and then follow up with your GP as usual. You should understand that there is no replacement for consultation in person. All the best.
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What Medicine Can Get Me Out Of Depression Which Iam Suffering From Past 3 Years ?

Hi Eric Welcome to HealthcareMagic You are already taking high doses of medication. I understand your condition and problem. You can go for 3 choices. 1. Psychotherapy 2.Adjuvant or alternate medication which are superior in efficacy . 3. Continue same treatment which will be valid in psychotherapy also like CBT. You can always contact me anytime at my email or give me a call whenever things go out of control. I will try my best to help you. Thanks! Good Luck!