Vor der Narkose machten die österreichische Anästhesistin und der bayrische Psychiater mir noch die linguistische Freude und diskutierten über Bedeutung und Aussprache von "Springinkerl". #EKT4TRD #TreatmentResistantDepression
Hoher Besuch heute. Ein Professor aus New York, der führend in der EKT- und VNS-Forschung ist. Gemeinsam mit zwei AssistentInnen kam er um von meinen Erfahrungen mit diesen Behandlungsformen zu hören.
#EKT4TRD #VNS4TRD #TreatmentResistantDepression
Mein Bruder war da und hat das Klavier gestimmt. Und gemeint, man würde so stark merken, was sich bei mir in den letzten 1 - 1 1/2 Jahren getan hat. Selbst darin wie (schnell und auf welche Art) ich auf Nachrichten reagiere, aber vor allem persönlich... #TreatmentResistantDepression #Depression

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#Spravato #TreatmentResistantDepression #MentalWellness #PsychiatricWellness #YouAreNotAlone

Living with treatment-resistant depression?

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10 Facts About Treatment-Resistant Depression You Probably Don't Know About - People Max

Shining a light on 10 often-missed facts about the impact and truths of treatment-resistant depression.

People Max

We've lowered our paroxetine dose down to a low level (5 mg) and resumed taking bupropion at a low dose (up to 112.5 mg). Our aim is to stop paroxetine and increase our bupropion dose to 150 mg on Monday.

So far, it's working noticeably better in terms of giving us some executive function to focus on tasks and to not feel permanently exhausted. Additionally, it's not currently giving us frequent headaches or migraines like when we last took it alongside sertraline, so fingers crossed that this remains the case 🤞

We've got a phone appointment scheduled with the senior partner at our NHS GP surgery on Monday afternoon to discuss antidepressant meds. We do intend to ask them for a prescription for bupropion, so we don't have to use our grey market supply, but it's highly unlikely that this will be possible, even on a harm reduction basis. We may be offered a low dose of another med to augment the bupropion.

If you wish to read how limited the antidepressant options on the NHS are, this page by Mind lists the ones that can be prescribed. It might seem like a decent number, but if you compare it to a full list of antidepressants, it becomes apparent just how many meds aren't available on prescription in the UK.

#MentalHealth #depression #TreatmentResistantDepression

Comparing antidepressants

Compare antidepressants to help find what is best for you. Our page compares them by type, what form they're available in, dietary considerations and more.

https://www.psychiatryadvisor.com/news/ect-vs-ketamine-for-trd/ ECT vs #ketamine Predictors of Response in Treatment-Resistant Depression (Nye, 2024) “These results suggest that outpatients and those with moderately severe or severe depression may consider ketamine over ECT for treatment-resistant depression.” #depression #mentalhealth #ketamineassistedtherapy #psychedelic #psychedelics #psychedelicresearch #neuroscience #electroshocktherapy #treatmentresistantdepression
ECT vs Ketamine: Predictors of Response in Treatment-Resistant Depression

Baseline clinical features, like depression severity and inpatient status, predict different improvement with ECT vs ketamine for TRD.

Psychiatry Advisor

SleepyCatten's log.

Earth date: 2024-07-21.

As of yesterday, we're down to 25 mg venlafaxine. Although we've only been prescribed 100 mg sertraline, we had sufficient spare 50 mg tablets to increase our sertraline dose to 125 mg daily, which has offset the reducing venlafaxine dose.

We've got a phone appointment with our NHS GP this coming Wednesday (the date we're completely stopping venlafaxine) to formally request an increase to 150 mg daily of sertraline.

The 150 mg bupropion extended release is continuing to work its magic, but it's been a bit limited by us physically and mentally pushing ourselves further than we should have for chores, looking after wife, etc.

We're still waiting for our backup supply of sertaline to arrive from an IndiaMart seller, so if the official sertraline prescription difficulties continue, we won't be at risk of running out.

We've said this before, but honestly we're just SO looking forward to being off venlafaxine entirely.

#MentalHealth #depression #TreatmentResistantDepression #SNRI #SSRI #NDRI #venlafaxine #sertraline #bupropion #SleepyCattenLog #AuDHD #ActuallyAuDHD #ADHD #ActuallyADHD

SleepyCatten's log.

Earth date: 2024-07-13.

As of yesterday, we're down to 75 mg venlafaxine and up to 100 mg sertraline, alongside our 150 mg bupropion. Can't wait to be entirely off venlafaxine now.

Definitely getting the feeling already that 100 mg sertraline won't be enough by itself, so getting ready to ask for an increase in the prescription to 150 mg sertraline daily.

The bupropion is continuing to work its magic. Having to get reaccustomed to hyperfocusses though... and not getting snappy if someone interrupts them 😅

Also, looks like we picked a fun time to move to sertraline: many pharmacies are having trouble getting hold of it 🙃

Guess what we've just ordered on IndiaMart to give us a backup supply?

#MentalHealth #depression #TreatmentResistantDepression #SNRI #SSRI #NDRI #venlafaxine #sertraline #bupropion #SleepyCattenLog #AuDHD #ActuallyAuDHD #ADHD #ActuallyADHD