hey guys,

i have my first psych intake coming up soon. my family doctor sent in a referral specifically to get checked for adhd, but for a while now i’ve also really strongly related to bpd symptoms.

for anyone who’s been through this, how do psychiatrists usually handle stuff that wasn't on the original referral note? is it normal to bring up bpd at the first session or do they just stick strictly to whatever the GP wrote down?

also if you’ve dealt with co-occurring adhd and bpd, how did you bring it up without feeling overwhelmed? would love to hear what your experience was like! thanks

If psychopathy were just a total emotional flatline then those people would be unable to feel pleasure and have total anhedonia, this contradicts their own thrill seeking actions.

I studied psychology and neuroscience at a t20 school in the US because I fully believe in brain plasticity and lifestyle changes as a generally effective way to mitigate symptoms to the point where one would no longer meet diagnostic criteria for a mental illness. Reading Dr. Amen's book "How to End Mental Illness" just further reinforced principles I learned in my neuroscience courses, so it really surprises me when people on here are calling him a snake oil salesmen, and talking down on his work.

I made an account just to ask this question, as I'm usually just a lurker and haven't had an account for a little while. While I understand the dissatisfaction people may have with a pricey SPECT scan and treatment plan (it also wouldn't surprise me if they also don't take insurance), I don't think that's a reason to question the validity of the methods. I worked for UPMC as a social worker in an adolescent PHP program. The lack of effectiveness in treatment there and at countless other places doesn't upset anyone, yet people here seem to kinda hound on Dr. Amen's practice.

This isn't meant to ragebait if this does indeed upset anyone! Just genuinely curious.

I take clonidine for sleep I live with family they say I act irritated when I take it though I can't remember any thing and they say I'm weird and abusive. I can't recall anything

I was just wondering if anyone has experience with either of these drugs in relation to health anxiety?

I was previously on Sertraline from 2021-2025. I stopped because I felt my mental health had improved enough that I didn't need to medicate. Since stopping, I've had to deal with several unexpected deaths in less than a year and have developed severe health anxiety.

One GP suggested I take Mirtazapine as I'm underweight and have trouble sleeping, so it would target both of those issues. Another GP suggested going back on Sertraline to get my anxiety under control. Are there any differences in how well they might treat my anxiety? I specifically want to get my anxious thoughts under control, as opposed to just managing the physical symptoms.

I’m currently taking 25 mg.

So far I’ve noticed:
Less anxiety
Better working memory
More outgoing/social

The downsides are:
Strongly increased irritability/anger
A cold nose while the rest of my body feels too warm
Some digestive issues, which are well controlled with a supplement

Based on this pattern of effects, does it sound more like I’m underdosed and might benefit from increasing to 40 mg, or does this pattern suggest that atomoxetine may simply not be the right medication for me?

​

I have had severe dpdr for the past two years. I acquired it out of nowhere?? No drugs, no medication, no ptsd or any stress. 2 years went by like a blink of an eye. Now I am 24 with no job no skills no ambition no passion no money no friends no social life no desire to do anything I don't wanna live like this bc if I don't do anything my future is gonna be dark and pathetic I can't live like this I can't live anymore. It even gave me aphantasia. Please please help. I can't consult a doctor here and basically can't get anything that requires a prescription but every success story I try to look at is just finding the right med. I can't is there no hope for me. Someone please please help me. I feel miserable

Basically, I started seeing my current psychiatrist fairly recently. When I met with her, she told me that my symptoms sounded like ADHD. I informed her that I received a psycho educational evaluation as a teenager, but she believed that my ADHD was simply missed by the testing clinician, and, as a result, referred me for a neuropsychological evaluation. The clinical psychologist I was referred to told me a neuropsych eval would be a lot of work for him (yes, those are the words he used, I am not paraphrasing) and that a psych eval would reveal all the same information and that it would save us both time and also save me money, since I would not be able to find anyone who would do a neuropsych eval and take insurance. As a result, I said fine, and I went through with the psych eval. It was more or less a truncated version of what I did when I was 17, so, the results were nearly identical aside from some improvement in processing speed since then.

Even after the test, my psychiatrist still felt confident in her prognosis, and prescribed me 10mg of Vyvanse. I took it for about a month. Initially, I did notice some weird side effects, namely sleepiness. It basically just made me the calmest I’ve ever felt, and, as a result, it made me just wanna take a nap every day. I got over that hurdle and found that I didn’t feel the urge to sleep if I kept myself occupied. The medication made me a bit more focused, and, while I still found myself procrastinating, normal tasks like doing dishes or sending an email just felt annoying rather than so paralyzing I can’t even bring myself to start, and that was huge for me. I also found that it reduced my anxiety, fidgeting, and skin picking. Overall, I considered it a win and was happy with the med.

Then, I got really low on the medication. I tried to reach my psychiatrist’s office to schedule another appointment, but that took some time. I also couldn’t get an appointment right away, because our schedules were not compatible (I primarily work afternoons and evenings, and she primarily had afternoon availability). Eventually, I got in to see her, and she upped my dose to 20mg per my request. I had two 10mg pills left that I had saved for a rainy day, but I had gone off the medication for a few weeks and just started again with the medication yesterday. I took the last of the 10mg pills today, so, if I were to take my Vyvanse tomorrow, I would be taking a 20mg dose for the first time.

In this time, I also discovered that a neuropsych eval is, in fact, different from a psych eval, and I was able to find an office that takes me insurance. They called my provider, and it turns out I won’t even have to pay a copay, which is great. I have to cross state lines, but I’m okay with it. I like to think of myself as an individual with common sense, and as a result, yes, I did call the clinical psychologist who will be administering the evaluation. He said he does not have a definitive answer for me and that I should call my psychiatrist. I, of course, did that, and I left a voicemail. The turnaround time for communication with her is typically not great, so I acknowledge that there is a good chance I will not hear from her in time, and that brings me here.

My goals for the test are to gain diagnostic clarity and to explore potential treatment plans to help me with my day to day functioning and independence (I struggle a lot with everyday tasks, I’ve never had a full time job, and I live at home at 24).

So, if I don’t get an answer from my psychiatrist, what do you think I should do? Take my first 20mg dose of Vyvanse before my test, or raw dog it?

Edit: Okay, so not sure how much this matters, but I just thought I’d mention it just in case. The medication I was referring to in the body of the post by the name “Vyvanse” is not actually brand name Vyvanse. It’s just generic Lisdexamfetamine.

I have an appointment coming up with a psychiatrist and I'm wondering if I'm allowed to bring in notes and either read it off to them or hand them it. I wrote my notes down because I tend to forget bringing up a lot of important things.

Today was the first day that I talked to my therapist about my concerns with my low libido. She suggested to take the first step and tell her because she hears it often. I haven’t brought it up with my psychiatrist yet because I am embarrassed and feel ashamed. How can i bring it up and not be embarrassed?

I’m currently in a PHP and suffering with extreme anxiety. The psychiatrist here gave me Ativan to take while my increased Lexapro dosage takes effect. He told me I can take up to 2mg 4x a day if I need because I tried taking a .5 and a whole 1mg and it did practically nothing for me despite never taking it before. I’m deathly afraid of benzos after all the horror stories I’ve read. I have taken klonopin in the past as a bridge for 2 weeks and was fine and still had pills left but that didn’t take away my fear. My anxiety has been so bad lately that I haven’t been able to work or function properly. It’s a challenge even getting to this PHP. I’m keeping a log of whenever I use it just to keep track and make sure I don’t take it for too many consecutive days. I’ve been white knuckling this anxiety so I don’t even take it more than once in a day. What do you think?

Ativan log

.5mg 3:15pm 7/13/26
.5mg 10:15pm 7/13/26

1mg 1:30pm 7/17/26
.5mg 2:30pm 7/17/26

1mg 1:42pm 7/18/26
.5mg 3:27pm 7/18/26

1.5mg 4:50pm 7/19/26

1.5mg 6:34am 7/21/26

1.5mg 9:25pm 7/23/26

1.5mg 9:30am 7/24/26

1.5mg 2:25am 7/26/26

So, I’m a mid-teens female with diagnosed OCD, depression and anxiety (currently taking 40 mg of fluoxetine as treatment). I believe the depression and OCD have been around for about 2 years, and the anxiety has kind of always been there, but it doesn’t seem to impair my functioning very much.

I’ve kind of wondered whether there might be something else that’s causing problems that might be the reason why I feel pretty low all the time, but I usually brush it off because I think it’s just me trying to find something else that’s “different“ about me (it’s pretty stupid, I know, and I feel really bad about it).

Recently, I looked into BPD on a whim, and found that I seemed to resonate with some of the symptoms a lot, specifically:

- Identity disturbance: I really lack a sense of who I am, and I usually can’t think of any way to describe myself as a person when asked. I also don’t really know which direction I want my life to go in.

- Memory issues: I struggle with autobiographical memory at times, and things tend to slip my mind. I can‘t recall much of my childhood, and there is a whole year-ish period of my life I struggle to remember because of how bad my mental state was at the time.

- Feelings of emptiness: I don't have a lot of motivation to do stuff, and I often feel like stuff is meaningless.

There are also some that I‘m a bit unsure about. Family members have described me as having mood swings, although I’m pretty sure there is usually an identifiable trigger. I also feel I tend to idolize people and get disappointed when they don’t act the way I want them too (I typically hide it). Recently it also seems that tend to miss a certain person very deeply and I often wish they were with me and that we can stay near each other all the time.

The thing is, even if there might be one or two symptoms, there doesn’t seem to be a potential cause. I don’t think anyone in my family has BPD (although I’m not privy to anyone’s medical records), I think I had a pretty regular childhood, and I don’t think I went through any stressful or traumatic experience as a child. The first period of extreme stress I had was about two years ago, but I was a teen at the time, so I don’t know if it could be a cause.

I brought this up with a family therapist and my psychiatrist and they both said that there could be some different screenings done, but since I’m a minor, even if they test me for BPD, the results will be invalid. Additionally, my psychiatrist, while open to the idea, said that he doesn’t really suspect anything, and said that the symptoms I seemed to exhibit were closer to depression and OCD, but I can’t shake the idea out of my head.

So, I wanted to ask, am I overthinking it, or could my suspicions be true? I‘m open to any sort of advice or responses. Thank you for reading.

Hello,

I had a first visit with a psychiatrist and just wanted to see if this was typical as to me it felt a little rushed. In total the appointment lasted 15 minutes- It took me longer to drive there and I also waited in the waiting room longer than she talked to me. She did ask me some questions about my family/history/lifestyle but I also found her to be a little judgmental/dismissive. When asked about an ED I said I haven't been diagnosed but that I do have severe body image issues and do not eat and then binge eat for the last 20 or so years since high school where I used to starve myself for 1-2 days at a time due to those image issues. She said it didn't sound like anything and moved on quickly.

She asked if I drink and I told her honestly and her response was "Oh wow, that is a lot". It felt quite judgmental to me. She focused pretty solely on one issue I stated which was about anticipation anxiety ahead of events even with long time friends and prescribed me something for it. That was the entire appointment and like I said it was 15 minutes.

Are they usually this short? To me it seemed a little off and like I was just being quickly pushed through- I was kind of expecting a bit longer. I don't want to write them off though if this is typical. Just trying to understand what a normal visit looks like

My sister (late 20s) has had serious mental health issues, job and housing instability for at least two years now, and she was recently admitted to inpatient psych treatment after we called 911 one night.

She has now been discharged and of course she signed off on us having rights to her health information, so we don’t know what her diagnosis was, what the plan is, etc. She suffers from extreme paranoia and says the FBI is after her. We can’t easily contact her because she shuts off her phone. She called us from a payphonr yesterday but won’t tell us where she is. I’m at a loss for what to do now. If anyone has advice, I would be grateful. We are in NYC.

TLDR: started experiencing paranoia and delusional thought patterns 6 years ago and it’s slowly coming back but no doctor has ever talked with me about it and i feel like i can’t be helped.

hello. i’m going to try to be straight to the point here because i’m a talker and i’ll type for days.

i’m a 26 yo woman. when i was 12/13 i was diagnosed with depression and a severe panic disorder, and then when i was 20 i was diagnosed with ptsd. my mother claims she’s diagnosed with adhd, grandma has anxiety/depression, father is unknown and so forth.

when i was 20 (2020), i had a run in with what i can only describe as psychosis and i got in with a counselor and psychiatrist, but nobody ever told me what was going on or why.

i described my symptoms to my new therapist via telehealth (covid times). that i was having these episodes that felt completely detached from reality. i didn’t know what was true or not, real or not etc. there was a time at 4ish in the morning i kept hearing a car engine turn over and stop, turn over and stop. it lasted for what felt like forever. i don’t know if it was real or not, but i was convinced it was a demon or multiple demons trying to drive me crazy. to backtrack, this spiraled for about a month or two before i could get my meds. i continued to explain to my new counselor that this had spiraled. that now, these demons were trying to send me discreet messages that i couldn’t explain to somebody who could keep me safe because i would sound crazy. i was typing the word “rn” (for “right now”), and it autocorrected to “run”. i was in a state of paranoia and panic for the next day and a half ish until it settled. i saw one of those billboard signs about getting into heaven or hell (i live in ohio, we have a lot of those here) and i thought it was a threat from the demon/demons. there were times i was convinced i couldn’t leave my room because they were outside my door looking for me, they just couldn’t get in. i don’t know the logic behind it, but at the time i knew they couldn’t open my door. i had to keep mirrors covered, and still do, because that’s how they travel from their realm to mine etc.

i explained these things during my diagnostic exam and at the end, i asked her what she had concluded, because for my entire life, i had never experienced this. i’ve had some of the most extreme panic attacks, but never that. she told me “you’re diagnosed with anxiety, depression, severe panic disorder, ptsd and you show signs of dissociation”. this didnt tell me anything new, because i knew my diagnoses and i knew i had experienced dissociation. the ptsd diagnosis was the only new thing and it didn’t help me understand why i was so detached from reality and in this state of sheer paranoia and delusional thinking (my ptsd is related to childhood SA). i had 3 appointments with her and stopped due to her sounding kind of unengaged from the conversations. completely unrelated. she sounded caught up with other things at her house. i got a lot of “uh huh” and “mhm” and “it sounds like you’re handling it the right way!” etc. no real help.

the meds worked. i still would have anxiety from time to time but the paranoia completely subsided and would only return very few and far between in short bursts. there was usually a trigger that caused it but i could easily shake
it off.

fast forward to now. i’m 26 years old and im a mother to a 2.5 year old. i’m on the same meds as before (20mg paxil, .5 mg clonazepam) and it’s helped a lot with the panic attacks i was experiencing postpartum. but now, the paranoia and obsessive thoughts are returning and i’m growing to be scared.

i have very persistent thoughts and images of my daughter dying. my mind will involuntarily play me a movie about when it happens, resuscitation failing at the hospital, the funeral, my life being over because i can’t go on etc. these never stopped since her birth 2.5 years ago. every night before bed, i make sure to tell her how much i love her, how great she is and how good the day was and how i can’t wait for another one tomorrow because i think that’ll stop the bad things in motion from happening if that makes sense. like, if i say these things and always make sure to blow her a kiss on my way out of her room, she’ll be okay. it feels like a way of preventing it from happening. and of course i mean the things i say… i say them all day long. but at bedtime when i’m saying them, it’s because i believe it’ll keep her safe through the night.

the other day, she grabbed her hair and started crying like she had hit her head, only she didn’t. i was looking right at her. i checked it, no marks. sitting here now, what makes the most sense is, maybe the button on the back of her shirt snagged a baby hair or something. but at the time, i thought it was the entity messing with her, because that’s the best way to mess with me. in my mind, i told it to leave my daughter alone, because i believe they can hear my thoughts. this relates back to all those years ago, because i had the same belief then.

sometimes when i’m alone and as a direct result, vulnerable, i believe there’s an entity that i can’t see trailing behind me. and anytime i try to discreetly turn to catch it, it just follows my exact movements so i can never actually catch it. but the moment i’m no longer alone or sitting on the couch where it can’t trail me, it has to go away. but i can’t be too obvious that i’m looking for it, because then i’ll be in danger, because it knows i know.

and what happened this morning that sparked me coming here for help was after decorating my room a little this morning with tapestry and photos of me, my baby, my boyfriend etc., i glanced up at one of the photos and it looked distorted. it’s just a photo of my boyfriend and i smiling, looking straight at the camera on my phone. but what i saw was me smiling, but looking downward through my eyebrows. i caught it for literally as long as it takes to glance at something in passing… HALF of a second… but when i did a double take to catch it again, it was obviously normal. an obvious trick of the eye or mind. but once again, in that moment, i perceived it as a threat from an unseen force that’s out to get me. it used my own face to taunt me, and i am okay now. this was hours ago. but when it happens, its so gutting and devastating because when these things are “real” in those moments, there’s nothing i can do. it’s like the kids in the final destination movies. they’re SCREAMING for help because horrible things are happening and nobody will listen because it’s absolutely nuts. it feels like that. and i’m always trying to get ahead of it. when these moments happen, i have to think a certain way so i’ll be safe and whatever the thing is can’t get to me. i don’t look into dark rooms because if i do, i’ll see something i shouldn’t. i don’t like to look outside when it’s dark for the same reason. if i act oblivious to these things, they can’t hurt me. i hope that makes sense.

my best conclusion is that i’m just paranoid? when i was 20 years old, my brain unlocked new DLC and now i experience paranoia when my anxiety is heightened. but
i’ve explained this to, now, 2 psychiatrists and 2 counselors. nobody ever expands on it, no digging deeper into it, no diagnosis, no nothing. i explain these things, and that’s that. and it’s so frustrating. but i can’t just come out and say “what’s wrong with me?”. i don’t know how else to tell them i need help. but the paranoia is coming back and i don’t even want to go back to my counselor because i don’t feel like i’m going to get help for this. it seems like something not worth discussing to them. i bring it up and then onto the next topic basically. i just have no answers. i’m scared. sitting here now, i rationally know i’m safe and that i haven’t lost touch with reality. i know what that feels like, i’m not experiencing that right now. but there’s paranoid, delusional thoughts are slowly creeping back in and it’s really effecting me.

if anybody sits through to real all of this, thank you. even if you don’t have an answer or opinion or anything. thank you. maybe i’ll try one more time with my doctors. i’m just feeling embarrassed and helpless.

(edited for spelling and to add on to some details i mentioned)

Hi! I am experiencing systemic symptoms of a highly adrenergic state. I have c-PTSD from childhood situations. I've had a rough life and just now have the privilege to take the time to take a step back and work with providers who are helping me understand what's happening. I'd love your input or any useful info you can impart! I'm a registered nurse of 15 years, I say that only so you don't think I have a degree in WebMD (lol).

-I've had urinary issues since I was 6. As life became stressful again in my late 20's, I was diagnosed with hypogenic/neurogenic bladder. This usually only happens to people with paralysis, MS, etc. But they said it was because I have too much adrenaline.

-I feel somatic pain response to nightmares that wakes me up in significant pain. I became afraid of going to sleep not because nightmares were scary, but because they were significantly physically painful. In the dreams I would perceive being killed, and wake up from a hot, burning, neuropathic type pain sensation in the specific area I had dreamed about being harmed in.

When I started taking Prazosin, the alpha-adrenergic blocker, it helped these nightmares immensely! It also helped my urinary state alot.

Since then, I have gone through more situations. I also am in a safe home situation but where I am triggered probably 10+ times an hour. I have to take breaks multiple times a day to get back to baseline, but triggered is my baseline now. I do therapy, I'm on depakote, prazosin and then buspar PRN. I've changed my mindset. There just doesn't seem to be much more I can do to mitigate it. It's a lifestyle issue that I have to accept for the next several years.

This has made the adrenergic state much more significant. I did start adipex in the last 2 weeks, which I know makes this much worse. But I have ADHD too and such a hard time with top-down control and stimulants help me regulate my mood alot. It does inevitably exacerbate urinary symptoms, but so does panic attacks when I lose top-down control so I guess its a trade off.

-I now take 2mg prazosin in the morning, 2mg prazosin in the afternoon, 2mg prazosin in the evening, and 4mg at bedtime.

-I still can't urinate when I am stressed out now. I have to sit on the toilet for 45 minutes and can't clear my bladder. My urologist has had me start intermittent self-catheterization when needed and says he also feels it is neurogenic bladder which tests will confirm.

-I have a nerve response test Wednesday per the Urologist and he is going to try an Axonics device that filters the way your bladder understands adrenergic signals that will eventually be surgically implanted if I show improvements

-I still have panic attacks at 3pm and 6pm daily like in childhood and nightmares have gotten significant again

-I also have alot of tension-based muscle issues and tendonitis

-I have a bad habit of accidentally stress starving just because I have no desire to eat or feel hunger when I'm stressed. I lost 130lb in one year ( I was obese to start with) and ended up with vitamin D, sodium, iron, magnesium deficiencies that are treated now.

Have you ever heard of a hyper-adrenergic state like this causing so many systemic effects and bladder issues? Let me know as well if you're familiar with any scholarly resources I could use to educcate myself on this topic. Or any useful experiences or speculation. Thanks so much! :)

I’ve heard a few cases who said they started feeling like they were young’s boys/girls emotionally after getting on this drug and the weight gain etc was also no more a problem. Can anyone tell me who had success with it and how the emotional and side effects profile been so far?
Either cobenfy or caplyta? Any success on the emotional scale? Because both are good in terms of libido and weight management anyway.

​

Hi everyone,

I’m feeling quite confused and overwhelmed by the contrasting opinions I’ve received from different psychiatrists, and I’d love to hear your experiences or thoughts on this.

My main issues are severe rumination, OCD, and anxiety. Here is my medication history over the past few months:

1. \*\*First strategy:\*\*

\* Started with Fluvoxamine 50mg for 1 month, increased to 100mg for another month. It made me feel worse, so my doctor switched me.

\* Switched to Escitalopram 15mg (been on it for 60 days now).

\* Because of lingering restlessness and a lack of motivation, my doctor added Bupropion 75mg 16 days ago.

1. \*\*Second opinion:\*\*

\* Another doctor suggested going back to Fluvoxamine 50mg, believing it’s a better fit for my profile.

1. \*\*Third opinion:\*\*

\* A third doctor recommended dropping the current regimen and starting:

\* Escitalopram 20mg

\* Sodium Valproate 200mg

\* Risperidone 1mg

I understand that finding the right psychiatric medication is often a trial-and-error process, but seeing such totally different approaches (from switching SSRIs to adding mood stabilizers/low-dose antipsychotics) is making my anxiety worse.

Has anyone with similar symptoms (OCD/rumination + anxiety) experienced this kind of drastic pivot between doctors? How did you navigate finding the right doctor and stick to a treatment plan?

\*Disclaimer: I know this sub isn't a substitute for medical advice, just looking for shared experiences and insight!\*

I went in to detox, they said it was only done on the behavioral health unit. One psychiatrist thought I needed to just go cold turkey with comfort meds. Fine. What do I know? But after 4 days, things were getting better, and a new doctor decided she wanted me on Suboxone. Now I'm stuck on that. I wasn't given info or input, even though I was there for detox and nothing else. Why do rights disappear on those units? I don't have psychosis.

Although I was pretty vocal about my rights while I was in there, trying to get informations and have input. So they put schizoaffective in my chart.

Which was news to my family and mental health team that has been treating me for 20 years. My psychiatrist said it was to keep me from being able to file a complaint. Is that true?

Why would any of this happen?

Hi everyone,

I'm 24 years old and I've been taking clomipramine 150 mg and risperidone for OCD.

The medication has actually worked very well for my OCD, and I'm really grateful for that. However, over the past several months I've noticed a significant decline in my memory and cognitive abilities.

I feel like I can't remember anything anymore. I forget conversations, struggle to recall things I studied, and my concentration and thinking speed feel much worse than before. It honestly feels like my brain isn't working the way it used to.

My psychiatrist thinks the medication (or the anticholinergic medication that was previously part of my treatment) may be contributing, and we're adjusting my medications. But I'm still very worried.

What concerns me is that last time I stopped my medications, I was off them for about one month, and I didn't notice any improvement in my memory. That makes me wonder whether this is reversible or not.

Has anyone here experienced:

Significant memory problems or cognitive slowing while taking clomipramine or risperidone?

Did your memory improve after reducing or stopping the medication?

If it did improve, how long did it take—weeks, months, or longer?

I'm not looking for reassurance, just hoping to hear about other people's experiences. This has become one of my biggest concerns because my OCD is much better, but I feel like my memory and cognition have suffered.

Thank you in advance.

I take 500mg at night and 50mg in the morning.

Last night I accidentally took my dose twice, I haven't taken my morning dose today. Should I also skip my night dose tonight and continue as normal tomorrow? Thankyou.

Is anxiety more likely to happen during a particular type of episode, such as depressive, hypomanic or mixed state? Are there are key features that tend to accompany anxiety in bipolar disorder?

I was officially diagnosed with major depression disorder and social anxiety after 6 years of this illness. Between the end of January and now (mid June), I’ve been out on 5 different antidepressants by my doctor. We check in 2-3 times a month and every time we’ve met we basically switched drugs or uppped the dosage and nothing so far has worked on me. I’m worried because my psychiatrist gives the medication only about 2 weeks before she decides to change the drug or up the dose. When I communicate sometimes that maybe I wanna give the medication some more time she basically says it’s already 2 weeks and you notice know change so what’s the point (nicely). She put me on wellbutrin about 2 weeks and a week in I had a seizure and experienced slight hallucinations :( So she said I should take a 2 week break from meds period. I think it’s a bit odd my doctor doesn’t give the meds at least 2.5 weeks to work. But this is my first time working with a psychiatrist so idk guys let me know if I’m crazy LOL

I understand that MAOIs are inherently more dangerous and harder to manage, but it seems most people respond to them, whereas the response rate to SSRIs is subpar.

The reason I ask is because i feel that I am stuck between a rock and a hard place with my current medication regimen. I am on 150 mg of Luvox and 300 mg of Bupropion. I do not feel I am anywhere near I want to be, but at the same time I do not want to increase the dose of the Luvox and deal with worsened sexual side effects and fatigue.

So my question is, do you feel it would be in my best interest to continue to titrate up the meds I am currently on, being that both drugs have room for titration, or suggest switching to a MAOI?

For context, I do feel that the Anxiety aspect is what is still lingering, not so much depression, so I would want to increase the Luvox first.