I don't know what help I need anymore, or even if I need help. I have a lifelong history of depression and the past two and half years, I've experienced more life stressors than normal. The original reasons I made the appointment was to
get a new script for my anti-anxiety medication (which is also meant to help my depression), especially as I accidentally abruptly ceased it over 5 days ago, and
a referral to a new psychiatrist to prescribe ADHD medication.
posted by b33j to Health & Fitness (2 answers total) 2 users marked this as a favorite
However, I've been (lightly) in this system for a long time, with little to no improvement beyond a certain point, and I'm doubting whether medication helps (anymore), or even whether I'm actually even ill, and not simply lazy, lonely and prone to instant gratification. If I tell my new doctor my medical treatment over the last 5 years and/or answer the usual questions about depression and anxiety truthfully, I figure I'll get more of the same and I'm pretty disillusioned about treatment (both through medication and therapy). I'm coming to believe that this is just how (my) life is, and it's not fun, but it's not impossible to live with, and while the intermittent suicide ideation is unpleasant, I am not at risk of suicide.
How would you suggest I approach treatment? What should I ask my doctor?
Assessments: have included questionnaires about ADHD, anxiety, depression, CAT scan of brain, EEG, blood tests for numerous things.
Medications: have most recently included dexamphetamine sulphate for ADHD, and duloxetine (Cymbalta) for anxiety and/or depression, Mirena IUD to minimise PMS.
Treatments: have included a number of therapy sessions with psychologists including CBT and ACT.
Life stressors: include end of marriage, mother dying, 4 moves, freelance and temp work to multiple clients, empty nest, commencing grad studies, ex being arrested for exposure to minor, daughter sexual assaulted, bad dating experiences, social isolation.
My self care efforts: mindfulness, regularly returning to healthy eating/exercise plan, volunteering, trying AA (but where I am, unfortunately, they explicitly do not believe in atheists in AA).
Location: Australia which means doctor & psychiatrist visits either free or very cheap, and also 6 free psychology visits per year.