Difficult: If the patient is not able to tolerate any anti-depressant medication the only other option available is counseling / psychotherapy. Chronic illness like those listed in the PMH can definitely cause or worsen depression symptoms - getting those health problems under control will help. Addressing diet and sleep issues will also be helpful.
Answered 10/23/2017
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Psychiatrist: Make sure that your treating doctor is aware of the seriousness of the depression so that they can offer some assistance. A consultation with a psychiatrist would be helpful. There may be options for medications despite the issues you mention in "conditions". Counseling may also be of value.
Answered 5/2/2016
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