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A 48-year-old male asked:

Severe depression.what can i do?i just want to feel good again.(inside that is). i suffer chronic back pain from inneffective surgeries and have t-cell lymphoma.i have tried antidepressants(zoloft, paxil, lexapro and pristiq).none of these have helped.can

2 doctor answers5 doctors weighed in
Dr. Arpan Waghray
Psychiatry 17 years experience
A : A combination of cognitive behavioral therapy and anti depressants is an effective treatment strategy. There are other anti depressants with a different mechanism of action that could be tried- eg: tricyclic anti depressants (nortriptyline), mirtazapine, MAO inhibitors.The treatment could also be augmented with medications in the class of Abilify (aripiprazole) , seroquel etc. If nothing else works , electroconvulsive therapy is a safe and effective treatment option.Please talk to your psychiatrist and hope you get well soon.
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Dr. Walter Root
Psychiatry 17 years experience
Find : Find a psychiatrist who will take a full history. I am not sure, with failing 4 good antidepressants, that you only suffer from depression. You may need something more and then again depression may be a side effect of you cancer treatment. There are no easy answers. Get to a porfessional.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 3, 2016

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