11 doctors weighed in:

I am looking for more effective treatment for many years of clinical depression. Talk/drug therapies have done little to change I have tried many psychotropic drugs in recent years along w/ talk therapy. I remain "stuck" on morose (ptsd). I've little to n

11 doctors weighed in
Dr. Charles Rocamboli
Family Medicine
4 doctors agree

In brief: Exercise

Try adding some exercise.
Check out this on-line study at curecrowd.Com http://www.Curecrowd.Com/ailments/depression.

In brief: Exercise

Try adding some exercise.
Check out this on-line study at curecrowd.Com http://www.Curecrowd.Com/ailments/depression.
Dr. Charles Rocamboli
Dr. Charles Rocamboli
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Dr. Roger Saint Laurent
Clinical Psychology
4 doctors agree

In brief: You may want to try

Mind/body approaches to psychotherapy.
These focus less on content, or the stories of your life, and more on how your physiology and body responds. Somatic experiencing is one of these approaches. Emdr would be another approach to try.

In brief: You may want to try

Mind/body approaches to psychotherapy.
These focus less on content, or the stories of your life, and more on how your physiology and body responds. Somatic experiencing is one of these approaches. Emdr would be another approach to try.
Dr. Roger Saint Laurent
Dr. Roger Saint Laurent
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1 comment
Dr. Gregg Friedman
Gregg L. Friedman MD Psychiatrist agrees
Dr. Herbert Popolow
Clinical Psychology
1 doctor agrees

In brief: Don't give up.

Sometimes trying a different depression medication or adding supplemental medication, such as a mood stabilizer or anti-psychotic can be effective.
Find a therapist who specializes in a proven type of talk therapy, such as cognitive- behavioral or interpersonal. Meditation, exercise, and diet can also provide greater relief from depression.

In brief: Don't give up.

Sometimes trying a different depression medication or adding supplemental medication, such as a mood stabilizer or anti-psychotic can be effective.
Find a therapist who specializes in a proven type of talk therapy, such as cognitive- behavioral or interpersonal. Meditation, exercise, and diet can also provide greater relief from depression.
Dr. Herbert Popolow
Dr. Herbert Popolow
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Dr. Arpan Waghray
Psychiatry

In brief: A

A combination of cognitive behavioral therapy and anti depressants is usually an effective treatment strategy.
If only ssri`s(zoloft, Prozac etc) and snri`s (effexor, cymbalta) have been tried, then other anti depressants with a different mechanism of action that could be considered 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.Transcranial magnetic stimulation is a reasonable treatment choice. There is also some promising research using deep brain stimulation for treatment resistant depression (this is still in the research stage only) .Light box is usually effective for sad. Please talk to your psychiatrist and hope you get well soon.

In brief: A

A combination of cognitive behavioral therapy and anti depressants is usually an effective treatment strategy.
If only ssri`s(zoloft, Prozac etc) and snri`s (effexor, cymbalta) have been tried, then other anti depressants with a different mechanism of action that could be considered 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.Transcranial magnetic stimulation is a reasonable treatment choice. There is also some promising research using deep brain stimulation for treatment resistant depression (this is still in the research stage only) .Light box is usually effective for sad. Please talk to your psychiatrist and hope you get well soon.
Dr. Arpan Waghray
Dr. Arpan Waghray
Thank
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