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24 Feb 2003

depressed,despeate and addicted
dea doctor, please supply me with good news. we are desperate. feel like there isn't any help. my fiancee is suffering from very severe depression and anxiety attacks.he has been using all kind of anti depressants over the past four years,currently on remeron for the past 8 months. he has also been suffering from total insomnia for the past ten years and was adviced to drink immovaine. the sleeping tablet seems to be the only thing calming him down to an extend where he can face the world.this situation lead to an even bigger problem for he is completely addicted to the sleeping tablets,drinking about 5 per day in order to cope. we are aware that the contents of the tablet enhances the depression so we are totally stuck in a very very very vicious circle. please advice us on how to break this cycle. we ahave seen other psycos but they seem to just add more and more tablets everytime.what can we do. we are desperate to make his life normal again!!!!!!!!
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Expert
CyberShrink
cybershrink

01 Jan 0001

Dear d&wd,
What's needed, clearly, is a proper consultation with the doctor prescribing the medications. Immovane is much less likely to produce dependence on itself, and not likely to worsen the depression. And it is spcially designed not to be particularly long-lasting --- so that one can take it, get to sleep, and have no hangover the next morning. But, if he is feeling anxious during the day, and taking extra Immovane to deal with this, this could be causing the present problem. Some people respond to some antidpressants with a higher degree of anxiety and feeling stressed ; in this case, we either select a different antidepressant, or add a different medication for the daytime anxiety, one which is longer-lasting.
It also sounds as if there may have been too much concentration on medication in dealing with his depression. If he can, it would be useful for him to see a psychologist specializing in Cognitive Therapy / CBT, as this form of psychological therapy can both help depression a great deal, and does not need extra drugs. Indeed, if it proves sccessful, he ma be able to be weaned gradually of the drugs he has needed so far.
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