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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Christ_empowered on May 2, 2014, at 14:47:56
if you're prone to psychotic depression, do you switch out your ap/aap or treat the depression more aggressively? Keep in mind, this is public mental health, so I don't get very many appointments.
Posted by Phillipa on May 2, 2014, at 16:35:17
In reply to changes..., posted by Christ_empowered on May 2, 2014, at 14:47:56
Is there an antipsychotic less prone to depression?
Can you keep the abilify and add an antidessant & mood stabilizer?
Posted by Christ_empowered on May 2, 2014, at 17:13:32
In reply to Re: changes... » Christ_empowered, posted by Phillipa on May 2, 2014, at 16:35:17
well, I have Trileptal (1200) on board, and I just restarted Tofranil.
The problem with public mental health is that I'll have to make it clear that the DEPRESSION is the problem, because they looove high dose antipsychotics for...everything, really.
Posted by phidippus on May 4, 2014, at 20:12:06
In reply to changes..., posted by Christ_empowered on May 2, 2014, at 14:47:56
Technically you have depression with psychotic features,not pure psychotic depression.
It is best to treat the psychosis first and then the depression. Remember it takes many weeks for an antidepressant to exert its full effects. Also, paranoia tends to feed the depression, which can become a vicious cycle.
If you are having breakthrough psychotic symptoms on your current antipsychotic, then a switch is advisable.
Eric
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