QUESTION:
Dear Dr. Heller,
Is there anything that can be done when one comes to a point where all the new meds I try either don't work or have an adverse reaction to rashes or flu like symptoms, etc. I have been treated for depression for the last 34 years and my doctors have given up on me - more than a few - they have put me on lithium carbonate 2000 mgs a day and said it's all we can do for you, "We don't know what else we can do for you since you are so sensitive to so many meds". Is med burn out a common thing over long term antidepressant use?
ANSWER:
In my experience it's usually another diagnosis causing the problem. The most
common examples are the BPD with newly chronic dysphoria (anxiety, rage, depression and
despair) or panic disorder. The key here is making the diagnoses and treating them
comprehensively.
Generally people who are "sensitive" to meds have major anxiety and panic
problems. I strongly encourage you to get these diagnoses made and treated. Sequencing of
medications is often as important as the medications themselves. The screening test I use for my patients will likely be of assistance
to you.
