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Replies to "AZ- You might research the bio-identical supplement SAM-E. It gives a lift of mood and energy,..."
SAM-E was of help to me, so I think it’s a good place to start. Celexa, Lexapro and Prozac are also good choices. All antidepressants cause sexual dysfunction (decreased desire, erectile dysfunction) except for Wellbutrin (bupropion). SAM-E and St. John’s Wort (another OTC) do not cause sexual dysfunction.
Consider TMS (trans magnetic stimulation) if antidepressants and talk therapy don’t work. Insurance may not allow a trial of TMS until you’ve tried and “failed” with 2 antidepressants. TMS success rates are in the 70% range. Ketamine infusions or nasal spray works for some. If your depression doesn’t respond to these methods, consider trying a new application of TMS called the SAINT protocol. It is rapid accelerated TMS, and consists of 10 fifteen minute treatments of TMS per day for 5-10 days—the # of days is determined by how long you’ve been depressed. The effect is immediate which can’t be said about antidepressants which can take 4-6 weeks before they start being effective.
This treatment costs $6500 out of pocket but less obviously if your insurance covers it. Medicare does! This treatment was experimental (at Stanford) until about 2 years ago. It is now available nationwide in major cities.
I also want to put a plug in for psychotherapy (talk therapy), which probably should be part of any treatment for depression/anxiety. Cognitive Behavioral Therapy with or without an antidepressant is extremely effective for some types of depression.
Longer term therapies are also v. helpful depending on the issues. Family or couples therapy also help, depending. Family therapy can help one establish boundaries even if those who would be on the other side of the boundary don’t/won’t participate. A family therapist can be very enlightening about “family dynamics.”
Thanks so very much, Ed. I appreciate your suggestion and will check it out. I've been feeling much better lately, thank goodness!