I spoke with the Pdoc today. We're getting rid of the Seroquel and Temazepam, adding Wellbutrin, and doing a closely monitored trial of the whole sleep deprivation/sleep phase advance thing.

I'll go through a night of sleep deprivation. After total sleep deprivation, I'll start a sleep schedule from 4 pm to 11 pm, which will be shifted back an hour each night until I'm sleeping from 10 pm to 5 am. Some of the patients who have melancholic depression that improves with a lack of sleep maintain a higher mood level during sleep phase advance. I'm hoping that I fit into that group.

The aim is to blunt the depression long enough for the Wellbutrin to start working. My depression is pretty med-resistant, but I've never tried anything like Wellbutrin before so I'm hoping it works. I really don't feel like getting ect this summer.

I always leave school during the spring because of my depression, so I have time to try this out. My doc and I are gonna stop it if we feel that I'm becoming manic.