Had contact with my pdoc today; 7.5mg mirtazapine or quetiapine for sleep is fine but of course she says if it gives me restless legs than max twice a week a benzo would be an option or promethazine which i still have. however promethazine gives me a massive hangover which makes me get out of bed very hard. but that was already very hard, couldnt get out of bed anyway even without any medication. 
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.
Mx: To clean up the mess use lamotrigine, risperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.
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