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What played a role in my life I ask myself?
Stress for sure: severe relational stress, a demanding partner, even when I lost some beloved ones. Stress about work. Insomnia during years which got worse and worse over time. And finally paxil. That was the last trigger I needed to go over the edge.
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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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