I started seeing a new physician's assistant who specializes in psychiatric medications. I told her a bit about my history, which is that I have always have depressive symptoms but once, about 5 years ago, I had a manic episode. Since then I have had no symptoms of mania despite being completely off psychiatric medications for a couple of years.

My issue with her is that I'm seeking treatment for DEPRESSION, not bipolar disorder. I don't believe I am bipolar. She prescribed Lamictal, which I'm fine with since it's supposed to help with depression, but it's not working. I told her I think it's making me nauseous and more tired but she seemed so determined to keep me on it. I told her I'll stay on the dose I'm on, which is 50 mg, but I'm not going to titrate any higher right now. The depression and weakness is too overwhelming and I have a lot to lose right now. I said I need something that's going to work quickly, more immediate help.

So her course of treatment was to add Latuda, another mood stablizer, in addition to Lamictal. I confronted her and asked why she refuses to prescribe a traditional depression medication and she says it's because they haven't worked for me in the past. Which I did say. But why can't we try one in combination with the mood stabilizer?

I just don't understand how two mood stabilizers are going to help me with depression. My mood does not fluctuate, I am CONSISTENTLY depressed, and I'm afraid mood stabilizers will flatten me out even more.

I don't even know what to say. It's so hard to find a doctor I trust. Does anyone know about mood stabilizers for the treatment of depression? Anyone have any thoughts about how Lamictal and Latuda could work together to combat depression?