Aloha Dave!
Great suggestions! Last week I received the results from a Dense Array Brain Scan which is like an EEG on steroids. Normal EEG's have about 9 views, this new Dense Array has 128 leads. I was lucky to find a Neurologist who has spent his life doing brain research. He showed me the photos of my brain and said I had suffered two "massive" brain injuries. He asked me what happened. I had to explain that when I was in my teens and using drugs I was beaten to a pulp on numerous occasions. I think I was hit with a baseball bat but don't remember. It's was stunning the amount of damage and you could see on the scan how the brain was working very hard around the damaged area to compensate.
Fast forward- I found a new psychiatrist last month who was willing to prescribe Nardil (an old MAOI) and IT WORKED! My depression is GONE!
You are very correct that many meds and other therapies don't work on brain damaged people. I'm just so grateful I found something that works!
Take care and thanks again for your comments!
__________________
DX:
MDD- Treatment refractory depression
Total Anhedonia
C-PTSD
Hashimoto's Thyroiditis
RX:FINALLY- found a doc to prescribe an MAOI!! 
Nardil (MAOI)
Lithium
Remeron 15mg
K-pin 0.5 mg/night
Levothyroxine
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