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In the past I didnt have a pdoc, my GP prescibed me. I got off of it by myself a couples of times even cold turkey (which brought me in a mixed state when I look back). I was stubborn and ignorant and no dx yet. Now I listen to my pdoc and tell her how I feel and what effect meds have on me. I dont take them at the same time and miss a dose sometimes, like imah. Every now and then I take some meds prn as well as a benzo, that I still have from previous docs but I tell my pdoc about it.
But I dont mess with them and most of them are long acting and have a long onset anyway.
Are you on a mood stabilizer and do you have a benzo prn?
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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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