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Doctor Blake
Doctor Blake, Psychologist
Category: Mental Health
Satisfied Customers: 146
Experience:  Ph.D., Ed.S., NCSP Clinical Psychologist; 15+ years of experience; dual licensure
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I have been treated for Dipression for the past two jears.

Resolved Question:

I have been treated for Dipression for the past two jears. Currenly I'm using 225 mg/day Venlor for the Depression and 15mg Zopiclone/in the evening for sleeplessniss. The paste few months my Dipression became more inten and I also develop an ager mania

My Psychiatrist also put me on Ceraqiul to help me sleep beter but I had soms mussel contractions that cept me even more awake

Iwill be seing my Psycic tomorow agen'
Could you please segest other treatment that may work....I cannot go on like this
Submitted: 6 years ago.
Category: Mental Health
Expert:  Doctor Blake replied 6 years ago.

Good morning.


Research has consistently demonstrated that treatment plus medication is more effective than medication alone or treatment alone for depression and/or anxiety. Further research has shown that Cognitive Behavioral Therapy (CBT) is the most effective form of psychological treatment/intervention - particularly in dealing with mood and/or disorders.


A licensed psychologist/psychotherapist with specific training in CBT modalities would be able to address your concerns. I would encourage you to find a licensed mental health professional with whom to work, employing CBT.


With regard to medical treatment, many/most physicians appear to begin with a Selective Serotonin Reuptake Inhibitor (SSRI) to treat anxiety. Because I am not an MD, it is beyond my purview to address medication concerns, however.


Again, the mantra of years of research says: medication or treatment alone is not as effective as both working in tandem. Some research has also indicated that insight-oriented talk therapy is counter-productive with some forms of mood and/or anxiety disturbance... it actually exacerbates the condition(s). So, seek out a CBT therapist who will provide targeted, efficient, and effective therapy - not someone who signs you as a "lifer." If you're going to a therapist for years, something about the therapy isn't working.


Your psychiatrist *may* know of a CBT licensed mental health professional. Please make certain, however, that they employ CBT practices.


If $$ is a super-big issue, you might want to consider contacting your local Community Mental Health Center. These tend to offer free or greatly reduced cost mental health services, including therapy and/or med management, depending upon your ability to pay.


Thanks. I hope you're well and that this was helpful.


* FEEDBACK ENCOURAGED. Please contact me prior to leaving negative feedback so that we can resolve the matter. I am eager to work with all JA clients to provide them with useful/helpful answers. Thanks again.

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