The treatment is still the type of treatment that can fight the depressive epidodes, but the mood is not stable.
This implies the treatment needs to be more global.
IN other words, something that treats the entire brain in terms of mood stability.
Depakote would be one example, and might replace the need for the clonipin [not a good long term drug due to cognitive dysfunction] and even the effexor.
Also, SNRIs like effextor are not for everyone.
I would ask your psychiatrist several things:
What is your hormonal status: thyroid, sex hormones, adrenal hormones.
What is your metabolic status [are there any genetic deficits causing problems such as high homocystein and the inability to matabolize or carry minerals and nutrients].
Magnesium level. Probably is under 2.5 which is low in this situation and is a chronic problem.
All B vitamin levels and D should be measured as well.
There is now also genetic testing for compatability with psych meds. This might be useful as well.
Ok let me know if you have further questions.
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