Have Mental Health Questions? Ask a Psychiatrist Online
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Hello and thank you for using JustAnswer. I am very sorry that you are experiencing this intense level of depression, I can understand how distressing this can be for you. It is possible to overcome, but you would need either proper medication management or more intensive treatment measures such as Transcranial Magnetic Stimulation (TMS), IV Ketamine, or Electroconvulsive Therapy (ECT). May I ask, what is your current medication regimen and what have you tried in the past?
Sorry, your case is a bit too intense for me at this late hour, so I am going to opt out for another expert to take your question. Good luck
Hello Will, my name is ***** ***** I am a psychotherapist in private practice in New York State and also certified as a Alcohol and Substance Abuse specialist. Until two years ago I was the clinical treatment Director for an outpatient and inpatient treatment facility. It sounds like you have been on quite a journey for the last several years. Although you are able to function as you shared, in my professional experience a person does not make any progress emotionally, mentally or physically while still using a substance that they are addicted to. Meth is very powerful and certainly takes the person and their brain hostage, meaning it controls you, you do not control it. May I ask....do you consider yourself a drug addict? I have to leave for an appointment in a short while, if I do not get right back to you, I will be back to you this afternoon. I look forward to helping you. Sincerely, Linda
Thank you Will for being honest and sharing this with me. Unfortunately I do believe that as you said, the despair, hopelessness and sadness will only continue to increase as long as you are in addiction. I have never met an addict yet, who is not suspended in some state of grief due to experiences and/or losses in their personal life, most going back to family of origin issues. I also believe that addicts are hard wired differently either from birth or as a result of the damage to our brain that we have done from use. However, I know it is very possible to significantly reduce the symptoms of mood disorders and other mental health conditions with a combination of CBT therapy and medication; but the addict MUST first get clean so that these treatments can be effective. You have a wife, a child, a business that means something to you, maybe it is time to let those defenses down and the belief that you are "functional" and take this opportunity to get the help you need. Don't you think that you and your family deserve a chance for a happier, more fulfilling quality of life with you clean and sober? I do. Linda
It is good to hear you have been clean/sober for the last three weeks and have a program to support you and yes, I agree you are definitely the most important person to focus on. Dr. Z and I have made some suggestions of what we think would be helpful in dealing with your absence of joy, elation and happiness. There is a lot of information here, I hope we have been of some help to you. Please let me know if there is anything else I can offer to you that might help. Sincerely, Linda