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Reply to "Surgery failed due to an infection that won't heal, under insane stress. "
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[quote=Anonymous]Sleep deprivation creates or makes worse mood and anxiety problems. It is the first thing you have to fix. Cut the coffee. No more than 2 cups before 10 am. You may need other meds like trazadone instead of sleep meds like ambien. If you have failed multiple antidepressants in several different classes, then I believe it is part of the prescribing algorithm to try a mood stabilizer instead of or in addition to the antidepressant. My concern, with your sleep problems is that you are misdiagnosed with straight depression and are really a high functioning bipolar depression II type. If so, being on an anti depressant will make things worse not better. Who is prescribing your antidepressant a psychiatrist with a lot of mood disorder experience or a family doctor? Given your level of sleeplessness, you need the former.[/quote]
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