i am dealing with mental illness from last 8 years and tried treatments from all top notch psychiatrist's of the city .ate kilo's of medicines which are some serious, snri's, tricyclic ,tetracyclines, maoi's, clonazepam, alprazolam, etizolam,lamotrigine, sodium valproate, lithium, quetiapine, aripiprazole, olanzapine etc. But these all medicines and psychiatrist's failed to bring my mental well being back. I am dealing with anhedonia, apathy ,disordered thinking, inability to do goal directed activities ,bed ridden ,i don't brush my teeth, I don't bath ,i am doing nothing in my life ,i have no career and super hopeless about my future ,dull facial expression, highly demotivated, suicidal (i have attempted twice ,one with carbon monoxide poisoning and second with 50 mg clonazepam+200 mg zolpidem+750 ml alcohol bottle+20 cigarettes, my purpose was to die from respiratory depression, but I failed ).now to whichever doctor I will go ,i will ask him will you give me ect ,ketamine therapy ,rtms or not.
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Dear Lybrate user, I wonder why you were not prescribed ects, one of the best treatment modality for depression with suicidal thoughts. If your psychiatrist permits, please go for ketamine therapy or ect. Before that, please ensure your compliance towards treatment and also if you consume alcohol regularly, you will have to undergo treatment for alcohol withdrawal first.
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Dear lybrate-user, congratulations for continuing your interest in making your life better. Ect is an option - not tried so far. But it is not a one time treatment. It has to be given under anesthesia, may be 6-12 times. Only few psychiatrists will have ect facility. Ketamine and rtms - very very few psychiatrist will have it. Ketamine will work if you are acutely suicidal. The effect lasts for lesser time than ect. Rtms may be given as outpatient since it does not need anesthesia. But the number of sessions may 20-50 - not very sure - less effective than ect. So my advice is, medicines can not be avoided - it has to be continued and ect can be added. Clozapine has not been tried so far. Know the treatment options by googling - but discuss (don't decide and demand) with your psychiatrist about it. Many other psychosocial factors also need to considered apart from smoking and drinking - they should also be managed effectively.
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