Hi Paul ,
I am back again , now let´s see - your psychiatrist says that he can do no more and that you have to live with it - and you have tried all kind of medications .....
I read your new thread " Did God (King James) include everything ? " it was really a long post (postings).....
Have you ever had manic episodes, where you where really active and only slept a little ?
Depression can be caused by physical illness , at least the following bloodsamples should be taken : Haemoglobin, lymfocytes with a differential count, sodium, potassium, creatinine, calcium , cobalamin (=vitamin B12), TSH , liver enzymes , glucose. Also lack of Thiamin (= vitamin B 1) and poisoning from heavy metals ( for instance led or mercury ) can cause mental illness.
Mental illness caused by physical illness is resistant to normal medicine against mental illness - but normally easily cured if you cure the physical disease .....
Also abuse of drugs or alcohol can cause mental illness .....
Depression can be caused by bad experiences (traumas) - normally that kind of depression is best cured by a combination of speechtherapy combined with an antidepressive medication.
Rarely some types of Schizophrenia and Schizotypia can mimick the symptoms of depression without psychotic symptoms - only showing the socalled "negative symptoms " : social withdrawal, loss of energy, sadness, tendence to isolation -
in that case the treatment is not antidepressive drugs, but one of the new drugs for
Schizophrenia called "ABILIFY" - it is the only drug with proven effect on negative symptoms .....
If it is a real depression that comes back - periodic or recurrent depression - then the treatment is first to get you out of the depression and after that stabilize you so you do not enter back into depression .
To get you out of the depression you will need antidepressive medicine - the strongest are tricyclic antidepressants such as DOSULEPIN and the mao-inhibitors
such as ISOCARBOXAZID (this one does not go well with most other medication,be careful )...
If medication is not enough you might need ECT (electrochock) or perhaps transcranial magnetic treatment (you cannot receive ECT if you are taking ISOCARBOXACID).
After you have come out of the depression, you should combine your antidepressive medication with medicine that prevents you from entering into depression again , such as LITHIUM or Valproat or Lamotrigen ............
Perhaps you should take a chat with your psychiatrist again - perhaps he overlooked something .................
Best of luck, Paul !!!