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Wellness Wednesday for May 15, 2024

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Will be losing my health insurance by the end of the month. How badly should I try to get on MAOIs for my really bad depression?

Why are you looking at MAOIs? Those are the most restrictive anti-depressants out there.

I have tried a SNRI, TCAs, and a SSRI just recently (only for about a week or so) along with busprione.

A week isn't long enough to see the effects from an SSRI. But since you've been on SNRIs and tricyclics, my completely layman's opinion is that an SSRI is not likely to be much different for you. But it could. All this stuff is a black box, I don't think we understand how any of it works.

One thing I don't see there is buproprion. If your problems are focused around low energy and interest (so very monopolar, lethargic) my understanding is buproprion is helpful and works quickly. It did not help me, but it definitely helps some people.