Discussion in 'General Health & Wellness' started by rvv_1998, Dec 22, 2008.

  1. rvv_1998

    rvv_1998 New Member

    I am male 40, living with this condition for 3.5 years. I can hardly get 4 good hours in a day. I have been following all advises and medication but it has helped. I exercise every day for for 1 to 1.5 hours on the treadmill & do weights. It gives me a few good hours but it gets worse after lunch. I can't wake up in the morning without force. I have done all tests including sleep apnea test, blood tests etc. to rule out any other problem. I came to know that this kind of depression is rare (15% of total cases). I am desperate, I need help.
  2. TwoCatDoctors

    TwoCatDoctors New Member

    Hi, there are specialists that deal with sleep therapy and here is an article about sleep therapy.

  3. SnooZQ

    SnooZQ New Member

    One of the first things I would do is to check within myself & ask, do I truly feel depressed, or am I buying into a diagnosis of atypical depression when the more primary problem is excessive daytime sleepiness?

    It's much more common these days for docs to shuffle folks off to psych meds than to do real thorough diagnostic workups to rule out all else.

    Please double check your hard copy lab results. You have copies, right? If not, politely request them from office staff. They are your by law.

    How thorough were the tests of thyroid function? Just TSH? (that is typical: using a pituitary hormone to gauge thyroid function). Lobby to have your levels of free T4 and free T3 (actual thyroid hormones) measured directly, and when you get the results, check where your results lie within the reference range. If you are in the bottom quartile, a trial of thyroid hormone may be very helpful.

    There are some progressive psychiatrists who are quite familiar with a relatively large body of research showing that in many cases of treatment-resistant depression, the addition of a little thyroid hormone really amps up the effectiveness of the ADs. Especially the Armour thyroid, as Jam has mentioned. In some cases, patients are weaned off or down on AD med dose, and left with the thyroid hormone RX.

    It would also be good to have your free testosterone level checked. Also get your electrolyte levels done & a fasting a.m. cortisol -- with followup stim test if warranted. Again, if these tests have been done, check where your results lie within the reference range. If you are in the lower portion of a ref range, there may be a clue.

    You might also revisit your sleep apnea report & see if tested you were tested for narcolepsy. It's usually the sleep docs who do that testing.

    Make sure that your meds are not making the situation worse. Some ADs cause drowsiness in certain individuals.

    Best wishes.
    [This Message was Edited on 12/23/2008]