As a GP myself, I would love patients like you who are evidence based and committed to treatment plans!
It is well understood depression and other mood disorders are very complex and multimodal. So trying a bunch of stuff outside medication also useful.
Also worth mentioning there is A LOT or epigenetic factors we don’t understand well and can make a big difference on effects and side effects of medications. Trial and error is usually indicated like you have done in refractory and treatment resistance experience like yours.
Well done on sharing too. Mental health is like any other chronic disease, and important to aim for ‘well managed’ rather than ‘cure’ … Because we all get down from time to time!
As a GP myself, I would love patients like you who are evidence based and committed to treatment plans!
It is well understood depression and other mood disorders are very complex and multimodal. So trying a bunch of stuff outside medication also useful.
Also worth mentioning there is A LOT or epigenetic factors we don’t understand well and can make a big difference on effects and side effects of medications. Trial and error is usually indicated like you have done in refractory and treatment resistance experience like yours.
Well done on sharing too. Mental health is like any other chronic disease, and important to aim for ‘well managed’ rather than ‘cure’ … Because we all get down from time to time!