Dear Dr. Archer,
I'm suffering from major depression and have been for seven years. I have had treatment and was prescribed antipsychotic drugs, but recently my condition seems to be getting worse because it affects me and the people around me.
I am tense, easily provoked and angered. I also have terrible mood swings, going from happy to very depressed. I can't control my emotions and feel without professional help I might be a danger to myself because of the suicidal thoughts.
Nothing seems to help anymore -- not the medication and not the treatment. Of course, I'm trying to take my mind off of the bad thoughts, but it requires me to be active for hours, damaging my sleeping pattern.
I realize sleep is very important, and especially for those with depression related disorders, but I can't seem to relax enough to sleep. I'm all out of options and feel like I'm at a dead end in my life.
If you have psychological advice for me, I'd really love to hear it, or maybe point me in the right direction. Hopefully I could regain my mental health and get back to a good, healthy level. Yours faithfully,
Rikardo
Dear Rikardo,
You say you have major depression, but you also are taking anti-psychotics, have anger episodes, are easily provoked AND describe mood swings. This sounds more like bipolar symptoms to me.
Talk to your doctor and have him assess you for bipolar disorder. If that is what you have it would mean different meds - mood stabilizers - and this could make a huge difference. If you prefer, you could also get a second opinion.
Understanding your disorder, and realizing your strengths and weaknesses, will ultimately make your life more enjoyable and be to your benefit. All the best!
Dr. Archer
