Weird case. Treatment Resistant Depression but after a snake bite
Got a patient that was already seen by a great clinician and she couldn't get this patient better. Was tried on all the conventional meds. A few SSRIs, SNRIs, Lamotrigine, Lithium, atypical antipsychotics (and yes the better ones for depression such as Aripiprazole, Cariprazine) , Bupropion, augmentation agents such as Buspirone, Auvelity, Esketamine, TMS (not ECT...yet).
After several meetings she finally said something that hit me like a ton of bricks. She told me she never had mental...
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: whopper Tags: Psychiatry Source Type: forums
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