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Basic InformationMore InformationAn Interview with Bruce Ecker, M.A., L.M.F.T., on Coherence TherapyAn Interview with Bruce Ecker, MA, on Memory Reconsolidation and PsychotherapyAn Interview with Jon Frederickson, MSW, on Experiential Psychodynamic PsychotherapyAn Interview with Joshua Lerner, MA, LCSW, on the History of Object Relations TheoryAn Interview with Kirk Schneider, Ph.D., on Existential Humanistic PsychotherapyAn Interview with Leslie Greenberg, PhD, on Emotion-Focused TherapyAn Interview with Wilma Bucci, Ph.D., on Psychoanalysis and Cognitive ScienceBoundaries and Dysfunctional Family SystemsCognitive RestructuringHumanistic PsychotherapyLearning TheoryPost-Cognitive PsychotherapyRepressionTransferenceWise Counsel Interview Podcast: Myrna Weissman, Ph.D. on Interpersonal PsychotherapyWise Counsel Interview Transcript: An Interview with Alan Rappoport, Ph.D. on Control-Mastery TheoryWise Counsel Interview Transcript: An Interview with Annie Fahy, MSW on Motivational Interviewing Wise Counsel Interview Transcript: An Interview with Becky LaFountain, Ph.D. on Adlerian Psychology and PsychotherapyWise Counsel Interview Transcript: An Interview with Dr. Jürgen Kriz on Self-Actualization and Person Centered PsychotherapyWise Counsel Interview Transcript: An Interview with Fern Cohen, Ph.D. on whether Psychoanalysis is DeadWise Counsel Interview Transcript: An Interview with Francine Shapiro, Ph.D. on Eye Movement Desensitization and Reprocessing (EMDR) TherapyWise Counsel Interview Transcript: An Interview with Jeffrey Young Ph.D. on Schema TherapyWise Counsel Interview Transcript: An Interview with John Clarkin, Ph.D. on Transference-Focused TherapyWise Counsel Interview Transcript: An Interview with Jonathan Engel, Ph.D. on the History of American Psychotherapy - Part 1Wise Counsel Interview Transcript: An Interview with Jonathan Engel, Ph.D. on the History of American Psychotherapy - Part 2Wise Counsel Interview Transcript: An Interview with Laris Macpherson on the Therapy Client's ExperienceWise Counsel Interview Transcript: An Interview with Marsha Linehan, Ph.D. on Dialectical Behavior TherapyWise Counsel Interview Transcript: An Interview with Natalie Rogers, Ph.D. on Expressive Arts TherapyWise Counsel Interview Transcript: An Interview with Otto Kernberg, MD on Transference Focused Therapy Wise Counsel Interview Transcript: An Interview with Raul Moncayo, Ph.D. on Lacanian PsychoanalysisWise Counsel Interview Transcript: An Interview with Richard Shulman, Ph.D. on Volunteers in PsychotherapyWise Counsel Interview Transcript: An Interview with Shinzen Young on Mindfulness MeditationWise Counsel Interview Transcript: An Interview with Steven Hayes, PhD on Acceptance and Commitment Therapy Latest NewsQuestions and AnswersLinks |
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What treatments are available after you've tried the medicines of last resort? I have been treated for major depressive disorder for over a year now. Currently I am taking 300mg daily of Effexor XR along with Ritalin to counteract the excessive sleepiness I've been getting with the antidepressant. I know that Effexor is considered the drug of last resort for most depressions, and now I am worried because I feel like I have lapsed into a depressive cycle--thoughts of suicide, uncontrollable crying, which led to me getting fired from my job because I wasn't being productive, my phone and electricity being turned off in my apartment, no money to wash clothes, not caring what or when I eat, and just laying in the dark at home crying because I don't see any signs of improvement. I can't afford my psychiatrist anymore, and I was denied free medicine 3 months ago because I earned $125 too much in a year .. although now things have changed (but the drug company refuses to revisit the application until 3 more months have passed). I am past the end of the rope. I feel like the rope has been jerked out of my hands and I have the choice to try to grab it while everyone else looks on and laughs or just resign myself to ending my life and being a burden on myself and others. Is it better for me to end my life with some shred of dignity or continue this downward spiral until something else kills me instead? THE ANSWER TO THIS QUESTION WILL NOT BE DISPLAYED UNTIL YOU HAVE INDICATED YOUR AGREEMENT WITH THE DISCLAIMER PRINTED JUST BELOW. CLICK THE 'I AGREE' BUTTON TO AGREE TO THESE TERMS AND SEE THE RESPONSE.
- Dr. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
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- Questions submitted to this column are not guaranteed to receive responses.
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- No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Dombeck to people submitting questions.
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- Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.
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