What AD options are there for me?
I have hypothyroid - when it started (four years ago) all SSRI's quit working for me. I had been on an effexor/zoloft combo(low dose) for 5 years successfully. after I started getting sick with the thyroid (and gaining 60 lbs in one year) we tried the gamut of SSRIs (and serzone), I also tried wellbutrin with no improvement. I have tried imiprimine (tri-cyclic) and it made me feel weird and dizzy. I have also tried stimulants - which work great - but I just had to come off of one three weeks ago because they told me I can't take them long-term and I'm risking heart damage. I don't want to take an MAOI and one doc suggested Lamictal and after reading about it, I don't think I want that either. I can't take other neuroleptics like topomax because it decreases the effectiveness of the birth control pill. Can't have that....is there anything else out there I can try - I need an AD - I've tried in the past to go without and I don't do well....Any ideas would be greatly appreciated. (I have unipolar major depression ("severe" on the questionaire), GAD, social anxiety, agrophobia, chronic insomnia, and a touch of OCD (mostly the obsessive part)....I would appreciate any help you can give me....
Thanks so much - I am so down I can't concentrate and my job depdends on it -