u/Low-Book-1981

hi, i'm 23F, diagnosed with depression and treatment resistant OCD.

i've been on:

1. fluoxetine (ineffective)

2. sertraline (not very effective)

3. bupropion (just gave me serotonin syndrome, took it unprescribed at the height of my ED to lose weight)

4. escitalopram (virtually useless, just made me hungry)

5. vortioxetine (better than nothing, limited effectiveness)

psychiatrists are mostly condescending if you try to provide input ime, but i can try emphasising that these meds haven't worked at my next appt, whenever that is. i have excessive daytime sleepiness, like i will fall asleep even if i've slept around 6 hours. when awake i spend all my time laying in bed doomscrolling and at max will eat and shower. maybe make a cup of tea. i have higher expectations of myself than that. i want to do well professionally and progress intellectually. doomscrolling definitely hasn't helped with that.

does anyone have recommendations for how to communicate better with psychiatrists (who are often condescending older men) - or maybe any other meds to explore?

i've been heavily depressed and suicidal since i was about 14. i'm currently trying to cope with supplementing vitD3+K2, rhodiola rosea and ALCAR.

hi, so ive been diagnosed with OCD and depression. i am currently not on ssris or any other psychiatric medication- i also haven't found it super helpful, having been on fluoxetine, escitalopram, sertraline and bupropion at different times in my life. as a result of (i can only suppose) mental illness and probably also laziness, i have next to zero will to do anything except lay in bed and doomscroll. i also have excessive daytime sleepiness irrespective of how many hours i sleep at night. like i can't fight sleep if i lay down for 20 or more minutes/rest my head in a car journey etc., even if im occupied with looking at my phone.

i presently take the following every morning:

1. a vitamin D3 and K2 supplement

2. rhodiola rosea, 750mg (read that it's good for fatigue)

3. ALCAR, 750 mg (i've read that depressed people have half as much ALCAR as non-depressed people)

yet i still can't resist sleeping.

i know modafinil is the gold standard easily available wakefulness pill, but i have a really awful time with modafinil-caused anxiety. or on the other hand, it's ineffective and i end up taking too much modaf with no major upside. either way, my will to sleep can overpower modaf as well.

on a usual day, i wake up, try to will myself to do anything, and end up just eating, sleeping and using the washroom.

other than taking SSRIs or other antidepressants, can anyone recommend anything? my blood tests seem within normal levels, so maybe there's something specific i haven't tested for- i would really appreciate any input. i'm at my (meagre) wits' end.

it's based on 1001 nights/arabian nights and it's not the canadian one or aladdin or the animé version... i was very young when i watched it but i do remember it had a sort of paper cutout animation style; i've been trying to find it by eliminating other 1001 nights adaptations but i don't know that many helpful details... including whether it's a film or series