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I am 46 male with chronic depression over last 24 years, the problem is not depression but severe cognitive problems like very poor short term memory, slow thinking, walking balance problems, slow grasping etc that happened during first episode of Major depression 20 years back. I am currently using 50 mg paroxetine, 300 mg lamictal (helped me a lot) 20 mg buspin to deal with my anxiety and depression to reasonable extent. I used to have excellent n very sharp memory n high degree of confidence before my first major depressive episode, and used to be always topper during my academics. But my sharp memory n fast thinking, confidence levels never returned back even after 24 years of depression treatment. Can anyone suggest add on medication that can effectively improve my short term memory, balance issues while walking, impaired thinking etc. I do puzzles etc n keep myself busy but memory part of my brain is not improving. Pl.suggest medication helps in neuro psychiatry that helps in cognition problems in severe depression cases.
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Dear Krishna, i am not sure whether your sharp memory, fast thinking and high degree of confidence were symptoms of hypomania before this major depressive episode. If it is so, let it not come back, because your judgement may become bad during manic episode. It is good that lamictal is helping you a lot. Slowly your doctor may reduce your paroxetine and buspin dose. You may feel better. I would like to assess your cognitive problems before suggesting any medicine.
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