I m a depression patient since last 20 years, currently i m taking flunil 60,bupron XL 150mg and Vibrania D (vit D+B12), I still experience lack of motivation /energy,memory related issues(short term memory) , brain fog and weakness in legs.Pls suggest any change or add on treament for the current medication.Pls advise asap as 20 years is too big a time in ones life

Dr. Saul PereiraPsychologist48yrs exp

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Twenty years of depression is indeed a very long time. I do not envy you. But I am sure you may not have done this: work with a counselor. S/he will guide you to work on several other related issues to help you walk through life and handle every day routines very effectively. It is not enough to rely only on medication. In fact, this is the only condition were you are required to literally do the opposite of what you feel like doing. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this disease. You must become active; stay upright during the daylight time; meet people; never sleep during the day, and wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend Yoga classes etc. Watch a lot of sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. I hope you have someone to love and be loved too. Whatever happens please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings too. 

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