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Treatment Resistant Depression

Mental illness and medical assistance in dying

Medical Assistance in Dying for Mental Illness

Should people with mental illness have access to medical assistance in dying? In Canada, that’s going to happen in the near future, but exactly what it will look like hasn’t been decided yet. This is something I support, but a lot of people don’t, so I thought I’d write about it. A bit of background …

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Why do psych medications sometimes stop working? - image of a pill bottle

Why Do Psych Medications Stop Working Sometimes?

The idea for this post came from Angela of I Am My Own Island, and others have also expressed interest in her suggestion. It’s taken me a while to pull this post together because there just isn’t a simple answer as to why psych medications stop working out of the blue sometimes. There are various …

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Non-acceptance, suffering, and mental illness - outline of a person meditating in lotus position

Non-Acceptance, Suffering, and Mental Illness

Winter Dragonflies wrote quite a while back about creating your peace. It made me think about the relationship between non-acceptance and suffering in the context of mental illness, and I started this draft that I’ve finally gotten around to writing. Mental illness isn’t fun, that much is clear. How we relate to illness, wellness, and …

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This one flew over the cuckoo's nest: electroconvulsive therapy (ECT) in real life

This One Flew Over the Cuckoo’s Nest: ECT in Real Life

Ask anyone of a certain age what comes to mind first when they hear the term electroconvulsive therapy (aka ECT, aka electroshock therapy, aka shock therapy), and chances are they will mention the film One Flew Over the Cuckoo’s Nest starring Jack Nicholson. The reality is very different.

Treatment-resistant depression and what my meds do still help with - image of pill bottle and depressed person

Treatment-Resistant Depression: What My Meds Do Help With

Pretty much the same cocktail of meds I’m on now used to work well, and got me into full remission (i.e. no symptoms at all between episodes). I’m not sure what got me thinking about this recently, but while my depression has become increasingly treatment-resistant overall, my medications are still doing a pretty good job …

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Managing depression: which puzzle pieces are right for you? Therapy? Meds? Mindfulness? Physical activity?

Managing Mental Illness Requires More Than One Tool

It would be nice if treating mental illness was as simple as popping a pill and carrying on with life. But of course life (and mental illness) doesn’t work that way. Managing a chronic mental illness means drawing on multiple different tools and trying to build up the toolbox as much as possible. My evolving …

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Options for treatment-resistant depression

Treatment-Resistant Depression: When What Should Work Doesn’t

Wouldn’t it be nice if the treatment of depression was simple? Unfortunately, there’s nothing simple about depression treatment in the real world. Treatment-resistant depression (TRD) refers to depression that hasn’t responded to trials of adequate duration and dosage of at least two antidepressants. It’s important that previous medication trials be long enough that you’re actually …

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Ketamine for treatment-resistant depression

Ketamine for Treatment-Resistant Depression

I love Canada, but sometimes we’re a little behind. Drug approval by Health Canada is slower than in the US, and fewer clinical trials are done here. I’d be really interested in trying out ketamine, but it doesn’t have Health Canada approval for use in depression, there are no clinical trials in my neck of …

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Botox for depression: A surprising option for treatment-resistant depression

Getting Botox for Treatment-Resistant Depression

Would you have guessed that Botox could help with treatment-resistant depression? Probably not, but read on to find out about my experience with it. I’m not a cosmetic procedures kind of gal, and Botox (botulinum toxin) was never on my wish list. Power to others if that’s what works for them, but given that I …

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