There are at least 2 anti depress ants that are indicated for treatment resistant depression now - vertioxitane and aripiprazole. V is only in the last 5 years on the market. We discussed it for me when I last saw the psych and psych pharmacist. The problem is they're both psychiatrist prescribed. I'm currently on aripiprazole 20mg and duloxetine at a very high dose and that just about manages my bipolar depression episodes.
I went through a lot of antidepressants. What helped was a great psychiatrist, a psychotherapist (not just counselling) for 18 months and the right drugs.
Have you mapped your episodes of poor sleep? I know you have the records on here, but if your GP is thinking other stuff is underlying then could you get data together to help them?
Good luck with all of this. Being treatment resistant is one of my fears as it took so long to find the drug combination and people combination to help last time. But it can happen even after 65 years in mum's case :)
This may not be helpful so feel free to ignore
I went through a lot of antidepressants. What helped was a great psychiatrist, a psychotherapist (not just counselling) for 18 months and the right drugs.
Have you mapped your episodes of poor sleep? I know you have the records on here, but if your GP is thinking other stuff is underlying then could you get data together to help them?
Good luck with all of this. Being treatment resistant is one of my fears as it took so long to find the drug combination and people combination to help last time. But it can happen even after 65 years in mum's case :)