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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

I am severley bulimic of about 10years, have had a cardiac arrest once, had many many years of psychologist treatment, cbt etc and dont see a way out except suicide. talking doesnt help, i can get the specialist treatment i need, it makes me incredibly depressed, my gp doesnt understand or help and I cant stop. what do I do?

posted on Thu, 13 Mar 2014
Twitter Thu, 25 Sep 2014 Answered on
Twitter Thu, 25 Sep 2014 Last reviewed on
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Psychiatrist,  's  Response
Hi

I understand your concern.

Suicidal thought in depression can not be treated with CBT.

Need extensive management.

sudden suicidal thought ca ne beneficial with ECT.

ECT is elector convulsive therapy and it is the choice in severe depression and suicidal thoughts.

Improvement occur in 2 week then gradually shift to anti depressant drugs.

Anti depressant medicines like escitalopram and sertraline will help a lot but can be given after proper evaluation.


Still have a query then feel free to ask.


Thank you.
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Suggest Treatment For Depression

Hi I understand your concern. Suicidal thought in depression can not be treated with CBT. Need extensive management. sudden suicidal thought ca ne beneficial with ECT. ECT is elector convulsive therapy and it is the choice in severe depression and suicidal thoughts. Improvement occur in 2 week then gradually shift to anti depressant drugs. Anti depressant medicines like escitalopram and sertraline will help a lot but can be given after proper evaluation. Still have a query then feel free to ask. Thank you.