Maximum dose- what next?

sherlock holmes · 01-10-2008, 06:22 PM

Today my meds were increased again. I'm now on 45mg of Mirtazapine, the maximum dose. It's because my mood has dropped, I've been self harming and having suicidal thoughts. I've been on so many different types of anti depressants before, then I was put on mirtazapine and it helped for a while, then stopped working so the dose was increased recently and then again today.

I can't swallow tablets so I'm limited to what anti depressants can be prescribed. I'm fast running out of new ones to try. I am doubtful the mirtazapine is going to help, and then where will I be? I am having therapy (DBT) also which is not helping and I am worrying a lot about what will happen next when nothing is helping.

I feel like giving up. I'm scared someone's going to suggest going back into hospital and I really, really don't want that.

I don't know what to do.

Heidi Tiger · 01-10-2008, 07:06 PM

How long have you been having DBT?And why don't you think it is helping you?
If the mirtazapine worked on a lower dose before then hopefully it should work on a higher dose, I doubt your doctor would have increased the dosage unless he thought it would work.

In regards as to what you can do, well just don't give up no matter how much you feel like it. As long as you are continuing with your therapy and taking your meds you are doing all you can. And as long as you are trying to keep yourself as safe as you can then hopefully you can stay out of hospital.
Take care
xxx

sherlock holmes · 01-10-2008, 09:13 PM

I've been having DBT since January, where I started it in hospital. It seemed to have a positive in hospital, along with the mirtazapine, but since I was discharged things seemed to have gone downhill again.

Heidi Tiger · 01-10-2008, 09:18 PM

But wasn't it always going to be harder out of hospital than in hospital? Hospital is a very controlled and safe environment. I would imagine adjusting back to life in the outside world will take some time.

Don't knock your own achievements. Ok you are struggling now, but you were obviously thought well enough to leave hospital, but you are still fighting. I think that in itself is an achievement