What are /r/depressionregimens' favorite Products & Services?

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My experience (been on fluoxetine for about ~10 years):

1. Try intermittent fasting. For some reason eating always makes me sleeping, been IF for a couple of months and have much more energy

2. Vitamin supplements. Check blood work to see if you have enough vit b, d and iron especially. Try to go for 100% rda of ALL vitamins+minerals. If money/time is an issue, at least take a multivitamin.

3. Drop sugar or at least reduce it.

4. Try green tea instead of coffee. It doesn't have caffeine but still will give you a more focused state of mind.

5. Make sure u drink sufficient amounts of water. This has to do with weight/age/gender. A nice app to find out required levels of water per day is Water Drink Reminder---->https://play.google.com/store/apps/details?id=com.northpark.drinkwater

6. Start jogging/running. This gives you a nice high that lasts quite long. Also, it helps with anxiety, as it relaxes you and ur sleep quality increases.

Wish u all the best

I'm not saying you're doing this, but just see if the following rings true:

If your understanding of exercise (currently) only encompasses certain kinds of activities, or certain intensities (especially grueling workouts), you might think all exercise feels really bad. A lot of new exercisers jump in with good expectations but end up doing too much too soon, and it hurts. It's sweaty and uncomfortable and then you're sore the next day. Why does anyone like feeling like that?

Because if you stick with it, and/or if you alter your definition of exercise to include lower intensity activities, it starts feeling good for almost everyone. Maybe not during the time you're exercising, but that's okay. Exercise in different forms is a pleasure for some people and a chore for others. But I firmly believe that exercise is a necessary component of good mental and physical health.

It saddens me that a lot of people don't exercise because they think exercise only means one thing, and they don't like that one thing (usually that thing is the gym). I always tell my patients to pick a lower intensity activity if they are having trouble with exercise adherence. If running means pain and sweat and breathlessness to you, why not try walking instead? If lifting weights is not your cup of tea, could you commit to home bodyweight exercises? Or home yoga videos? Do you enjoy a hobby that you might not have previously considered to be exercise, like gardening? The light exercise you will do is always better than the vigorous exercise you won't.

I would really encourage you to try making a habit of any kind of daily activity that seems doable to you. It can sound daunting, but it doesn't have to be.

The Carex lamp mentioned here is great. Here it is on Amazon.

It's not cheap but it's bright. When you see lamps advertised as 10k lux look at the distance they are rated at. Some are like 6". This one is at least 12" maybe 18". With the stand you can actually comfortably keep that lamp a foot away, above eye level, and read a book.

Tons of great suggestions here! But no one has mentioned genetic testing. If you’re feeling like you’re hanging by your fingernails and are sick of trial-and-error medicine, I strongly recommend genetic testing. There are places you can do as a consumer directly, and there are labs that doctors and psychiatrists can order for you. Things like MTHFR and COMT mutations are popular to test for. You may find you have one of the gene variants that decreases the likelihood of treatment with certain meds and implicates others. Can save you years of trial and error. I really don’t know why it’s not a mandatory test after failing first and second like AD meds.

If you like doing things yourself, get the full 23andme sequencing (like $140) and then run it through Promethiase ($5). A dr will likely prefer to confirm findings with a certified lab tests before using it as the basis for prescriptions, but it’ll definitely help with hopelessness just to read through your genetic mutations. And that seems like your biggest problem at the moment: hopelessness that you’ll achieve remission. I did it, after 15 years of suffering, and I **really **didn’t believe it was possible. You can too, but find a good psych, even if you have to call everyone on Psychiatry Today in your entire metro area. Do it now

With regards to the fish oil you don't want just any fish oil. Specifically it's omega 3 EPA which has been shown in some trials to be beneficial for depression.

Most cheap Omega 3 is ALA which is made from flax seed, the stuff made from fish produces EPA and DHA and often you'll see all three listed because ALA is used to make the product cheaper.

The best I've been able to find is a 2:1 ratio of EPA to DHA gel caps and you'll want to take enough of to get about 2000mg of EPA per day which is when the benefits seek to plateau.

Buying it at the grocery store is expensive, Amazon is better but the best price I've found is at Costco. (Note the ingredients on that bottle on Amazon, 600mg:300mg of EPA:DHA, I take 3 a day). It takes 1 - 2 weeks to kick in and has a very subtle effect ime.

Also I've successfully used it to help with SNRI withdrawal, it seems to reduce the intensity of the brain zaps, but this is just my own anecdotal experience.

I'm not wasting anymore time on this, because obviously you don't know what your talking about. But since I'm generous and feel ok with TRYING (key word since you just seem to want to argue and apparently lack reading comprehension skills above that of a fourth grader) to educate you. That being said, I will provide you with only ONE article. Google the shit yourself and stop coming at me. No, I would not like to continue the conversation after this. You're clearly just trying to prove something and I'm not going to hang out while you belittle, mean little internet stranger. Good luck in life, my friend.

https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants-and-alcohol/faq-20058231

Sleep deprivation has long been known to have an antidepressant effect. Look into "diurnal variation". I hope you're not saying that you usually only sleep two hours. Typically total sleep deprivation results in a significant mood boost for depressives, but even taking a little nap will bring back to your depressed baseline. For those suffering from this, you can try resetting your circadian rhythm with wake therapy/chronotherapy and bright light exposure.

https://www.amazon.com/gp/product/3318020907/ref=ppx_yo_dt_b_asin_title_o08_s00?ie=UTF8&psc=1

If you want a good book that expounds greatly on the topic I highly recommend the book :
"How to Be an Imperfectionist: The New Way to Self-Acceptance, Fearless Living, and Freedom from Perfectionism"

https://www.amazon.com/How-Be-Imperfectionist-Self-Acceptance-Perfectionism/dp/0996435409/ref=sr\_1\_4?dchild=1&keywords=imperfectionist&qid=1622778120&sr=8-4

Nature Bright SunTouch Plus Light and Ion Therapy by Amazon.com Learn more: https://www.amazon.com/dp/B000W8Y7FY/ref=cm_sw_em_r_mt_dp_ESHwFb5AERAJE

Midwest, here, I understand the dread. The sun lamp take 3-4 day for me, to feel the lift (30 min 1x/day) but is very nice. 12” distance is what was researched; makes it hard to do anything so I will read my Bible with it a little further away than that. Get the lamp now, Oct 1 used to be my usual start but the past couple of years I have started on Labor Day.

I found the agmatine sulphate to be a lively addition... other talk about it in grams and 250mg had a definite effect to me. Just take your time with it, do your research but it’s generally considered safe.

Are you able to walk around the block (or up and down the street)? Can you get a 20 minute walk in during little one’s nap? Gets you a break with fresh air and some light exercise: all wins.

Get a list of slow cooker meals for if things get bumpy, so you don’t have to think about it you can just grab a list.

Hugs.

It gets better a little each day and I take about 2 weeks to get used to it. It gets better faster if you exercise or take long walks. The medicine kind of transforms you into a healthier you over time. My eating and smoking habit is easier to control with this than without it (an extra advantage in taking Auvelity).

​

https://www.amazon.com/dp/B000V83X5U?psc=1&ref=ppx\_yo2ov\_dt\_b\_product\_details

Auvelity is 45g DXM and 105mg Bupropion. The Mucinex DM - Maximum strength - 12 hour release tablets, come in 30mg or 60 mg dextromethorphan. You choose your dosage...less or more. I went for the 60mg MucinexDM... Take 1 in the morning when you wake up and 1 when you go to sleep.

https://www.amazon.com/dp/B000V83X5U?psc=1&ref=ppx\_yo2ov\_dt\_b\_product\_details

Actually, I am buying 30mg tablets now from Amazon. I take 2x30mg and 300mg bupropion XL am and 2x30mg and 150mg bupropion XL pm https://www.amazon.com/RoboHBr-Cough-suppressant-Dextromethorphan-Tablets/dp/B0B4F5V6PG

https://www.mayoclinic.org/tests-procedures/light-therapy/about/pac-20384604

here's the may clinic information on light therapy (scroll down to the results section if you want to read what they have to say about your question)

looks like it can start to work in just a couple days, but may sometimes take two weeks or more

there's also information about properly using it so that you can check you're doing everything you need to in order to make sure you get the best chance of success with it

good luck with it, I hope it is effective for you :)

How long did you take it before it "bumed" , and are you doing anything else besides medication?

https://www.amazon.com/Upward-Spiral-Neuroscience-Reverse-Depression/dp/1626251207/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=

No problem. Here is the link:

https://www.amazon.com/gp/product/B005CD3J9E/ref=ppx_yo_dt_b_asin_title_o01_s00?ie=UTF8&psc=1

The gel caps don't smell at all and have not caused any burping. I will definitely make sure to update how it goes.

Not saying this will cure anything, but doing the exercises of these books actually helped me become more aware of the things i was doing to maintain the thoughts and writing them down instead of trying to think through my thoughts.

https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762/ref=sr_1_1?crid=C3CBJ5T4R47Y&keywords=Feeling+good&qid=1653326944&sprefix=feeling+goo%2Caps%2C168&sr=8-1

I’m on Bupropion and Pristiq and my psychiatrist actually recommended it. I take 200 mg in AM and 100 mg in PM. He also has me on 10 mg of lithium orotate and Magnesium L-Threonate, I don’t remember the dosage but 3 pills each PM of this - https://www.amazon.com/dp/B006P536E6/ref=cm_sw_r_cp_api_i_5XP5ECZ36RVMN7NYRY9P?_encoding=UTF8&psc=1

I was skeptical that all of these would work but they worked for 6ish years. I finally just decided to do Ketamine- he’s been talking about that for the last 4 years. The cost is a lot but I’m going on my 3rd infusion Monday and the difference is night and day. I’m still taking my prescriptions and supplements but will hopefully get off them soon. But if you need a quick boost, ketamine is by far the best. Before the first infusion I was a 3/10 on my depression scale (10 being the best) after 2 days I was up to a 6. After my second, I’m up to an 8. We will definitely be paying the credit card for a while but its better to have to pay for something that keeps me alive. I hope you find something that works - depression is hands down, the worst.

The crawling has to be done the right way though. This is the book that my trainer learned crawling from. (https://www.amazon.com/Original-Strength-Tim-Anderson/dp/1626974616) I read it and it's a bit wordy but the info exercises are really great. Hope it helps.

It triggers a cascade obviously that relieves depression, I found this article for the general audience that gives a good impression that acid is far from placebo.

https://edition.cnn.com/2016/04/12/health/lsd-brain-imaging/index.html

I have two things to comment on.

1. Hey!! I also have essential tremors and have only met a handful of people with it. Mine are full body, while I’m at rest and active. No medication has worked for me without causing severe mood issues. I’m currently waitlisted at a neurology clinic for DBS. I don’t know how bad your tremors are or what you consider mild, but since you’re looking to go into a surgeon field I think it’d be worth looking into as a long term solution.

https://www.webmd.com/brain/essential-tremor-brain-stimulation - general info

https://www.medtronic.com/us-en/patients/treatments-therapies/deep-brain-stimulation-essential-tremor/personal-stories/bryan.html - patient account from a manufacturer site

1. I am currently on Effexor. I sincerely hate it with every ounce of my being. It has 100% made my tremors worse to the point my legs are sore all the time. I’ve had really really adverse side effects and it suddenly stopped working for me after 3 years.

I also don’t know ANYONE who is on Effexor and likes it. I don’t think the side effects and feeling of death when you miss a dose is worth it.

https://www.amazon.ca/Cordyceps-Mushroom-Capsules-Real-Mushrooms/dp/B0793FB3LQ/ref=mp_s_a_1_1_sspa?keywords=m+cordyceps&qid=1643084231&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExQzFaSVBMUUhVUjdZJmVuY3J5cHRlZElkPUEwMDcxNTUw...

Light Therapy Lamp, UV-Free 10000 Lux Bright White Therapy Light, 90° Rotatable Stand with Timer, Brightness Adjustable, Touch Control, Memory Function https://www.amazon.com/dp/B09F8XQGTD/ref=cm_sw_r_apan_glt_fabc_TSHXBVNCXSWJ15ES5CRD?_encoding=UTF8&psc=1

Man, you should try Clomipramine for that shit. One of the few drugs that can work for depression when MAOIs fail and probably the golden standard for OCD. One of the most interesting and most effective combos for TRD I have seen in literature is high-dose Clomipramine + Lithium + 2-3 grams of L-tryptophan daily, total depression destroyer that works even when MAOIs and everything else has failed! I am pretty sure Clomipramine + L-tryptophan would destroy most cases of OCD as well.

This is my favourite study of the combination, very good read. One case was of a woman who had the most severe form of psychotic and catatonic depression one could imagine. "Clomipramine, tryptophan and lithium in combination for resistant endogenous depression: seven case studies.", link to pdf: https://gofile.io/?c=AEijn4

And you can still be on this combo with your other meds really. Well, with L-tryptophan augmentation you would have to take care as taking too much can cause "serotonin syndrome light" but it is nothing dangerous and resolves within a few hours.

As for the ketamine people with your type of problems rarely seem to have much of a positive response to the infusions. I think your best bet is to take daily ketamine in lozenge/nasal/sublingual or even oral form, as an adjunct to whatever else you are taking. Oh I suppose as a bonus it would probably be helping you with some of that there neuropathic pain. By the way, TCAs like Clomipramine seem to be superior for these types of pain too compared to the SSRI/SNRI type of drugs. Well at least amitriptyline and nortriptyline do but I am pretty sure this is the case with Clomipramine as well(see no reason as to why not).

Have you considered trying full dopamine agonists like pramipexole or cabergoline instead of the Abilify? If you respond well to stimulants otherwise, that may be a good idea too. Anyway I think I remember you expressing a desire to try Clomipramine a few months ago.. you should definitely do it.

Trazodone is not a particularly pro-serotonergic drug so there is no reason to be worried about any serotonin syndrome with the combination. You can read more about L-tryptophan augmentation here: https://psychotropical.com/parnate-starting-and-adjusting-dose/

At worst you get "serotonin syndrome light" that passes within a few hours if you take too much tryptophan. Nothing dangerous.

Here is another study showing how effective L-tryptophan can be in reversing a poop-out, in this case it was used to make a combination od Clomipramine + Lithium work in extremely severe treatment resistant depression. "Clomipramine, tryptophan and lithium in combination for resistant endogenous depression: seven case studies.", link to pdf: https://gofile.io/?c=AEijn4

One of the cases there had the worst type of depression possible: The catatonic and psychotic kind where one even loses the ability to speak. She went into full remission and remained well several years after on the Clomipramine + L-tryptophan combo, not sure if she eventually discontinued the lithium or not. Clomipramine can actually sometimes work even where MAOIs like Nardil and Parnate have failed. Pretty sure one of those patients in the study had been on phenelzine(Nardil).

Ah and I understand that everything is of course a lot harder to do if you live in Germany. Maybe you could get to try the Clomipramine + Lithium + L-tryptophan combo and/or very high dosage Parnate plus L-tryptophan. Like I said before there are several people over at r/MAOIs who beat their Parnate poop-outs by adding L-tryptophan into the mix.

Here it is, "Clomipramine, tryptophan and lithium in combination for resistant endogenous depression: seven case studies.", link to pdf: https://gofile.io/?c=AEijn4

You can also just put that citation on sci-hub.tw , though last time I checked it didn't work with that study due to some database error.

I sent mine a link to Hyperbole and a Half's "adventures in a depression" (parts 1 and 2). The artist does a phenomenal job of accurately portraying depression in a pseudo lighthearted way.

I was, and am, very embarrassed of my depression. This was an easy way to say "this is what's happening with me. I'm struggling. I want you to understand, but I don't really want to talk about it"

https://tinyurl.com/7pflme2

Let's maybe do that? I'd like to talk this and meds, so created a group in telegram: https://telegram.me/joinchat/BpkzOQfV8F1SpW92JqEkzw

(it's anonymous messaging app, phone number is only used to sign up, it's fast even in huge chats and doesn't drain battery: https://telegram.org/)

https://habitica.com/static/home This is a really great app to start forming habits. I also use to really lack personal care. I highly suggest you start brushing your teeth daily. I went to the dentist a couple of years ago (16) and had never went back. at 23 I finally went back, spent about 2k. Now at 25, this year has been about 3k. Which included multiple cavities and 2 root canals (on the same tooth) I regret not taking care of my teeth!

Thanks, I'll take a look at this. Can you take a look at the label of this and tell me if it seems to be missing anything? It looks like it has some B-vitamins, C, and some zinc. I've been taking it once a day for 4 weeks.

https://www.amazon.com/gp/product/B01EVQYNI8

This is what you want: https://smile.amazon.com/Carex-Day-Light-Classic-Bright-Therapy/dp/B00PCN4UVU

There are many essays available online dealing with the relationship between depression and light exposure and circadian rhythms. Here is just one of dozens.

Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings

Bright light therapy was shown to be a promising treatment for depression during pregnancy in a recent open-label study. Ten pregnant women with DSM-IV major depressive disorder were randomly assigned from April 2000 to January 2002 to a 5-week clinical trial with either a 7000 lux (active) or 500 lux (placebo) light box. At the end of the randomized controlled trial, subjects had the option of continuing in a 5-week extension phase. Salivary melatonin was used to index circadian rhythm phase for comparison with antidepressant results. Although there was a small mean group advantage of active treatment throughout the randomized controlled trial, it was not statistically significant. However, in the longer 10-week trial, the presence of active versus placebo light produced a clear treatment effect with an effect size similar to that seen in antidepressant drug trials. Successful treatment with bright light was associated with phase advances of the melatonin rhythm.

https://www.ncbi.nlm.nih.gov/pubmed/15096083

This is what you want: https://smile.amazon.com/Carex-Day-Light-Classic-Bright-Therapy/dp/B00PCN4UVU

There are many essays available online dealing with the relationship between depression and light exposure and circadian rhythms. Here is just one of dozens.

Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings

Bright light therapy was shown to be a promising treatment for depression during pregnancy in a recent open-label study. Ten pregnant women with DSM-IV major depressive disorder were randomly assigned from April 2000 to January 2002 to a 5-week clinical trial with either a 7000 lux (active) or 500 lux (placebo) light box. At the end of the randomized controlled trial, subjects had the option of continuing in a 5-week extension phase. Salivary melatonin was used to index circadian rhythm phase for comparison with antidepressant results. Although there was a small mean group advantage of active treatment throughout the randomized controlled trial, it was not statistically significant. However, in the longer 10-week trial, the presence of active versus placebo light produced a clear treatment effect with an effect size similar to that seen in antidepressant drug trials. Successful treatment with bright light was associated with phase advances of the melatonin rhythm.

https://www.ncbi.nlm.nih.gov/pubmed/15096083

This is what you want: https://smile.amazon.com/Carex-Day-Light-Classic-Bright-Therapy/dp/B00PCN4UVU

There are many essays available online dealing with the relationship between depression and light exposure and circadian rhythms. Here is just one of dozens.

Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings

Bright light therapy was shown to be a promising treatment for depression during pregnancy in a recent open-label study. Ten pregnant women with DSM-IV major depressive disorder were randomly assigned from April 2000 to January 2002 to a 5-week clinical trial with either a 7000 lux (active) or 500 lux (placebo) light box. At the end of the randomized controlled trial, subjects had the option of continuing in a 5-week extension phase. Salivary melatonin was used to index circadian rhythm phase for comparison with antidepressant results. Although there was a small mean group advantage of active treatment throughout the randomized controlled trial, it was not statistically significant. However, in the longer 10-week trial, the presence of active versus placebo light produced a clear treatment effect with an effect size similar to that seen in antidepressant drug trials. Successful treatment with bright light was associated with phase advances of the melatonin rhythm.

https://www.ncbi.nlm.nih.gov/pubmed/15096083

This is what you want: https://smile.amazon.com/Carex-Day-Light-Classic-Bright-Therapy/dp/B00PCN4UVU

There are many essays available online dealing with the relationship between depression and light exposure and circadian rhythms. Here is just one of dozens.

Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings

Bright light therapy was shown to be a promising treatment for depression during pregnancy in a recent open-label study. Ten pregnant women with DSM-IV major depressive disorder were randomly assigned from April 2000 to January 2002 to a 5-week clinical trial with either a 7000 lux (active) or 500 lux (placebo) light box. At the end of the randomized controlled trial, subjects had the option of continuing in a 5-week extension phase. Salivary melatonin was used to index circadian rhythm phase for comparison with antidepressant results. Although there was a small mean group advantage of active treatment throughout the randomized controlled trial, it was not statistically significant. However, in the longer 10-week trial, the presence of active versus placebo light produced a clear treatment effect with an effect size similar to that seen in antidepressant drug trials. Successful treatment with bright light was associated with phase advances of the melatonin rhythm.

https://www.ncbi.nlm.nih.gov/pubmed/15096083

Me too, I don’t have prescription sunglasses either. This is what I use over my regular glasses: https://www.amazon.com/Sunglasses-Glasses-Polarized-Protection-Wrap-around/dp/B08RYFBN69/ref=mp_s_a_1_2_sspa?dchild=1&keywords=cover+over+sunglasses+for+men&qid=1621396422&sprefix=cover+over+sun&sr=8-2-spons&psc=1&spLa=ZW5j...

I would only to wear it when I’m driving or when I’m around water or other reflective surfaces now.

Have you looked into ketamine?My situation is close to yours (schizo with anhedonia and avolition being the main symptoms for 10 years) and it's the only thing that helps with feeling empty and inert.Also,the meds themselves contribute to anhedonia and avolition and more stuff that impacts quality of life more than what the drugs are supposed to treat,look up this book for starters.

Sure! The brand is called Pure Synergy, and I get them from Amazon. Here’s the link.

Pure Synergy Blue-Green Algae | 90 Capsules | Made with Organic Ingredients | Non-GMO | Vegan | Sourced from Upper Klamath Lake Oregon https://smile.amazon.com/dp/B008HFPK6Y/ref=cm_sw_r_cp_api_glt_fabc_1NM7SAP951MMZ43MKVVF?_encoding=UTF8&psc=1

NatureWise Omega 3 Wild Alaskan Fish Oil (Burpless) 2000mg for Heart Health, Cholesterol Supplement – Vitamin E, EPA and DHA, Wild AlaskOmega, Packaging May Vary (1 Month Supply – 60 Softgels) https://www.amazon.com/dp/B07Z9M4TTY/ref=cm_sw_r_cp_api_glt_fabc_WAN4FVF8AZJEPMNZ5G6J?_encoding=UTF8&psc=1

Omega 3 Fish Oil 4,080mg - High EPA 1200mg + DHA 900mg Triple Strength Burpless Capsules - Arazo Nutrition (120 Count) https://www.amazon.com/dp/B01GV4O37E/ref=cm_sw_r_cp_api_glt_fabc_ZVQ133S35VQV1AY3RVAC

These are both over dosage of the amount in the study but I don’t think overshooting should backtrack results.

This is the current model of the first light you mention. In any case, the light is supposed to shine down on the eyes from above.

I bought this awhile back at my then-therapist's instructions. https://www.amazon.com/Dialectical-Behavior-Therapy-Skills-Workbook/dp/1572245131

turned out, he was a shit therapist, but the notebook looks pretty good. I never got very far in it after my second session with him when he fell asleep during the session. I may go back to it as reading material.

I realize this is not a supplement however I believe it’s far more powerful. Your issue is one we all face.

Joyful Wisdom: Embracing Change and Finding Freedom by Mazaka Learn more: https://www.amazon.com/dp/0307407802/ref=cm_sw_em_r_mt_dp_WwERFbMB3Q8HQ

I use a Verilux VT23 but it doesn't seem to be on sale anymore. I think this is the newer version of it, the VT32 and above models have color temperature settings as well. Gets the job done for Minnesota winters.

You could try some supplements that are recommended for libido. I'd probably start with a gelatinized maca powder, like this. If that doesn't do anything for you, there are others like fenugreek or pycnogenol (which may not increase libido itself, but can help with arousal).

I don't know how these work when the decreased libido is caused by antidepressants, or if there are potential interactions to consider, so that might be something to look into.

He recommended 2.5 mg - 5 mg and told me that Amazon had the best price (though it is expensive) I bought this one.

It’s the Cognitive Behavioral Workbook for Depression by William J. Knauss https://www.amazon.com/Cognitive-Behavioral-Workbook-Depression-Step/dp/1608823806/ref=mp_s_a_1_1_sspa?dchild=1&keywords=the+cognitive+behavioral+workbook+for+depression&qid=1602215787&sprefix=the+cogn&sr=8-1-spons&psc=1&sp...)

Once I got a handle on my depression, I’ve been better able to tackle my anxiety

I had a Genomind test roughly 6 years ago. My pdoc strongly encouraged me to take Deplin as a result and I did. It’s not covered by my insurance though and is a bit pricey. A few years back he gave me some l-methylfolate options that he said could take the place of the Deplin. The one he recommended most highly turned out to be the most reasonable in terms of price (see link below). I’ve been using this brand for several years now. I’ve never noticed any difference with my MDD after taking Deplin and now l-methylfolate. But, my pdoc still recommends it. I also take B6, B12 and a handful of other vitamins and supplements.

https://www.amazon.com/dp/B07KPJ5PXS/

I'm buy it on Amazon. Nature's Trove 120 tablets for about 50$. It's pricey but still cheapest I've seen and without it I'm a mess lol. Here's the link.

I’ve found the Olly brand at Target and Walmart thus far. I now order off Amazon.

If it ends up working for you, they do sell an 84 count bottle that I now get! If you don’t, try to take a multi-vitamin as well! 😊

https://www.amazon.com/Carex-Day-Light-Bright-Light-Therapy/dp/B002WTCHLC

Carex Day-Light Sky Bright Light Therapy Lamp - 10,000 LUX

I have two of these and swear by them for productivity and energy. The older one is CFL vs. LCD. I like both but I think the CFL one might be a little more effective because it leaks a little UV ... I've noticed some color on my skin sitting under it (working on my laptop) for a long time. If you can get one of the old CFL ones, you must open it to remove plastic rubber bands holding the bulbs before you turn it on! Found this in the reviews on Amazon and it's in fine print in the detections. They switched to led in the new ones and that still works great I think and no need to open it if you get that one. The instructions will tell you which you got. Anyway, highly recommended

It's available on Amazon https://www.amazon.com/GALANTAMINE-120ct-4mg-Element-Nutraceuticals/dp/B01N35BFCC/ref=sr_1_8?crid=3UD38G7H382W6&keywords=galantamine&qid=1573585337&sprefix=galantamine%2Caps%2C1116&sr=8-8&fbclid=IwAR04uanVR2phbv9KsiQaoNvOh5ayeoZOi5BWEYahqKPPhpG3VwhpclZNeXg

That was in the book "Committed" https://www.amazon.com/Committed-Battle-over-Involuntary-Psychiatric/dp/1421420783

The authors were on a panel a few years ago at the American Psychiatric Association meeting and they said there actually is not any record related to what percent of people deemed a risk to themselves were actually suicidal vs. were considered "gravely disabled", and that was very concerning.

do you have some money to spend? SAM-e is a pretty safe supplement and starts working within two weeks. any kind that comes in a blister pack works. drs best is usually good value for the price https://www.amazon.com/Doctors-Best-Support-Enteric-Tablets/dp/B0011FTJZ0 take one in the morning and one before lunch, on an empty stomach. if you tolerate it well increase to 2 per dose, if you get stomach upset, back down

EDIT: don't take it if you are on SSRIs or are bipolar

I would definitely try to get at least one comfy not-bed piece of furniture — if you can’t afford new, then check Craigslist and garage sales or ask friends or family members. Just one comfy armchair so you can do stuff indoor relaxing while Not In Bed (this will also do good things for your sleep, and make you feel better about not being bedbound all the time)

My personal trick for this when I was living somewhere that had no living room was to just buy a big cheap reclining folding lawnchair — the long lounge style, with a blanket over it. Worked as well as a couch for me, and kept me out of my bed while still in my bedroom.

When I was at my absolute most depressed/immobile/agoraphobic, I decided to try attaching something healthy to the things I was already doing all the time.

I did gentle stuff like walking in place while I binge-watched Netflix, used little hand weights in a chair, etc. Eventually I bought one of these:

https://www.amazon.com/dp/B0016BQFSS/ref=cm_sw_r_cp_api_i_mH-WCb9KG8PAQ

And a little stationary bike off of Craigslist. Those helped a lot since getting out to a gym was too overwhelming.

I know the cold is brutal there, but if you can — pick a nearby “hangout” and walk there, just for an hour a day. Starbucks or a library or diner.

First, understand that if you're worried about things they talk about in the media, you're being emotionally manipulated. You're being ginned up to feel scared and angry to increase their ratings.

Here's the cure that I guarantee you won't take: read the other side. For example, read this:

https://www.amazon.ca/Moral-Case-Fossil-Fuels/dp/1591847443

(you won't).

It might be helpful to list what interventions you've tried in the past. Exercise/diet? Start exercising if you're not, (cardio and weight training ideally) and try and eat more vegetables/healthy fats and cut out refined carbs (whole wheat/brown rice is probably ok).

Which prescription drugs have you used?

For a good baseline, try Vitamin D, magnesium glycinate, and zinc. These are common deficiencies in depression. Next, I would recommend a high EPA content fish oil. It will help stabilize your mood and reduce inflammation. I like this one - https://www.amazon.com/Natures-Bounty-Fish-2400-OilSoftgels/dp/B002QMB55Y

As for anxiety, the best interventions for me were L-Theanine, and Kava extract. They will take the edge off in a big way.

Next, start mindfulness training. Exercising is actually a good form of mindfulness, but meditation has a lot of benefits

https://smile.amazon.com/Jarrow-Formulas-Methyl-Supports-Cardiovascular/dp/B007LEO3OW/ref=sr_1_4_s_it?s=hpc&ie=UTF8&qid=1529239598&sr=1-4&keywords=methyl%2Bfolate&th=1

$5.50 for 2 months worth.

Why not get a light for bright light therapy? I got this since I work nights from home. Seems to help mood and energy.

https://www.amazon.com/gp/product/B00PCN4UVU/ref=oh_aui_search_detailpage?ie=UTF8&psc=1

Most of what has already been posted is pretty solid. I'd stay away from the iifym approach too.

Id recommend you read the book Brain Maker by Dr Perlmutter: http://www.amazon.com/Brain-Maker-Power-Microbes-Protect/dp/0316380105

He gives a good overview on the impact of the gut microbiota on neurological conditions and includes a lot of recommendations on some interventions to experiment with.