Should I rethink my MDD treatment approach at 56?

Question

Hello doctor,

I am 56 years old and I have lived with major depressive disorder for many years now, taking care of it using the same medication and habits.

However, lately, it seems like there is no development or progress and I have even started doubting whether the entire approach to my illness is right. That made me ask myself:

Should a 56-year-old with major depressive disorder talk to their doctor about changing their whole approach, because I am tired of just getting by without feeling genuinely better?
Would it make sense to revisit therapy styles, medication classes, lifestyle factors, or even newer treatments?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Depression is a complex condition that affects millions of people worldwide, and it is important to know that you are not alone in this journey.

It is common in recurrent depressive disorder to have had a good response to an antidepressant previously, but later find that it is not improving depressive symptoms as much.

This is a well-recognized phenomenon in the management of depression and should not be a cause for discouragement.

When an antidepressant does not improve depressive symptoms with an optimal dose and six to eight weeks of duration, we will consider switching the antidepressant. Switching within the same class can also be helpful.

If you have had a partial response to the current medication, then augmentation strategies can also be tried.

Lifestyle changes are recommended in depressive disorder, and they can be really helpful. Regular physical exercise, social interaction, avoiding substance use, maintaining a regular sleep cycle, and engaging in learning new skills are some healthy lifestyle options that you can choose.

Mental health conditions like depression respond well to a combination of medical treatment and positive daily habits.

You can also opt for newer treatment options such as Ketamine therapy, repetitive transcranial magnetic stimulation, or more intensive therapy like electroconvulsive therapy. These therapies are safe, with good response rates.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.