Our expert says:
Clearly, this is a very complex situation, and has apparently baffled 3 or 4 shrinks so far. This is a complex combination of medicines. Some are antidepressants, like Remeron and Cymbalta, some are tranquillizers. I'd usually prefer to see more of the mood stabilizing drugs in such a person, but maybe they've been tried before. There's no way, Im afraid, that I can second-guess in this sort of case, where the other docs have had the advantage of all details of the history and have examined her themselves. One can seek a further opinion from yet another psychiatrist, but I can understand that its not very encouraging to feel so uncertain. Maybe best arrange to sit down, even for a few minutes, with her current doc, and discuss this treatment in detail, and what plans he has.
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