this post was submitted on 21 Mar 2026
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Mental Health

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How the hell do you asses whether or not your psych meds are doing anything beneficial for you? (lemmy.world)
submitted 4 days ago* (last edited 4 days ago) by dingus@lemmy.world to c/mentalhealth@lemmy.world
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It's now my one year "anniversary" of my psych med "journey". I just feel so frustrated.

The providers always ask me how I'm doing and if I think X drug we are trying right now helps. I always have no fucking clue.

I keep a mood log and everything, but I cannot for the life of me discern any sort of pattern for any of these. One month will be fantastic and the next month will be so horrible and painful it's like someone is boring a hole through my body with a branding iron.

My provider is having me take the GeneSight test to figure out if there is a particular option I should be trying. But I am just so exhausted with this that I'm considering the next med to be my final straw.

I do NOT have bipolar disorder. I do NOT have chronic low mood. I do NOT have lack of emotions. I do NOT have PTSD. I have periods of extreme, unbearable intensity with periods of normal in between. I have relational trauma. Since my issues are intermittent, I cannot for the life of me tell if I am ever helped by anything.

I am currently in an intensive DBT program. While it has been a lifesaver when I have "simple" problems, it does not touch the intense pain of others.

Some research I do seems to indicate my problem cannot be even minimally helped by meds, which is incredibly frustrating. I want even just a little bit of something to help reduce my pain. :(

How can I figure this out?

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[–] Tehdastehdas@piefed.social 1 points 3 days ago

In my case, the depression etc. turned out to be caused by a chronic inflammation in the gut. No wonder the antidepressants have been working like shit, except amitriptyline because it also does something to the gut.
https://en.wikipedia.org/wiki/Amitriptyline#Other_indications
Doctors have mostly been useless or harmful. I've met one good doctor during the ~30 years I've been ill, and one good nutrition therapist. Thanks to Mistral le Chat (chatbot) connecting some details that humans failed to notice. The treatment is now focused on killing the invading microbes from the gut wall (again), and healing the gut enough so that it can defend itself instead of requiring more and more courses of antimicrobials.