Psychiatry & Psychology--General/the sads


My psychiatrist doesn't know what to do with me. I was diagnosed with chronic major depressive disorder severe with psychotic and melancholic features. My sister has dragged me out of the house a few times but I can't usually get out of bed. I don't think about eating unless someone reminds me, and even then I can't cook for myself - I'm very depression and completely nonfunctional. I'm currently on Remeron 30 mg, Effexor 225 mg, and Wellbutrin 150 mg (and Xanax as needed), and have been on this combination a few months and it still hasn't helped. She's getting so frustrated at me because I've had no change since I've been seeing her. Do you have any suggestions on what to add/change that might help? She's open to suggestions - I was the one who put myself on Wellbutrin. If you can't help me, I understand. Thanks for reading.


The right medicine for depression is very important but the way to think about it is that the right medicine is only capable of giving you more energy to fight the depression...only you can fight and overcome the wicked gravity of depression.

You need to design a program for yourself with the help of your doctor and the people who care about you.  Think of the life you are missing as a muscle that needs to be strengthened.

Start a program of gently but gradually, fighting back your depression, strengthening that muscle by doing a little bit more for yourself, against the tide of the depression, each day.  Get out of the house, even if just to sit in the front yard.  Then go down the street a little or take a short drive.  Expand your orbit away from the home that is holding you prisoner, and little by little the grip that the depression and the urge to do nothing will break and you will be back to functioning properly for yourself.

Just do not wait to feel like doing what you have not been doing for a long time, because that will not happen.  You have to make yourself do what you do not feel like doing, over and over again, until doing the right thing for yourself becomes what you feel like doing, and then you will not be depressed any more.

It is hard and challenging, but feeling hopeless and horrible everyday is not easy, either.

Good Luck!

Dr. Elmore  

Psychiatry & Psychology--General

All Answers

Answers by Expert:

Ask Experts


Andrew M. Elmore, Ph.D.


I can answer questions about: Stress. Headaches. Stress-related Disorders. Anxiety/Panic Disorder. Depression. Psychopathology. Cognitive Behavioral Therapy. Personal Problem Solving. Life in General. Relationships: Love, Friendship, Business Partner, Coworker, Family,Child/Parent. What makes us tick. The use of psycho-pharmacological agents in combination with psychological treatment. How to deal with evil people in your life. How to improve your outlook under duress. How to control stress. How to control mood. How to control headaches. I cannot answer: Questions about Eating Disorders. Questions about computers.


30 years in private practice as a psychologist in Manhattan. Dealing with people from almost every conceivable ethnic and socioeconomic backgrounds, and as many character types as exist in this country. Dealing with patients from 8 years old to 90 years old. Pioneer in biofeedback and the treatment of stress-related disorders. Assistant Clinical Professor of Psychiatry at the Mount Sinai School of Medicine since 1982. Treatment of stress-related, anxiety and depressive disorders with biofeedback and cognitive behavioral therapy. Developed personal problem solving, an extremely precise form of psychotherapy. Relationship therapy for couples, families, parent/child issues, business partners, coworkers, employers, and dealing with psychopathic individuals in your life.

American Psychological Association. Association for Applied Psychophysiology and Biofeedback. Biofeedback Certification Institute of America. New York Academy of Sciences.

The journal, Psychophysiology. The book, Expanding Dimensions of Consciousness. The journal, Headache. The journal, Biofeedback and Self-Regulation. The journal Psychiatry Digest. The book, The TMJ Book. The book, Dental Phobia. The network, CNN. Parade Magazine. The newspaper, Newsday. The Manhattan TV station, WCBS. The national news program, The CBS Evening News. The newspaper, The New York Post. The national TV program, The Phil Donohue Show. The magazine, The New Yorker. The magazine, Glamor. The magazine, Redbook. The magazine, Health. The magazine, Bottom Line Personal. Web MD. The website, Healthology. The magazine, Newsweek.

Ph.D. SUNY at Stony Brook, 1979. B.A., magna cum laude with Honors in Psychology, Illinois Wesleyan University, 1974.

Awards and Honors
Who’s Who in Medicine and Healthcare, First, Second and Third Editions, 1997-2000. Appointed to the Training Faculty of the Biofeedback Certification Institute of America (BCIA), 1993. Senior Fellow BCIA. New York Academy of Sciences, 1987. Who’s Who in the East, 1983-present. Who’s Who in Frontier Science and Technology, First Edition. Citation Paper Author. Eleventh Annual Meeting of the Biofeedback Society of America, Colorado Springs, Colorado, 1980. Biofeedback Society of America Scholar, 1979. Co-author, USVA Grant, “Variables Affecting the Experience of Pain in Migraine,” USVA Medical Center, Northport, New York, 1977-1979. Biomedical Research Fellow, Department of Biomedical Engineering, SUNY at Stony Brook, Stony Brook, New York, 1978. NIMH Predoctoral Fellowship, 1976. BA, Magna cum laude, with Honors in Psychology, 1974. Danforth Fellowship Nominee, Illinois Wesleyan University, Bloomington, Illinois, 1973.

Past/Present Clients
Most of my clients are my private patients. However I have provided many seminars, lectures and workshops for: Columbia University. The Mount Sinai School of Medicine. The Metropolitan Museum of Art. The Museum of Natural History. The UJA Federation. The university, CW Post. The College of New Rochelle. Equinox Fitness. Travelers Insurance. AutoOne Insurance. Chubb Insurance. Metropolitan Life. Allstate Insurance. State Farm Insurance. Encompass Insurance. The public relations firm, Porter Novelli. The investment firm, Capital Re:. The Estee Lauder corporation. The law firm of Irwin Abrams. The National Insurance Crime Bureau. GEICO Insruance. Beth Israel Hospital.

©2017 All rights reserved.