What sort of treatment is available for, and at what point should I seek it, depression so strong I have tics?

Question

I am diagnosed with major clinical depression, suffer symptoms of adult ADD and Aspergers, and am being treated with medications for the clinical depression (wellbutrin xl 300mg). For the past 24 hours or so, my condition has been deteriorating to the point where I am constantly near the state of tears and every few minutes the stress builds up so high that I suffer muscle spasms and twitching that lasts up to five seconds, generally involving my arms or head. I'm not feeling suicidal, but there is a distinct and crushing weight of being in the wrong life (and the right one, unfortunately, is 100% unattainable in modern society). It's not so much "I want to die" as "I wish I wasn't alive" (an important distinction, it's kept me alive throughout a lifetime of depression).

So I suppose I'm asking, and I know the legalese about "not meant for diagnosis or treatment, etc...".

What additional treatment/therapy may be available,

and,

is what I've described a crisis situation?

in re: to some uncertainties by my first two answers:

Meds:
wellbutrin for 2 years, 1 year on Paxil CR before that.

Spasms/Twitches/Tics
I've had the muscle twitch/spasm symptom on both meds and pre-medication. Internally it feels like a storm of stress building up in the back of my brain and then releasing suddenly down the back of my neck and down my arms, causing shaking, twitching, and clenching of the jaw and fists. Frankly... it physically hurts when this happens.

Answer 1

My sugestion is to call your Dr. When you say you are having ticks, that is not exactly a good thing to be having.
#1 thing to do is try to stay calm. I know.. easy thing for me to say, but it will really help you.
#2 I was on that medication to help me quit smoking and I thought it was going to give me a heart attack! Talk to your Dr. maybe it is time to switch medications.
#3 if the symptoms don't go away and you can't get a hold of your normal Dr. I sugest you to your local hospital and get checked out. Better safe than sorry.

Hope I have helped a bit.

Answer 2

It's not a crisis situation,though I'm sure it feels like one. I went through a depression where I sat in a room close to two years and thuoght the world and people in general were just awful. I had the nervous ticks also usualy facial.
How I got through it....durring this time I wrote over 140 poems & Songs,just getting all of the negativity out of me and on the paper,also the fact i would have a finnished product something I had created help me to maintain an inkling of selfworth and the few people I let into my world helped validate it because I shared my writings with them. Even in SA form.
Lastly two otherthings helped bring me out Music,in particular the song "Hey You" by Pink Floyd. the lyrics can really reach one who feels they can't go on. And I also was exsposed to a certain psychedelic whitch coincidently was outlawed on the same bill that outlawed prozac which I'm sure you know is now used to treat depression. Any way under the influence of this substance I
saw the beauty in the world especially nature and realized the world is beautiful. I'm not reccomending you break any laws I'm just Telling you what worked for me. this was 1985 and I've not had a bout of depression that lasted longer than a couple hours since.I noticed you said100% unatainable ...Helpful quotes "Nothing is 100% anything"...'This to Shall pass."

Answer 3

I would say that yes, you are in a crisis situation. It's obvious that the Wellbutrin is not working for you. An interesting note is that in a very small number of cases, Wellbutrin does cause muscle spasms in skeletal (voluntary) muscle groups. Occasionally it goes away after several weeks of being on the medication. I don't know how long you've been on Wellbutrin, so I can't say for sure that that's the problem.

At any rate, you are on an exceptionally high dose of Wellbutrin XL.

That being said, you should call your doctor as soon as possible. Tell him your symptoms. And make damned sure that he doesn't blow you off - if he does, find another.

Answer 4

It sounds like your medication isn't working. See your doctor about a new treatment plan. You may want to seek counselling too. Most states have a mental health department that offers assistance - counselling, support groups, etc. Find a reason to want to live and enjoy life - whether it's hobbies, friends, pets, religion, etc. I've suffered from depression in the past when my self esteem was low. When I developed a more positive self esteem, the depression simply went away.

Answer 5

You are a very important person and deserve a quality life.Seek help form your health care professional for the medication(s) you need. Contact your family and friends for support. Best wishes for a good life.

Answer 6

You need to talk to your doc. about other treatments. It sounds like you need to get some better meds. or try something different. THis may sound corney but maybe try to talk to a Pastor or go to Church. My sis is Bi-Polar and she has severe depression among other things i got her into yoga and she says her mood has improved and she likes to live now.
Have you tried therapy...just talking to someone helps or start a journal. GOOD LUCK!

Answer 7

The medication is not working for you. Talk to your doctor about it. He/She may be able to change the medication. I take Zoloft for bipolar and panic attacks...