Uncertainty in diagnosis

Question

Hello, My daughter is a 16 year old who has been struggling with depression and mood disorder issues; she is currently on Wellbutrin and Lamictal, in counseling as well, and yet, meds are seeming less effective, even though dosage raised. Thoughts about the GeneSight testing? Other thoughts? Thanks, Lisa

Jim LaPierre · Accepted Answer

Hi there and thank you for your question. There's a lot of missing info here so I'm guessing a bit

First, does her counselor and med manager agree that they are treating the same conditions?

Does she find meeting with the counselor helpful? (sometimes therapists are like shoes - you have to try a few to get a good fit)

Lamictal is a mood stabilizer - and I note the mood disorder diagnosis

Mood disorders come in a variety of forms and my guess is her med manager is considering or has diagnosed bi-polar disorder

(which is actually quite rare in young women)

My best advice: talk with her. What are her unmet needs? What is missing in her life and what does she think would help?

Always look at situations factors and environmental factors before considering treating with medications.

Please ask if she is being bullied, is struggling with stress, is sexually active, and please have her see her PCP for consideration of potential medical issues that are related to depression (thyroid most notably)

If I can help further, please email me: counseling@roadrunner.com

Best,

Jim

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