[donutdan4114]

I'm not sure if this totally out of left-field, but have you tried dietary change like a ketogenic or other type of restrictive diet? I know that for some people some foods can trigger horrible mood changes like bipolar, anger, feelings of fear, depression, etc.. Especially if you're sensitive to some foods like gluten, dairy, certain meats & veggies, etc. Also if you ingest any other drugs/chemicals it would be worth considering their effects too (nicotine, caffeine, alcohol, weed, etc).

I think if there is no other option SSRIs can help but I've also seen them have bad side effects (especially when taken long-term). Of course you gotta pick the lesser of the evils.. curious if you've looked into this at all:

https://pubmed.ncbi.nlm.nih.gov/34949933/ https://pubmed.ncbi.nlm.nih.gov/30075165/ https://pubmed.ncbi.nlm.nih.gov/31568812/ https://pubmed.ncbi.nlm.nih.gov/31336509/ https://pubmed.ncbi.nlm.nih.gov/30037619/ https://pubmed.ncbi.nlm.nih.gov/29914664/

[kayamon]

This happened to me. Switched to a very strict gluten/soy-free diet and years of bipolar and anxiety started to clear up. In hindsight I've realized I have celiac disease and no one bothered to tell me.

[isabelc]

I second this. Foods affect your depression levels. Foods high in Omega 3 fight depression. Eat those foods regularly, you should notice the change in your mood.