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If in NY, take medical leave. They cannot enquire the reason expect for request a doctor’s note stating you need leave. Hope this helps.
Have you tried topomax? It’s used for migraines but prescribed off label for bipolar as a mood stabilizer & as an antidepressant. Most people have no side effects other than weight loss & some dry mouth. And you can titrate up fairly high until your doctor finds a therapeutic dose. I found it to be exactly what I needed with fewer side effects than any psychiatric Med I’ve ever taken. You might also want to look into ketamine clinics. That is a sure thing, it is fast acting, & if you read about it, the way they are using it now, its antidepressant effects can be permanent for some & get them off meds. Need to do a lot of reading & be an advocate for yourself with your doctor. Keep trying until you figure out what will work. Don’t give up. It’s worth it.
Topomax has been fantastic for me, too. I had been taking the same meds for so many years & I knew something was starting to go awry. Read all the time. Read about it, asked my doctor, bam. It’s great, no side effects, & you don’t have to wait months for it to work. I am thinking about K for the results some have that let them get off meds over time.