system
What is the treatment for vascular depression?
human
I have been suffering from severe depression with severe anhedonia for four years.  Seen a number psychiatrists, been prescribed numerous medications with no success.  I alsoave 20-30 tiny white matter lesions.  My neurologist called them smokers plaques and didn't seem particularly concerned about them.  I am afraid that I have vascular depression with no hope of recovery.  I am only 55.  Used to  be an attorney, now I am virtually bedridden.  If you do think that I have vascular depression, any treatment suggestions as to treatment?  I am in psychological agony!
gpt
HiFirst of all there is no terninology like vascular depression.  U have depression associated with vascular problem. Sometimes only drugs can help. U will need first final diafnosis of medical problem. To treat medical comorbidity automatically cure your depression.apart from medication u have to go for exercise and meditations. If depression is not improve after long drug thaerapy than other modality of treatment is available like ECT and rTMS. But detail evaluation require first. Thank you