PMS and depression

I can't deal with this anymore. A bit of background. I have dealth with depression most of my life but with no connection to PMS. About twenty years ago I was on anti-depressants and probably will never know if they made me worse or just did nothing. About 9 months ago I tried an anti-depressant (Celexa) and that made me more depressed and started the self-injury habit that still happens in PMS even though I have been off it that long.

I also have bipolar type two, meaning not the extremem mania the way type one gets and more problems with depression than type one.

I do have a doctor willing to let me try most medicines that I ask for but doesn't have any idea what to try when I reacted like that to Celexa. I was on a mood stabalizer for a few weeks. At first it did a little but when I had to increase it then I was just sick to my stomach. That was Lithium.

I also have learning disability-NOS, Asperger's Syndrome, epilepsy, Schizoid Personality Disorder, Dysthymic Disorder, and bipolar type two.

I would try the pill if I could get it without an examination. An examination like that would just make my mental illnesses worse. I don't know if I should try other antidepressants, mood stabalizers, or combination.

Has anyone done really bad on one alone but ok on them together? Has anyone had a reaction to one medicine but done fine on another of the same type?

Does anyone have any specific suggestions to talk to my doctor about? I am not asking for more than advice on what to talk to him about so please don't just answer to go see my doctor. I know that. I am asking for advice on things to ask him about.

What kind of examination is required with the Pill? I'm in the UK, and it's fairly straightforward to obtain, there's no physical exam involved. If your doctor would insist on a physical, could you try a family planning clinic? You'd then HAVE to have a conversation with the pharmacist to make sure it wasn't going to conflict with your current meds, but they should know or be able to look that all up for you.

Have you tried any herbal remedies for it? Again, check with the pharmacist first, but some people do well on Evening Primrose Oil or Starflower Oil. [It made no difference to me.]

Hope you get some other answers about specific meds. I know that it can take a few tries to find something that works. It would be helpful if your doctor was more proactive, perhaps, and you might possibly benefit from a second opinion. No anti-depressant works on everyone, and some of them do make people worse, especially in BPD, where it's important to stabilise and not push towards the manic state.