Karen,

There are some questions to be answered before I would say getting him on an antidepressant. There are several things that may be causing his symptoms and adding another drug into the mix may not.be the solution , I know it wasn't for me.

If Alex is on an opiate pain medication, he will show those symptoms. If you read the side effects of those drugs and understand how they work it could explain what he's experiencing.

Opiates depress the central nervous system, slowing the cardiovascular system, which causes the fatigue feeling, they also stimulate the brain causing insomnia and irregular sleep patterns which also cause fatigue and that foggy effect. One of the side effects is depression or depressed like symptoms.

Thyroid, adrenals and testosterone levels should be checked as both radiation damage and post tramatic stress can throw these off causing similar symptoms. Opiates also constrain testosterone levels in the body.

Finally if those are not the issue talk to a therapist as opposed to just getting Alex on an antidepressant. Contrary to popular belief these aren't miracle drugs and are most effective when used in conjunction with counseling. Cancer is heavy and there is no shame in reaching out for help, I have and I swear by it.

What I find helpful is talking with someone as well as communicating with others that can relate to where I've been and the issues I continue to deal with post treatment.

Hope that helps, keep your chin up

Eric.