Hi Kerry, I'll throw my nickle's worth of wisdom in here too. Pain killers can be very debilitating - causing physical exhaustion and very low mood. Start backing the pain meds down and some of his energy will return.

Anti-depressants are not "one size fits all". It must be the right drug in the correct dosage to be effective. Your husband is depressed big time. Pain meds, tx recovery not withstanding, he is depressed. The drug he is on is wrong, or the dosage is wrong. He is clearly not getting benefits from it. Depression is all about total function - a sense of ambition, energy to do things, excitement about things, need of physical exercise, need for contact with family, etc. The man is depressed.

Depression is sneaky. No bones sticking out anywhere, no blood, no hacking cough. No obvious evidence that something is wrong. But, if you know what to look for, it's easy to spot. Here's the list of things to look for: 1) low mood, 2) no energy, 3) no ambition, 4) sleeps too much or too little, 5) poor self care, 6) negative / fatalistic views of things, 7) avoids family, 8) does not engage in pleasureable activities. etc.

Depression meds are NOT all alike. Each person responds differently to each medication - and to each different size dose. Your husband needs more of his drug, or he needs a different drug. Get permission to double his dosage and see if it helps him. Going through the torture of treatment was yesterday. Today he has a family and responsibility. He can do it. Be strong Tom


SCC BOT, mets to neck, T4.
From 3/03: 10wks daily multi-drug chemo,
Then daily chemo with twice daily IMRT for 12 weeks - week on, week off. No surgery. New lung primary 12/07. Searching out tx options.