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Cannabis induced depression or just normal depression?

hi, so 2 months ago my psychiatrist diagnosed me with substance abuse depression and anxiety.
I have been smoking for like 2 years everyday til one day i had this horrifying panic attack and went to get help at that time i was not diagnosed with substance induced anxiety, just generalized anxiety, i took clonazepam and sertraline and worked pretty good, but in the mids of that I started to smoke again and suspend my eventually suspended my treatment after 4 months, a lot of time passed and i started to have paranoia and derealization symptoms to the point that it was unbearable, at this point still smoked pot but every time a smoked it gave me paranoia and feeling real depressed, but i was addicted when i was no smoking i was just feeling numb, i went to seek help to the psychiatrist and like i said diagnosed me with substance induced depression and anxiety, it was very true that i had depression. He put me into a lot of things: wellbutrin, lorazepam and risperdal, it didn't worked quite well in fact he added me prozac. and didn't worked either, but i was exercising everyday, eating well, meditate and yoga and actually was feeling a bit better but not entirely so he added me another dosage of prozac and reduce the clonazepam, 5 days passed and i was feeling super bad, had the worst anxiety and depression i had in my life. i talked to him and he said ok so back to one dosage of prozac and more clonazepam and well it did help but i was not feeling a bit better like i was. the days passed and felt a little bit more depressed i went to the psychiatrist again and put me on ritalin, wich the first day worked wonderful, but left me a few hours later super fatigued and sleepy and depressed so i told him and he said to me to take another one in the midday again worked good but in the night i was so tired and depressed, then another day passed and the feelings of ritalin weren't working as before until today, one week after,  i thing a don't feel anything from this drug, in fact im feeling more depressed :( and feeling a little bit of derealization like before but not so much. I think the doctor screwed me with all the meds it's my guess but maybe im just being paranoid and only feeling the same but less hopeful, i'm so desperate to feel happy again. So i go back to this question do you think my depression was caused by the abuse of cannabis or i was just predisposed to be depressed and the cannabis lifted my depression, because im thinking that when I was feeling a little better was because i was motivated and doing good stuff for my body and mind, and know because i think im more depressed i stopped doing that. i fear that this "disease" of substance abuse, did damage my brain and left me like this forever but i get a little hope when i think it's just normal depression and i can do a little better by doing good things for me, but what about the meds? should i just stop taking them, obviously with caution, or keep taking the meds and also do good stuff for me, because my problem is that i'm afraid the meds are making my depression worse. i want to mention that 5 days ago a smoked a little pot and it was the worst panic attack i have ever had. but it was just that time and left me wondering if that also left me more irreversible depressed. What do you think about my story, what do you think i should do? getting a second opinion with another psychiatrist or maybe seeing a psychologist its better?

btw, sorry for my english, its not my native language.
1 Responses
Avatar universal
This is my opinion on this -- marijuana is fun when it's fun but it can bring out of us things that might have stayed inside -- or might have come out anyway later.  Because marijuana focuses the mind so much on one thing it makes you dwell on positive things when it's fun and on negative things when it's not.  Personally, I think your psychiatrist is probably an idiot, because the first thing you should have done was seen a therapist to see if you could work this out without medication.  He should have sent you to one before loading you down with meds.  Many of the meds he gave you would give you greater anxiety, such as ritalin, which is for ADD and is very speedy, and wellbutrin, one of the most stimulating of all the antidepressants.  The subject of substance "abuse" is also more controversial with non-addictive drugs such as marijuana, which you can stop taking at any time, something you can't do with the meds you've been taking -- they have to be tapered off of slowly.  Who knows how many withdrawals you've gone through?  But the fact you found it necessary or desirable to smoke every day shows you had moved from just having fun to depending on the drug for your daily mood, never a good idea.  Why you kept smoking when it made you feel bad is a hard one to understand -- I quit right when I started to get anxious when high -- so here's what I see, and this is just my opinion:  You suffered some bad feelings when high, which you obsessed over and it became a chronic problem.  The solution is to see a therapist who can do something like CBT to get you to alter the way you think about things.  Medication might be necessary if therapy fails, but it should be given a good hard try first.  Your thinking is still stuck in this same rut, so you've never dealt with the source of the problem, you've just been moving from one difficult drug to another to treat it.  Whatever you do, I'd get a different psychiatrist -- this one is throwing all kinds of things at you that would be fine for somebody with crippling depression that other methods hadn't worked for, but seem wrong for someone with anxiety and who was new to the problem.  
Thanks for your answer, I do agree with you, in fact I'm seeing a different one today to give me a second opinion and will say that I want a therapist to help me with my thinking, who knows, maybe taper the drugs and try another antidepressant, I'm feeling positive about this and that feels good just by staying positive, so maybe if I can alter the way I think the depression will be very bearable. But let's see what my doctor says today. Hope you have great day and thanks again
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