Greetings, all. I was hoping to get an opinion about my 62 year old husband's treatment. He was diagnosed with PTSD, manic-depression, paranoid personalty disorder, social and generalized anxiety, and ADHD about 3 years ago. He sees a psychiatrist for his Aderal (20 mg daily) as well as Escitalopram (20 mg. Daily) and Wellbrutin (300 mg) plus Hydroxyzine HCL for insomnia. He also takes Perindopril (4 mg) for high blood pressure. He seems to be in a bit of a daze most of the time and prone to emotional outbursts. In the past two years, he has also had two serious accidents with power tools that landed him in the ER. The last injury, to two fingers, required 25 stitches from a plastic surgeon. Plus he sleeps quite a bit. I wrote to his psychiatrist about a year ago to alert him to some of these issues but he just handed the letter to my husband at his next visit and suggested he had marital issues to work on. I know now that was not the right approach but I see these changes in him and do not know what else to do. I realize the fatigue may be caused by the underlying depression but I wanted a second opinion on all this medication. About six weeks ago, he was prescribed a CPAP machine for his snoring and has adjusted to that quite well. I had hoped a more restful night's sleep would improve his energy/alertness levels but any improvement was only temporary. His slowed reaction times, fuzzy thinking, and forgetfulness are a concern to me because he wants to take another week-long solo motorcycle trip. His mother had severe senile dementia but the brain scan he had last year after a possible TIA did not show any brain shrinkage or other abnormalities. I figure I might be the one with the problem -- an inability to accept that my husband is not going to get better. Thoughts?