Conversation: The conversation between human and AI assistant.
[|Human|] I am crying every day and even feel I dont want to live anymore.  I have a lot of situational upheaval.  I am on 60mg of cymbalta which I have been on for about 10 years.  Ive tried a higher dose but it doesnt agree with me.  I hurt emotionally and physically. Im 75 years old.  I also take alprazalam.  Please help me stop the pain in my mind and body.  Im at the end of my rope.  I see a nurse practitioner regularly.  Ive been hospitalized for depression at least a dozen times.  That doesnt help.  Please answer as soon as you can.  I am desperate.
[|AI|]  Hello, If a patient is taking an antidepressant medication in adequate dosage for sufficient amount of time without significant improvement, a switch to another antidepressant medicine is recommended. Since you are on 60 mg cymbal ta for the last 10 years with minimal improvement, and you have severe depressive symptoms at present, I would advise you to consult a psychiatrist and consider shifting on some other antidepressant Chat Doctor.  All the best. Take care