Question: Background: My daughter is 16 years 4 months old. She is studying in class 12th standard. She had severe cough problem since last 17 months with violent barking sound. I had tried allopath, homeopath and ayurveda with no relief. In my family, there is a close relative, who is jealous of us and goes to Tantrik. I tried through few Tantriks and exorcists for curing the cough problem. They had shown some surprising things and claimed that Black Magics and Spirits were removed and took many thousands of XXXXXXX Rupees. However these didn’t help the cough problem.
Since then she developed severe psychological problems (since last 7-8 months) and feels someone else is controlling her and even if she tries, the Black magic effect cannot make her prosper. Slowly, she developed difficulties in concentrating for Studies and fear in going to schools or coaching centers. She is now scoring low in examinations and gets anxious that she will come last in the examination. She used to Studies in the Hospital during last month of exam time, where she has been taking treatment from a Psychiatrist. Since last 2 months, she had been under constant treatment of an ENT specialist and for last 15/ 20 days cough is under control. However, too much anxiety is working in her mind & symptoms related to anxiety like palpitations, shortness of breath trouble her.
Present Status: She is under the treatment of a Psychiatrist and presently taking 1) Arip MT 15 mg, 2) Fulnil 20 mg and 3) Bexol 2 X 2mg. Arip MT was started since 3rd Mar’15. Dose was increased gradually. Earlier, she was under small doses of Flunil, Sizodon and Bexol. She now can study in home, however, if she goes to school / coaching center, she feels nervous and has to take Alprax 0.25 mg. She has already developed weight ( 80 kG). Her sleep pattern has become erratic now. She rises early in the morning while passing urine and can’t sleep thereafter. However she sleeps regularly after school / lunch. I see now her face as pale and seeing her eyes, it seems she is very tired and feeling sleepy. She is also undergoing Counselling.
Question: Psychiatrist has prescribed to increase the dose of Arip MT to 20 mg. I am not able to understand, whether it will be prudent to increase the dose so fast, particularly. It seems that during last 3 weeks of Arip MT, she has developed more weight. I am also not sure whether Flunil / Arip MT is helping , as she is feeling anxious to sit for a long time in the school / coaching center and wants to avoid. Your guidance will be appreciated to save my daughter

Thanks. I have got the confidence to continue with Arip MT 20 mg. She is now with this dose since around a week. Though she feels comfortable at home, while in school, she feels that somebody is coming from behind and is trying to catch hold of her and feels suffocating. How will the feeling go? Does Flunil 20 mg help or unnecessarily she is on another medication? She has lines of moustache visible on upper lips. Does such Hormonal problem create this type of psychological problem & obesity ?

My daughter was on Arip MT 20 mg , Flunil 20 mg, Bexol 2 mg. She was on Arip MT 20 mg for around 3 weeks. Though she was comfortable at home, while going to school, she feels that somebody is coming from behind and is trying to catch hold of her. She used to take Alprax 0.25 mg during once / twice a week particularly on exam time at school. The earlier doctor has increased the dose to Arip MT 30 mg, Risdovia 0.5 mg (addition), Bexol 2x2 mg. She took the increased dose yesterday. I am seeing she is feeling more sleepy, face is more pale and tired. I am disturbed too much on the increased dose as well as on her condition. Please suggest.
I forgot to tell that Flunil 20 mg has been asked to continue. She has much dryness in mouth. I am not aware of other side effects as she doesn't disclose.

Thank you very much. I felt relieved. Should I continue with Arip MT 20 mg and Flunil 20 mg for more days to see the improvement or do I need to increase Arip MT to 30 mg right now. She is also on Zarp D before breakfast for a few months. How long does it take to see the improvement ? I would also like to change the Doctor. Can you suggest a good psychiatrist preferably in XXXXXXX or XXXXXXX ?