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Depression And Anxiety Due To Boils And Pain From Hidradenitis. Will Pristiq And Klonopin Help?

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Posted on Mon, 11 Jun 2012
Question: I am a 52 y/o post menapausal women who has suffered with Hidradenitis since I was 16 - I have had the surgery under my arm pits and also in the groin area - the social aspects of the ugly boils and chronic pain when cysts are inflammed have caused depression and anxiety - I recently started Pristiq and Klonopin to take the edge off - do you think it will hep?
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Answered by Dr. AGRAWAL Ravindra (20 hours later)
Dear XXXXXXX

Hidradenitis is indeed quite a misery-causing condition - I can understand why you may have been pushed into depression. It has been known for a long time that chronic hidradenitis causes psychological problems.

We psychiatrists would term such type of depression as ' reactive depression' i.e. the depression is a caused by the consequences on your psychological health due to the frustration and limitations imposed by your physical illness.

The two antidepressants mentioned by you are both good antidepressants, though usually not given together unless the depression is treatment resistant.

I will be grateful if you could provide some more details - i.e what symptoms you suffer, how long you have been affected and which other treatments (with doses) you have had. What is the current dose of medications you are on. I am assuming that the meds have been prescribed by a qualified medical practitioner.

Many thanks & good luck.
Depression is completely treatable, it some times needs a combination of counselling/psychotherapy.

Dr Ravindra Agrawal
MRCPsych
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. AGRAWAL Ravindra

Psychiatrist

Practicing since :2011

Answered : 12 Questions

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Depression And Anxiety Due To Boils And Pain From Hidradenitis. Will Pristiq And Klonopin Help?

Dear XXXXXXX

Hidradenitis is indeed quite a misery-causing condition - I can understand why you may have been pushed into depression. It has been known for a long time that chronic hidradenitis causes psychological problems.

We psychiatrists would term such type of depression as ' reactive depression' i.e. the depression is a caused by the consequences on your psychological health due to the frustration and limitations imposed by your physical illness.

The two antidepressants mentioned by you are both good antidepressants, though usually not given together unless the depression is treatment resistant.

I will be grateful if you could provide some more details - i.e what symptoms you suffer, how long you have been affected and which other treatments (with doses) you have had. What is the current dose of medications you are on. I am assuming that the meds have been prescribed by a qualified medical practitioner.

Many thanks & good luck.
Depression is completely treatable, it some times needs a combination of counselling/psychotherapy.

Dr Ravindra Agrawal
MRCPsych