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I Have Had Chemical Depression For 40 Years And The

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Posted on Thu, 13 Jun 2019
Question: I have had chemical depression for 40 years and the doctor says that I'm on the right meds now. I still don't feel good especially when I get up and walk. I feel slightly dizzy and light headed. I can't think too fast when I'm up. Is my nerve transmission not fast enough? Do I need to see a neurologist or get on another antidepressant? This is debilitating.
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
I have had chemical depression for 40 years and the doctor says that I'm on the right meds now. I still don't feel good especially when I get up and walk. I feel slightly dizzy and light headed. I can't think too fast when I'm up. Is my nerve transmission not fast enough? Do I need to see a neurologist or get on another antidepressant? This is debilitating.
doctor
Answered by Dr. Seikhoo Bishnoi (40 minutes later)
Brief Answer:
No need to see a neurologist for depression.

Detailed Answer:
Hello thanks for using ask a doctor service

What kind of medicines you are taking and at what dose?

Depressive disorders usually occur due to altered monoaminergic neurotransmission and mainly serotonin, nor-epinephrine, dopamine etc are involved. Psychological and environmental factors too contribute in depression. But for depression there is no need to consult a neurologist. If the symptoms are persisting then talk with your doctor and ask for dose adjustments.

Thanks and Take care

Please let me know if you have more doubts.

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
No need to see a neurologist for depression.

Detailed Answer:
Hello thanks for using ask a doctor service

What kind of medicines you are taking and at what dose?

Depressive disorders usually occur due to altered monoaminergic neurotransmission and mainly serotonin, nor-epinephrine, dopamine etc are involved. Psychological and environmental factors too contribute in depression. But for depression there is no need to consult a neurologist. If the symptoms are persisting then talk with your doctor and ask for dose adjustments.

Thanks and Take care

Please let me know if you have more doubts.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Seikhoo Bishnoi (2 hours later)
The only significant meds I am on are vraylar and lamictal for mood. I am on no antidepressants at the moment. Could that be the problem? Is it a depression problem to have slight dizziness and light headedness when I'm walking? I never got notified by email of your answer.
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
The only significant meds I am on are vraylar and lamictal for mood. I am on no antidepressants at the moment. Could that be the problem? Is it a depression problem to have slight dizziness and light headedness when I'm walking? I never got notified by email of your answer.
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Follow up: Dr. Seikhoo Bishnoi (8 hours later)
I don't understand why it takes over 8 hours to get an answer to my question! And why am I not getting notified by email when I get an answer?
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
I don't understand why it takes over 8 hours to get an answer to my question! And why am I not getting notified by email when I get an answer?
doctor
Answered by Dr. Seikhoo Bishnoi (6 hours later)
Brief Answer:
This could be neurological too.

Detailed Answer:
Hello again

I am sorry for replying late because of busy schedule. Vraylar and Lamictal both are mood stabilisers and can help to stabilise mood but will not help much in persisting depression symptoms.

Yes if you are not on any antidepressant then that could be the reason for persisting symptoms. Slight dizziness, lightheadedness might be due to depression but these symptoms can occur due to some neurological issue too.

Lightheadedness or dizziness can occur due to vitamin B12 deficiency, this can be because of hypotension or some neurological cause too. This should be evaluated if the symptoms are persistent.

Thanks.

Please don't hesitate to ask again for more clarifications.

If you are not getting email notifications please contact customer care.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
This could be neurological too.

Detailed Answer:
Hello again

I am sorry for replying late because of busy schedule. Vraylar and Lamictal both are mood stabilisers and can help to stabilise mood but will not help much in persisting depression symptoms.

Yes if you are not on any antidepressant then that could be the reason for persisting symptoms. Slight dizziness, lightheadedness might be due to depression but these symptoms can occur due to some neurological issue too.

Lightheadedness or dizziness can occur due to vitamin B12 deficiency, this can be because of hypotension or some neurological cause too. This should be evaluated if the symptoms are persistent.

Thanks.

Please don't hesitate to ask again for more clarifications.

If you are not getting email notifications please contact customer care.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Seikhoo Bishnoi (6 hours later)
Since there is light headedness and dizziness should I keep my appointment with the neurologist? I had genetic testing done. Shouldn't I get put on an antidepressant to alleviate my symptoms?
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Since there is light headedness and dizziness should I keep my appointment with the neurologist? I had genetic testing done. Shouldn't I get put on an antidepressant to alleviate my symptoms?
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Follow up: Dr. Seikhoo Bishnoi (1 minute later)
I understand your busy schedule.
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
I understand your busy schedule.
doctor
Answered by Dr. Seikhoo Bishnoi (10 hours later)
Brief Answer:
If the symptoms are mild then no need to get worried.

Detailed Answer:
Hello thanks for asking

If the dizziness is mild and you have no impairment in day to day functioning then no need to get worried. But if you have difficulty in walking or maintaining balance then at least one opinion of neurologist should be taken. You should get your blood pressure checked in sitting and immediate standing position and if there is postural hypotension then this should be treated.

Vitamin B12 levels should be checked as low levels are cause of dizziness.

Thanks,

Still have doubts please don't hesitate to ask again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
If the symptoms are mild then no need to get worried.

Detailed Answer:
Hello thanks for asking

If the dizziness is mild and you have no impairment in day to day functioning then no need to get worried. But if you have difficulty in walking or maintaining balance then at least one opinion of neurologist should be taken. You should get your blood pressure checked in sitting and immediate standing position and if there is postural hypotension then this should be treated.

Vitamin B12 levels should be checked as low levels are cause of dizziness.

Thanks,

Still have doubts please don't hesitate to ask again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (12 hours later)
I have taken at least one or more various antidepressants all of my life....for over 40 years. Now I am on none. Don't you think I should be on one to help alleviate some of my symptoms? to help my nerve transmission??
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
I have taken at least one or more various antidepressants all of my life....for over 40 years. Now I am on none. Don't you think I should be on one to help alleviate some of my symptoms? to help my nerve transmission??
doctor
Answered by Dr. Seikhoo Bishnoi (2 hours later)
Brief Answer:
Yes antidepressant should be there in prescription

Detailed Answer:
Hello again

Yes in order to get rid of depression symptoms you should be on antidepressant drug. You should have a talk with your psychiatrist for this. Sertraline, Fluoxetine etc can help in reducing the symptoms.

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Yes antidepressant should be there in prescription

Detailed Answer:
Hello again

Yes in order to get rid of depression symptoms you should be on antidepressant drug. You should have a talk with your psychiatrist for this. Sertraline, Fluoxetine etc can help in reducing the symptoms.

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (2 days later)
Do antidepressants help to speed up the nerve transmission in the brain by balancing the chemicals? Mine must be somewhat out of balance because I can feel a difference.
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Do antidepressants help to speed up the nerve transmission in the brain by balancing the chemicals? Mine must be somewhat out of balance because I can feel a difference.
doctor
Answered by Dr. Seikhoo Bishnoi (12 minutes later)
Brief Answer:
Yes they help to regulate balance.

Detailed Answer:
Hello again

Yes most of antidepressants work by regulating monoaminergic neuro transmission. Other neurotransmitters like glutamate, GABA too are involved.

Long term use result in changes at molecular and receptor levels. This is the reason the drugs should be taken regularly and in proper doses in order to get best effects.

Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Yes they help to regulate balance.

Detailed Answer:
Hello again

Yes most of antidepressants work by regulating monoaminergic neuro transmission. Other neurotransmitters like glutamate, GABA too are involved.

Long term use result in changes at molecular and receptor levels. This is the reason the drugs should be taken regularly and in proper doses in order to get best effects.

Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Seikhoo Bishnoi (6 days later)
Thank you for helping me with my depression questions. I will follow up with a psychiatrist. Please cancel my subscription and thank you again. XXXXXXX
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Thank you for helping me with my depression questions. I will follow up with a psychiatrist. Please cancel my subscription and thank you again. XXXXXXX
doctor
Answered by Dr. Seikhoo Bishnoi (13 hours later)
Brief Answer:
Thanks and Take care

Detailed Answer:
Thank you. Kindly contact the customer care on email for cancellation of subscription.

Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Thanks and Take care

Detailed Answer:
Thank you. Kindly contact the customer care on email for cancellation of subscription.

Thank you.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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I Have Had Chemical Depression For 40 Years And The

I have had chemical depression for 40 years and the doctor says that I'm on the right meds now. I still don't feel good especially when I get up and walk. I feel slightly dizzy and light headed. I can't think too fast when I'm up. Is my nerve transmission not fast enough? Do I need to see a neurologist or get on another antidepressant? This is debilitating.