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Suggest Treatment For Mood Disorders

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Posted on Wed, 15 Feb 2017
Question: Hi, I am XXXX XXXXXXX My age is 29 years. I weight around 62 kgs. i need help from an experienced doctor preferentially please no disrespect. I feel i am suffering from Mood Disorder - Depression - Anxiety . I was working in XXXXXXX Express from july 2014 till december 2015 here in XXXXXXX (Gurgaon), it is the number 4 ranked best place to work organisation and i was obsessed to work there, and after 2-3 tries i had gotten the job(as its tough to get the job there). Starting days of the job the training to learn the process was tough and harsh(indirectly the trainers might chose this way to make us strong, etc), still me not liking the way being treated and being very sensitive i even used to cry. But i continued as i wanted to work there. As it was a fresh new dream that i made, to work there. After training all became smooth and my team leader(female boss) was so nice and understanding for me, she never ever uttered a word to me or be bad to me, rude or loud. Now of course by this she was getting the benefit from me, by me performing, and of course i was also making very good money(never saved). I have lived my life in a very pampered silver spoon child way, even tough i don't belong to a rich family. Still i havn't learnt struggle, pain, etc to make myself strong from heart. I mean i am very understanding and understand and know so much of things but i am not able to cope up with it and can't/don't want to implement them, can't ignore and feel bad about anything(in the outside world). Just also want to tell, My whole body/brain feels only my heart all the things i take it to my heart. Now at work things went bad with the same boss, and stuff and so i changed my team.. then new boss was simply worse and i so after change of team in 2 months I left the company. Because really it was only my first boss that was 10 on 10 for me to made me work there for more than an year, else i would have left in 1-2 months of the starting. But now my problem is, the amazing treatment i got from that company has badly spoiled me. I joined a new company but left it in just 2 months, seeing jealous people around me... trying everything to show their hate on me. I easily feel being victimize somewhat. I am very intelligent from brain, but i didn't study big.. i am a b.a. (pass) graduate from XXXXXXX university (correspondence), my dad was an executive engg, but passed away when i was just 8... i am 29 now. My mother did all for me, my elder brother and eldest sister. I just 2 days back(after 9 months being laid off from work) joined a company, but somewhat of the work things were not told/lied to me so i left. But this was not the main reason, the reason was that this company standard was too low compared where i worked before which still stays in my heart/head(american express), over crowded cafeteria, no people talking to me, while sitting in the cafeteria i felt like crying. And i kept talking to my mom. I feel bad sharing things with her and making her also feel low by this and impacting her health. I never want to do this but i am so weak and sensitive from inside like a sensitive girl. I just want to clear though I completely feel like a boy and straight but not strong. I am not possessive in thinking about XXXXXXX express, i am done from it, but its experience comes by when i see or match things maybe. Yes i think too much, i am adamant, i take too much of stress, i don't eat well and all, i eat junk food a lot too. I am impatient/stubborn. Also impatient now of wanting somewhat of things to happen my way like in a company. And like i want followers, nice respectful friends around me(which i never ever got) always alone in company i worked in the past even in XXXXXXX express. At this stage today even though i understand i should be patient. But its like i feel ok and low or bad or hurt anytime as minutes go by like mood swings, because of not able to tackle/accept/ignore things(it happens with of course many or all too when they join a new company), but happens with me in the long run too. I though feel really different of a kind from others. I am badly in need of money to pay my credit card bills, but still i don't understand. I Be so lazy feel like living a retired life already, but few 60-70,000 rupees debt already on my back. I do sex, watch porn a lot too. I feel ashamed too. Mainly i feel(not sure) that these things "Mood Disorder - Depression - Anxiety" are stopping me from earning, etc. I please need a safe low mg,etc medicine and of course all kind of my case suitable experienced doctor's guidance which really could help me, be active, strong mentally, and which could help me in all the problems i discussed. Please this is strongly important as want to get married, settled and see my mother happy and doing something for her.
doctor
Answered by Dr. Seikhoo Bishnoi (31 minutes later)
Brief Answer:
Sodium Valproate or Lamotrigine can help in stabilising the mood.

Detailed Answer:
Hi, thanks for asking from Healthcaremagic.com

I can understand your concern. A lot of individuals suffering from Mood disorders face situations like you have experienced at jobs. Even they perform good at work but that is sometimes overlooked because of their mood symptoms. The mood disorder is probably due to bipolar disorder and this should be evaluated properly. Excessive thinking, more expectations from job and job environment, sometimes impatient attitude, no friend to guide you properly etc are resulting in difficulties in doing job properly. This is the probable reason the job was left.

Considering the impairment in work, overthinking I'd advise you to start some good mood stabiliser drug. If you haven't taken any treatment then drugs like Sodium Valproate can become a good choice. The drug is safe to use and has no serious side effects. Nausea, vomiting, sedation, slight weight gain, hepatic impairment in high doses are common side effects. But in therapeutic doses the drug is safe to use. The drug will help in improving the symptoms and your energy will be channelised in positive manner. This will help you in focussing on your goals. Other option in my opinion is Lamotrigine which is also a mood stabiliser. The drug is also a safe drug and even doesn't cause much weight gain. This also help to stabilise the mood without increasing the risk of side effects.

So please visit a doctor and ask for evaluation and prescription of these drugs.

Thanks. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (36 hours later)
Hi, thank you for your kind reply. I visited two doctors after your reply... not a Psychiatrist. One a local nearby M.B.B.S Doctor... after i told him the concern and also the talk with you... The doctor did asked me the two solvents you told me "Sodium Valproate or Lamotrigine". After all that, he prescribed me two medicines, which are Fludac 20 mg once a day for 10 days. And Typtomer 10 mg once a day for 10 days. I have not started taking it yet. I feel fine and i feel i don't want to mess with my brain and i feel i am not badly facing these challenges that i shared. On the other side as i read about fludac 20mg, on the internet its written to not take it with any other antidepressant.. then why he suggested me to take it along with fludac 20mg?

Now in the evening yesterday, i went to my family doctor from Sir XXXXXXX XXXXXXX Hospital..... Before i tell you about it, i want to tell you i had a seizure in the year 2012 as i was suffering from jaundice. So i was admitted in XXXXXXX XXXXXXX hospital. I got discharged after 3-4 days(2012). This family doctor along with the jaundice medications gave me levipil medicine too, because even before jaundice because of maybe working in call centres infront of computers late night, hypertension, my nature taking to much stress while working, thinking too much, etc. I like once in a month or two months used to get a mild seizure for some seconds. Where something used to happen in my brain like numbness in or gas and numbness in hands/fingers(no pain or anything, maybe mild headache sometimes after it being over) then i sometimes use to vomit also, but never anything worse, only that time was worse when i had jaundice. Medicine starting was with 500 mg, or if i remember like 2 times a day of 250 mg, then 1 time a day of 250 mg... And almost an year from now i don't take it as it has been stopped by the doctor as by god's grace i feel fine from all that.

So this is the sure reason i wanted to consult my this family doctor too because of my past as I didn't felt i should take that Fludac,etc medicine just like that and as searched fludac medicines goes for long, i don't want being on long term medications. I did showed my family doctor from XXXXXXX XXXXXXX what this other doctor gave me first and weather i should take it or anything. Then i told all my concerns like i did with you, and he gave me these medicines which are clonafit beta(once at night) for 10 days and one more clonfit 0.25 mg(i have miss placed the doc letter, i will ask him again , but it was surely another clonafit and maybe this 0.25 mg) for sos. He said i can take this whenever i feel bad being sensitive, etc. once a day only when needed, so like if i feel very bad once a week, then only then.

Now i want to start with clonafit trusting my family doctor, but this is so strange to see one first doctor gave me brain medicine and one doctor gave me heart's medicine(even after i showed him the other doctor's medicines he wrote me). But as i looked on the internet that both doctor's medicines work for anxiety for sure. More i would love to hear from you and get cleared about everything on this kindly.
doctor
Answered by Dr. Seikhoo Bishnoi (7 hours later)
Brief Answer:
Clonafit or Clonafit Beta should be used on SOS basis only.

Detailed Answer:
Hello again

Fluoxetine is a SSRI drug and Tryptomer is a TCA drug. Its normal practice to prescribe low doses of Tryptomer with some SSRI drugs when doctor doesn't want to give benzodiazepines or any other sedative. Tryptomer helps in boosting the action of SSRIs and also helps in good sleep.

Clonafit beta is not a heart medicine, its used in anxiety conditions also. I'd advise you to use Clonafit Beta or Clonafit on SOS basis only. Avoid using these drugs regularly because this might result in dependence.

So if I have to decide for you I'd have advised you to take Fludac and Tryptomer on regular basis as advised and Clonafit Beta or Clonafit on SOS basis only.

This will help in control of your symptoms.

Thanks. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (3 days later)
If i take Fludac and Tryptomer on regular basis will that result in dependence?

i am worried by the side effects that i read by these two medicines if i take them,,, some of them which i read are which of course you would be knowing: "headache, unsteadiness when walking, tremors, decreased or loss of appetite, change in taste, dry mouth, diarrhoea, nausea, sleeplessness, unusual dreams, fatigue, drowsiness, increased sweating, sexual problems, impaired concentration, Extremes of being happy or sad, Muscle stiffness, Tremor, Muscle pain, Sexual dysfunction, Skin redness, Sleepiness, Frequent urge to urinate,etc."

Somewhere i also read suicidal thoughts or it can worse the situation as well of Mood Disorder or Anxiety.

If this will not happen and really control my symptoms, then let me know. As i don't want bad side effects to happen even after many years or normally.

Regards.
doctor
Answered by Dr. Seikhoo Bishnoi (9 minutes later)
Brief Answer:
The medicines are safe to use.

Detailed Answer:
Hello again

The medicines are safe to use and don't cause any serious permanent side effects if taken with proper prescription and in supervision of a psychiatrist.

The medicines don't result in dependence so no need to worry. Remain relaxed, the medicines are safe to use and have no adverse effects in the doses you have been advised.

The medicines will definitely control your symptoms.

Thanks. Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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Suggest Treatment For Mood Disorders

Brief Answer: Sodium Valproate or Lamotrigine can help in stabilising the mood. Detailed Answer: Hi, thanks for asking from Healthcaremagic.com I can understand your concern. A lot of individuals suffering from Mood disorders face situations like you have experienced at jobs. Even they perform good at work but that is sometimes overlooked because of their mood symptoms. The mood disorder is probably due to bipolar disorder and this should be evaluated properly. Excessive thinking, more expectations from job and job environment, sometimes impatient attitude, no friend to guide you properly etc are resulting in difficulties in doing job properly. This is the probable reason the job was left. Considering the impairment in work, overthinking I'd advise you to start some good mood stabiliser drug. If you haven't taken any treatment then drugs like Sodium Valproate can become a good choice. The drug is safe to use and has no serious side effects. Nausea, vomiting, sedation, slight weight gain, hepatic impairment in high doses are common side effects. But in therapeutic doses the drug is safe to use. The drug will help in improving the symptoms and your energy will be channelised in positive manner. This will help you in focussing on your goals. Other option in my opinion is Lamotrigine which is also a mood stabiliser. The drug is also a safe drug and even doesn't cause much weight gain. This also help to stabilise the mood without increasing the risk of side effects. So please visit a doctor and ask for evaluation and prescription of these drugs. Thanks. Take care.