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Suggest Treatment For Symptoms Of Bipolar Disorder
Question: Hello doctor
I went to Canada in january 2015 i i feel home sick and cam back to pakistan than my father scolded me and sent me back to canada in august 2015 when i went back their so daily i used to cry and think and went into depression.my father called me back in december 2015 and now i am living in Pakistan. But the situation from that time is worse for me i get mood swing suddenly i start to cry and in next second i am okay. Some times i get very much aggresive that i broke my cellphone. I want to make some issue in my home. I stays in home every time i dont go to gym not go to friends and even dont go for studies. I am stuck in my past that i should have lived in Canada thier i was getting a standrad life i always think these type of thing and i am not getting forward in my life. I have consulted doctor moiz XXXXXXX and doctor XXXXXXX mamsa they have prescribed me Cymbalta (Duloxetine) 60 mg and Risperdal (risperidone) 1mg. I am takings these medicenes since last one month but I feel no change even i am getting more dizzy and agressive. I need your help that what sholud i do please help me
I went to Canada in january 2015 i i feel home sick and cam back to pakistan than my father scolded me and sent me back to canada in august 2015 when i went back their so daily i used to cry and think and went into depression.my father called me back in december 2015 and now i am living in Pakistan. But the situation from that time is worse for me i get mood swing suddenly i start to cry and in next second i am okay. Some times i get very much aggresive that i broke my cellphone. I want to make some issue in my home. I stays in home every time i dont go to gym not go to friends and even dont go for studies. I am stuck in my past that i should have lived in Canada thier i was getting a standrad life i always think these type of thing and i am not getting forward in my life. I have consulted doctor moiz XXXXXXX and doctor XXXXXXX mamsa they have prescribed me Cymbalta (Duloxetine) 60 mg and Risperdal (risperidone) 1mg. I am takings these medicenes since last one month but I feel no change even i am getting more dizzy and agressive. I need your help that what sholud i do please help me
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
I'm sorry you are having such a difficult time. Here are my thoughts.
You may have bipolar disorder based on your description of mood swings, irritability, aggression, and at times depressed mood. Cymbalta can actually make bipolar disorder worse. I would suggest slowly tapering off Cymbalta under the guidance of your prescribing doctor. It seems like your symptoms are actually worsening on Cymbalta, which fits with the idea that you may have bipolar disorder rather than major depressive disorder. Antidepressants can make people more irritable and aggressive if they have bipolar disorder. The dizziness may also be Cymbalta-related, as Cymbalta is known to affect blood pressure. I would recommend stopping the Cymbalta for these reasons.
Increasing the Risperdal to compensate would likely help you. You are currently on a low dose and Risperdal can help with mood stability. I would increase it slowly up to a maximum of 3 mg twice daily. I believe these are the best medication options to help your mood.
You would also benefit from psychotherapy. If there is not a psychotherapist in your area, I do offer text-based therapy on this website at my private direct link below.
Please remember to rate and close this answer when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
I'm sorry you are having such a difficult time. Here are my thoughts.
You may have bipolar disorder based on your description of mood swings, irritability, aggression, and at times depressed mood. Cymbalta can actually make bipolar disorder worse. I would suggest slowly tapering off Cymbalta under the guidance of your prescribing doctor. It seems like your symptoms are actually worsening on Cymbalta, which fits with the idea that you may have bipolar disorder rather than major depressive disorder. Antidepressants can make people more irritable and aggressive if they have bipolar disorder. The dizziness may also be Cymbalta-related, as Cymbalta is known to affect blood pressure. I would recommend stopping the Cymbalta for these reasons.
Increasing the Risperdal to compensate would likely help you. You are currently on a low dose and Risperdal can help with mood stability. I would increase it slowly up to a maximum of 3 mg twice daily. I believe these are the best medication options to help your mood.
You would also benefit from psychotherapy. If there is not a psychotherapist in your area, I do offer text-based therapy on this website at my private direct link below.
Please remember to rate and close this answer when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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