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On Effexor, Ativan, Concerta. Had bipolar, Manic Depression. Am extremely fatigued. No energy. Blood test no problem. Suggestions?

I am looking for a great Psychiatrist in Fairfax or No VA area that has privileges at Fairfax Hospital.
My name is Mary and I am currently taking Effexor 150mg 2X a day, Ativan 1.0 mg 3X a day, Concerta 2-36mg. in
the morning, Trazadone 100 mg. @Bedtime, if needed. I had BiPolar and Manic Depression, Stress, and Panic with
a Personality Disorder. I am extremely fatigued, not sure if it is due to my Fall Allergies, Seasonal Affective Disorder,
or the doctor's lowering of my Effexor to 1X a day, Ativan to .05mg up to every 4 hrs., and Concerta to 1-36mg. per
morning. All of my blood tests & thyroid come back good. I just don't have any energy. In December, my Endocrin-
ologist will check my Adrenaline Glands for the Cortisol level. Thank you for your assistance.
Mary K.
Asked On : Wed, 16 Oct 2013
Answers:  1 Views:  59
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Psychiatrist 's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
You have not mentioned the duration for which you had taken medications.
However you have stated that your doctor have reduced the medications then I possibly consider that you did have a three year course of medicines. The medications that you were put on are good for bipolar depression. The fact that after reducing the medicines you are still having reduced energy suggests that depression is still persisting.
The therapy needs to be upgraded to higher doses.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
Answered: Wed, 16 Oct 2013
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