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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribed Xanax, Lexapro For Deep Depression, Catatonic, Glazing Eyes. CAn Some Talk Therapy Help ?

I have a male friend, 52 who was prescribed Xanax, and Lexapro for deep depression after 4 different atteampts to reach out for help were missed...until he had the loaded pistol and note "I am a coward" when his 84 yr. old mother found him. 10 days in Psych ward, sent home on Haldol and Lexapro. He is catatonic, eyes glazed over, vacant, a walking zombie. This is the 3rd week, he's still speaking "I just want to be dead". Is holed up @ his mother's and goes to and from the kitchen to the bedroom. I can't seem to get across the seriousness of his condition to his mom and older brother, and concern re: Haldol. I am involved w/ our state and county NAMI groups, am a certified peer specialsit, and have suffered from depression myself. So I have tried to stay current w/ research, education and awareness, and advocacy. I have known G. for over 30 yrs., and have never seen him so despondent and empty...my heart is breaking! I am afraid they are not taking his "attempt" seriously judging from the conversations we've had. His mother does not hear well, and is exhausted, as she is the main caretaker in the house 24/7. He does not want to see anyone or want anyone to know except one of his long-time male friends. But Dean is not educated on psychotropic meds. and "doesn't want to Q. the prescribing psych. or have G. cut him off if Dean gets too pushy", (in his words). Dean and G's brother think G. just needs to "sleep it off"...let his mind and body rest. I am in agreement w/ that , but I am also extremely concerned about his safety after having talked w/ and seen him briefly this morning. He has not been to a therapist or counselor, and he has so much yuck bottled up since he was a boy. The list is long, and the poison has never been released. I don't know why the hospital released him w/out a referral or at least a strong suggestion of talk therapy. Am I way off base w/ my concerns??
Mon, 11 Nov 2013
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Addiction Medicine Specialist 's  Response
Hi,

Your friend appears to be suffering from a severe depressive episode and also has catatonic symptoms. Talk therapy or psychotherapy is not an option in his present state. Psychotherapy works well in people with mild to moderate depression. Severe cases like his need to be aggressively treated with medications and other methods like electroconvulsive therapy (ECT) which is very effective in both severe depression and catatonia. He also has a high suicidal risk and I agree with you that he should not have been released from the hospital so early. His family members need to keep an eye on him at all times and also should keep following up regularly with his psychiatrist.

Best wishes.
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Prescribed Xanax, Lexapro For Deep Depression, Catatonic, Glazing Eyes. CAn Some Talk Therapy Help ?

Hi, Your friend appears to be suffering from a severe depressive episode and also has catatonic symptoms. Talk therapy or psychotherapy is not an option in his present state. Psychotherapy works well in people with mild to moderate depression. Severe cases like his need to be aggressively treated with medications and other methods like electroconvulsive therapy (ECT) which is very effective in both severe depression and catatonia. He also has a high suicidal risk and I agree with you that he should not have been released from the hospital so early. His family members need to keep an eye on him at all times and also should keep following up regularly with his psychiatrist. Best wishes.