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Less sleep, strong suicidal feelings - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   it's like there's a demon in my head planting terrible thoughts. it never stops.                                                            
User :   it's like there's a demon in my head planting terrible thoughts. it never stops.
Doctor :   Hi
Doctor :   I am Dr. Mazumdar
User :   hello doctor
Doctor :   What kind of thoughts do you get?
User :   doom and gloom and that i should kill myself
Doctor :   What is your age, gender and marital status?
User :   40, male, single
User :   i've had hospital treatment - medication and ECT
Doctor :   Ok
User :   i'm currently taking lofepramine, buspirone, quetiapine, promazine and zolpidem
Doctor :   When were you discharged
User :   about a week ago
Doctor :   Were you ok when you were discharged with no thoughts
User :   no - the doctor said i'm better off in the community and that i need to fight the thoughts - i've seen a psychologist and she says there will be a wait for treatment
User :   i've had some CBT and it just seems to have opened a pandora's box
Doctor :   All of them are right
Doctor :   including you
User :   it's getting harder and harder to fight - i'm not getting much sleep - i'm so tired
Doctor :   These thoughts are more when you are discharged after a hospital stay that too increase after sometime
Doctor :   Take Zolpidem and sleep
User :   i only get about 3-4 hours sleep with the zolpidem
Doctor :   Actually you need a change in the activity and the location after the hospital stay to feel refreshed
Doctor :   Why do not you take help from family and friends and plan on a holiday
User :   can i get hold of pentobarbital?
Doctor :   You were not prescribed Pentobarbitol at all
Doctor :   The margin of safety of pentobarbital is less
Doctor :   Hence it is not good to take it without your Doctor's advice with you on these list of medicaitons
User :   the suicidal feelings are very strong and very frightening
Doctor :   Then it is an emergency and you need to see an ER
Doctor :   Take help from someone
User :   ok
Doctor :   I am sure the ER people shall help you in getting some sleep
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