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Suggest treatment for anxiety and depression - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1560 Questions
User:Hi my name is XXXXXXX and i've been feeling symptoms of a chemical imbalance for 3 years now. i was diagnosed in 2013 0f GAD (generalized anxiety) & Major depression but i need a second opinion because I've tried citalopram, prozac and even supplements like 5-HTP, SaMe, St XXXXXXX wort, vitamin B complex. i even added more exercise to my routine along with a simple diet and yet i still feel no MAJOR difference want to know which chemicals to the brain are needed? and how can i reestablish the 4 main Neurotransmitters if need be?
Doctor:Please give me a moment to read your query
User:hello ok
Doctor:I have read your query
Doctor:In depression the neurotransmitters implicated are serotonin, norepinephrine and dopamine
Doctor:These neurotransmitters are deficient at the brain synapses
Doctor:Thus the medicines have been devised that increase some of these neurotransmitters at the synapses
Doctor:These antidepressants have to tried for atleast 3 weeks in a row to see any effect
User:is there an antidepressant out there particularly for GAD? because i feel like i've been taking the wrong meds
Doctor:Antidepressant need to be switched if one is not working until the one that works is found
Doctor:It is also possible that you are stressed but no change in neurotransmitters
Doctor:that is the reason why antidepressants are not working
User:why because of stress?
User:because i do have a little but it's only because the symptoms are affecting my everyday life
User:i'm not able to perform well on the job, and things that are usually second nature to me seem difficult to do now.
Doctor:In such a scenario you need to try a new antidepressant until you find a suitable one
User:oh ok take it for atleast 3 weeks?
Doctor:yes A minimum of three weeks treatment is required to see an effect
Doctor:imipramine and clomipramine may benefit in the presence of panic disorder
Doctor:and GAD
User:what are those? supplements?
Doctor:These are also antidepressants
Doctor:I dont think supplements will be very helpful
User:ahh ok yeah i'm starting to think so myself. supplements can only help for mild depression
User:what are the 4 main neurotransmitters?
Doctor:There are two main neurotransmitters
Doctor:serotonin and norepinephrine
Doctor:dopamine deficiency may be sometimes there
User:ooooh ok
Doctor:So most antidepressants act on the two main neurotransmitters
Doctor:for example one group is called as selective serotonin reuptake inhibitors
User:yeah SSRI i've heard of that ok..... i know serotonin is for the mood....what is the other for?
Doctor:that is also for mood
Doctor:Do you have any question?
User:uh that's all ok well i'll try to find something for it. and hopefully it will help my focus because my concentration is off and mental well being
Doctor:You should also try meditation
Doctor:It will help with focusing
User:mindfulness meditation?
Doctor:Hope it helps
Doctor:breathing techniques are also useful
Doctor:try to find a course near you that teaches that
User:ok i'll try it hope it helps too...thanks
Doctor:It will
Doctor:It helps a lot of people
Doctor:Thanks for consulting me
User:thank you as well
Doctor:Take care
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