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How To Deal With Mood Swings And Depression?
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
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
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.
I would also suggest increasing the Risperdal as you are 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.
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.
I would also suggest increasing the Risperdal as you are 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.
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
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Can i get out off these trauma without medication? Through mind and sciences therapies? Would that work?
Brief Answer:
Followup
Detailed Answer:
It is possible that with regular weekly psychotherapy you might be able to manage this illness. However, medication is usually necessary, which is why I made the suggestions above.
Please remember to rate and close this answer when you are finished and satisfied.
Dr. Sheppe
Followup
Detailed Answer:
It is possible that with regular weekly psychotherapy you might be able to manage this illness. However, medication is usually necessary, which is why I made the suggestions above.
Please remember to rate and close this answer when you are finished and satisfied.
Dr. Sheppe
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Last question i have. If i would have visited you first without consulting any doctor. What would be your prescription and reaction.
Brief Answer:
Followup
Detailed Answer:
As I mentioned, you may have bipolar disorder based on your description of mood swings, irritability, aggression, and at times depressed mood. I agree with the use of Risperdal as it would likely help your symptoms, and as I mentioned I would also suggest increasing the Risperdal as you are on a low dose and Risperdal can help with mood stability, increasing it it slowly up to a maximum of 3 mg twice daily.
Please remember to rate and close this answer when you are finished and satisfied.
Dr. Sheppe
Followup
Detailed Answer:
As I mentioned, you may have bipolar disorder based on your description of mood swings, irritability, aggression, and at times depressed mood. I agree with the use of Risperdal as it would likely help your symptoms, and as I mentioned I would also suggest increasing the Risperdal as you are on a low dose and Risperdal can help with mood stability, increasing it it slowly up to a maximum of 3 mg twice daily.
Please remember to rate and close this answer when you are finished and satisfied.
Dr. Sheppe
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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