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Suggest medications for depression, irritation and social anxiety

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Posted on Sat, 23 May 2015
Question: hello im going crazy tring to find a psycatrist that will prescribe my my anxity meds that takes mbph in my area and around Woburn
I have depression, social anxiety and I just moved from Northampton ma, and I need to find a doctor that understands how I feel
I just feel like I have been on these medacines for so long and they work so why why do some doctors feel like they should try other meds when I have tried a lot of other meds I feel like a ginie pig sometimes I just need a doctor to no that im a mother with a mental XXXXXXX issues im on disability and I don't think that is going to change im going to see a therapist onthursday and after that weekly I also talk to a special therapist about all my family loses I need to have people to talk to and organatztion in my life or im so depressed either im depressed and I sleep all well do the bare minum or im very out going and positivre but my anxity will keep me from going shoping bringing my daughter to the park library ext I feel horrible because my mental XXXXXXX people around me suffer I need help
doctor
Answered by Dr. Pankaj Borade (4 hours later)
Brief Answer:
More information required

Detailed Answer:
dear,
welcome to HCM
From your compliants it is very much evident that you are having mood and anxiety problems.
However, gor a better clinical picture I need answers to following questions.
1) do you persistently feel irritable most of the time? gets angry on minor provocative issues?
2) have you ever happen to experience intense pleasure, euphoria, for duration of some weeks in past? increased self esteem, confidence and high energy levels? or
you feel very low, tired, fatigued, not interested in pleasureble activities?
3) do you have difficulty in falling asleep?
4) has some one ever told you that you are talking more?

we generally ask these question to everyone. Information regarding these can helpe to have a better clinical information.

I would need to know the names of drugs you are taking currently, any diagnosis the doctor had made in past.

Kindly revert back with the information.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Pankaj Borade (2 hours later)
I feel like I'm very irrational at times. I think that I have times were I'm upbeat and mostly low energy times. I have such bad anxiety I can't get things done because im so worried about what people are thinking about me, and if I will pause or have such a panic attack when I'm out in public I'll get persalized I'm not interested in pleasureale thing I feel like I couldn't be bothered. I have a hard time falling asleep sometimes depending on my mood somtes people say I'm talking to much I'm currently on limictal, Xanax,and addarall
doctor
Answered by Dr. Pankaj Borade (26 hours later)
Brief Answer:
need to revise treatment

Detailed Answer:
Thank you for the reply.

From the description of your current symptoms I could understand that your are experiencing mood swings associated with irritability and general anxiety.
Your medical history of Xanax, adderall, are supportive to the mood disorder.

Considering all these information i would suggest following

1)Revision of treatment. I would suggest an addition of a mood stabiliser drug can be discussed with your treating consultant.

2)May i know since long you have been prescribed these drug. Since how long are you taking Adderall. what was the reason for which you had been started on adderall.

3)one will need to work up in detail regarding other stressors that are perpetuating the illness. Here i would suggest to meet up some local psychologist with whom you can discuss your history, familial and interpersonal problems. A regular sessions of Cognitive Behaviour therapy can be very helpful. But of course it would be a supportive treatment as the mainline of management would be the psychiatric drugs.

4)I would suggest you consult a local psychiatrist with whom yo can discuss on above issues on treatment modification and as the doctor will require to elicit mental status examination to see for objective signs. It is only after a comprehensive work up one can have a specific diagnosis. However, with all the information we have got I hope my suggestion will prove helpful to you.

Proper medication and compliance can lead to stable life.
Feel free for further queries.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Pankaj Borade

Psychiatrist

Practicing since :2011

Answered : 571 Questions

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Suggest medications for depression, irritation and social anxiety

Brief Answer: More information required Detailed Answer: dear, welcome to HCM From your compliants it is very much evident that you are having mood and anxiety problems. However, gor a better clinical picture I need answers to following questions. 1) do you persistently feel irritable most of the time? gets angry on minor provocative issues? 2) have you ever happen to experience intense pleasure, euphoria, for duration of some weeks in past? increased self esteem, confidence and high energy levels? or you feel very low, tired, fatigued, not interested in pleasureble activities? 3) do you have difficulty in falling asleep? 4) has some one ever told you that you are talking more? we generally ask these question to everyone. Information regarding these can helpe to have a better clinical information. I would need to know the names of drugs you are taking currently, any diagnosis the doctor had made in past. Kindly revert back with the information. Regards