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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for bipolar disorder and depression while on Paxil and Klonopin

Answered by
Dr.
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3086 Questions

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Posted on Wed, 10 May 2017 in Mental Health
Question: Hi. I am 25 years old. Since I was a little girl I have been very different than other people. I had severe anxiety attacks growing up so bad that I was taking to heart and lung specialist... Nothing was ever found physically wrong with me. Finally desperate when I was seventeen years old I went to see a doctor who put me on depakote, Paxil, klonopin, geodone and a few others. I was diagnosed manic bipolar, depression, etc. some of the meds helped for a while but after I had a kid four years ago I had to change my meds cause I got super clinically depressed. I got on Prozac and for a while my life got better. I also took lithium at the time. Right now I'm only on Prozac. I have kinda fell off from visiting my doctor regularly and stuff cause well... I feel like it's a helpless situation... I do hear and see things from time to time and I am veeeeery paranoid constantly and have developed this ear worm that makes me wanna jump off a bridge. So yeah, I need help please!
doctor
Answered by Dr. Lekshmi Rita Venugopal 2 hours later
Brief Answer:
Advise to take anti psychotics for effective control of symptoms

Detailed Answer:
Hello,
Thank You for trusting HealthcareMagic

Since you are also complaining about hearing and seeing things (possible visual/ auditory hallucination) along with anxiety, paranoia and mood symptoms, I would recommend starting antipsychotics like Geodon or Seroquel along with Prozac for effective control of symptoms. Antipsychotics like Geodon, Seroquel etc effectively treats hallucinations, stabilizes mood and treats paranoia too.
I would also advise limiting the use of benzodiazepines in your case, to prevent relapse.

Please be advised to follow up with a psychiatrist to see starting an antipsychotic is right for you.
If you develop any thoughts of hurting yourself or suicidal ideations, immediately seek help by going to the emergency room or call the suicide hotline 1-800-273-8255

Hope I was able to help you
Please address further questions here
Regards,
Dr.Lekshmi
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Lekshmi Rita Venugopal 5 hours later
Pshould i discontinue alcohol and marijuana use? I smoke everyday and sometimes it helps but sometimes it makes me hear more things. Its a hit or miss. And i do often drink, what would you reccommend? Is sobriety the best for these types of disorders. Im assuming that what i have is schitzoeffective disorder? But i'm not the doctor lol.
doctor
Answered by Dr. Lekshmi Rita Venugopal 9 hours later
Brief Answer:
Advise to seek medical help for alcohol and drug abuse

Detailed Answer:
Hello,
Thank you for following up

Defenitely sobreity is good for not only your mental heslth but also overall health. Drugs can aggrevate mood disorders and psychosis. Drugs also have negative impact on your overall health, social and economic well being.
I would recommend that you follow up with a Psychiatrist to start treatment with anti psychotics and also get necessary help to deal with drug and alcohol abuse.

Hope I was able to answer your question
Please address further questions here
Regards,
Dr.Lekshmi
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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