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Suggest treatment for severe social anxiety disorder and major depression

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Posted on Tue, 22 Dec 2015
Question: I have severe social anxiety disorder and also have been diagnosed with major depression and o.c.d. I am currently taking propranolol and elavil.These medications do not seem to be working that well for me when I start to panic about anything and everything.Am wondering if a doctor can prescribe something to help with my panic disorder as every second is a battle for me.My name is XXXX and my email address is YYYY@YYYY ty and have a good day!YYYY pharmacy
doctor
Answered by Dr. Alexander H. Sheppe (43 minutes later)
Brief Answer:
Consultation

Detailed Answer:
Hi XXXXXXX and thanks for your question to HCM .

I'm sorry your current therapy isn't working for you.

Depression and OCD, as you likely know given your many medication trials, is best treated with antidepressants, preferrably strongly serotonergic ones like Luvox or clomipramine. Could you give me a list of all medication you have tried at the maximum dose for 4 weeks or more? This would constitute all the failed medication trials you have experienced.

In the future, for continuity of care, I encourage you to contact me at my direct link below . It would be my pleasure to be your 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 (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Alexander H. Sheppe (45 minutes later)
Sertraline, lexapro, venlafaxine, abilify all seemed to make my anxiety and depression worse.I am sorry I cant remember the dosages of these medications.thank you for your reply Dr.I do not have the technology to perform a video conference but I would be willing to try either of the two medications you mentioned in your reply.If you are able my pharmacy's phone# is0000 if you are willing to call the script in.They are two Meds I have not tried yet.my only allergy is to sulfonamides and am currently taking 10 Mg of elavil each night.thanks again for getting back to me and for your personal info.
doctor
Answered by Dr. Alexander H. Sheppe (3 minutes later)
Brief Answer:
Followup

Detailed Answer:
Unfortunately we are not able to prescribe medications from this forum. You should contact your prescribing doctor to consider the medications Luvox or clomipramine for depression/OCD. You can also contact me at my private link on this site below to discuss treatment options in more comprehensive detail.

In the future, for continuity of care, I encourage you to contact me at my direct link below . It would be my pleasure to be your 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 (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Alexander H. Sheppe (16 minutes later)
Ok thanks Doctor.
doctor
Answered by Dr. Alexander H. Sheppe (1 minute later)
Brief Answer:
Followup routinely

Detailed Answer:
You are most welcome!

In the future, for continuity of care, I encourage you to contact me at my direct link below. 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 (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2242 Questions

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Suggest treatment for severe social anxiety disorder and major depression

Brief Answer: Consultation Detailed Answer: Hi XXXXXXX and thanks for your question to HCM . I'm sorry your current therapy isn't working for you. Depression and OCD, as you likely know given your many medication trials, is best treated with antidepressants, preferrably strongly serotonergic ones like Luvox or clomipramine. Could you give me a list of all medication you have tried at the maximum dose for 4 weeks or more? This would constitute all the failed medication trials you have experienced. In the future, for continuity of care, I encourage you to contact me at my direct link below . It would be my pleasure to be your 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 (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers