HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Symptoms Of Premenstrual Dysphoric Disorder

default
Posted on Mon, 3 Oct 2016
Question: I have been on effexor- and then the generic- for about 9 years and have not had any episodes of depression and anxiety until this February. I have had 4 episodes lasting about 4-6 days. I am seeing my Psychiatrist tomorrow- I feel he does not care about me too much. I have had him for only about a year dur to a change in insurance. He put me on Rexulti last time but I freaked out and stopped taking it after I had a sleepless night and my face started moving on it's own. He has increased my effexor to 225. I have been taking 300 for the XXXXXXX week or so. I am so depressed and scared I will never go back to being myself. Can you please give me some advice to ask my doctor tomorrow? Thank you so much
doctor
Answered by Dr. Chintan Solanki (43 minutes later)
Brief Answer:
premenstrual dysphoric disorder should be assessed and treated

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

Your episodes are around menstrual cycles. If no other stress is there, this is likely premenstrual dysphoric disorder. it is just a type of depression and related to hormonal changes during menstrual cycle. You should go for hormonal check-up (FSH, LH, Progestrone).

Treatment includes adding anti-anxiety medicines(like clonazepam or lorazepam) or anti-depressant (like sertraline or escitalopram) during susceptible period.

No need to worry much. You are stable on single medicine since long. We have many other medicines to deal with your problem.

I also recommend going for Vitamin B12,Vitamin D and thyroid check-up if not done before.

Adding psychotherapy, relaxation techniques and yoga-meditation to your medicine can also provide good help.

Hope you can discuss with your psychiatrist from above information.

I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Psychiatrist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Symptoms Of Premenstrual Dysphoric Disorder

Brief Answer: premenstrual dysphoric disorder should be assessed and treated Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. Your episodes are around menstrual cycles. If no other stress is there, this is likely premenstrual dysphoric disorder. it is just a type of depression and related to hormonal changes during menstrual cycle. You should go for hormonal check-up (FSH, LH, Progestrone). Treatment includes adding anti-anxiety medicines(like clonazepam or lorazepam) or anti-depressant (like sertraline or escitalopram) during susceptible period. No need to worry much. You are stable on single medicine since long. We have many other medicines to deal with your problem. I also recommend going for Vitamin B12,Vitamin D and thyroid check-up if not done before. Adding psychotherapy, relaxation techniques and yoga-meditation to your medicine can also provide good help. Hope you can discuss with your psychiatrist from above information. I will be happy to help further. Regards, Dr.Chintan Solanki.