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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest ways to wean off Pristiq

Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3118 Questions

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Posted on Tue, 6 Sep 2016 in Mental Health
Question: Hi, I'd like some advice about some challenges I've been experiencing.
doctor
Answered by Dr. Ashok Kumar 52 minutes later
Brief Answer:
You can post your detailed query

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I am Dr Ashok Kumar and psychiatry is my expertise.

Please post your detailed query about the problems you are experiencing.


I look forward to get more details.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar 37 minutes later
Hi I just wrote everything out from the first original screen including filling out all the parts underneath. Was my information received ? Reference hcmg879035
I wrote everything I could relating to my Enquiry for approx 1 and a half hours since I first logged in and I'm wondering did it go to the doctor that was on just before you?

I don't know where my first form went that I filled out with all my information - let me know if u find it, otherwise I'll have to write up a new letter except it took me one and a half hours to do.

Is my info confidential or can anyone here read it?
doctor
Answered by Dr. Ashok Kumar 2 hours later
Brief Answer:
I am sorry

Detailed Answer:
Hello,
Thanks for reverting back to me.

I am sorry to inform you that no received information at my end. What you can see as question and answer is the only information I am getting about you and not about the issues.

I request you to rewrite your query under the follow up section (like you wrote above three times around two hours back) with specific questions which you need to know from me.


Regarding confidentiality although it is not generally confidential but it can be deleted after requesting the healthcare magic team at the end of session.

I hope this clarifies.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar 3 days later
Hi okay, so anyone can read what I ask or write about? Is there a service you know of that's more confidential ?
So I just need to email customer service if I'd like my info deleted & I guess ask for a refund as I didn't realise it's not going to be confidential.
doctor
Answered by Dr. Ashok Kumar 8 minutes later
Brief Answer:
Please talk to customer care team

Detailed Answer:
Hello,
Thanks for reverting back to me.

Your personal information and identity is never disclosed, customer care will get in touch with you and clarify any doubts you might have in this regard. I have informed the customercare about your concern.

If you prefer, you may write to YYYY@YYYY and discuss.

I hope this assures you.

Thanks and regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ashok Kumar 2 days later
Okay thanks.
Well id like to know how you can help me? Is it like psychiatric therapy?
Ill do my best to communicate whats going on..
doctor
Answered by Dr. Ashok Kumar 2 hours later
Brief Answer:
It is kind of supportive psychotherapy and second opinion and many more

Detailed Answer:
Hello,
Thanks for reverting back to me.

The services offered at healthcaremagic is not a formal psychotherapy but much more than it. We at HCM provide opinion about various medical conditions and psychiatric conditions.

To be XXXXXXX I will be glad to assist you as per your needs.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar 9 hours later
Thank you that is the help i need. I will see a doctor or psychatrist in person if you suggest but really id like to solve any issue by myself if i can.

To cut a long story short I am struggling with motivation/drive and what led me here was a friend who thinks i need to see a psychatrist.
I feel embarrassed to ask for help.
But im scared and i feel i have nothing to lose by at least asking.

A year ago i began a course to learn to do my own business. Im a musician. It has been 10 months since i registered my business and was meant to start working. But i have been struggling so much to find the motivation even though my life long dream was to be a concert pianist.
Im struggling to concentrate to study and work. I have earnt no money in the whole of ten months. I can barely clean my home or organise my space and i feel like a failure.
I have been taking medication for about 2 years. Pristiq 4 x 100mg. Its been very helpful for me, however it took me 20 years to be open to taking medication as i was always afraid of using it, due to losing loved ones who had been on and off medications. I have always strived to take a natural medicine / holistic approach / improving my thoughts / and life in general and i understand this is a lifelong learning and process towards my personal spiritual enlightenment. I get torn between taking medication and wanting to be free from it also. I mostly wish to reach my highest potential. I am often confronted though with "what do you do all day?" Since i dont have a normal job, and have been ineffective in creating / manifesting / taking the action towards my goals like im going around in circles. Most of my day i spend trying to organise myself...even before medication it would take me a few hours to get ready, so i recirve complaints that im always late even though i try so hard to be somewhere on time. When i sit diwn to work i just want to fall asleep. My friend feels i should see a doctor about being assessed for ADD as she got ne to do a test questionaire from the doctors and i also did many online tests and it seems that i have the symptoms. I am now researching holistic methods for that, taking ginseng and gingko, essential oils for concentration, motivation and confidence... I used to have bulimia and anorexia tendencies when i was younger so i really strive to nurture my body and love myself. I am wondering wherher to ask the doctor if there is something like pristiq but that will also help me be more driven anf motivated and be able to concentrate and not fall asleep which is happening right now as i write and its only 9 am. Im trying to wirk out ehere is my energy and motivation, is it my head, my heart or my soul,
Im wondering whether to go off medication completely. But will it hinder my growth or help me move forward. ?
If i fo see a doctor or psychiatrist, howvwill i know if theyre telling me the right thing? One doctor i saw told me to reduce my medication, she said i wintbnotice any difference - but when i did that i felt terrible. I recieve energy treatments and they dont recommend it either. Ive had friends and family come over to help me clean and within a day it gets so messy around me again i can hardly believe it happened and that after all they did for me i mess it all up again.
I am going to try the gingko and ginseng and essential oils and whatever else i can find and see if i am better within the month and then depending on how things go and if ive made any progress or not... I want to spend my time practicing piano and guitar and composing music but i cant sit and do it for five or ten minutes before im distracted or discouraged by something or someone.... But because for ten months i have barely touched the keys even though i wish to so much im scared that if ive lost my passion or motivation or drive - where will i find it again - i know its meant to be within myself - i pray for the strength and to just do it - as others tell me i just meed to do it - just do something, just start something - i strive to make goals and just little knes even but im fail to keep up with just doing the simple things like brushing my teeth or returning a phonecall becsuse im exhausted. I have friends and fsmily who love me, call me, ask to spend time with me but i never feel like going out, except i force mysrlf to visit my grandmother because i know she needs me, i do my best to take care of my dog because i love him and know he needs me, except i struggle to tske him out for a walk, i wish to perform on stage but im terrified of being in front of others.
Im trying so hard to work out whether i just need a holiday or need a psychiatrist - but even those things i need money to do and i havent been sble to earn anything, ive had to borrow or ask which is really embarrassing. Im willing to work as hard as i can, im willing to be there for the whole world, for everything abd to help everyone but i just want to understand what im doing wrong and how can i make it right? I wish not only to change myself but to change the whole world, to inspire through my music and bring hope. I listen to many motivational videos and there is a huge desire within me to be of service but i struggle just to leave the house or clean up after myself. I was much worse than this before pristiq. Before pristiq i could never have imagined ever even getting this far or being involved in a business course. But i feel so guilty asking for help. I felt so bad because there are little children out there living successful lives as piano prodigy's and think what fo i have to even offer in comparison? But then i alsobthink about the children who have nothing, not even a piano, or a home or food and think how can i complain about not being motivated? And why cant i just get on with it and do something. Instead of holding myself back, i need to push through the fears and have a breakthrough but my mind doesnt know how. I know i should know how, i should know this, i shouldnt need medication, or a psychiatrust but ive cone to you to help me breakthrough my limitiations so i really can believe anything is possible. So i can then inspire and help others in the world. Without medication would be perfect, because im scared of being dependent on anythin or anyone other than myself or God, but even others tell me ' you need to gelp yourself' 'god helps those who help themselves' 'god sends you people, help in many forms, assistsnce in the form of medication or natural medicine and its my choice what to do about it'... But how do i know which is the right choice to make if i dont even know what will help me the most? And how much longer ? I choose to strive for happiness so i can make others happy but i dont know if its a realistic goal anymore, but i know Id be happy if i could fulfill my music dreams snd my other goals in life - i know working towards those things will help me create more happiness but can i can i get there without medication... And can i motivate myself enough to find the answers in my questions? And if not? How do it?
(Please if possible help me not have any of this published on the site - and i wikl ask customer care if they can also delete it from the system).
Im scared that youre going to tell me to just go and see a dictor or psychatrist in person & that theres nothing you can say or do to help me. Perhaps i do just need that or to join a therapy group that can help me deal with ADD if that is what i have. I just dont feel like i have any time left, ive committed to myself and others, ive signed contracts to produce results that i said i would do and im scared of letting them and myself down.
So what would you suggest i need to do?
I hope everything i said makes sense, if not im sorry..i wont take it personally if you need to refer me to another doctor. Thank you, kindest regard

s
doctor
Answered by Dr. Ashok Kumar 14 hours later
Brief Answer:
Please do following

Detailed Answer:
Hello,
Thanks for reverting with details.

I have gone through the provided details and agree with your point that there is need to see a psychiatrist to some level but I will request you to do following which I believe will be helpful for you.

First of all I do not feel you are having ADHD/ADD.The way you written with great accuracy with little distraction clearly points out that there is no ADD(at least I do not feel so)

Secondly I feel you should not stop medication.This is in line with the fact that pristiq have already helped you greatly and even lowering of dose caused much discomfort.

Thirdly I feel you should start Modafinil. I understand it is again medication but I feel it will help you by increasing the motivation and drive.

Fourthly I feel there is great hope form meditation and yoga.I am not sure about the availability of centres in your city but I feel meditation can offer you holistic help which is not possible with modern medical science. I feelwith regular practice we will be able to reduce medication over time.

Last but not least need to see a psychologist to streamline the thoughts and execute them in possible manner.

I hope this assists you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar 23 hours later
Thank You so much.

Okay i will follow up with what you've suggested.

I would like to stay on Pristiq too.
I will see a Doctor/Psychologist and ask about Modafinil.
I have done Yoga before so i can maybe look into it again. First course i always looked at clock.
Second course was Hot Yoga.
I have been using various methods of meditation audios / brainwave entrainment / hypnosis / I listen to sound/ music therapy throughout the day, including monaurals and frequencies for specific issues - sometimes I become impatient with my progress and wonder how I can breakthrough my barriers faster. Maybe the monodafil can help me with that.
I know i have been much better with writing, & expressing myself since Pristiq & creating more stillness in my life.
Ok im going to make an appointment with a Dr.
Do you mind if i keep this thread open until Ive had an appointment to discuss with a doctor? I will hopefully find someone in the morning, & then i can let you know.
I could then keep a diary of my progress and check in now and then. Its funny because i impulse but journals & diaries to organise my life and keep on the right track but the lists become more lists or a new list in a new journal and have diaries galore invlude monile phone organising apps. I started another tonight called Priority Matrix. Sometimes i do find myself staring into space overwhelmed but just those important steps i avoid like seeing a doctor and admitting i need help or expressing what im struggling with and communicating the fear it can be so paralysing thinking ahead this much. But i am more aware that my doing and thinking now will affect my doing and thinking and feeling tomorrow, and i feel scared of regretting tomorrow what i could having taken care of today. Im doing my best not to avoid my needs, but also addressing my fear of being selfish and how my karma may be affected and connected with my being. I do really wish to heal spiritually, mentally, physically and emotionally snd psychologically, to feel whole & have a sense of worth in the world and be of more value - i think that would help me a lot with my motivation and drive in the long run too.


doctor
Answered by Dr. Ashok Kumar 16 minutes later
Brief Answer:
Absolutely yes

Detailed Answer:
Hello,
Thanks for reverting back to me.

I have no objection if you keep this thread open as it will be a medium for interaction.

I do agree with you that seeing a doctor will help you in getting the desired results and it will not hinder your progress. I think it is more important as it helps you in making a strong base and ultimately helps in achieving full potential.

I am always available with the following link and will be glad to receive direct query.
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ashok Kumar 13 hours later
Thank you.
Okay ive just seen a Doctor locally and she said she cant prescribe me modafinil but wrote down some psychiatrists names for me to call and make an appointment with and then she will send through a referral through to the psychiatrist once i can get an appointment with one...which might take a week. So Im going follow-upto make those calls now.
doctor
Answered by Dr. Ashok Kumar 35 minutes later
Brief Answer:
Ok

Detailed Answer:
Hello,
Thanks for follow up.

I am glad to know that you are looking for psychiatrist consultation and decided to move in positive direction.

I will request you to keep me updated and post me questions if necessary.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Ashok Kumar 3 days later
Thanks Ill keep you posted.
I have a psych appointment next monday so far...
I feel as though i really need to go of pristiq, ive been feeling too much like a zombie, unable to work or get organised, so im slowly tapering off.
Id like to trial some lithium orotate which ive heard many goid reviews about, i ordered some online. Its meant to be better for you and more pure than the prescription lithium. Lithium orotate can not only help uplift the mood but help to energise too. So id like to see if i can trial it and get myself of pristiq without needing to go on anything else.
doctor
Answered by Dr. Ashok Kumar 1 hour later
Brief Answer:
It is still controversial

Detailed Answer:
Hello,
Thanks for follow up.

I am glad to know that you are leaving no stone unturned in pathway to recovery but it is unfortunate that usefulness of lithium ornate is still a disputed domain.

It will be premature to say the risk and benefits but in case you decide to use lithium ornate please take due precautions applicable to lithium carbonate.

I hope this assists you.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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