Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
130 Doctors are Online

Treatment for chronic pain, anxiety, bipolar and attention deficit disorder?

User rating for this question
Very Good
Answered by

Practicing since : 2000
Answered : 634 Questions
Looking for a pain management Dr in my area and HELP to get me better. As I stated on the first page. I seem to have multiple issues. I know I'm past due for a mammogram, colonoscopy @ age 50, but I don't seem to care. I lost my brother when I was 15, my parents divorced when I was in the second grade. My Dad became an alcoholic and a drug addict. My Mom died in 2001 at the age of 61 from lung cancer(never smoked). Then my closets family(growing up) My Aunt(she watched us when my Mom worked. And she did work she started from a 20 year old Mom to leave this world as HEAD of H.U.D. in Northeast Florida. I don't even know why I am telling al of this? Then my best friend(the sister I never had) but was like a sister since before my brother died, she was there the year and a half with chemo and radiation with my Mom too. She past away the day after my birthday 2 years ago..... That's the short version. I have Chronic pain, Anxiety, Bipolar, ADD, was OCD but now I just don't care.............What I have is not a life worth living.
Posted Sat, 11 May 2013 in Mental Health
Answered by Dr. Payman Hajiazim 8 hours later
Hi there, thanks for mentioning a full history and also your current situation. Since you have had several losses in the life, you are prone to major depression. Even if your doctor says that you have bipolar mood issue, I think that its depression part is the prominent one. Depression, pain and sleep problem are three parts of a triangle. They should be managed together in order to solve the patient's problem. Otherwise, she will suffer from all the three ones. Your medications are treating these three problems separately. That can be the reason that you are still suffering from some issues. Adderrall and Effexor you are taking affects your sleep, so you need more sleep pills while they may not be effective well. The medications from the class of tetracyclic antidepression (like maprotyline, mirtazapine) can help your mood and sleep and pain together. You can ask your doctor more about them. If you take such a medication, you can discontinue many medications gradually. The good point is that mirtazapine or maprotyline will hep for your appetite as well. Let me know if you have any question. I wish you a good health.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Psychiatrist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor