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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Methods To Control Mental Illness/anxiety

I feel very angry frustrated.I cry all the time small things become huge in my mind i think so much.I hate so much.I hate myself bang my head on the wall i went to cut myself with a razor yesterday.I cannot cope with things the way i used to .please help me!
Mon, 16 Jun 2014
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Psychiatrist 's  Response
Hello,
Your symptoms suggest depression and anxiety and you have developed a tendency to selfharm, which is not good.
You should ideally meet a psyhiatrist. Usually, in such cases we give sertraline 25-50mg, along with a benzodiazapines for acute attacks in 0.25mg dosage.
You might need to raise the dosage of sertraline to 100mg - after seeing at the response.
If there is sleep disturbance then 12.5mg xolpidem will be very helpful when taken at night time.
Dont worry, you will start fellibg much better and almost normal within some time of begining meds
.
Wish you good helath.
Dr. Manisha Gopal
MD Neuropsychaitry
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Suggest Methods To Control Mental Illness/anxiety

Hello, Your symptoms suggest depression and anxiety and you have developed a tendency to selfharm, which is not good. You should ideally meet a psyhiatrist. Usually, in such cases we give sertraline 25-50mg, along with a benzodiazapines for acute attacks in 0.25mg dosage. You might need to raise the dosage of sertraline to 100mg - after seeing at the response. If there is sleep disturbance then 12.5mg xolpidem will be very helpful when taken at night time. Dont worry, you will start fellibg much better and almost normal within some time of begining meds . Wish you good helath. Dr. Manisha Gopal MD Neuropsychaitry