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Dr. Andrew Rynne

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Exp 50 years

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Suggest treatment for bipolar depression

I m suffering from bipolat depression since teen age.i m diabetic since 12 yrs.i have tried so many treatment regimes even ect.but not relieved of my disorder.i have taken different types of antidepressants and antipsychotic but could not get relief. Plz suggest me what to do now.my symtoms are continous thoughts, sadness,grandios hallicinations,insominia,irritability,desire to have sex with tall thin girls, impulsiveness..plz suggest me what to do now.thanks
Tue, 26 Aug 2014
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you have been going through a difficult time due to your psychiatric problem. Bipolar depression is a challenging problem to treat and often keeps recurring despite treatment. You have mentioned that you have been treated with anti-depressants and anti-psychotics. But mood stabilizers are the mainstay of treatment for Bipolar depression. There are different mood stabilizers which have been proven effective - like Lithium, Valproate, Carbamazepine, Lamotrigine, etc. Sometimes, a combination of a mood stabilizer and an antidepressant may be required.

In some cases, where medication alone does not control depressive symptoms, a combination of medication and psychotherapy - like CBT can be effective. Also, in cases of resistant depression, underlying medical conditions like hypothyroidism, vitamin deficiencies, etc. may also be responsible for poor treatment response. So, I would suggest that you see a good psychiatrist and discuss about the options which I have mentioned, so that your treatment can be optimized accordingly.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist
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Suggest treatment for bipolar depression

Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you have been going through a difficult time due to your psychiatric problem. Bipolar depression is a challenging problem to treat and often keeps recurring despite treatment. You have mentioned that you have been treated with anti-depressants and anti-psychotics. But mood stabilizers are the mainstay of treatment for Bipolar depression. There are different mood stabilizers which have been proven effective - like Lithium, Valproate, Carbamazepine, Lamotrigine, etc. Sometimes, a combination of a mood stabilizer and an antidepressant may be required. In some cases, where medication alone does not control depressive symptoms, a combination of medication and psychotherapy - like CBT can be effective. Also, in cases of resistant depression, underlying medical conditions like hypothyroidism, vitamin deficiencies, etc. may also be responsible for poor treatment response. So, I would suggest that you see a good psychiatrist and discuss about the options which I have mentioned, so that your treatment can be optimized accordingly. Wish you all the best. Regards, Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.) Consultant Psychiatrist