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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Adderall Bid And Effexor For Depression. No Schizophrenia Symptoms. Suggestion?

Dear sir; I am a 45 y/o female RN with above average intelligence. In the last 6 months i was recently prescribed 30 mg adderall bid and effexor 325mg QD for depression, motivation and attention. While I don t have a real substantial hx of any physical nor mental dx s, my gene pool has several. ADHD , Tourette s, Asperger s, ODD, OCD, Depression, Bi-polar, Anxiety, Anger, IVDA, Polysub, ETOH. There is no schizophrenia , no suicide nor homocidal behavior. I am seeking answers to my behaviors that don t seem to be quite in-step with the general population, because I have always (mostly) brought out the worst in people, make them angry, resentful, assaultive (both physically and mentally), without meaning to at all. I am straight-forward, and am surprised when it s not appreciated and am perceived as mean.
Thu, 3 Jan 2013
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Psychiatrist 's  Response
Hello,
Thanks for your detailed question, but unfortunately still it is lacking many details. From the description that you have given, it appears that you may be having some sort of personality problems which can be commented on only when we can interview you in presence of a close informant. In that case it is advisable for you to speak to a psychiatrist at the earliest.
Thanks and have a nice day!
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello......
Thanks for your query. You have a family history of multiple psychiatric disorders while the medication prescribed appear to be for for ADHD (attention deficit hyperactivity disorder)/depressive disorder. However, the symptoms you report fit into cluster "B" personality disorder. The facts do not fit in together. I suggest you undergo evaluation of your personality profile and get back to us with the complete symptom profile and treatment records for a better understanding.
Regards
Dr Sundar Gnanavel
Psychiatrist
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Taking Adderall Bid And Effexor For Depression. No Schizophrenia Symptoms. Suggestion?

Hello, Thanks for your detailed question, but unfortunately still it is lacking many details. From the description that you have given, it appears that you may be having some sort of personality problems which can be commented on only when we can interview you in presence of a close informant. In that case it is advisable for you to speak to a psychiatrist at the earliest. Thanks and have a nice day!