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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Anxiety And Stress?

hello, i have a daughter that is mentally handicapped/autistic characteristics. She is now 33. We had her on neurotin for anxiety for the last four years and decided to give it a try and take her off of it. Its been nine months now and we are seeing her getting increasingly anxious to the point now that she hits the walls with her fist. Other than neurotic can you recommend another anxiety med that we may talk over with her doctor, thank you
Mon, 22 Sep 2014
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Psychiatrist 's  Response
Hello and thanks for your query.

I understand that you are concerned about your daughter's recent anxiety problems. Now, anxiety disorders are a common co-morbidity in persons with mental retardation and autistic spectrum disorders.

From your description, it appears that your daughter is now having a relapse in her anxiety symptoms after coming of the Neurontin.

Regarding your question about other anti-anxiety medication, SSRIs like Escitalopram, Sertraline, etc. are effective and safe anti-anxiety agents. They are use as first-line medication in the teratment of a variety of anxiety disorders and can be given on a long term basis without risk of habituation or dependence.

In persons with mental retardation / autism, who present with agitation, self-harming behaviour, etc. low doses of antipsychotics like Risperidone or Quetiapine can also be helpful.

So, I would suggest that you discuss about these options with her treating doctor so that the appropriate medication can be started.

Best wishes.
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What Is The Treatment For Anxiety And Stress?

Hello and thanks for your query. I understand that you are concerned about your daughter s recent anxiety problems. Now, anxiety disorders are a common co-morbidity in persons with mental retardation and autistic spectrum disorders. From your description, it appears that your daughter is now having a relapse in her anxiety symptoms after coming of the Neurontin. Regarding your question about other anti-anxiety medication, SSRIs like Escitalopram, Sertraline, etc. are effective and safe anti-anxiety agents. They are use as first-line medication in the teratment of a variety of anxiety disorders and can be given on a long term basis without risk of habituation or dependence. In persons with mental retardation / autism, who present with agitation, self-harming behaviour, etc. low doses of antipsychotics like Risperidone or Quetiapine can also be helpful. So, I would suggest that you discuss about these options with her treating doctor so that the appropriate medication can be started. Best wishes.