Hello ma'am Sabse pehle aapka diagnosis revise karna padega jiske baad aapka treatment plan Kiya ja sakta hai Because the medicines you are getting are not the medications of choice to be given for Bipolar Disorder until and unless some circumstances. Aapke diagnosis ke hisaab se adequate medicines plan karna zaruri hai to prevent further illness

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A more detailed psychiatric history is required for consultation.

You have been prescribed mood stablizer along with antidepressant and anxiolytic, Do not adjust the dose of lithium and valproate on your own, * You can plan a consultation with your psychiatrist so that symptoms can be reviewed and medications can be tapered as propranolol or escitalopram

Total how many episodes of mania and depression separately occurred till date. If diagnosis is clear bipolar depression than some changes are required. Along with mood stabilizer start lumateperone 42 mg od Low dose antipsychotic like Amisulpride or aripiprazole.

Lets surely begin with therapy for sustained changes

Hi.. will need further history regarding the same to advise appropriately. Consult online for treatment

This treatment seems like a cocktail without any rationale. Treatment of bipolar disorder is different from what we do in unipolar depression and is often difficult to treat but with dose optimization patient often improves. This treatment seems nothing less than that of a joke

Hi. It seems difficult to give even a second opinion without eliciting proper history in your case. However, do not skip thyronorm if you suffer from hypothyroidism. Give your medicines some time.