Asking for second opinion. Advice.

Hey, I know taking a lot of medication makes you question your whole body and disease. We need to find more that why are there so many medications, what is the reason behind these medications. We can optimize it to minimum meds. Please do consult your Psychiatrist or you can consult here online.

You have mentioned your all medications and the symptoms that persist even on these medications First of all , medications dose need to be optimised as per present symptoms and medication that can be tapered should also be optimised You must consult your doctor or other one for review of medications and remaining symptoms Treatment along with relaxation exercises sleep hygiene must be followed

Detailed evaluation of your symptome history is required and rearrangement of medicines should be done

Go for video consultation of psychiatrist to cut down your suffering

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Hello, It is understandable to seek a second opinion when you feel unsure about your treatment, especially when multiple medications are involved. You are currently on a combination of antidepressant, mood stabilizer, antipsychotic, and sleep-related medications. Sometimes such combinations are used when symptoms are complex, but concerns like weight gain, sleep fragmentation, memory issues, and diabetes management definitely deserve careful review. Waking at night and taking extra doses of mirtazapine or lorazepam without medical guidance is not advisable, as this can affect memory, sleep architecture, and overall stability. Given your history of Type 1 diabetes and significant weight gain, it would be important to review: • Whether all current medications are still necessary • Possible metabolic side effects • Whether sleep disturbance is medication-related or illness-related • Whether the diagnosis and treatment plan need reassessment A structured re-evaluation by a psychiatrist (preferably with complete past records) would help clarify the long-term plan.

• Do not increase or add doses on your own. • Book a comprehensive review appointment with a psychiatrist and carry all previous prescriptions and reports. • Request a clear explanation of diagnosis, treatment goals, and duration of each medication.

• Polypharmacy sometimes becomes necessary, but periodic medication rationalization is important. • Diabetes and psychiatric medications require coordinated monitoring of weight, sugars, and metabolic parameters. • Memory concerns should always be evaluated rather than ignored.