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Psychiatric advice need
Tried
1.PAREXOTIN + ETIZOLAM for 1 year
Note: worked partly
2.ESCITALOPRAM + ETIZOLAM 1.5 years
Note: almost no response except physical symptoms and fear and made emotional number and reduced passion for life it didn't return after many days
Stopped for 3 months
Accident happened while on 1 year of escitalopram
Things got worst after accident Seizures after accident happened
Mri findings : Microhemorrhage in both
hemisphere due past trauma
MARCH 28 TH 2025
Flupentixol 0.5 mg + Melitracen 10 mg) morning
Night:
Amisulpride 50 mg
Desvenlafaxine 50 mg + Clonazepam 0.5 mg
Olanzapine 2.5 mg
Note: partial response but mental anguish apathy persistent
Since April 23, 2025
Morning:
Modafinil 100 Mg
Night:
Desvenlafaxine 100 mg
Clonazepam 0.5 mg
Amisulpride 100 mg
Current problems:
1. Uncontrolled anxiety
2. Loss intrest in music ,movies,books,life
3. Recurrent thinking about anxiety depression
4. Suicidal
Answers (6)
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Your situation is quite complex because it involves brain haemorrhages & partial response to conventional medicines. You are on too many medicines. I hope there is a rationale behind prescribing them. I think you need to be evaluated thoroughly including personality & other psychological as well as neurological assessment. Treatment rationalization to be done. If medicines are not showing much response, you can try neuromodulation like rTMS & TDCS etc.
Next Steps
Consult a Psychiatrist in person & discuss in detail about your problems & treatment responses.
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Hello Sir
Nice detailed history given
There is further need for detailed assessment for further management and treatment plan
So as to better improvise your mental and physical health
Your medicines can be planned accordingly so as for you to get early response and recovery
Next Steps
kindly consult online for further management and treatment
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Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
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All current symptoms are of depression either breakthrough or incomplete remission. Need detailed evaluation
Next Steps
Consult psychiatrist
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Dr. Shailaja Bandla
Addiction Psychiatrist
19 yrs exp
Vijayawada
Hi.. you may need adjustment of your medicines.. consult online for further evaluation and management
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Dr. Chitra Jain
Psychiatrist
6 yrs exp
Mumbai
Some medication can increase anxiety. Talk to your treating doctor about modafinil and anxiety. Along with medication, psychotherapy can be helpful in mood regulation and managing anxiety.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.