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Need To Talk To Psychiatrist

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Posted on Tue, 30 Apr 2019
Question: Need to talk to psychiatrist
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Need to talk to psychiatrist
doctor
Answered by Dr. Seikhoo Bishnoi (43 minutes later)
Brief Answer:
Please provide me more details

Detailed Answer:
Hello thanks for using ask a doctor service

Please provide more details about the issues you want to discuss.

Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Please provide me more details

Detailed Answer:
Hello thanks for using ask a doctor service

Please provide more details about the issues you want to discuss.

Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Seikhoo Bishnoi (5 hours later)
Iam a physician and have a 26 yr old daughter
She has severe hypothyroidism and is being treated with 300 mcg Of thyroxine
Over the past 10 yrs she had been suffered greatly from severe depression and anxiety.
Only during the past few weeks she was feeling little little better with the following medicines:
Ecitalopram-20Mg
Aripiprazole injection 300mg every 15 days
And vyanese 40 mg twice a day
Right now her main problem
Is SEVERE MOTOR RETARDATION AND WEAKNESS
She does not feel like getting up from bed and doing things
She wants to get up and do things but cannot
She doesn’t have anxiety or depression during this phase.
But has like extreme laziness and weakness
What is the cause of this and how can we treat her ?

Thanks

Sent from my iPhone
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Iam a physician and have a 26 yr old daughter
She has severe hypothyroidism and is being treated with 300 mcg Of thyroxine
Over the past 10 yrs she had been suffered greatly from severe depression and anxiety.
Only during the past few weeks she was feeling little little better with the following medicines:
Ecitalopram-20Mg
Aripiprazole injection 300mg every 15 days
And vyanese 40 mg twice a day
Right now her main problem
Is SEVERE MOTOR RETARDATION AND WEAKNESS
She does not feel like getting up from bed and doing things
She wants to get up and do things but cannot
She doesn’t have anxiety or depression during this phase.
But has like extreme laziness and weakness
What is the cause of this and how can we treat her ?

Thanks

Sent from my iPhone
doctor
Answered by Dr. Seikhoo Bishnoi (5 hours later)
Brief Answer:
This might be due to persistent depression

Detailed Answer:
Hello thanks for providing details

The severe motar retardation might be due to persistent depression. PMR (psycho-motor retardation) is one of main symptoms of depression. She is on 20 mg Escitalopram and if her symptoms are persisting then there is need to add some other antidepressant. Sometimes for resistant depression augmentation with drugs like Bupropion or even Lithium becomes necessity. You can talk with her psychiatrist for this.

This should help to improve her PMR.

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
This might be due to persistent depression

Detailed Answer:
Hello thanks for providing details

The severe motar retardation might be due to persistent depression. PMR (psycho-motor retardation) is one of main symptoms of depression. She is on 20 mg Escitalopram and if her symptoms are persisting then there is need to add some other antidepressant. Sometimes for resistant depression augmentation with drugs like Bupropion or even Lithium becomes necessity. You can talk with her psychiatrist for this.

This should help to improve her PMR.

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (6 hours later)
She used almost all the drugs including bupropion for this
Lithium Iam afraid of using becAuse of hypothyroidism
She said she doesn’t have depression or anxiety during psychomotor retardation
Can it be still due to depression ?
Can that be due to drug side effects ?
Vyanese or aripiprazole?
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
She used almost all the drugs including bupropion for this
Lithium Iam afraid of using becAuse of hypothyroidism
She said she doesn’t have depression or anxiety during psychomotor retardation
Can it be still due to depression ?
Can that be due to drug side effects ?
Vyanese or aripiprazole?
doctor
Answered by Dr. Seikhoo Bishnoi (15 hours later)
Brief Answer:
Aripiprazol might cause

Detailed Answer:
Hello again

Yes even if her mood is ok even then PMR could be due to depression. I don’t think Vyvanse can cause psychomotor retardation but yes she is on Aripiprazole and this can result in psychomotor retardation.

Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Aripiprazol might cause

Detailed Answer:
Hello again

Yes even if her mood is ok even then PMR could be due to depression. I don’t think Vyvanse can cause psychomotor retardation but yes she is on Aripiprazole and this can result in psychomotor retardation.

Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Seikhoo Bishnoi (3 days later)
Can u let us know what could be a substitute For aripiprazole?
And how to counter these effects esp when the patient is feeling better ?
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Can u let us know what could be a substitute For aripiprazole?
And how to counter these effects esp when the patient is feeling better ?
doctor
Answered by Dr. Seikhoo Bishnoi (11 hours later)
Brief Answer:
Lurasidone can substitute

Detailed Answer:
Hello again

Lurasidone can be kept in options. The drug is safe and has no metabolic side effects. The drug has great efficacy and can be substituted for Aripiprazole. Tye sedation and PMR should be less with Lurasidone.

Thanks
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Lurasidone can substitute

Detailed Answer:
Hello again

Lurasidone can be kept in options. The drug is safe and has no metabolic side effects. The drug has great efficacy and can be substituted for Aripiprazole. Tye sedation and PMR should be less with Lurasidone.

Thanks
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Seikhoo Bishnoi (14 hours later)
Let us know the dosage pl
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Let us know the dosage pl
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Follow up: Dr. Seikhoo Bishnoi (32 hours later)
Can u answer our question
Don’t worry we are not taking this as your prescription
We are only suggesting this to our local psychiatrist
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Follow up: Dr. Seikhoo Bishnoi (0 minute later)
Can u answer our question
Don’t worry we are not taking this as your prescription
We are only suggesting this to our local psychiatrist
doctor
Answered by Dr. Seikhoo Bishnoi (3 hours later)
Brief Answer:
Lurasidone dose is 20 mg starting and it can be increased to 40-80 mg

Detailed Answer:
Hello again

I am sorry I couldn't reply because I was travelling.

The dose of LURASIDONE is 20 mg starting dose and it can be increased to 40 mg after a week. The drug is safe if metabolic side effects are considered. Lurasidone will improve cognition too.

You can discuss this with her doctor.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Seikhoo Bishnoi (0 minute later)
Brief Answer:
Lurasidone dose is 20 mg starting and it can be increased to 40-80 mg

Detailed Answer:
Hello again

I am sorry I couldn't reply because I was travelling.

The dose of LURASIDONE is 20 mg starting dose and it can be increased to 40 mg after a week. The drug is safe if metabolic side effects are considered. Lurasidone will improve cognition too.

You can discuss this with her doctor.

Thanks.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Need To Talk To Psychiatrist

Need to talk to psychiatrist