Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Continuous Negative Thoughts, Fear, Hopelessness, Suicidal Thoughts And Depression
Question: My wife is suffering from depression,fear,suicidal thoughts,loss of enthusiasm and cannot control the obsession of negative thoughts.She often breaks down into crying.Our psychiatrist says she is suffering from bipolar disorder but I donot agree.Her condition has deteriorated many fold after taking the medications.
She is having Diva OD 750 and asprito 5 after meal at night and Bupron XL 150 after breakfast
She is having Diva OD 750 and asprito 5 after meal at night and Bupron XL 150 after breakfast
Brief Answer:
I almost agree but like to know more
Detailed Answer:
Hello,
Thanks for using Healthcaremagic.
As you might be knowing bipolar disorder is mixture of depression and hypomania/mania. If she has consistent pattern of suffering with depression, fear, obsession and suicidal ideas I do not think it is bipolar disorder.
In case in addition to current suffering she suffered with hypomiania or mania (increased activity, feeling grandiose, demanding behavior, expensive behavior, racing of thought, increased talkativeness and lot others) for a period of one week or more that it will be called as bipolar disorder.
Although the current treatment is according guidelines but I will request you to discuss option of either seroquel or Latuda. These two options have good efficacy in bipolar depression as well as some efficacy in unipolar depression.
In case he want to continue same medication ask him to increase wellbutrin to effective dose as 150 mg is never sufficient for most kind of depression.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
I almost agree but like to know more
Detailed Answer:
Hello,
Thanks for using Healthcaremagic.
As you might be knowing bipolar disorder is mixture of depression and hypomania/mania. If she has consistent pattern of suffering with depression, fear, obsession and suicidal ideas I do not think it is bipolar disorder.
In case in addition to current suffering she suffered with hypomiania or mania (increased activity, feeling grandiose, demanding behavior, expensive behavior, racing of thought, increased talkativeness and lot others) for a period of one week or more that it will be called as bipolar disorder.
Although the current treatment is according guidelines but I will request you to discuss option of either seroquel or Latuda. These two options have good efficacy in bipolar depression as well as some efficacy in unipolar depression.
In case he want to continue same medication ask him to increase wellbutrin to effective dose as 150 mg is never sufficient for most kind of depression.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
