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Suggest Treatment For Depression And Worsening Pain In Legs
Question: It has been almost a week and I am still so very very sad about XXXXXXX ..my legs have been in such pain that walking is really really hard....it looks like we will also not be able to go to Israel now so I am wondering what do I say in three weeks when I finally email my schizophrenic ex boyfriend....he still has not responded to either me or my son...the tears flow and flow and now that we are not going to Israel I feel even more sad....I am on remiron as an anti depressant but it seems not to help me much. I wasn't crying so much yesterday as today but the physical pain was a lot worse than today..I am sure he hates me..you said not to think that he hates me...why then does he not respond...I am not sure I can hold out another three weeks...all I do is lie in bed and cry...
Brief Answer:
Wait for some more time, keep optimism alive
Detailed Answer:
Hello, hope you did well in last few days
As you have passed some days so this shows that you are improving. You have started to take Rameron (Mirtazapine) and this drug will reduce your depressive symptoms and will also help in sleeping. Even if chances of going to Israel has reduced still don't feel depressed because all you wanted is to do good social work which can be done at US also. But continue to try to go to Israel and you should get your wish fulfilled.
He is not responding because he is under influence of Paranoid Delusions and one can't decide between right and wrong in paranoid delusions. Keep only one thing in mind that he lacks insight to his actions. He is not aware of his actions. Don't think on negative side, please keep your hopes alive.
The physical pain you are having is somatic pain due to depressive symptoms and this will become a little better with medicines. If you are not able to tolerate the pain for some time you can take any OTC pain medicine. Have good nutrition and try to sleep, this will help in better outcome.
One more thing I would advise you to try to divert your mind, if possible start doing some constructive work or social work like for community. This will help you to gain confidence. Continue to attend sessions of therapist. I am sure you will improve.
Just to sum up, wait for at least three more weeks. Keep one thing in mind that he is not responding because he lacks insight to his actions. All we can do at this stage to wait for his recovery and to hope for good.
Thanks, hope this helps in decreasing your pain. Don't hesitate to ask again in follow up question.
Wait for some more time, keep optimism alive
Detailed Answer:
Hello, hope you did well in last few days
As you have passed some days so this shows that you are improving. You have started to take Rameron (Mirtazapine) and this drug will reduce your depressive symptoms and will also help in sleeping. Even if chances of going to Israel has reduced still don't feel depressed because all you wanted is to do good social work which can be done at US also. But continue to try to go to Israel and you should get your wish fulfilled.
He is not responding because he is under influence of Paranoid Delusions and one can't decide between right and wrong in paranoid delusions. Keep only one thing in mind that he lacks insight to his actions. He is not aware of his actions. Don't think on negative side, please keep your hopes alive.
The physical pain you are having is somatic pain due to depressive symptoms and this will become a little better with medicines. If you are not able to tolerate the pain for some time you can take any OTC pain medicine. Have good nutrition and try to sleep, this will help in better outcome.
One more thing I would advise you to try to divert your mind, if possible start doing some constructive work or social work like for community. This will help you to gain confidence. Continue to attend sessions of therapist. I am sure you will improve.
Just to sum up, wait for at least three more weeks. Keep one thing in mind that he is not responding because he lacks insight to his actions. All we can do at this stage to wait for his recovery and to hope for good.
Thanks, hope this helps in decreasing your pain. Don't hesitate to ask again in follow up question.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thanks Dr Bishnoi....I am not able to do work due to the problem I have with walking......it is better today but the sadness is not so good....could he be still really angry because I had the police do the welfare checks? They were really mean to me and the dispatcher told me that he wants nothing to do with me but he still had unblocked my emails at this time...if he really didn't want anything to do with me wouldn't he have kept his emails blocked? But still he kept them unblocked....my goal is not to get him hospitalized necessarily but I do wish that he would get some help...I know he almost never sleeps and that he is extremely agitated...I miss him so much...I am gaining weight too and that is not a good thing for me....but right now I don't really care..I have been on remiron since XXXXXXX and the prozasn as well but started with increased dose of gabapentin which really all together helps me to sleep..does gabapentin put on weight? I need to lose as it I am almost 200 pounds and am only 5'2".I am used to being much thinner...at least 15 pounds thinner recently...
When I do email him do I tell him that we are not sure we are going to Israel or that I don't want to go and leave him here in the U.S. or not? I love him so much but am not sure how much I should let him know that....in the recent past he seemed to like it that I told him that or at least he kept his emails open as a result..the stress of owning a retail business sent him over the edge last winter and I know that he is probably experiencing the after holidays stress also from all the people buying stuff at his store...thanks for answering my many questions..
When I do email him do I tell him that we are not sure we are going to Israel or that I don't want to go and leave him here in the U.S. or not? I love him so much but am not sure how much I should let him know that....in the recent past he seemed to like it that I told him that or at least he kept his emails open as a result..the stress of owning a retail business sent him over the edge last winter and I know that he is probably experiencing the after holidays stress also from all the people buying stuff at his store...thanks for answering my many questions..
Brief Answer:
Gabapentin is not associated with weight gain
Detailed Answer:
Hello again and thanks for asking a follow up
Most probably for the welfare checks (which you needed strongly) involvement of police has made his delusion strong against you, but that was the need of hour. Though dispatcher is of different opinion but he has unblocked the emails and as per my opinion we can take this as positive sign. It will be very difficult for you to pass this phase but we don't have any other option. You can't get him hospitalised because of legal problems and I would not advise you for this. This might make your clinical condition worse. Don't worry about his work stress, your main goal is to make him come out of delusions against you. For this there is one option that is to wait. It's really difficult because of a lot of problems but still I would request you to don't loose your pace.
Gabapentin is used for neuropathic pain and the drug is not associated with significant weight gain. Though Rameron is associated with increased appetite and weight gain. If the issue is making you feel bad then you can try dietary adjustments and exercise to loose some weight. Continue to take your medication and hope for best.
Thanks, please ask again for more follow up questions you have.
Gabapentin is not associated with weight gain
Detailed Answer:
Hello again and thanks for asking a follow up
Most probably for the welfare checks (which you needed strongly) involvement of police has made his delusion strong against you, but that was the need of hour. Though dispatcher is of different opinion but he has unblocked the emails and as per my opinion we can take this as positive sign. It will be very difficult for you to pass this phase but we don't have any other option. You can't get him hospitalised because of legal problems and I would not advise you for this. This might make your clinical condition worse. Don't worry about his work stress, your main goal is to make him come out of delusions against you. For this there is one option that is to wait. It's really difficult because of a lot of problems but still I would request you to don't loose your pace.
Gabapentin is used for neuropathic pain and the drug is not associated with significant weight gain. Though Rameron is associated with increased appetite and weight gain. If the issue is making you feel bad then you can try dietary adjustments and exercise to loose some weight. Continue to take your medication and hope for best.
Thanks, please ask again for more follow up questions you have.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Why would waiting the extra time help him come out of his delusion against us that is his parnoia? Even after the injunction in which he was bringing up all kinds of hallucinatory and delusional nonesense he eventually let us email him again...even after the police welfare check he allowed us to send emails through. It seemed as though he was made more paranoid by the Chanukah gifts than either the police welfare check or my strongly worked email in what would happen if he ever filed another injunction against me...he still allowed emails to go through...I am not certain if he is more paranoid of the court or us...knowing him he is really afraid of the court and doesn't want any evidence that HE emailed us back even after he unblocked our emails which I am not sure he still has unblocked...he did unblock XXXXXXX last week before we started this month long wait...I am so very very lonely for him....I have no interest in much of anything...this week was a little bit better but not last night or all day today...I am so afraid he hates me...I know you said he doesn't but I have nothing to go on except the fact that Sam's email went through a week ago Thursday....thanks for helping me...I am not able to exercise at all so that is kind of out as far as the weight gain goes...I am not sure that the remiron is helping me at all...and I really have to get thinner....but it doesn't really matter anymore as I am not interested in anything anyway....
thanks for trying to give me hope but I am not sure I can wait the three weeks before I email him again...I waited a long time initially and he blocked us immediately...I think he is afraid mainly of the court and the legal system..
thanks for trying to give me hope but I am not sure I can wait the three weeks before I email him again...I waited a long time initially and he blocked us immediately...I think he is afraid mainly of the court and the legal system..
Brief Answer:
Please wait for more time
Detailed Answer:
Hello again
I advised you to wait because repeated emails or efforts to contact him will only make his delusions strong. Only one week has passed and you have to wait more because contacting him at present will not help much, this will only worsen the situation. You have to progress in gradual manner with slow progression. He can consider any step as intruding behaviour and this can make his delusions stronger. This is the reason I have advised you to wait.
Yes he might be having fear of court which is also one thing that is stopping him, but this can't be the reason for delusions.
Continue to take medicines they will surely help you. Keep your hopes alive.
Thanks, and please wait for more time and don't expect him to answer immediately.
Please wait for more time
Detailed Answer:
Hello again
I advised you to wait because repeated emails or efforts to contact him will only make his delusions strong. Only one week has passed and you have to wait more because contacting him at present will not help much, this will only worsen the situation. You have to progress in gradual manner with slow progression. He can consider any step as intruding behaviour and this can make his delusions stronger. This is the reason I have advised you to wait.
Yes he might be having fear of court which is also one thing that is stopping him, but this can't be the reason for delusions.
Continue to take medicines they will surely help you. Keep your hopes alive.
Thanks, and please wait for more time and don't expect him to answer immediately.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Okay. Just one last question...what could be causing the delusions? I wish I understood better why he would think that the person who loves him the most would harm him or hurt him in any way....thanks and this is my last question..
Brief Answer:
Psychopathology of delusions
Detailed Answer:
Hello again and thanks for asking a follow up question
Why delusions develop in a person? There are numerous reasons that cause development of delusions in an individual. One thing that is behind psychopathology of delusions is abnormal levels of neurotransmitters in brain mainly Dopamine. Hyperdopaminergic states in brain result in psychotic symptoms. In such situations under delusional mood affected individual may develop sudden delusional idea against individuals who are close to him. They get idea against close individuals because they remain persistent in mind. Most of medicines used in psychosis work by decreasing dopamine in brain and helps to reduce the symptoms.
Thanks, hope this helps you.
Psychopathology of delusions
Detailed Answer:
Hello again and thanks for asking a follow up question
Why delusions develop in a person? There are numerous reasons that cause development of delusions in an individual. One thing that is behind psychopathology of delusions is abnormal levels of neurotransmitters in brain mainly Dopamine. Hyperdopaminergic states in brain result in psychotic symptoms. In such situations under delusional mood affected individual may develop sudden delusional idea against individuals who are close to him. They get idea against close individuals because they remain persistent in mind. Most of medicines used in psychosis work by decreasing dopamine in brain and helps to reduce the symptoms.
Thanks, hope this helps you.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
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