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Suggest Treatment For Suicidal Tendencies
Question: follow up reply.my psychiatrist gave me lustral tabs 4 peristance suicidal thoughts,it didnt wrk,am stil feelin the same way
Brief Answer:
please enter in therapy & change drug
Detailed Answer:
Hello,
The medicine prescribed by your psychiatrist is right but possibly the dosage is less for you.
The dosage of sertraline can be taken upto 50-200mg safely. The drug takes two to three weeks to start showing effects. So, if it is few days that you have started this drug, then the effect may take some more time to come.
if it is a sufficiently long time that you are on it and at a dose 100mg or more , then I think your medicine should be changed.
Drugs like lithium and venalafaxine have better effect on thoughts of self harm. These are good drugs and have an early response to such symptoms. Venalafaxine is also helpful in migraine. The response comes in few days compared to two to three weeks with your current therapy.
One must try to indulge in helping others when we feel low. Service done to others help boost our self confidence and self esteem. The thankfulness of others when you help them- give us feeling of importance and that we are also needed. So, avoid being alone and try to join some social group or some hobby class. This will help and distract you from suicidal ideas.
you should also enter into regular therapy sessions from someone trained( if possible). Therapy ( CBT) along with drugs will help you come out of this problem fast.
Hope the reply is useful for you.
Please feel free to ask more questions for clarifications.
Wish you good luck!
Dr. Manisha Gopal
MD Psychiatry
please enter in therapy & change drug
Detailed Answer:
Hello,
The medicine prescribed by your psychiatrist is right but possibly the dosage is less for you.
The dosage of sertraline can be taken upto 50-200mg safely. The drug takes two to three weeks to start showing effects. So, if it is few days that you have started this drug, then the effect may take some more time to come.
if it is a sufficiently long time that you are on it and at a dose 100mg or more , then I think your medicine should be changed.
Drugs like lithium and venalafaxine have better effect on thoughts of self harm. These are good drugs and have an early response to such symptoms. Venalafaxine is also helpful in migraine. The response comes in few days compared to two to three weeks with your current therapy.
One must try to indulge in helping others when we feel low. Service done to others help boost our self confidence and self esteem. The thankfulness of others when you help them- give us feeling of importance and that we are also needed. So, avoid being alone and try to join some social group or some hobby class. This will help and distract you from suicidal ideas.
you should also enter into regular therapy sessions from someone trained( if possible). Therapy ( CBT) along with drugs will help you come out of this problem fast.
Hope the reply is useful for you.
Please feel free to ask more questions for clarifications.
Wish you good luck!
Dr. Manisha Gopal
MD Psychiatry
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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