Brief Answer:
It is anxiety with secondary depression obsessive ruminations

Detailed Answer:
Hello,
Thanks again for choosing me your health partner.

We are in contact for last one and half month and constantly communicated about health issues related to excessive thinking, scary thoughts, insomnia, mood swings, hopelessness, decreased performance in day today life, intrusive thoughts and indecisiveness.

Although to say it certainly I need to have personal communication where I can ask my questions and see you answering (may be video consultation as we are thousand miles away) but I feel there is clear evidence in favour of anxiety spectrum disorders.
There is some evidence in favour of obsessive compulsive symptoms which may be the part of anxiety spectrum disorder or independent disorder. This is because many of the individuals with anxiety disorder have secondary obsessive ruminations. In addition the hopelessness, fearfulness, indecisiveness indicates there is secondary depressive symptoms.

The overlapping of anxiety, depression and obsessive symptoms occurs due to the fact that serotonin deficiency is common among all these disorders. Due to ongoing problems in life along with genetic predisposition some of us are vulenerable to develop anxiety which becomes of out of proportion and hinders with performance in day today life.

Getting worse on medication is not indicative of whether the medications are working or not.
Often first few weeks are bad after starting medication because body needs to adjust with two things itself. One is disease itself and other is medication. This is because medications takes time to act and side effects become evident much earlier than effect.
If the things continue to worsen despite two- three weeks of medication there are indication that probably this medication not going to work.

I hope this clarifies and gives you appropriate understanding of the problem.
Wish you very Happy new year and health.
Thanks and regards

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Brief Answer:
Yes the medications are helpful

Detailed Answer:
Hello,
Thanks for reverting back to me.

Regarding personal communication I am sorry to inform you that Healthcaremagic do not offer in person contact for patients at this platform. Having said this there are other options where I am available for online video consultation. You can approach me by typing icliniq.com/ashok. At this we can communicate directly and discuss the things in detail.

Now regarding increasing serotonin level in addition to SSRI almost all antidepressants help in increasing its level in the area of brain where it is deficient. The prozac, zoloft, effexor, Buspar, effexor, pristiq and many others.


I am of the opinion that always there is need to try single medicine first. In case this does not help adequately there is need to change or supplement with other medications. As I can see that there are improvement with lamotrigine I feel we need to continue it to achieve the full potential.

I hope this answers you further.
Thanks again.

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