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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recommend Treatment For Mania & Anxiety

sir...im a male of 23 years age.from past teo years,i feel some sort of mental fear like fearing to sleep with friends od relatives thinking that they might kill me in the sleep..or some sort of anexiety..i feel some bad thoughts..like suicide sometime and feel fear of death..sir im really need help.plz help me
Thu, 24 Jul 2014
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Psychiatrist 's  Response
Hi, thanks for the query. Are you a diagnosed case of bipolar disorder by a Psychiatrist & are you receiving any medications for that? If yes, kindly tell me what medications you are receiving for same. Usually anxiety symptoms (like fears you are having) become somewhat difficult to treat in the setting of bipolar disorder as the usual antianxiety mdications (SSRI) can cause switch to mania & drug refractory bipolar disorder. Hence, we also need to clarify your anxiety symptoms in detail to ascertain that whether these anxiety symptoms are underlying manifestations of depression (which usually can occur even despite reciving medicines for bipolar disorder) or they represent separate anxiety disorder diagnosis. At present, I can suggest measures like adjusting the dose of mood stabilizer (which you might be receiving for treatment of bipolar disorder), adding a drug named quetiapine to your pre-existing drug regimen; switching to olanzapine plus fluoxetine combination & adding yoga, pranayama, autogenic relazation techniques, deep breathing etc. (taught by Psychiatrist & Psychologist). Hence, please consult your doctor for either of these; feel free to revert back to me if require any help. Good luck
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Recommend Treatment For Mania & Anxiety

Hi, thanks for the query. Are you a diagnosed case of bipolar disorder by a Psychiatrist & are you receiving any medications for that? If yes, kindly tell me what medications you are receiving for same. Usually anxiety symptoms (like fears you are having) become somewhat difficult to treat in the setting of bipolar disorder as the usual antianxiety mdications (SSRI) can cause switch to mania & drug refractory bipolar disorder. Hence, we also need to clarify your anxiety symptoms in detail to ascertain that whether these anxiety symptoms are underlying manifestations of depression (which usually can occur even despite reciving medicines for bipolar disorder) or they represent separate anxiety disorder diagnosis. At present, I can suggest measures like adjusting the dose of mood stabilizer (which you might be receiving for treatment of bipolar disorder), adding a drug named quetiapine to your pre-existing drug regimen; switching to olanzapine plus fluoxetine combination & adding yoga, pranayama, autogenic relazation techniques, deep breathing etc. (taught by Psychiatrist & Psychologist). Hence, please consult your doctor for either of these; feel free to revert back to me if require any help. Good luck