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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Effective Treatment For Depression And Social Anxiety

Diagnosed bipolar II, severe anxiety disorders; panic disorder, social anxiety, gad, recurring depression, add. Meds: Lithium, fetzima, clonazopam, clonidine, hydroxyzine, dextroamphetamine. Hello, had all anxiety issues since I was 5, I m now 33. Was on adderall for months & was just switched to d-amp last week. Having high anxiety on it. Don t leave house, don t want to be near or talk to anyone, really detached from mine and others feelings. Been in dark depression for months and am fighting not to solve a temporary problem with a permanent solution. Idk wtf to do. Please help
Tue, 13 Jan 2015
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Psychiatrist,  's  Response
Hello thanks for choosing HCM for your health related queries

You have been diagnosed with Bipolar disorder, Social anxiety, severe GAD or generalised anxiety. You took medicines like Lithium, Fetzima, Clonazepam, Clonidine, Hydroxyzine, Dextroamphetamine etc. Still you have high anxiety and you are not able to leave house. You can't talk to anyone due to social anxiety and have dark depression.

As per my opinion as the medicines are not working properly so there is need to add some supplementary medicine. SSRIs like Sertraline, Fluoxetine, Paroxetine along with medicines like bupropion, lamotrigine, mirtazapine can help to reduce severe depression and anxiety. Along with medicines I would also advise you to go for Cognitive Behaviour Therapy and relaxation exercises. In CBT individuals abnormal cognitive distortions are corrected and this helps in improvement of symptoms. Both medicinal and psychological treatment in combination helps in improvement of symptoms. Visit your psychiatrist and discuss about your clinical symptoms.

Thanks, hope this helps you.
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Suggest Effective Treatment For Depression And Social Anxiety

Hello thanks for choosing HCM for your health related queries You have been diagnosed with Bipolar disorder, Social anxiety, severe GAD or generalised anxiety. You took medicines like Lithium, Fetzima, Clonazepam, Clonidine, Hydroxyzine, Dextroamphetamine etc. Still you have high anxiety and you are not able to leave house. You can t talk to anyone due to social anxiety and have dark depression. As per my opinion as the medicines are not working properly so there is need to add some supplementary medicine. SSRIs like Sertraline, Fluoxetine, Paroxetine along with medicines like bupropion, lamotrigine, mirtazapine can help to reduce severe depression and anxiety. Along with medicines I would also advise you to go for Cognitive Behaviour Therapy and relaxation exercises. In CBT individuals abnormal cognitive distortions are corrected and this helps in improvement of symptoms. Both medicinal and psychological treatment in combination helps in improvement of symptoms. Visit your psychiatrist and discuss about your clinical symptoms. Thanks, hope this helps you.