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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management Of Anxiety, Depression And Suicidal Tendencies

suffering anxiety and depression off work nearly 12 months -went to retreat to come off Lexapro and paxam as I was very depressed and slightly suicidal - sickness in last 12 months or more thyroid underactive, operation for bening tumor in uterus 2013 - depression most of life - insomnia most of life. taking stilnox for sleep now, and valium as needed which I try not to take - most days are bad, some good - but crippling anxiety re going anywhere having to make decisions, teary, scared. have commenced 1/2 cipramil last 4 days - not sure where that will go. and relying on sleepers at night. trying everyday to do normal things but get so exhausted and flat. my gp away until 8 sept - just wanting some feedback
posted on Thu, 28 Aug 2014
Twitter Thu, 29 Jan 2015 Answered on
Twitter Thu, 29 Jan 2015 Last reviewed on
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Psychiatrist,  's  Response
Severe depression with suicidal tendencies can be treated with various antidepressants as prescribed.if one doesn't work or gives intolerable side effects another class of medications can be given after a trial of 2-3 weeks of previous one.Adjuvant psychotherapy plays an important role. But you need to take medication as prescribed and not miss it intermittently. ECT though controversial in certain states has been found to be effective in depression with suicidal tendencies not responding to medications. Admission in a psychiatric facility is also recommended for suicidal patient where steps are taken to prevent self harm.
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Suggest Management Of Anxiety, Depression And Suicidal Tendencies

Severe depression with suicidal tendencies can be treated with various antidepressants as prescribed.if one doesn t work or gives intolerable side effects another class of medications can be given after a trial of 2-3 weeks of previous one.Adjuvant psychotherapy plays an important role. But you need to take medication as prescribed and not miss it intermittently. ECT though controversial in certain states has been found to be effective in depression with suicidal tendencies not responding to medications. Admission in a psychiatric facility is also recommended for suicidal patient where steps are taken to prevent self harm.