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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Severe Spasms & Depression

femal, age 20, 160 lbs, 5.3. severe sharp spasms/pain random and migrating all over body, history of several trials with antidepressants for depression over 8 month period that were not helpful. she has not been on medication for 2 months and pains getting worse. pain meds and muscles relaxers to not help. also has had headache, stomach pain, sharp joint pain, and nausea comes and goes and some hot flashes.

Thu, 6 Nov 2014
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Psychiatrist 's  Response
Hello Welcome to HCM

She is 20 years old and have depressive symptoms, spasms and pain in multiple sites of body, migrating pains, headache, joint pains, stomach pain, hot flushes and abdominal complaints like nausea. She has stopped to take medicines and condition has worsened.

After reading the available history most likely she is having Somatic symptoms. These symptoms may be the part of depression itself or can be due to Somatoform Pain Disorder. In this disorder individuals have pains in multiple sites of body and on investigations all come normal. Visit her psychiatrist again for treatment.

Many drugs like Duloxetine, Milnacipran etc can be used. Duloxetine is an anti-depressant with very good effects in pain symptoms. Supplements like Pregabalin can be added to relieve her anxiety and pain symptoms.

Apart from this cognitive therapy will help her in improving the cognitive distortions. Consult a psychiatrist for detailed prescription.

Hope this helps you, thanks
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Suggest Remedy For Severe Spasms & Depression

Hello Welcome to HCM She is 20 years old and have depressive symptoms, spasms and pain in multiple sites of body, migrating pains, headache, joint pains, stomach pain, hot flushes and abdominal complaints like nausea. She has stopped to take medicines and condition has worsened. After reading the available history most likely she is having Somatic symptoms. These symptoms may be the part of depression itself or can be due to Somatoform Pain Disorder. In this disorder individuals have pains in multiple sites of body and on investigations all come normal. Visit her psychiatrist again for treatment. Many drugs like Duloxetine, Milnacipran etc can be used. Duloxetine is an anti-depressant with very good effects in pain symptoms. Supplements like Pregabalin can be added to relieve her anxiety and pain symptoms. Apart from this cognitive therapy will help her in improving the cognitive distortions. Consult a psychiatrist for detailed prescription. Hope this helps you, thanks