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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

well first of all I skrewed up my freshman year completely I failed four classes and that really tore me apart I was so motivated at the beginning of the year then I got ina really bad funk and my grades started slipping and whence I started seing my grades I gave up I dropped my ap class I dropped my ap class I hated disappointing my family and myself and to top all that off I flaked on summerschool like a dumb ass and now that s still taunting me. seconed of all my grandma died the day before my birthday this year and was not expected . she was the only one I ever talked to about my feelings and what I was going through we humg out everyday and she lived in the room right next to mine. she was only 56. and I had to go through most of it on my own because my family was in cali. I had to here the news from the doctor by myself with no one to comfort me I hhad the hardest time dealing with that im still struggling with that to this day. i relive going through it all the time. i keep having nightmares. my mothe is bipolar on an extreme leval and i deal with a lot of verbal abuse everyday im usually used to dealing with my mom but sometimes the stuff she says get to me. i have had a cutting problem since i was in 5th grade i am scared to get help because i dont want to tell my family im going through thes things because they will think im trying to get attention. i am in and out of depression all the time and im ready to get help.
Mon, 18 Aug 2014
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Psychiatrist,  's  Response
so u have lots of stress in your life and some of that u have created for your self. u ve said that the depression comes and goes and the important thing is your cutting problem, i can not exactly understand that but i feel cutting problem means your self harming behavior and that is present for your 5th grade. u have strained relationship with your family and u were sharing feelings with grandma previously.

so i feel that u do not have clear cut depression at present because unipolar depression is very simple and easy to treat.. i dont know whether u r taking any meds or not..u shud consult a psychiatrist for diagnosis and evaluation of thoughts and feelings, n whether any personality problems are present or not.. your symptoms look like borderline personality, if i m right u have to undergo meds as well as psychotherapy like dialectical behavior therapy.

for regulation of your mood i can not suggest u any antidepressant but i advise u to take mood stabiliser medication..u shud take depakote 500 mg twice daily and can gradually increase it depending upon the response and body weight [20-30mg/kg body weight]..

if your mood is more of depressed the u can take fluoxetine and olanzapine combination or lamotrigine or quetiapine..

dosages are: fostera [10] once a day
quetiapine [seroquel 200 to 400 mg ] a day
lamotrigine [lamictal] 200 to 400 mg a day, start lamotrigine with low dose of 25 mg a day gradually increase the dose to reach the maximum. look for any rash development or other skin reaction after taking it. if develops stop lamictal immediately and consult ypur psychiatris...

i hope u ll find this advice helpful, best luck
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Suggest Treatment For Depression

so u have lots of stress in your life and some of that u have created for your self. u ve said that the depression comes and goes and the important thing is your cutting problem, i can not exactly understand that but i feel cutting problem means your self harming behavior and that is present for your 5th grade. u have strained relationship with your family and u were sharing feelings with grandma previously. so i feel that u do not have clear cut depression at present because unipolar depression is very simple and easy to treat.. i dont know whether u r taking any meds or not..u shud consult a psychiatrist for diagnosis and evaluation of thoughts and feelings, n whether any personality problems are present or not.. your symptoms look like borderline personality, if i m right u have to undergo meds as well as psychotherapy like dialectical behavior therapy. for regulation of your mood i can not suggest u any antidepressant but i advise u to take mood stabiliser medication..u shud take depakote 500 mg twice daily and can gradually increase it depending upon the response and body weight [20-30mg/kg body weight].. if your mood is more of depressed the u can take fluoxetine and olanzapine combination or lamotrigine or quetiapine.. dosages are: fostera [10] once a day quetiapine [seroquel 200 to 400 mg ] a day lamotrigine [lamictal] 200 to 400 mg a day, start lamotrigine with low dose of 25 mg a day gradually increase the dose to reach the maximum. look for any rash development or other skin reaction after taking it. if develops stop lamictal immediately and consult ypur psychiatris... i hope u ll find this advice helpful, best luck