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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Anxiety, Stress, Depression And OCD

Suffering from Anxiety, stress , Depression and OCD . From past 4 month getting suicidal thoughts and feeling hopelessness. Unable to perform at work though could do routine chores regularly but without interest. Losing interest in life and work. Negative thought cycle worsen the situation. Taking escitaloram and other medications too but these thoughts frequently come to my mind and take complete control. Rest of days i am normal , hopeful and lack energy and enthusiasm . I am jobless but feel bored and need some work to spend day . When i get job i cannot perform feel anxiety , stress , quantum of work and leave job in 2 to 3 days without any good reason or shouting . Feel insecure that employer may fire me so before they do so i resign before hand.
Wed, 20 Feb 2019
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General & Family Physician,  's  Response
Hello,

I am sorry you have been struggling so much. It may be that you need a higher dose of the SSRI. You mention that you take "other medications too" but I don't know what they are. You may need to take what is called an atypical antipsychotic - in addition to the SSRI escitalopram - not because of psychosis (you did not indicate any symptoms like that) but because it helps the SSRI work better and also usually addresses anxiety well.

If your current doctor is not skilled at addressing your symptoms, look for a psychiatrist who has experience with this. Also, in addition, a good psychologist can help with coping skills.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bonnie Berger-Durnbaugh, General & Family Physician
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Suggest Treatment For Persistent Anxiety, Stress, Depression And OCD

Hello, I am sorry you have been struggling so much. It may be that you need a higher dose of the SSRI. You mention that you take other medications too but I don t know what they are. You may need to take what is called an atypical antipsychotic - in addition to the SSRI escitalopram - not because of psychosis (you did not indicate any symptoms like that) but because it helps the SSRI work better and also usually addresses anxiety well. If your current doctor is not skilled at addressing your symptoms, look for a psychiatrist who has experience with this. Also, in addition, a good psychologist can help with coping skills. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bonnie Berger-Durnbaugh, General & Family Physician