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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Anxiety And Depression

I have severe anxiety snf depression have been treated for years have handled it surly well until rrcentky I m so depressed and sncjius from do much guilt and shame i CD. Hsrdky bare it i take mymeds at night so I general can get to sleep but cent handle the day time I ve lot evsrggoic tninv I m life and utsall my own fling I take 600 seroqual along with clonaxaoam and zolpidem I m terrugurd of dying
Tue, 9 Apr 2019
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General & Family Physician 's  Response
Hello,

I suggest you continue Seroquel.

Also, I would like to suggest some medicines

1. Bupropion 100 mg orally twice a day
2. ALPRAZOLAM 0.25mg, Three times a day
3. Buspirone 7.5 mg orally 2 times a day

Along with these two, please continue Seroquel. You may discontinue clonazepam and zolpidem.

I also suggest you to read these guidelines: A number of psychotherapy techniques may be helpful. Here are some examples:

Cognitive behavioral therapy helps you recognize and change unreasonable patterns of thinking and behavior.

Psychodynamic or insight-oriented psychotherapy helps you understand the history behind your symptoms.

For example, you may become more aware of how you have carried past fears into the present day. This insight may help you face challenges more confidently now.

Interpersonal psychotherapy can help you sort out anxiety-provoking conflicts in important relationships and resolve them more effectively.

Exposure and desensitization is a behavioral technique that provides support so you can confront a specific fear and overcome it. It is particularly helpful when anxiety is causing you to avoid important tasks or responsibilities.

Applied relaxation teaches people with generalized anxiety disorder to control their symptoms by using imagination and muscle control.

Relaxation techniques, such as diaphragmatic breathing, meditation and visualization, can relieve some of the more bothersome physical symptoms.

Biofeedback uses special sensors attached to the skin to teach people with generalized anxiety disorder to recognize anxiety-related changes in their physiological functions, for example, pulse, skin temperature and muscle tone.

With time and practice, patients learn to modify these anxiety-related changes and to control the effect of anxiety on the entire body.

Thank you and any further problem, feel free to ask here. At least continue this treatment for 1 month, and see whether it is going good or not.

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

Take care

Regards,
Dr Dipan Samanta, General & Family Physician
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Suggest Treatment For Severe Anxiety And Depression

Hello, I suggest you continue Seroquel. Also, I would like to suggest some medicines 1. Bupropion 100 mg orally twice a day 2. ALPRAZOLAM 0.25mg, Three times a day 3. Buspirone 7.5 mg orally 2 times a day Along with these two, please continue Seroquel. You may discontinue clonazepam and zolpidem. I also suggest you to read these guidelines: A number of psychotherapy techniques may be helpful. Here are some examples: Cognitive behavioral therapy helps you recognize and change unreasonable patterns of thinking and behavior. Psychodynamic or insight-oriented psychotherapy helps you understand the history behind your symptoms. For example, you may become more aware of how you have carried past fears into the present day. This insight may help you face challenges more confidently now. Interpersonal psychotherapy can help you sort out anxiety-provoking conflicts in important relationships and resolve them more effectively. Exposure and desensitization is a behavioral technique that provides support so you can confront a specific fear and overcome it. It is particularly helpful when anxiety is causing you to avoid important tasks or responsibilities. Applied relaxation teaches people with generalized anxiety disorder to control their symptoms by using imagination and muscle control. Relaxation techniques, such as diaphragmatic breathing, meditation and visualization, can relieve some of the more bothersome physical symptoms. Biofeedback uses special sensors attached to the skin to teach people with generalized anxiety disorder to recognize anxiety-related changes in their physiological functions, for example, pulse, skin temperature and muscle tone. With time and practice, patients learn to modify these anxiety-related changes and to control the effect of anxiety on the entire body. Thank you and any further problem, feel free to ask here. At least continue this treatment for 1 month, and see whether it is going good or not. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician