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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatments For Depression,bipolar And Shakes

hi my names Lucy I am 16 and have had depression for a long time last year was too much and I tried to kill me and family I got myself together but gone back down again bi polar runs in my family and when I am happy I am really happy I cant stop stealing things I don’t even need I get angry smash windows and get sad n do nothing I feel like my heart going nuts but my bodies still and i don’t no what to do anymore I am still taking my antidepressants and I have been to a doctor but they want me to wait to see theists and I cant . i cant have stop shaking anymore i don’t no why everything’s getting worse
Thu, 9 Oct 2014
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Psychiatrist,  's  Response
Hi, Thanks for the query. May I know your exact symptoms apart from those mentioned above? How will you rate your mood, energy levels, interests in doing various things, sleep, appetite, self esteem (rate out of 10 with 10 being the best)assuming that you have been diagnosed with depression by a qualified Psychiatrist & you are taking ONLY antidepressants without significant improvement plus a strong history of bipolar disorder in family; I would suggest a few changes. 1. Consult doctor to stop antidepressant immediately as antidepressants can worsen cycling process of bipolar disorder 2. Get thyroid profile done 3. Consult your doctor for use of Quetiapine/Aripirazole/Amisulpride as all of these medications are good mood stabilizers plus antidepressants & relatively free of side effects. Lastly try to maintain a regular sleeping & waking schedule to avoid getting episodes of mania/depression.Hope this helps; good luck
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Psychiatrist,  Dr. Shubham Mehta's  Response
Hello Lucy,
Bipolar Disorder has both the phases of depression and mania.
If you will keep taking your antidepressants even in the manic, hyperactive phase, your illness will become worse.
The best option is to start with a mood stabiliser like divalproex. this will prevent mood cycling in you.
Thanks.
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Suggest Treatments For Depression,bipolar And Shakes

Hi, Thanks for the query. May I know your exact symptoms apart from those mentioned above? How will you rate your mood, energy levels, interests in doing various things, sleep, appetite, self esteem (rate out of 10 with 10 being the best)assuming that you have been diagnosed with depression by a qualified Psychiatrist & you are taking ONLY antidepressants without significant improvement plus a strong history of bipolar disorder in family; I would suggest a few changes. 1. Consult doctor to stop antidepressant immediately as antidepressants can worsen cycling process of bipolar disorder 2. Get thyroid profile done 3. Consult your doctor for use of Quetiapine/Aripirazole/Amisulpride as all of these medications are good mood stabilizers plus antidepressants & relatively free of side effects. Lastly try to maintain a regular sleeping & waking schedule to avoid getting episodes of mania/depression.Hope this helps; good luck