HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Can Be Done For Bipolar,mania,depression And Sleep Disorder So That They Don T Worsen Further?

Lexapro, lamatical, wellbutrion, I have been taking medication for over 20 years. Added every so often, Xanax. Unable to speak clearly, can not think clearly. I have been diagnosed bipolar, depression, manic, sleep, ambient as needed. I would like someone evaluate my brain. SO this effect does not became worst.
Tue, 1 Apr 2014
Report Abuse
Psychiatrist,  's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Well you are already on plenty of drugs. The only reason I see, why you are not improving is:
1) Lexapro is an SSRI and will cause switch in a case of depression. This is undesirable in a case of bipolar mood disorder.
2) There is only one mood stabilizer. That can be augmented with valproate. Valproate is one of the first line mood stabilizer and would be effective in your case.
3) Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
MRI scan and other investigations of your brain will not reveal much if its a psychiatric illness. They will definitely not be very useful.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

I find this answer helpful
Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Bipolar spectrum


Loading Online Doctors....
What Can Be Done For Bipolar,mania,depression And Sleep Disorder So That They Don T Worsen Further?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Well you are already on plenty of drugs. The only reason I see, why you are not improving is: 1) Lexapro is an SSRI and will cause switch in a case of depression. This is undesirable in a case of bipolar mood disorder. 2) There is only one mood stabilizer. That can be augmented with valproate. Valproate is one of the first line mood stabilizer and would be effective in your case. 3) Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. MRI scan and other investigations of your brain will not reveal much if its a psychiatric illness. They will definitely not be very useful. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.