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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Disorientation, Fatigue And Poor Decision Making Skills Indicate?

so from the time i get up to the time i go to to bed, i am very tired and lethargic, i cannot think clearly whatsoever, i cannot make simple descions, my head is in the clouds and i connot find the answers. i am not lazy but have zero motivation to do things. i had to drop out of college b/c i couldnt keep up with the work. i have bad memory and am very slow at processing information. Along with this comes anxiety sadness and a lot of confusion. i am 20 years old and this is ruining my life and makes it very hard to even hold a job. i would really appreciate some advice, i have been to a doc he prescribed me vyvanse, and it has done nothing. Could anyone please help??
Tue, 12 Aug 2014
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Psychiatrist,  's  Response
hi,

You have described of feeling physically and mentally fatigued along with low mood and anxiety. These are also hampering your life to a great extent. You haven't specified for how long are you having these problems, but I assume from what you have told, that it is there for more than few years.

I assume your physician had diagnosed you with chronic fatigue syndrome (CFS) for which you might have got a prescription of Lisdexamphetamine (vyvanse). Your symptoms suggests you to be having a mood disorder, either depressive episode or dysthymia, rather than CFS. I would prefer to give you an antidepressant like tablet Buproprion.

This shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family.

So please Consult a nearby psychiatrist and live a happy fruitful life.
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What Could Disorientation, Fatigue And Poor Decision Making Skills Indicate?

hi, You have described of feeling physically and mentally fatigued along with low mood and anxiety. These are also hampering your life to a great extent. You haven t specified for how long are you having these problems, but I assume from what you have told, that it is there for more than few years. I assume your physician had diagnosed you with chronic fatigue syndrome (CFS) for which you might have got a prescription of Lisdexamphetamine (vyvanse). Your symptoms suggests you to be having a mood disorder, either depressive episode or dysthymia, rather than CFS. I would prefer to give you an antidepressant like tablet Buproprion. This shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family. So please Consult a nearby psychiatrist and live a happy fruitful life.