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Unidep 150Mg Tablet Sr Health Feed

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I'm in 95% remission on medication, I take carispec 3 mg, valproate cr 1g, and bupropion xl 150 mg. I'm happy with my new doctor but I feel denied therapy for traumatic emotional sensitivity. I want a opinion if with these symptoms I should continue advocating for therapy or if it is harmful for me. 30, male, diagnosed early stage f20 15 years ago. Doctor's meds never worked, tried many throughout the years. Since childhood, violent father who struck me, family and my mother. No interest in school studies and unable to understand simplest subjects, always landed up in trouble with teachers who constantly berated me as a child. High school was further traumatising, bullied constantly by whole class and cursed upon to the point I was so conscious of myself and filled with anxiety everyday and the anxiety was high to the point of being almost psychotic. I avoided places like barber and school vicinity where I felt uncomfortable and became extremely anxious. Stopped speaking with father completely for 15 years even though we lived together until his death, retaliated his behaviour with outbursts of rage of my own. Since childhood and especially 11 years old, felt very sensitive and hurt by everything, started becoming detached and separate from the world, spending time alone by myself to cope and increased computer use. Was also not very expressive and that fuelled rage further. The sensitivity gave way to complete isolation and severe grief filled depression, weeping everyday, and that gave way to extreme irritability where I could not tolerate the slightest noises like building construction, kid crying, and lashed out physically and verbally. Electrical shock sensations in my chest also. Started having full on rage attacks, retaliatory outbursts where I shattered glass objects by the dozen, tore the house down everyday, and screamed at the top of my lungs, often curses which kids at school had said to me. Was hospitalized in 2015 3 months because of unending outbursts, felt others misunderstood that these curses were from trauma and I didn't deserve the torture. ​ get repetitive nightmares and flashbacks in dreams where my father is screaming violently, and I start screaming as well curses and rage and then beg in despair after breaking things in dream also, that please I don't want to go to nursing home. Or that my father is hitting my mother and I beg please don't hit her, I picture this as a kid. ​ wake up angry often unconsciously punching and kicking the near wall or bed. Often woke up unconsciously crying with tears in eyes. ​ the depression is such that I feel so sensitive and lonely. I crave intimacy but have no friends. I feel there is no one to love me. I feel i'm completely wretched and damaged and there is no good in me. I become hypersexual but scared of that. I feel want to marry a chaste, pure christian girl and conceive a child in her womb but get upset because that will never be. ​ I also stop all hygiene. 1 months ago started low dose vraylar because no other meds were helping. And every inch of irritability, rage, hygiene issue disappeared instantly and I feel happy for first time in life. But I do feel I need support for my trauma to prevent any depressive relapses in the future but the hundred doctors I saw just put f20 because I damage property, and say you are not a war victim. I feel misunderstood and that does not help. Thank you.

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Reparenting Technique, BA, BEd, Transact...read more

Psychologist•Bangalore
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I am glad that you are feeling 95% remission in your current treatment, which only means that the medicine is working well for you. But you are also right that you need therapy in tandem with the medication. You must seek the help of as good counselor and start your therapy. There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime, you can do certain things that will give you benefits ...more
Asked for male, 25 years old from Jalgaon
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MD - Psychiatry

Psychiatrist•
Hello
welcome here. I understand your concerns for your friend. Yes its possible to make chain smoker a nonsmoker.
But the most important thing in this case is your friend's motivation to quit smoking.
If the motivation is high, he can be helped to quit smoking.
The withdrawal symptoms are managed by drugs like bupropion (prescription drug).
Also, nicotine replacement therapies are available. These include chewing gums and patches.
The patch is easy to use.
It is just...more
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MD-Psychiatry, MBBS, Certificate in Medi...read more

Psychiatrist•Akola
Hi. Thanks for the query. may I know for what indication you have been prescribed Escitalopram? As you may be already aware, Escitalopram is an antidepressant (SSRI group of medication) & is considered to be one of the safest antidepressants & one with least side effects. It might adversely affect sexual functions in some patients & may NOT effectively help in symptoms in domains of lethargy/fatigue (you are not able to pull up yourself for work). Hence, safer alternative at this point can be ei...more
Asked for male, 28 years old from Pune
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MBBS, DPM

Psychiatrist•Bangalore
Dear Nirvic,
i don't know how long you have been smoking. However yo try and stop smoking. Breathing problems are common in smokers. If yo stop smoking, there are other health benefits also in the long run. Please motivate yourself continuously for 12 weeks not to smoke. If you have withdrawal symptoms, please take the help of nicotine gum or patch, or Bupropion tablets. All the best.
Asked for male, 47 years old from Muzaffarpur
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MBBS, MD - Psychiatry, MBA (Healthcare)

Psychiatrist•Davanagere
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Hi there ~
there are many medications that can help treat depression and this is something that you might need to discuss with your psychiatrist. You are on medications for a very long time and right now it has not been helpful. I hope this helps in the way that you can find options to have your depression treated. Medications including but not limited to escitalopram, vilazodone, sertraline, bupropion, desvenlafaxine, duloxetine, etc may be other options however I strongly advise you to con...more
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Asked for male, 34 years old from Midnapore
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MBBS Bachelor of Medicine and Bachelor o...read more

Psychiatrist•Kolhapur
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1. Reduce frequency of sexual activity to 3-4 per week.
2. Ask your prescribing doctor to change nexito 20 to something that is safer sexually like vilazodone, bupropion, mirtazepine etc
3. You can also take any pde 5 inhibitors like sildenafil or tadalafil before sex to improve your erection.
4. Consult with me or with any other psychiatrist for more help.
Regards.
82 people found this helpful
Asked for male, 24 years old from Kanpur
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MD - Psychiatry, MBBS

Psychiatrist•Hyderabad
Being a regular smoker, motivational therapy with a trained psychotherapist or a psychiatrist and enormous will power will help you quit. If you are a diseased smoker, consult a de addiction psychiatrist at the earliest. He may give you anti-addiction medications and de addiction treatment. Medicines like bupropion and verinicline also help in treating addiction of smoking or chewing tobacco. One can get the prescription of the same from a qualified psychiatrist.
Asked for female, 42 years old from Delhi
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MA Clinical Psychology, Bachelor of Arts...read more

Psychologist•Nagpur
Dear Lybrate user
Yes therapy has provided great results in any kind of addiction. Addiction is psychological and thus psychotherapy is supposed to be taken. I have had many clients who have got rid off their addiction. As there are some causes for any addiction and until and unless those causes are not resolved the addiction will not go away. Thats the reason many people get addicted again after they come back from deaddiction centers.
You can contact me for more information.
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MD PHYSICIAN

General Physician•Delhi
1) Nicotine replacement therapy. Nicotine gum, patches, inhalers, sprays, and lozenges are nicotine replacement therapies. They work by giving you nicotine without the use of tobacco. You may be more likely to quit with nicotine replacement therapy, but it works best when combined with behavioral therapy and lots of support from friends and family. And remember that the goal is to end your addiction to nicotine, not simply to quit using tobacco
2) Behavioral therapy-This involves working wit...more
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