I am currently on fluoxetine, fluvoxamine, and libotryp for 5 months. But, from 10 days ,i am feeling anxiety and depressed and feel the medicines are no more working. My Dr. advised me to add fluanxol and rivotril. I don't want to rely on so much medication. Should I consult a different psychiatrist? How will I get psychiatric medicines as most of them are not sold online?

Dr. Prof. Jagadeesan M.S.Psychiatrist17yrs exp

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adding medications to existing ones is rarely done. It is wise to stop the existing ones and try a totally different group. Yes, it would be wise to get a 2nd opinion. Good luck 

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Mrs. Aaradhana ReddyPsychologist4yrs exp

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Dear Lybrate user, it must've been hard going through this. I understand your concern, not wanting to rely on medications too much. I'll suggest you go for psychological counselling/therapy. It'll help you manage your anxiety, depression, insomnia etc. Therapy will help you with managing your concerns through certain strategies and techniques. Especially cognitive behaviour therapy is widely proven and used to treat various forms of anxiety and depressive disorders. Once you've learned to manage your anxiety, depression, insomnia etc. You can reduce your dependence on medications. Therapy will also help you in the long term. Please consult a psychologist. You can also consult me for help, through Lybrate or our website. Regards, aaradhana reddy counselling psychologist safespace counselling.  

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Mr. Saul PereiraPsychologist50yrs exp

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I think your psychiatrist is alright. Instead you need to do some therapy too. If you want to get off of the medication you need to involve yourself in some good counseling. You don't mention your age but you need to check on your prenatal history and early childhood for influencing factors. You must combine medication with therapy. This is extremely important for your anxiety and depression. Life is full of problems as a norm. Any attempts to escape will never help: you must learn to face these problems every day with good success. The counselor will help you in this regard. I also strongly believe that every crisis offers an opportunity for change, if you seek it and grab the opportunity. Please meet with a counselor and work on your emotions, particularly anger. Exercise is very important but you have to build on it developmentally. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. This combination should help you reduce your medication and if you are very cooperative, you can even come off of it eventually.  

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Dr. P K SukumaranPsychiatrist56yrs exp

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Stress patients worry too much. Stress in today?s day & age where stress is high, feelings of frustration can emerge. It is our perception that can change our current negative situation into a healthy & positive one. Another way of perceiving these feelings of frustration can be by looking at them as an opportunity to push ourselves to go that little extra mile until we achieve our objective. However, there are times when we all can go around in circles; and being in this space can be quite upsetting and lead to feelings of dissatisfaction, frustration and can even cloud our mind and judgment. Exercise one hr daily, oil massage body, hobby, support from friends family, help others, weekly holiday, yoga, meditation to ensure that this stage is not reached, here are a few simple steps one can approach these feelings of frustration with and eventually overcome them: take nexito 10 mg daily exercise daily stop alcohol and smoke be present in the now: when one feels frustrated, we have a tendency to overthink and that too about many different things. It may momentarily occupy our mind but not in a constructive manner. We have a tendency to dissect all the past events in our minds and psychoanalyze ourselves, others & all situations related to the event or even remotely resembling it. The best thing to do at this point is to bring yourself back into the present moment, by calming yourself, center your thoughts on what is presently going on around you. You can do so in the following ways: relax into the now: find a space to sit comfortably, close your eyes and simply concentrate on the live events happening in your environment around you for a minute or two. Take a nice deep breathe, inhale and exhale, in through your nose and out through your mouth, very good, continue. Become aware of all that is happening around you at present- the sun shining in the sky above you, the children playing out in the garden, the vehicles or the individuals passing by. Take in all the details. Relax into this space, in the now. Be happy & grateful for what you have at present: make a list of all that you have in your life that make you happy, joyous or even just comfortable. Things that we sometimes take for granted. Be grateful and happy as you make this list, this is all that is positive and good in our life, smile. It's real! a few examples are:- a warm home and a roof over your head clean drinking water clean, nutritious, healthy food access to the internet and other forms of technology that make life easy your loved ones the point of power is in the present moment: sometimes anger, stress and feelings of frustration can block out all that truly matters, all that is positive & good in our lives, even when it is right in front of us. It is important and very beneficial to remember that the point of power is in the now! the present moment is when you pen down your thoughts, try to trace the root cause of your negative emotions, of the feelings of frustration. When you know the root of the problem, finding a solution becomes easy. List out possible solutions and create an action plan. Take back your power! take this time to relax, breathe, unwind and introspect. When you feel that you are better and ready to roll, get back up on your feet again & shine! no need to do so. Relax nothing is going to happen to you. Take regular exercise daily stop alcohol and smoke no need to worry. Take parox 25 mg twice daily yoga and breathing exercise all the best.  

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