I am 39 years old patient of schizoaffective bipolar disorder on medication for last 15 years. And now I have reduced renal activity like urinating only once during daytime. I have sideeffects of bipolardisorder medication like laziness throughout the day, excessive salivation, weightgain and lowmood. I belong to a military family with severe socio-economic issues. Please help.

Dr. Saul PereiraPsychologist48yrs exp

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You have been pumping your system with medication for so many years that that low level of urination is not at all healthy. Please increase the consumption of water to at least 2 liters every day. This will flush out all the toxins from synthetic medicines and cleanse your system regularly. Whether you like or not and even if it seems impossible, you must go for vigorous exercise every day. It is your life and it is up to you to put in all this effort. I do not know what kind of support you have at home but a lot will depend on your motivation. I know that that will be very low but you cannot be passive and expect any results. There are some neurological exercises that will help too. Now this is my biggest concern: have you been in therapy along with the medication? I am sure not. Get into counseling as quickly as you can, whatever your economic condition. You must seek this type of help for any improvement. It will also support the effects of medication. You must exercise vigorously, sleep only during the night, and eat a healthy diet of fiber like whole grains, fruits, and vegetables. At all times you must be responsible, be respectful and be functional. These three are cardinal rules to adhere to that will make some effective changes in your life. 

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