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Doctor Q&A for Dr. Arman Danielyan

A 23-year-old male asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Prozac (fluoxetine): Prozac (fluoxetine) is believed to be more activating antidepressant. The majority of doctors recommend to take it in the morning hours. That said, some people feel like it helps them to sleep better. You can try taking it in the morning, if it makes you feels sleepy or tired, switch it to bedtime.
A 29-year-old female asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
PTSD: What you are describing are classical symptoms of post-traumatic stress disorder or ptsd. It is a treatable condition and you will get better. The best treatment is combination of medications (ssris) with therapy. I would strongly suggest that you see a psychiatrist for consultation.
A 47-year-old female asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Latuda (lurasidone) for bipolar : Latuda (lurasidone) is approved for schizophrenia and bipolar depression. Tends not to cause much weight gain or lipid/blood glucose elevation compared to other atypical antipsychotics. Need to take once a day, but make sure take it with at least 300 kal meal, otherwise it wont work.
A 47-year-old female asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Bipolar depression: Latuda (lurasidone) is one of only 3 medications that have approval for bipolar depression. Based on recent studies, it also seems to be one of the most metabolically neutral medications, ie, doesn't seem to cause much weight gain or increase in your blood sugar or lipids, compared to other atypical antipsychotics.
A 24-year-old female asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Crying and depressio: You should talk to a professional to make sure you are not suffering from depression. Excessive crying, or "feel like crying" is often associated with depression.
A 42-year-old member asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Nightmares: Medication called prazosin or Minipress has been used off label for treatment of nightmares associated with ptsd. You should talk to your doctor.
A member asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
ADHd and pregnancy: There, unfortunately, are no medications for adhd that have been proven to be safe in pregnancy. You should consult with your ob/gyn doctor and your psychiatrist.
A 35-year-old member asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
ADHD and ODD: Adhd is often comorbid with oppositional defiant disorder. Combination of medications with therapy usually works the best , both for the patient and his family.
A 30-year-old member asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
Depression treatment: Seroquel (quetiapine) is not an antidepressant. It is an atypical antipsychotic and a mood stabilizer. The rest 3 meds are antidepressants. Concomitant use of 2 or more antidepressants may put you at risk of serotonin syndrome, which can be an emergency. Also, there is some scientific data showing that combination of 2 antidepressant is no more effective than one.
A 23-year-old male asked:
Dr. Arman Danielyan
Child Psychiatry 29 years experience
IBS: From a psychiatric perspective, treatment of underlying depression and even more importantly, of anxiety, often alleviates symptoms of ibs.
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