Doctor insights on:
Ellen Muth Anorexia
17yrgrdaughter HS bipolar, add, premenstrual dysphoric disorder.On vivanse 60mg, straterra 60mg.Risperdal2.5.She is unhappy/goes off.Wht meds cd work.Sad?
Patients on: Stimulants generally need Depakote to help prevent vyvanse from effecting the mood. Risperdal is cheap, but not approved for bipolar depression. A trial on Latuda (lurasidone) with Depakote would be warranted in my opinion. Vyvanse may need to be raised and i wonder if strattera is really needed. Pms may be managed by Prozac only when symptoms are present, or through the month unless racing thoughts set in. ...Read more
Has bipolar, add, & premenstrual dysphoric disorder. What meds wd work w bipolar.She unhappy/moody. She is on vivanse 60m/stratterra 60mg&risperdal 25mg?
Are facts accurate?: Either your age is not 74 or premenstrual dysphoric disorder can't be a current diagnosis. I also suspect that the dose of Risperdal is 2.5 mg daily and not 25 mg. Is the fever recent and coincident with cough and headache or did they start with a change in a medicine? If 47, then Abilify (aripiprazole) (2 to 5 mg) in place of Risperdal may improve mood and general emotional stability. Suggest talk with your dr. ...Read moreSee 1 more doctor answer
I am suffering from confusion, sleeplessness, taking right decision at right time, lack of self confidence, anxiety disorder, anorexia nervosa.
Get professional: help. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, Chamomile tea or melatonin along w light reading, warm bath or lavender scent. ...Read moreSee 1 more doctor answer
Similar, Different: Both of these terms have to do with unhealthy ways of dealing with food, body weight, and body composition. Bulimia refers to people who go through cycles of overeating and then using abnormal ways of getting rid of what they've eaten (vomiting, laxative abuse). Anorexia has to do with unhealthy ways of trying to stay underweight (starvation, vomiting, laxatives) without the overeating episodes. ...Read moreSee 1 more doctor answer
60 Yrs.f.taking rabiprazole,aspirin, rosuvastatin, amlodipine,olmesartan.hd stroke 2 yrs bck.no physicl disabilty.nw tasts bittr all sweet food.reasn?
You should see: Your family doctor to rule out any nutritional deficiencies. I would also recommend that you see an eating disorder specialist. Also a psychiatrist who specializes in eating disorders could be quite helpful. The therapist would be able to help you in terms of psychotherapy and overeaters anonymous is another resource that you should look into. Best wishes. ...Read more
Friend asks: Is Prozac (fluoxetine) safe for my 17 yo daughter at risk for self harm, with eating disorder and depression? Does Prozac (fluoxetine) increase suicidal ideation?
PROZAC (fluoxetine) PLUS THERAPY: The most optimal combination for emotional problems is meds and psychotherapy. That being said, be mindful that meds by themselves only take the edge off symptoms; alone they solve nothing. The real grunt work takes place in the psychotherapist's office. ...Read moreSee 2 more doctor answers
HELP! My 64' 96lb sister was just hospitalized. She has anorexia, depression, anxiety, OCD, self harms, and suicidal ideation. When will she get out?
Good Question : Hospitalization is needed when there are safety concerns. Your sister's doctor and treatment team at the hospital will evaluate her on a continuous basis and then decide when she will be safe for discharge. Lengths of stay vary and are on an individual basis. Once she is safe for discharge, she will need close monitoring in the outpatient setting. Your sister needs your love and support. ...Read moreSee 1 more doctor answer
Expert witnesses: I had not heard of DR. Samenow until I read your question last night & decided to read up on him. I still don't know that I have a good handle on the answer. But I can say that often behavioral health providers who act as expert witnesses whether it be for the defense or the prosecution, can become known for stance on issues like capacity/ lack of capacity etc. When the behavioral health provider- ...Read more
Good day. I am male, 26 years old.My problems are irritability, low self-confidence, depression, apathy, shyness or social phobia, social anxiety.
I'm currently struggling with Anorexia Nervosa, Depression and Anxiety...I find myself lying to those around me and don't know how 'to want' recovery?
Lying to those: around you, particularly providers -- while it may be tempting to to do ("tell them what they want 2 hear") -- wont help u any. Ur providers cant help u, and could harm u, if they have the wrong info. Keep in mind that it's very unlikely that you'll say anything to shock ur MD. Ur doc has probably heard all sorts of feelings and behaviors that u may be ashamed 2 share. Give the truth a try ... ...Read moreSee 2 more doctor answers
60 Yrs.f.taking rabiprazole,aspirin, rosuvastatin, amlodipine,olmesartan.hd stroke 2 yrs bck.no physicl disabilty.nw tasts bittr some foods.reasn?
Can one recovering from atypical anorexia nervosa with amenorrhea still experience pre-menstrual bloating/acne?
Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.
Possibility: This sounds like an extremely complex situation that would benefit more from working individually with an experienced psychologist or psychiatrist. However, the mind-body workbook for ptsd by block(s) may be a nice accompaniment to your own more individualized therapy. Good luck to you. ...Read moreSee 1 more doctor answer
Seeing psychiatrist, on meds, md, gad, ptsd, eating disorder...Worse than ever..Been is hosp. Suffering badly, exhausted. Ect?
Possibly: This is a complex issue that requires thorough discussion with your psychiatrist. It will be important to reivew your medication history to see what has been tried and what still may be helpful. Ect is not widely available, but it is potentially useful. ...Read moreSee 2 more doctor answers
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