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Doctor insights on: Gad And Depression

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I've gone thru 8 rTMS sessions for GAD and depressions. How long until i begin feeling better. Im still on my meds with rTMS. Tyvm Drs in advance?

I've gone thru 8 rTMS sessions for GAD and depressions. How long until i begin feeling better. Im still on my meds with rTMS. Tyvm Drs in advance?

Several weeks: rTMS is a variant of TMS and an alternative when medication does not adequately treat depression and GAD, although not as effective as ECT for depression. If effective for you, rTMS benefits are not usually realized for several weeks. I think it's best to combine rTMS and medication with psychotherapy, especially Mindfulness-Based Cognitive Therapy (MBCT) and Energy Psychology (EP). ...Read more

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Dr. Pamela Pappas
4,559 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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What is the efficacy of rtms for gad and depression. Am nervous about it, but seriously considering it now on a/c of help from dr. Pappas?

What is the efficacy of rtms for gad and depression. Am nervous about it, but seriously considering it now on a/c of help from dr. Pappas?

Target and Protocol: The verdict is still out on rtms for anxiety. To make a definitive determination we need large randomized double blinded controlled studies. At the moment, there is data for using right sided slow conventional rtms (maybe followed by left sided fast), deep rtms with the h1 coil combined with exposure, deep rtms over the anterior cingulate combined with exposure. Make sure your doctor knows this. ...Read more

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Lexapro10mg and klopnopin0.75mg for major gad and depression for 6+ yrs. Docs say will need these meds lifelong. Is it safe to be on this lifelong?

Lexapro10mg and klopnopin0.75mg for major gad and depression for 6+ yrs. Docs say will need these meds lifelong. Is it safe to be on this lifelong?

See a psychiatrist.: Klonopin is an anxiety medication belonging to the benzodiazepine family and are supposed to be used for a short time only although some have been known to use it longer. Lexapro (escitalopram) maybe given for longer periods of time , sometimes a lifetime and it is safe as long as a doctor supervises its use. ...Read more

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What the best dose of Zoloft (sertraline) for gad and depression?

What the best dose of Zoloft (sertraline) for gad and depression?

Cannot say: It depends on the person, severity of symptoms, other health issues, and other meds taken. Generally, it is started at a low dose and then titrated up until effective while minimizing the side effects. There is no standard dose for gad and depression, only a range (which is broad). ...Read more

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I have GAD and depression can brintellix Help me specially for GAD panic attack?

I have GAD and depression can brintellix   Help me specially for GAD panic attack?

Possible: As you probably know, Brintellix is a fairly new drug and works on a specific subtype of serotonin which makes it a bit different than the other SSRI's. While most SSRI's work for both depression and generalized anxiety disorder - only some have been found to be efficacious in panic disorder. Unfortunately the research is still ongoing for right now. Hope that helps! ...Read more

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I have gad, ocd, depression, and derealization. It's hard to cope with life right now. I'm on medication, but it's not helping. What do I do?

I have gad, ocd, depression, and derealization. It's hard to cope with life right now. I'm on medication, but it's not helping. What do I do?

Talk w/psychiatrist: If you're feeling it's hard to cope with your life, you need to discuss this with your psychiatrist. More exploration of your case can be done; adjusting or changing of medications; also adding psychotherapy to your treatment are further possibilities. The better you take care of yourself at home also, the better you'll feel. Good exercise ; rest, healthy eating, and connecting w/others helps. ...Read more

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Is fluoximine a good drug for gad and depression? Lyrica (pregabalin) is making me loose my mind, life it's gots more side effects than benefits! :(

Is fluoximine a good drug for gad and depression? Lyrica (pregabalin) is making me loose my mind, life it's gots more side effects than benefits! :(

Yes it is: Luvox or fluvoxamine is an excellent medication for depression and anxiety. Lyrica (pregabalin) on the other hand can be used in rare siuations for anxiety when nothing else works, but it is not an antidepressant. You have also alluded to lyrica's side effects, and there are too many in my experience to have any desire to prescribe it as a psychotropic drug. Don't stop anything without talking to your dr first. ...Read more

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I have been through CBT for GAD and depression its helped but mum thinks I could be schizophrenic have all symptoms of it but not hearing/seeing thing?

I have been through CBT for GAD and depression its helped but mum thinks I could be schizophrenic have all symptoms of it but not hearing/seeing thing?

What...: ...does your psychiatrist say? Have you brought this up with him or her? Schizophrenia is a chronic mental disorder consisting of delusions (false beliefs), hallucinations, disorganized speech/thinking, disorganized behavior and negative symptoms (flat affect, extreme ambivalence, trouble relating to other people). Please talk with your psychiatrist. ...Read more

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If im on Risperdal 0.25 Cymbalta (duloxetine) 60 for GAD and depression it work good for my anxiety but im deepest if i take 150mg wellbutin wel help me ?

If im on Risperdal 0.25 Cymbalta (duloxetine) 60 for GAD and depression it work good for my anxiety but im deepest if i take 150mg wellbutin wel help me ?

Maybe yes - maybe no: The wellbutrin (bupropion) may help if you have atypical depressive symptoms. It is outstanding for that. Discuss your psychiatrist. Take care. ...Read more

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Since 8 weeks I am on Zoloft (sertraline) 50 mg & klonopin 1 mg for gad.My depression is getting worse, I am becoming aggressive & short tempered.What can I do ?

Since 8 weeks I am on Zoloft (sertraline) 50 mg & klonopin 1 mg for gad.My depression is getting worse, I am becoming aggressive & short tempered.What  can I do ?

Klonopin (clonazepam) effects Ser: Klonopin (clonazepam) may increase sertraline-zoloft can cause Dopamine release --sertraline Dopamine reuptake blocking properties may cause agitation, anxietion, worsening depression. Gradually reduce eliminate klonopin (clonazepam). Consider alter agent to klonopin (clonazepam). Consider trazdone or benzodiazepine. ...Read more

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I have gad and depression, why does my doc want me to take elavil (amitriptyline) during the day and before bed instead of just before bed? Many thanks

Duration : The duration of action of Amitriptyline is ~18 hours and is usually dosed once daily. Using it twice a day may be to prevent side effects. Please ask your doctor why this is being done in your case. ...Read more

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Oh Lexapro (escitalopram) 10mg and klonopin 0.75 mg for 6 yrs for gad and depression. Partial benefit. Frequent anxiety attacks? Cog therapy hasnt helped.

Oh Lexapro (escitalopram) 10mg and klonopin 0.75 mg for 6 yrs for gad and depression. Partial benefit. Frequent anxiety attacks? Cog therapy hasnt helped.

Eclectic Approach: Suggest finding clinical psychologist who is anxiety specialist - someone who (a) uses behavioral & cognitive-behavioral techniques, esp. To help u build skills to gain control of anxiety/panic; (b) uses experiential & mindfulness techniques to help u identify & experience ur emotions as u're feeling them; & (c) uses techniques that trace roots of ur feelings & explore patterns in ur relationships. ...Read more

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Can wellbutrin (bupropion) 150 taking with Zoloft and Risperdal for GAD and depression and can boost memory and sex drive and energy?

Can wellbutrin (bupropion) 150 taking with Zoloft and Risperdal for GAD and depression and can boost  memory and sex drive and energy?

Maybe: Welbutrin is sometimes rprescribed to counter adverse sexual side effects of some antidepressants such as Zoloft (sertraline). I can not predict if it will give you more energy. Sometimes it causes decreased appetite. ...Read more

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Have been diagnosed with GAD and Major Depression, been doing well but had affair with married man, now symptoms are back. Is this as result of affair?

Have been diagnosed with GAD and Major Depression, been doing well but had affair with married man, now symptoms are back. Is this as result of affair?

Affairs with people: who cannot be there for you in a real ongoing relationship, are stressful and depressing, so yes, they may have re-triggered your symptoms. Listen to the sone "Soon" (Sung by Reba McEntire) and find a way to take back your life. Psychotherapy may be needed in addition to the simple 3 minute music therapy relayed in that great country song. ...Read more

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Could a hormonal imbalance cause midcycle bleeding & worsen gad/depression? Is it worth having my levels checked?

Could a hormonal imbalance cause midcycle bleeding & worsen gad/depression? Is it worth having my levels checked?

Yes bleed/depression: Hormone imbalance would almost have to be a part of midcycle bleeding, but there many other facters too. Would suggest saliva hormone testing for starting. Then you need guidence from someone skilled in helping to obtain hormone balance. Depression is very often ass. With hormone imbalance. ...Read more

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Gad/depression well managed w/paxil for 2mos. The last week my symptoms have increased- need to take 1-2 ativan/day to cope. Advice/is this normal?

Gad/depression well managed w/paxil for 2mos. The last week my symptoms have increased- need to take 1-2 ativan/day to cope. Advice/is this normal?

Add CBT: I would suggest finding a skilled cognitive behavioral therapist to assist with psychological portion along with your physician who manages medication. That way, you are working with a medical doctor to manage medications while having a therapist assist with cognitive restructuring, providing behavioral tools (such as worry exposure), and other techniques for coping. Good luck! ...Read more

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If after 5 weeks on Efexor 75mg reduced my anxiety a little bit should i wait some time or it is better to increase to 150mg .GAD and mild depression?

If after 5 weeks on Efexor 75mg reduced my anxiety a little bit should i wait some time or it is better to increase to 150mg .GAD and mild depression?

Treatment: Five weeks is often a good time to assess how the medication is working at that dose. However, would not make any changes to dose independent of your prescribing provider. In the meantime - Don't isolate. Use your support system. Get out. Don’t stagnate at home. Sleep at least 8 hrs/ night & eat healthfully. Daily exercise is a big +. Try acupuncture, tai chi, qi gong, yoga, meditation or CBT. ...Read more

Dr. Heidi Fowler
435 doctors shared insights

Generalized Anxiety Disorder (Definition)

Severe, ongoing anxiety that ...Read more